2026 WELLCARE ACT MASTERY EXAM
WITH CORRECT ANSWERS
20. Beneficiary-facing marketing materials developed by a Third-
Party Marketing Organization (TPMO) for multiple Medicare Advantage (MA) organizations or plans can
be reviewed by just one MA organization, submitted to the Centers for Medicare & Medicaid Services (C
MS) in the Health Plan Management System (HPMS), and opted in by the health plan aſter distribution.
- CORRECT ANSWER -FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receip
t from the beneficiary. - CORRECT ANSWER -1
Which elements are available as part of Wellcare's Sales Support model? - CORRECT ANSWER -
All of these
Low-Income Subsidy (LIS), which is oſten referred to as Extra Help, reduces all Part D plan premiums -
CORRECT ANSWER -False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary
care provider (PCP) and/or specialists - CORRECT ANSWER -True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or
higher to successfully complete this course - CORRECT ANSWER -True
Brokers/Agents may be investigated aſter being suspected of noncompliant activity reported through a -
CORRECT ANSWER -Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
CORRECT ANSWER -False
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be
presented or distributed (formaland informal). - CORRECT ANSWER -False
,Marketing benefits in a service area where those benefits are not available is prohibited and considered
misleading unless that is unavoidable because of local/regional or media use. - CORRECT ANSWER -True
CustomPoint sales material order dates will be posted on Wellcare.com - CORRECT ANSWER -False
The online Centene Workbench self-service portal enables you to - CORRECT ANSWER -All of these
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan p
rovider. The disclaimer must be: - CORRECT ANSWER -
Included in any marketing materials, including print materials and television advertisements developed,
used, or distributed by the TPMO.
Verballyxconveyedxwithinxthexfirstxminutexofxaxsalesxcall.
ProminentlyxdisplayedxonxTPMOxwebsitesx(regardlessxofxcontent).
Electronicallyxconveyedxwhenxcommunicatingxwithxaxbeneficiaryxthroughxemail,xonlinexchat,xorxotherxel
e
ctronicxmeansxofxcommunicationx(regardlessxofxcontent).
Brokers/AgentsxcanxaccessxthexfollowingxresourcesxunderxthexSharedxResourcesxsectionxinxCentenexWor
k
bench.x-xCORRECTxANSWERx-Allxofxthese
WhichxofxthexfollowingxisxnotxanxexamplexofxProtectedxHealthxInformationx(PHI)?x-
xCORRECTxANSWERx-
LibraryxCard
WhenxaxpaperxSOAxformxisxused,xitxmustxbexcompletedx__________xhostingxthexsalesxpresentation
.x-
CORRECTxANSWERx-48xHoursxpriorxto
Ascendxisxaxfast,xeasy,xandxcompliantxwayxforxbrokers/agentsxtoxsubmitxagent
-
assistedxelectronicxenrollments.x-xCORRECTxANSWERx-True
,x
WhenxexplainingxthexproviderxnetworkxforxD-SNPsxandxC-SNPs:x-xCORRECTxANSWERx-
Avoidxsubmittingxapplicationsxwithxnoxprimaryxcarexproviderx(PCP)xtoxassistxthesexhigher-
riskxmembers.
Ifxaxmemberxisxnotxconnectedxtoxaxprimaryxcarexproviderx(PCP),xwexshouldxalwaysxencouragexandxass
ist
withxconnectingxthemxwithxanxin-networkxdoctor
Ifxaxrequestedxeffectivexdatexisxavailablexforxthexspecialxelectionxperiodxbeingxselected,xensurexyouxarex
re
questingxaxdatexwithinxthexcorrectxtimexframexforxthexmemberxbasedxonxtheirxeligibilityxdatexorxchang
exd
atexneeded.x-xCORRECTxANSWERx-True
Wellcare'sx_____xplanxisxdesignedxforxLow-IncomexSubsidyxmembers.x-xCORRECTxANSWERx-
Classic
WhichxLISxcategoryxisxassignedxtoxmembersxwhosexcostsxarexfullyxsubsidizedxandxwhoxreceivexthexmost
xa
ssistance?x-xCORRECTxANSWERx-Three
Thex_________xplanxisxexpectedxtoxhavexonexofxthexlowestxpremiumsxinxthexcountry!
x-
CORRECTxANSWERx-ValuexScript
ThexWellcarexpreferredxpharmacyxnetworkxincludesxWalgreens,xCVS,xandxsomexgroceryxchainsxinx2024.
x-
CORRECTxANSWERx-True
Wellcarexcontinuesxtoxexpandxitsxreachxbyxofferingxmorexproductsxinxaxwiderxgeography.x____xnewxWe
llc
arexplansxarexgoingxtoxmarket.x-xCORRECTxANSWERx-Twenty-three
AllxPrescriptionxDrugxPlansx(PDPs)xwillxoffxerxax$___xcopayxforxmostxPartxDxpreventivexvaccines,xregardl
es
sxofxwhichxnetworkxpharmacyxisxusedxbyxmembers.x-xCORRECTxANSWERx-Zero
WhichxofxthexPrescriptionxDrugxPlanx(PDP)xproductsxisxnewxtoxthex6-
tierxformularyxstructurexforx2024?x-
CORRECTxANSWERx-Classic
InxthexCatastrophicxCoveragexstage,xthexmemberxwillxpayx$___xforxbrandxandxgenericxdrugsxforxthexre
mai
nderxofxthexyearxoncextheirxtotalxoutxofxpocketxcostsxreachx$8,000.x-xCORRECTxANSWERx-Zero
WITH CORRECT ANSWERS
20. Beneficiary-facing marketing materials developed by a Third-
Party Marketing Organization (TPMO) for multiple Medicare Advantage (MA) organizations or plans can
be reviewed by just one MA organization, submitted to the Centers for Medicare & Medicaid Services (C
MS) in the Health Plan Management System (HPMS), and opted in by the health plan aſter distribution.
- CORRECT ANSWER -FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receip
t from the beneficiary. - CORRECT ANSWER -1
Which elements are available as part of Wellcare's Sales Support model? - CORRECT ANSWER -
All of these
Low-Income Subsidy (LIS), which is oſten referred to as Extra Help, reduces all Part D plan premiums -
CORRECT ANSWER -False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary
care provider (PCP) and/or specialists - CORRECT ANSWER -True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or
higher to successfully complete this course - CORRECT ANSWER -True
Brokers/Agents may be investigated aſter being suspected of noncompliant activity reported through a -
CORRECT ANSWER -Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
CORRECT ANSWER -False
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be
presented or distributed (formaland informal). - CORRECT ANSWER -False
,Marketing benefits in a service area where those benefits are not available is prohibited and considered
misleading unless that is unavoidable because of local/regional or media use. - CORRECT ANSWER -True
CustomPoint sales material order dates will be posted on Wellcare.com - CORRECT ANSWER -False
The online Centene Workbench self-service portal enables you to - CORRECT ANSWER -All of these
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan p
rovider. The disclaimer must be: - CORRECT ANSWER -
Included in any marketing materials, including print materials and television advertisements developed,
used, or distributed by the TPMO.
Verballyxconveyedxwithinxthexfirstxminutexofxaxsalesxcall.
ProminentlyxdisplayedxonxTPMOxwebsitesx(regardlessxofxcontent).
Electronicallyxconveyedxwhenxcommunicatingxwithxaxbeneficiaryxthroughxemail,xonlinexchat,xorxotherxel
e
ctronicxmeansxofxcommunicationx(regardlessxofxcontent).
Brokers/AgentsxcanxaccessxthexfollowingxresourcesxunderxthexSharedxResourcesxsectionxinxCentenexWor
k
bench.x-xCORRECTxANSWERx-Allxofxthese
WhichxofxthexfollowingxisxnotxanxexamplexofxProtectedxHealthxInformationx(PHI)?x-
xCORRECTxANSWERx-
LibraryxCard
WhenxaxpaperxSOAxformxisxused,xitxmustxbexcompletedx__________xhostingxthexsalesxpresentation
.x-
CORRECTxANSWERx-48xHoursxpriorxto
Ascendxisxaxfast,xeasy,xandxcompliantxwayxforxbrokers/agentsxtoxsubmitxagent
-
assistedxelectronicxenrollments.x-xCORRECTxANSWERx-True
,x
WhenxexplainingxthexproviderxnetworkxforxD-SNPsxandxC-SNPs:x-xCORRECTxANSWERx-
Avoidxsubmittingxapplicationsxwithxnoxprimaryxcarexproviderx(PCP)xtoxassistxthesexhigher-
riskxmembers.
Ifxaxmemberxisxnotxconnectedxtoxaxprimaryxcarexproviderx(PCP),xwexshouldxalwaysxencouragexandxass
ist
withxconnectingxthemxwithxanxin-networkxdoctor
Ifxaxrequestedxeffectivexdatexisxavailablexforxthexspecialxelectionxperiodxbeingxselected,xensurexyouxarex
re
questingxaxdatexwithinxthexcorrectxtimexframexforxthexmemberxbasedxonxtheirxeligibilityxdatexorxchang
exd
atexneeded.x-xCORRECTxANSWERx-True
Wellcare'sx_____xplanxisxdesignedxforxLow-IncomexSubsidyxmembers.x-xCORRECTxANSWERx-
Classic
WhichxLISxcategoryxisxassignedxtoxmembersxwhosexcostsxarexfullyxsubsidizedxandxwhoxreceivexthexmost
xa
ssistance?x-xCORRECTxANSWERx-Three
Thex_________xplanxisxexpectedxtoxhavexonexofxthexlowestxpremiumsxinxthexcountry!
x-
CORRECTxANSWERx-ValuexScript
ThexWellcarexpreferredxpharmacyxnetworkxincludesxWalgreens,xCVS,xandxsomexgroceryxchainsxinx2024.
x-
CORRECTxANSWERx-True
Wellcarexcontinuesxtoxexpandxitsxreachxbyxofferingxmorexproductsxinxaxwiderxgeography.x____xnewxWe
llc
arexplansxarexgoingxtoxmarket.x-xCORRECTxANSWERx-Twenty-three
AllxPrescriptionxDrugxPlansx(PDPs)xwillxoffxerxax$___xcopayxforxmostxPartxDxpreventivexvaccines,xregardl
es
sxofxwhichxnetworkxpharmacyxisxusedxbyxmembers.x-xCORRECTxANSWERx-Zero
WhichxofxthexPrescriptionxDrugxPlanx(PDP)xproductsxisxnewxtoxthex6-
tierxformularyxstructurexforx2024?x-
CORRECTxANSWERx-Classic
InxthexCatastrophicxCoveragexstage,xthexmemberxwillxpayx$___xforxbrandxandxgenericxdrugsxforxthexre
mai
nderxofxthexyearxoncextheirxtotalxoutxofxpocketxcostsxreachx$8,000.x-xCORRECTxANSWERx-Zero
