2025 Wellcare ACT Mastery Exam 100- Correct Answers Verified.

2025 Wellcare ACT Mastery Exam 100% Correct
Answers Verified



20. Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization (TPMO)
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for multiple Medicare Advantage (MA) organizations or plans can be reviewed by just one MA
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organization, submitted to the Centers for Medicare & Medicaid Services (CMS) in the Health Plan
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Management System (HPMS), and opted in by the health plan after distribution. - Correct Answer -
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FALSE
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Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt
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from the beneficiary. - Correct Answer - 1
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Which elements are available as part of Wellcare's Sales Support model? - Correct Answer - All of these
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Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums -
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Correct Answer - False
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Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary
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care provider (PCP) and/or specialists - Correct Answer - True
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At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or
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higher to successfully complete this course - Correct Answer - True
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Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a -
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Correct Answer - Complaint Tracking Module (CTM)
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Grievance
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A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
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Correct Answer - False
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Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be
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presented or distributed (formaland informal). - Correct Answer - False
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Marketing benefits in a service area where those benefits are not available is prohibited and considered
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misleading unless that is unavoidable because of local/regional or media use. - Correct Answer - True
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CustomPoint sales material order dates will be posted on Wellcare.com - Correct Answer - False
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The online Centene Workbench self-service portal enables you to - Correct Answer - All of these
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The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan
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provider. The disclaimer must be: - Correct Answer - Included in any marketing materials, including
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print materials and television advertisements developed, used, or distributed by the TPMO.
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Verbally conveyed within the first minute of a sales call.
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, Prominently displayed on TPMO websites (regardless of content). ty ty ty ty ty ty ty




Electronically conveyed when communicating with a beneficiary through email, online chat, or other
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electronic means of communication (regardless of content).
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Brokers/Agents can access the following resources under the Shared Resources section in Centene ty ty ty ty ty ty ty ty ty ty ty ty



Workbench. - Correct Answer - All of these
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Which of the following is not an example of Protected Health Information (PHI)? - Correct Answer -
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Library Card
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When a paper SOA form is used, it must be completed __________ hosting the sales presentation. -
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Correct Answer - 48 Hours prior to
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Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
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enrollments. - Correct Answer - True
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When explaining the provider network for D-SNPs and C-SNPs: - Correct Answer - Avoid submitting
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applications with no primary care provider (PCP) to assist these higher-risk members.
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If a member is not connected to a primary care provider (PCP), we should always encourage and assist
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with connecting them with an in-network doctor
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If a requested effective date is available for the special election period being selected, ensure you are
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requesting a date within the correct time frame for the member based on their eligibility date or change
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date needed. - Correct Answer - True
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Wellcare's _____ plan is designed for Low-Income Subsidy members. - Correct Answer - Classic
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Which LIS category is assigned to members whose costs are fully subsidized and who receive the most
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assistance? - Correct Answer - Three
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The _________ plan is expected to have one of the lowest premiums in the country! - Correct Answer -
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Value Script
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The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024. -
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Correct Answer - True
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Wellcare continues to expand its reach by offering more products in a wider geography. ____ new
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Wellcare plans are going to market. - Correct Answer - Twenty-three
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All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
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regardless of which network pharmacy is used by members. - Correct Answer - Zero
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Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for 2024? -
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Correct Answer - Classic
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In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the
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remainder of the year once their total out of pocket costs reach $8,000. - Correct Answer - Zero
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Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. - Correct
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Answer - True
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Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX,
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and WI. - Correct Answer - True
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All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. -
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