WELLCARE ACT MASTERY EXAM QUESTIONS &
ANSWERS
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 (CMS) in the Health Plan Management System (HPMS), and opted
in by the health plan after distribution. - Answer -FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - Answer -1
Which elements are available as part of Wellcare's Sales Support model? - Answer -All
of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums - Answer -False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists - 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 - Answer -True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a - 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. - 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). - 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. - Answer -True
CustomPoint sales material order dates will be posted on Wellcare.com - Answer -
False
, The online Centene Workbench self-service portal enables you to - Answer -All of
these
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more
than one MA plan provider. The disclaimer must be: - Answer -Included in any
marketing materials, including print materials and television advertisements developed,
used, or distributed by the TPMO.
Verbally conveyed within the first minute of a sales call.
Prominently displayed on TPMO websites (regardless of content).
Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench. - Answer -All of these
Which of the following is not an example of Protected Health Information (PHI)? -
Answer -Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - Answer -48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - Answer -True
When explaining the provider network for D-SNPs and C-SNPs: - Answer -Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk
members.
If a member is not connected to a primary care provider (PCP), we should always
encourage and assist with connecting them with an in-network doctor
If a requested effective date is available for the special election period being selected,
ensure you are requesting a date within the correct time frame for the member based on
their eligibility date or change date needed. - Answer -True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - Answer -
Classic
Which LIS category is assigned to members whose costs are fully subsidized and who
receive the most assistance? - Answer -Three
The _________ plan is expected to have one of the lowest premiums in the country! -
Answer -Value Script
ANSWERS
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 (CMS) in the Health Plan Management System (HPMS), and opted
in by the health plan after distribution. - Answer -FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - Answer -1
Which elements are available as part of Wellcare's Sales Support model? - Answer -All
of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums - Answer -False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists - 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 - Answer -True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a - 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. - 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). - 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. - Answer -True
CustomPoint sales material order dates will be posted on Wellcare.com - Answer -
False
, The online Centene Workbench self-service portal enables you to - Answer -All of
these
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more
than one MA plan provider. The disclaimer must be: - Answer -Included in any
marketing materials, including print materials and television advertisements developed,
used, or distributed by the TPMO.
Verbally conveyed within the first minute of a sales call.
Prominently displayed on TPMO websites (regardless of content).
Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench. - Answer -All of these
Which of the following is not an example of Protected Health Information (PHI)? -
Answer -Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - Answer -48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - Answer -True
When explaining the provider network for D-SNPs and C-SNPs: - Answer -Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk
members.
If a member is not connected to a primary care provider (PCP), we should always
encourage and assist with connecting them with an in-network doctor
If a requested effective date is available for the special election period being selected,
ensure you are requesting a date within the correct time frame for the member based on
their eligibility date or change date needed. - Answer -True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - Answer -
Classic
Which LIS category is assigned to members whose costs are fully subsidized and who
receive the most assistance? - Answer -Three
The _________ plan is expected to have one of the lowest premiums in the country! -
Answer -Value Script
