Wellcare ACT Mastery Exam UPDATED
ACTUAL Exam Questions and 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 (CMS) in the
Health Plan Management System (HPMS), and opted in by the health plan after distribution. -
CORRECT ANSWER - FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt 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 often 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 after 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 provider. The disclaimer must be: - CORRECT 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. - CORRECT ANSWER - All of these
, Which of the following is not an example of Protected Health Information (PHI)? - CORRECT
ANSWER - Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - CORRECT ANSWER - 48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - CORRECT ANSWER - True
When explaining the provider network for D-SNPs and C-SNPs: - CORRECT 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. - CORRECT ANSWER - True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - CORRECT
ANSWER - Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive
the most assistance? - CORRECT ANSWER - Three
The _________ plan is expected to have one of the lowest premiums in the country! -
CORRECT ANSWER - Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains
in 2024. - CORRECT ANSWER - True
ACTUAL Exam Questions and 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 (CMS) in the
Health Plan Management System (HPMS), and opted in by the health plan after distribution. -
CORRECT ANSWER - FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt 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 often 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 after 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 provider. The disclaimer must be: - CORRECT 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. - CORRECT ANSWER - All of these
, Which of the following is not an example of Protected Health Information (PHI)? - CORRECT
ANSWER - Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - CORRECT ANSWER - 48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - CORRECT ANSWER - True
When explaining the provider network for D-SNPs and C-SNPs: - CORRECT 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. - CORRECT ANSWER - True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - CORRECT
ANSWER - Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive
the most assistance? - CORRECT ANSWER - Three
The _________ plan is expected to have one of the lowest premiums in the country! -
CORRECT ANSWER - Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains
in 2024. - CORRECT ANSWER - True
