2025 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 after distribution.
- CORRECT ANSWER -FALSE
EnrollmentBapplications 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 often referred to as Extra Help, reduces all Part D plan premiums -
CORRECT ANSWER -False
Prior to completingBthe 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
ABbroker/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.
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 ele
ctronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources section in Centene Work
bench. - 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 networkBfor 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 re
questing a date within the correct time frame for the member based on their eligibility date or change d
ate needed. - CORRECT ANSWER -True
Wellcare's plan isBdesigned 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 a
ssistance? - 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 networkBincludes Walgreens, CVS, and some grocery chains in 2024. -
CORRECT ANSWER -True
Wellcare continues to expand its reach by offeringBmore products in a wider geography. new Wellc
are plans are going to market. - CORRECT ANSWER -Twenty-three
All Prescription Drug Plans (PDPs) will off er a $ copay for mostBPart D preventive vaccines, regardles
s of which network pharmacy is used by members. - CORRECT ANSWER -Zero
Which of the Prescription Drug Plan (PDP) productsBis new to the 6-tier formulary structure for 2024? -
CORRECT ANSWER -Classic
In the Catastrophic Coverage stage, the member will pay $ for brand and generic drugs for the remai
nder of the year once their total out of pocket costs reach $8,000. - CORRECT ANSWER -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 after distribution.
- CORRECT ANSWER -FALSE
EnrollmentBapplications 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 often referred to as Extra Help, reduces all Part D plan premiums -
CORRECT ANSWER -False
Prior to completingBthe 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
ABbroker/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.
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 ele
ctronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources section in Centene Work
bench. - 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 networkBfor 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 re
questing a date within the correct time frame for the member based on their eligibility date or change d
ate needed. - CORRECT ANSWER -True
Wellcare's plan isBdesigned 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 a
ssistance? - 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 networkBincludes Walgreens, CVS, and some grocery chains in 2024. -
CORRECT ANSWER -True
Wellcare continues to expand its reach by offeringBmore products in a wider geography. new Wellc
are plans are going to market. - CORRECT ANSWER -Twenty-three
All Prescription Drug Plans (PDPs) will off er a $ copay for mostBPart D preventive vaccines, regardles
s of which network pharmacy is used by members. - CORRECT ANSWER -Zero
Which of the Prescription Drug Plan (PDP) productsBis new to the 6-tier formulary structure for 2024? -
CORRECT ANSWER -Classic
In the Catastrophic Coverage stage, the member will pay $ for brand and generic drugs for the remai
nder of the year once their total out of pocket costs reach $8,000. - CORRECT ANSWER -Zero
