WELLCARE ACT MASTERY EXAM – BROKER QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED ANSWERS) LATEST
UPDATE
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy.
True
False -answer/ True
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:
(Select all that apply.)
a. Included in any marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email,
online chat, or other electronic means of communication (regardless of content). -
answer/ a. Included in any marketing materials, including print materials and
television advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email,
online chat, or other electronic means of communication (regardless of content).
,When a paper SOA form is used, it must be completed hosting the
sales presentation.
a. 48 Hours prior to
b. During
c. After -answer/ a. 48 Hours prior to
When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend
Medicaid search tool, you should confirm their current Medicaid status qualifies
for the selected D-SNP being enrolled in and explain that changes in Medicaid -
CORRECT ANSWER - may affect enrollment and/or cost sharing.
True
False -answer/ True
Medicare Star Ratings and performance are at the forefront of Wellcare's quality
strategy. Wellcare's quality focus consists of six drivers. Which of the following is
not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers -answer/ c. Member Payments
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
a. Ascend
b. Telephonic
c. Paper
,d. All of these -answer/ d. All of these
Brokers/Agents can submit a support ticket online through their Centene
Workbench portal.
True
False -answer/ True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can
enroll based solely on life events that qualify for an SEP period.
True
False -answer/ True
*From October 1 to October 14, certain activities are Non-Permissible Activities.
These include:
a. Assist with completing an application
b. Collect a completed application
c. Advise the beneficiary to complete an application prior to October 15.
d. All of these -answer/ d. All of these
*NOT a. Assist with completing an application
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments.
True
False -answer/ True
, Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud.
True
False -answer/ False
The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA).
True
False -answer/ True
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these -answer/ d. All of these
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these -answer/ d. All of these
Which of the following is not an example of Protected Health Information (PHI)?
ANSWERS (VERIFIED AND WELL DETAILED ANSWERS) LATEST
UPDATE
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy.
True
False -answer/ True
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:
(Select all that apply.)
a. Included in any marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email,
online chat, or other electronic means of communication (regardless of content). -
answer/ a. Included in any marketing materials, including print materials and
television advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email,
online chat, or other electronic means of communication (regardless of content).
,When a paper SOA form is used, it must be completed hosting the
sales presentation.
a. 48 Hours prior to
b. During
c. After -answer/ a. 48 Hours prior to
When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend
Medicaid search tool, you should confirm their current Medicaid status qualifies
for the selected D-SNP being enrolled in and explain that changes in Medicaid -
CORRECT ANSWER - may affect enrollment and/or cost sharing.
True
False -answer/ True
Medicare Star Ratings and performance are at the forefront of Wellcare's quality
strategy. Wellcare's quality focus consists of six drivers. Which of the following is
not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers -answer/ c. Member Payments
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
a. Ascend
b. Telephonic
c. Paper
,d. All of these -answer/ d. All of these
Brokers/Agents can submit a support ticket online through their Centene
Workbench portal.
True
False -answer/ True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can
enroll based solely on life events that qualify for an SEP period.
True
False -answer/ True
*From October 1 to October 14, certain activities are Non-Permissible Activities.
These include:
a. Assist with completing an application
b. Collect a completed application
c. Advise the beneficiary to complete an application prior to October 15.
d. All of these -answer/ d. All of these
*NOT a. Assist with completing an application
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments.
True
False -answer/ True
, Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud.
True
False -answer/ False
The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA).
True
False -answer/ True
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these -answer/ d. All of these
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these -answer/ d. All of these
Which of the following is not an example of Protected Health Information (PHI)?
