2026 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 aſter distribution.
- CORRECT ANSWER -FALSE
Enrollment applications 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 oſten 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 aſter 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 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.
Verballyzconveyedzwithinzthezfirstzminutezofzazsaleszcall.
ProminentlyzdisplayedzonzTPMOzwebsitesz(regardlesszofzcontent).
Electronicallyzconveyedzwhenzcommunicatingzwithzazbeneficiaryzthroughzemail,zonlinezchat,zorzotherzele
ctroniczmeanszofzcommunicationz(regardlesszofzcontent).
Brokers/AgentszcanzaccesszthezfollowingzresourceszunderzthezSharedzResourceszsectionzinzCentenezWork
bench.z-zCORRECTzANSWERz-Allzofzthese
WhichzofzthezfollowingzisznotzanzexamplezofzProtectedzHealthzInformationz(PHI)?z-
zCORRECTzANSWERz-
LibraryzCard
WhenzazpaperzSOAzformziszused,zitzmustzbezcompletedz__________zhostingzthezsaleszpresentation.z
-
CORRECTzANSWERz-48zHourszpriorzto
Ascendziszazfast,zeasy,zandzcompliantzwayzforzbrokers/agentsztozsubmitzagent-
assistedzelectroniczenrollments.z-zCORRECTzANSWERz-True
,z
WhenzexplainingzthezproviderznetworkzforzD-SNPszandzC-SNPs:z-zCORRECTzANSWERz-
Avoidzsubmittingzapplicationszwithznozprimaryzcarezproviderz(PCP)ztozassistzthesezhigher-riskzmembers.
Ifzazmemberzisznotzconnectedztozazprimaryzcarezproviderz(PCP),zwezshouldzalwayszencouragezandzassis
t
withzconnectingzthemzwithzanzin-networkzdoctor
Ifzazrequestedzeffectivezdateziszavailablezforzthezspecialzelectionzperiodzbeingzselected,zensurezyouzarezr
e
questingzazdatezwithinzthezcorrectztimezframezforzthezmemberzbasedzonztheirzeligibilityzdatezorzchangez
d
atezneeded.z-zCORRECTzANSWERz-True
Wellcare'sz_____zplanziszdesignedzforzLow-IncomezSubsidyzmembers.z-zCORRECTzANSWERz-Classic
WhichzLISzcategoryziszassignedztozmemberszwhosezcostszarezfullyzsubsidizedzandzwhozreceivezthezmostz
a
ssistance?z-zCORRECTzANSWERz-Three
Thez_________zplanziszexpectedztozhavezonezofzthezlowestzpremiumszinzthezcountry!z-
CORRECTzANSWERz-ValuezScript
ThezWellcarezpreferredzpharmacyznetworkzincludeszWalgreens,zCVS,zandzsomezgroceryzchainszinz2024.z-
CORRECTzANSWERz-True
Wellcarezcontinuesztozexpandzitszreachzbyzofferingzmorezproductszinzazwiderzgeography.z____znewzWellc
arezplanszarezgoingztozmarket.z-zCORRECTzANSWERz-Twenty-three
AllzPrescriptionzDrugzPlansz(PDPs)zwillzoffzerzaz$___zcopayzforzmostzPartzDzpreventivezvaccines,zregardle
s
szofzwhichznetworkzpharmacyziszusedzbyzmembers.z-zCORRECTzANSWERz-Zero
WhichzofzthezPrescriptionzDrugzPlanz(PDP)zproductszisznewztozthez6-
tierzformularyzstructurezforz2024?z-
CORRECTzANSWERz-Classic
InzthezCatastrophiczCoveragezstage,zthezmemberzwillzpayz$___zforzbrandzandzgenericzdrugszforzthezrema
i
nderzofzthezyearzonceztheirztotalzoutzofzpocketzcostszreachz$8,000.z-zCORRECTzANSWERz-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 aſter distribution.
- CORRECT ANSWER -FALSE
Enrollment applications 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 oſten 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 aſter 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 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.
Verballyzconveyedzwithinzthezfirstzminutezofzazsaleszcall.
ProminentlyzdisplayedzonzTPMOzwebsitesz(regardlesszofzcontent).
Electronicallyzconveyedzwhenzcommunicatingzwithzazbeneficiaryzthroughzemail,zonlinezchat,zorzotherzele
ctroniczmeanszofzcommunicationz(regardlesszofzcontent).
Brokers/AgentszcanzaccesszthezfollowingzresourceszunderzthezSharedzResourceszsectionzinzCentenezWork
bench.z-zCORRECTzANSWERz-Allzofzthese
WhichzofzthezfollowingzisznotzanzexamplezofzProtectedzHealthzInformationz(PHI)?z-
zCORRECTzANSWERz-
LibraryzCard
WhenzazpaperzSOAzformziszused,zitzmustzbezcompletedz__________zhostingzthezsaleszpresentation.z
-
CORRECTzANSWERz-48zHourszpriorzto
Ascendziszazfast,zeasy,zandzcompliantzwayzforzbrokers/agentsztozsubmitzagent-
assistedzelectroniczenrollments.z-zCORRECTzANSWERz-True
,z
WhenzexplainingzthezproviderznetworkzforzD-SNPszandzC-SNPs:z-zCORRECTzANSWERz-
Avoidzsubmittingzapplicationszwithznozprimaryzcarezproviderz(PCP)ztozassistzthesezhigher-riskzmembers.
Ifzazmemberzisznotzconnectedztozazprimaryzcarezproviderz(PCP),zwezshouldzalwayszencouragezandzassis
t
withzconnectingzthemzwithzanzin-networkzdoctor
Ifzazrequestedzeffectivezdateziszavailablezforzthezspecialzelectionzperiodzbeingzselected,zensurezyouzarezr
e
questingzazdatezwithinzthezcorrectztimezframezforzthezmemberzbasedzonztheirzeligibilityzdatezorzchangez
d
atezneeded.z-zCORRECTzANSWERz-True
Wellcare'sz_____zplanziszdesignedzforzLow-IncomezSubsidyzmembers.z-zCORRECTzANSWERz-Classic
WhichzLISzcategoryziszassignedztozmemberszwhosezcostszarezfullyzsubsidizedzandzwhozreceivezthezmostz
a
ssistance?z-zCORRECTzANSWERz-Three
Thez_________zplanziszexpectedztozhavezonezofzthezlowestzpremiumszinzthezcountry!z-
CORRECTzANSWERz-ValuezScript
ThezWellcarezpreferredzpharmacyznetworkzincludeszWalgreens,zCVS,zandzsomezgroceryzchainszinz2024.z-
CORRECTzANSWERz-True
Wellcarezcontinuesztozexpandzitszreachzbyzofferingzmorezproductszinzazwiderzgeography.z____znewzWellc
arezplanszarezgoingztozmarket.z-zCORRECTzANSWERz-Twenty-three
AllzPrescriptionzDrugzPlansz(PDPs)zwillzoffzerzaz$___zcopayzforzmostzPartzDzpreventivezvaccines,zregardle
s
szofzwhichznetworkzpharmacyziszusedzbyzmembers.z-zCORRECTzANSWERz-Zero
WhichzofzthezPrescriptionzDrugzPlanz(PDP)zproductszisznewztozthez6-
tierzformularyzstructurezforz2024?z-
CORRECTzANSWERz-Classic
InzthezCatastrophiczCoveragezstage,zthezmemberzwillzpayz$___zforzbrandzandzgenericzdrugszforzthezrema
i
nderzofzthezyearzonceztheirztotalzoutzofzpocketzcostszreachz$8,000.z-zCORRECTzANSWERz-Zero
