NACC REVIEW ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ 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.
◍ Which elements are available as part of Wellcare's sales support model?.
Answer: All of the above.
◍ Providers may create co-branded marketing pieces using the Wellcare name
and logo, as long as they are using the current, approved logo..
Answer: False
◍ Communication of PHI can be:(Select all that apply.).
Answer: -Written-Electronic-Verbal
◍ Lead-generating activities (either directly or indirectly) facilitated by a
third-party marketing organization (TPMO) need to include a notice to the
beneficiary that their information may be shared with a licensed agent for
future contact..
Answer: True
◍ Prior to completing the enrollment form, you should always confirm the
beneficiary's primary care physician (PCP) and/or specialists..
Answer: True
◍ Noting the correct enrollment period on enrollment applications helps in
preventing delayed enrollment processing.Select one:.
, Answer: True
◍ Beneficiary-facing content that includes generic or plan-specific product or
benefit information must be submitted for review and CMS submission, as
well as acceptance or approval, prior to distribution..
Answer: True
◍ A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan..
Answer: False
◍ The NEW online Centene Workbench self-service portal enables you to:.
Answer: All of the above
◍ What are some examples of what can trigger a beneficiary complaint?.
Answer: Select All!a.Did not consent to enroll in the plan.b.Received
incorrect plan benefit information or were dissatisfied with plan
benefits.c.Had enrollment/disenrollment issues (e.g.,
disenrollment/cancellation requests, late enrollment penalty, loss of
entitlement).d.Were misled about which providers were in-network.
◍ You can help prevent grievances by:.
Answer: Always confirming availability of the beneficiary's primary and
specialist providers by using the provider search tool available on the plan's
website.Always using plan materials to clearly explain plan benefits and
cost (including medications) and check for understanding.Always
confirming a beneficiary's intent to enroll before accepting their enrollment
application.
◍ Which of the following is not considered a grievance?.
Answer: A dispute of the appeal of an organization determination, coverage
determination, or a Late Enrollment Penalty (LEP) determination.
◍ Low-Income Subsidy (LIS), which is often referred to as Extra Help,
reduces all Part D plan premiums..
Answer: False(The LIS may not reduce Part D plan premiums. For example,
on the Wellcare Value Script plans, the LIS does not affect the member's
, premium obligation. In other cases, the LIS only partially reduces the
amount the member pays. We receive complaints where the assumption has
been that any LIS eliminates the plan premium.)
◍ Which standalone Prescription Drug Plan (PDP) is best for a dual-eligible
chooser?.
Answer: Classic
◍ What type of inquiries can Wellcare's Corporate Sales Support team assist
with?.
Answer: All of the above
◍ Ascend is a fast, easy, and compliant way for brokers/agents to submit
agent-assisted electronic enrollments..
Answer: True
◍ ____ Prescription Drug Plans (PDPs) will be offered across all 50
U. S. states and Washington,
D. C..
Answer: Three
◍ Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend
is:.
Answer: Select All!a.Available for LIS level searches in all
states.b.Available for Medicaid status searches in select states.c.A way to
assist brokers/agents with enrolling beneficiaries into the right plan based on
their extra help status.
◍ The beneficiary (or their authorized representative) must indicate the
product types to be discussed during the appointment on the Scope of
Appointment (SOA)..
Answer: True
◍ Which standalone Prescription Drug Plan is best for a dual-eligible
chooser?.
Answer: Classic
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ 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.
◍ Which elements are available as part of Wellcare's sales support model?.
Answer: All of the above.
◍ Providers may create co-branded marketing pieces using the Wellcare name
and logo, as long as they are using the current, approved logo..
Answer: False
◍ Communication of PHI can be:(Select all that apply.).
Answer: -Written-Electronic-Verbal
◍ Lead-generating activities (either directly or indirectly) facilitated by a
third-party marketing organization (TPMO) need to include a notice to the
beneficiary that their information may be shared with a licensed agent for
future contact..
Answer: True
◍ Prior to completing the enrollment form, you should always confirm the
beneficiary's primary care physician (PCP) and/or specialists..
Answer: True
◍ Noting the correct enrollment period on enrollment applications helps in
preventing delayed enrollment processing.Select one:.
, Answer: True
◍ Beneficiary-facing content that includes generic or plan-specific product or
benefit information must be submitted for review and CMS submission, as
well as acceptance or approval, prior to distribution..
Answer: True
◍ A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan..
Answer: False
◍ The NEW online Centene Workbench self-service portal enables you to:.
Answer: All of the above
◍ What are some examples of what can trigger a beneficiary complaint?.
Answer: Select All!a.Did not consent to enroll in the plan.b.Received
incorrect plan benefit information or were dissatisfied with plan
benefits.c.Had enrollment/disenrollment issues (e.g.,
disenrollment/cancellation requests, late enrollment penalty, loss of
entitlement).d.Were misled about which providers were in-network.
◍ You can help prevent grievances by:.
Answer: Always confirming availability of the beneficiary's primary and
specialist providers by using the provider search tool available on the plan's
website.Always using plan materials to clearly explain plan benefits and
cost (including medications) and check for understanding.Always
confirming a beneficiary's intent to enroll before accepting their enrollment
application.
◍ Which of the following is not considered a grievance?.
Answer: A dispute of the appeal of an organization determination, coverage
determination, or a Late Enrollment Penalty (LEP) determination.
◍ Low-Income Subsidy (LIS), which is often referred to as Extra Help,
reduces all Part D plan premiums..
Answer: False(The LIS may not reduce Part D plan premiums. For example,
on the Wellcare Value Script plans, the LIS does not affect the member's
, premium obligation. In other cases, the LIS only partially reduces the
amount the member pays. We receive complaints where the assumption has
been that any LIS eliminates the plan premium.)
◍ Which standalone Prescription Drug Plan (PDP) is best for a dual-eligible
chooser?.
Answer: Classic
◍ What type of inquiries can Wellcare's Corporate Sales Support team assist
with?.
Answer: All of the above
◍ Ascend is a fast, easy, and compliant way for brokers/agents to submit
agent-assisted electronic enrollments..
Answer: True
◍ ____ Prescription Drug Plans (PDPs) will be offered across all 50
U. S. states and Washington,
D. C..
Answer: Three
◍ Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend
is:.
Answer: Select All!a.Available for LIS level searches in all
states.b.Available for Medicaid status searches in select states.c.A way to
assist brokers/agents with enrolling beneficiaries into the right plan based on
their extra help status.
◍ The beneficiary (or their authorized representative) must indicate the
product types to be discussed during the appointment on the Scope of
Appointment (SOA)..
Answer: True
◍ Which standalone Prescription Drug Plan is best for a dual-eligible
chooser?.
Answer: Classic
