WELLCARE ACT MASTERY FINAL EXAM 2
VERSIONS 2025-2026 BANK ACTUAL QUESTIONS
WITH DETAILED ANSWERS WITH STUDY
GUIDE EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
1. 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. - ANSWER-FALSE
2.Enrollment applications must be received by Wellcare no later than ___
calendar day(s) following receipt from the beneficiary. - ANSWER-1
3.Which elements are available as part of Wellcare's Sales Support model? -
ANSWER-All of these
4.Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all
Part D plan premiums - ANSWER-False
5.Prior to completing the enrollment form, broker/agents should always confirm
the beneficiary's primary care provider (PCP) and/or specialists - ANSWER-True
6.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 - ANSWER-Tru
7.Brokers/Agents may be investigated after being suspected of noncompliant
activity reported through a - ANSWER-Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
8.A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan. - ANSWER-False
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,9.Wellcare does not need to be informed of all marketing/sales events at which
plans or materials will be presented or distributed (formaland informal). -
ANSWER-False
10.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. - ANSWER-True
11.CustomPoint sales material order dates will be posted on Wellcare.com -
ANSWER-False
12.The online Centene Workbench self-service portal enables you to - ANSWER-
All of these
13.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: - 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).
14.Brokers/Agents can access the following resources under the Shared
Resources section in Centene Workbench. - ANSWER-All of these
15.Which of the following is not an example of Protected Health Information
(PHI)? - ANSWER-Library Card
16.When a paper SOA form is used, it must be completed __________ hosting the
sales presentation. - ANSWER-48 Hours prior to
17.Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments. - ANSWER-True
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, 18.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
19.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. - ANSWER-True
20.Wellcare's _____ plan is designed for Low-Income Subsidy members. -
ANSWER-Classic
21.Which LIS category is assigned to members whose costs are fully subsidized
and who receive the most assistance?
- ANSWER-Three
22.The _________ plan is expected to have one of the lowest premiums in the
country!
ANSWER-Value Script
23.The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024. - ANSWER-True
24.Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market. - ANSWER-Twenty-
three
25.All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by members. -
ANSWER-Zero
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VERSIONS 2025-2026 BANK ACTUAL QUESTIONS
WITH DETAILED ANSWERS WITH STUDY
GUIDE EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
1. 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. - ANSWER-FALSE
2.Enrollment applications must be received by Wellcare no later than ___
calendar day(s) following receipt from the beneficiary. - ANSWER-1
3.Which elements are available as part of Wellcare's Sales Support model? -
ANSWER-All of these
4.Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all
Part D plan premiums - ANSWER-False
5.Prior to completing the enrollment form, broker/agents should always confirm
the beneficiary's primary care provider (PCP) and/or specialists - ANSWER-True
6.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 - ANSWER-Tru
7.Brokers/Agents may be investigated after being suspected of noncompliant
activity reported through a - ANSWER-Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
8.A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan. - ANSWER-False
1|Page
,9.Wellcare does not need to be informed of all marketing/sales events at which
plans or materials will be presented or distributed (formaland informal). -
ANSWER-False
10.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. - ANSWER-True
11.CustomPoint sales material order dates will be posted on Wellcare.com -
ANSWER-False
12.The online Centene Workbench self-service portal enables you to - ANSWER-
All of these
13.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: - 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).
14.Brokers/Agents can access the following resources under the Shared
Resources section in Centene Workbench. - ANSWER-All of these
15.Which of the following is not an example of Protected Health Information
(PHI)? - ANSWER-Library Card
16.When a paper SOA form is used, it must be completed __________ hosting the
sales presentation. - ANSWER-48 Hours prior to
17.Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments. - ANSWER-True
2|Page
, 18.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
19.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. - ANSWER-True
20.Wellcare's _____ plan is designed for Low-Income Subsidy members. -
ANSWER-Classic
21.Which LIS category is assigned to members whose costs are fully subsidized
and who receive the most assistance?
- ANSWER-Three
22.The _________ plan is expected to have one of the lowest premiums in the
country!
ANSWER-Value Script
23.The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024. - ANSWER-True
24.Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market. - ANSWER-Twenty-
three
25.All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by members. -
ANSWER-Zero
3|Page
