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WELLCARE ACT MASTERY CERTIFICATION EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The Prescription Drug Plan (PDP) network is expected to include
over ____ total pharmacies. - ANSWER-Sixty Thousand
With which types of inquiries can Wellcare's Corporate Sales
Support team assist? - ANSWER-All of these
Which Prescription Drug Plan (PDP) product features no
deductible on any tier? - ANSWER-Value Plus
A request to the plan from a member or provider for a formal
review of an Action (Denial) or Adverse Plan Determination
(Medicare) is a/an:
a. - ANSWER-Appeal
Centene requires all contracted brokers/agents to read,
understand, and agree to Centene's Business Ethics and Code of
Conduct Policy.
True
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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).
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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 eligiblity may affect
enrollment and/or cost sharing.
True
False - ANSWER-True
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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
WELLCARE ACT MASTERY CERTIFICATION EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The Prescription Drug Plan (PDP) network is expected to include
over ____ total pharmacies. - ANSWER-Sixty Thousand
With which types of inquiries can Wellcare's Corporate Sales
Support team assist? - ANSWER-All of these
Which Prescription Drug Plan (PDP) product features no
deductible on any tier? - ANSWER-Value Plus
A request to the plan from a member or provider for a formal
review of an Action (Denial) or Adverse Plan Determination
(Medicare) is a/an:
a. - ANSWER-Appeal
Centene requires all contracted brokers/agents to read,
understand, and agree to Centene's Business Ethics and Code of
Conduct Policy.
True
,2|Page
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).
,3|Page
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 eligiblity may affect
enrollment and/or cost sharing.
True
False - ANSWER-True
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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
