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.
Verballycconveyedcwithincthecfirstcminutecofcacsalesccall.
ProminentlycdisplayedconcTPMOcwebsitesc(regardlesscofccontent).
Electronicallycconveyedcwhenccommunicatingcwithcacbeneficiarycthroughcemail,conlinecchat,corcothercele
ctroniccmeanscofccommunicationc(regardlesscofccontent).
Brokers/AgentsccancaccesscthecfollowingcresourcescundercthecSharedcResourcescsectioncincCentenecWork
bench.c-cCORRECTcANSWERc-Allcofcthese
WhichcofcthecfollowingciscnotcancexamplecofcProtectedcHealthcInformationc(PHI)?c-
cCORRECTcANSWERc-
LibrarycCard
WhencacpapercSOAcformciscused,citcmustcbeccompletedc__________chostingcthecsalescpresentation.c
-
CORRECTcANSWERc-48cHourscpriorcto
Ascendciscacfast,ceasy,candccompliantcwaycforcbrokers/agentsctocsubmitcagent-
assistedcelectroniccenrollments.c-cCORRECTcANSWERc-True
,c
WhencexplainingcthecprovidercnetworkcforcD-SNPscandcC-SNPs:c-cCORRECTcANSWERc-
Avoidcsubmittingcapplicationscwithcnocprimaryccarecproviderc(PCP)ctocassistcthesechigher-riskcmembers.
Ifcacmemberciscnotcconnectedctocacprimaryccarecproviderc(PCP),cwecshouldcalwayscencouragecandcassis
t
withcconnectingcthemcwithcancin-networkcdoctor
Ifcacrequestedceffectivecdateciscavailablecforcthecspecialcelectioncperiodcbeingcselected,censurecyoucarecr
e
questingcacdatecwithinctheccorrectctimecframecforcthecmembercbasedconctheirceligibilitycdatecorcchangec
d
atecneeded.c-cCORRECTcANSWERc-True
Wellcare'sc_____cplanciscdesignedcforcLow-IncomecSubsidycmembers.c-cCORRECTcANSWERc-Classic
WhichcLISccategoryciscassignedctocmemberscwhoseccostscarecfullycsubsidizedcandcwhocreceivecthecmostc
a
ssistance?c-cCORRECTcANSWERc-Three
Thec_________cplanciscexpectedctochaveconecofctheclowestcpremiumscinctheccountry!c-
CORRECTcANSWERc-ValuecScript
ThecWellcarecpreferredcpharmacycnetworkcincludescWalgreens,cCVS,candcsomecgrocerycchainscinc2024.c-
CORRECTcANSWERc-True
Wellcareccontinuesctoc expandcitscreachcbycofferingcmorecproductscincacwidercgeography.c____cnewcWellc
arecplanscarecgoingctocmarket.c-cCORRECTcANSWERc-Twenty-three
AllcPrescriptioncDrugcPlansc(PDPs)cwillcoffcercac$___ccopaycforcmostcPartcDcpreventivecvaccines,cregardle
s
scofcwhichcnetworkcpharmacyciscusedcbycmembers.c-cCORRECTcANSWERc-Zero
WhichcofcthecPrescriptioncDrugcPlanc(PDP)cproductsciscnewctoc thec6-
tiercformularycstructurecforc2024?c-
CORRECTcANSWERc-Classic
IncthecCatastrophiccCoveragecstage,cthecmembercwillcpayc$___cforcbrandcandcgenericcdrugscforcthecrema
i
ndercofcthecyearconcectheirctotalcoutcofcpocketccostscreachc$8,000.c-cCORRECTcANSWERc-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.
Verballycconveyedcwithincthecfirstcminutecofcacsalesccall.
ProminentlycdisplayedconcTPMOcwebsitesc(regardlesscofccontent).
Electronicallycconveyedcwhenccommunicatingcwithcacbeneficiarycthroughcemail,conlinecchat,corcothercele
ctroniccmeanscofccommunicationc(regardlesscofccontent).
Brokers/AgentsccancaccesscthecfollowingcresourcescundercthecSharedcResourcescsectioncincCentenecWork
bench.c-cCORRECTcANSWERc-Allcofcthese
WhichcofcthecfollowingciscnotcancexamplecofcProtectedcHealthcInformationc(PHI)?c-
cCORRECTcANSWERc-
LibrarycCard
WhencacpapercSOAcformciscused,citcmustcbeccompletedc__________chostingcthecsalescpresentation.c
-
CORRECTcANSWERc-48cHourscpriorcto
Ascendciscacfast,ceasy,candccompliantcwaycforcbrokers/agentsctocsubmitcagent-
assistedcelectroniccenrollments.c-cCORRECTcANSWERc-True
,c
WhencexplainingcthecprovidercnetworkcforcD-SNPscandcC-SNPs:c-cCORRECTcANSWERc-
Avoidcsubmittingcapplicationscwithcnocprimaryccarecproviderc(PCP)ctocassistcthesechigher-riskcmembers.
Ifcacmemberciscnotcconnectedctocacprimaryccarecproviderc(PCP),cwecshouldcalwayscencouragecandcassis
t
withcconnectingcthemcwithcancin-networkcdoctor
Ifcacrequestedceffectivecdateciscavailablecforcthecspecialcelectioncperiodcbeingcselected,censurecyoucarecr
e
questingcacdatecwithinctheccorrectctimecframecforcthecmembercbasedconctheirceligibilitycdatecorcchangec
d
atecneeded.c-cCORRECTcANSWERc-True
Wellcare'sc_____cplanciscdesignedcforcLow-IncomecSubsidycmembers.c-cCORRECTcANSWERc-Classic
WhichcLISccategoryciscassignedctocmemberscwhoseccostscarecfullycsubsidizedcandcwhocreceivecthecmostc
a
ssistance?c-cCORRECTcANSWERc-Three
Thec_________cplanciscexpectedctochaveconecofctheclowestcpremiumscinctheccountry!c-
CORRECTcANSWERc-ValuecScript
ThecWellcarecpreferredcpharmacycnetworkcincludescWalgreens,cCVS,candcsomecgrocerycchainscinc2024.c-
CORRECTcANSWERc-True
Wellcareccontinuesctoc expandcitscreachcbycofferingcmorecproductscincacwidercgeography.c____cnewcWellc
arecplanscarecgoingctocmarket.c-cCORRECTcANSWERc-Twenty-three
AllcPrescriptioncDrugcPlansc(PDPs)cwillcoffcercac$___ccopaycforcmostcPartcDcpreventivecvaccines,cregardle
s
scofcwhichcnetworkcpharmacyciscusedcbycmembers.c-cCORRECTcANSWERc-Zero
WhichcofcthecPrescriptioncDrugcPlanc(PDP)cproductsciscnewctoc thec6-
tiercformularycstructurecforc2024?c-
CORRECTcANSWERc-Classic
IncthecCatastrophiccCoveragecstage,cthecmembercwillcpayc$___cforcbrandcandcgenericcdrugscforcthecrema
i
ndercofcthecyearconcectheirctotalcoutcofcpocketccostscreachc$8,000.c-cCORRECTcANSWERc-Zero
