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.
Verballyvconveyedvwithinvthevfirstvminutevofvavsalesvcall.
ProminentlyvdisplayedvonvTPMOvwebsitesv(regardlessvofvcontent).
Electronicallyvconveyedvwhenvcommunicatingvwithvavbeneficiaryvthroughvemail,vonlinevchat,vorvothervel
e
ctronicvmeansvofvcommunicationv(regardlessvofvcontent).
Brokers/AgentsvcanvaccessvthevfollowingvresourcesvundervthevSharedvResourcesvsectionvinvCentenevWor
k
bench.v-vCORRECTvANSWERv-Allvofvthese
WhichvofvthevfollowingvisvnotvanvexamplevofvProtectedvHealthvInformationv(PHI)?v-
vCORRECTvANSWERv-
LibraryvCard
WhenvavpapervSOAvformvisvused,vitvmustvbevcompletedv__________vhostingvthevsalesvpresentation
.v-
CORRECTvANSWERv-48vHoursvpriorvto
Ascendvisvavfast,veasy,vandvcompliantvwayvforvbrokers/agentsvtovsubmitvagent
-
assistedvelectronicvenrollments.v-vCORRECTvANSWERv-True
,v
WhenvexplainingvthevprovidervnetworkvforvD-SNPsvandvC-SNPs:v-vCORRECTvANSWERv-
Avoidvsubmittingvapplicationsvwithvnovprimaryvcarevproviderv(PCP)vtovassistvthesevhigher-
riskvmembers.
Ifvavmembervisvnotvconnectedvtovavprimaryvcarevproviderv(PCP),vwevshouldvalwaysvencouragevandvass
ist
withvconnectingvthemvwithvanvin-networkvdoctor
Ifvavrequestedveffectivevdatevisvavailablevforvthevspecialvelectionvperiodvbeingvselected,vensurevyouvarev
re
questingvavdatevwithinvthevcorrectvtimevframevforvthevmembervbasedvonvtheirveligibilityvdatevorvchang
evd
atevneeded.v-vCORRECTvANSWERv-True
Wellcare'sv_____vplanvisvdesignedvforvLow-IncomevSubsidyvmembers.v-vCORRECTvANSWERv-
Classic
WhichvLISvcategoryvisvassignedvtovmembersvwhosevcostsvarevfullyvsubsidizedvandvwhovreceivevthevmost
va
ssistance?v-vCORRECTvANSWERv-Three
Thev_________vplanvisvexpectedvtovhavevonevofvthevlowestvpremiumsvinvthevcountry!
v-
CORRECTvANSWERv-ValuevScript
ThevWellcarevpreferredvpharmacyvnetworkvincludesvWalgreens,vCVS,vandvsomevgroceryvchainsvinv2024.
v-
CORRECTvANSWERv-True
Wellcarevcontinuesvtovexpandvitsvreachvbyvofferingvmorevproductsvinvavwidervgeography.v____vnewvWe
llc
arevplansvarevgoingvtovmarket.v-vCORRECTvANSWERv-Twenty-three
AllvPrescriptionvDrugvPlansv(PDPs)vwillvoffvervav$___vcopayvforvmostvPartvDvpreventivevvaccines,vregardl
es
svofvwhichvnetworkvpharmacyvisvusedvbyvmembers.v-vCORRECTvANSWERv-Zero
WhichvofvthevPrescriptionvDrugvPlanv(PDP)vproductsvisvnewvtovthev6-
tiervformularyvstructurevforv2024?v-
CORRECTvANSWERv-Classic
InvthevCatastrophicvCoveragevstage,vthevmembervwillvpayv$___vforvbrandvandvgenericvdrugsvforvthevre
mai
ndervofvthevyearvoncevtheirvtotalvoutvofvpocketvcostsvreachv$8,000.v-vCORRECTvANSWERv-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.
Verballyvconveyedvwithinvthevfirstvminutevofvavsalesvcall.
ProminentlyvdisplayedvonvTPMOvwebsitesv(regardlessvofvcontent).
Electronicallyvconveyedvwhenvcommunicatingvwithvavbeneficiaryvthroughvemail,vonlinevchat,vorvothervel
e
ctronicvmeansvofvcommunicationv(regardlessvofvcontent).
Brokers/AgentsvcanvaccessvthevfollowingvresourcesvundervthevSharedvResourcesvsectionvinvCentenevWor
k
bench.v-vCORRECTvANSWERv-Allvofvthese
WhichvofvthevfollowingvisvnotvanvexamplevofvProtectedvHealthvInformationv(PHI)?v-
vCORRECTvANSWERv-
LibraryvCard
WhenvavpapervSOAvformvisvused,vitvmustvbevcompletedv__________vhostingvthevsalesvpresentation
.v-
CORRECTvANSWERv-48vHoursvpriorvto
Ascendvisvavfast,veasy,vandvcompliantvwayvforvbrokers/agentsvtovsubmitvagent
-
assistedvelectronicvenrollments.v-vCORRECTvANSWERv-True
,v
WhenvexplainingvthevprovidervnetworkvforvD-SNPsvandvC-SNPs:v-vCORRECTvANSWERv-
Avoidvsubmittingvapplicationsvwithvnovprimaryvcarevproviderv(PCP)vtovassistvthesevhigher-
riskvmembers.
Ifvavmembervisvnotvconnectedvtovavprimaryvcarevproviderv(PCP),vwevshouldvalwaysvencouragevandvass
ist
withvconnectingvthemvwithvanvin-networkvdoctor
Ifvavrequestedveffectivevdatevisvavailablevforvthevspecialvelectionvperiodvbeingvselected,vensurevyouvarev
re
questingvavdatevwithinvthevcorrectvtimevframevforvthevmembervbasedvonvtheirveligibilityvdatevorvchang
evd
atevneeded.v-vCORRECTvANSWERv-True
Wellcare'sv_____vplanvisvdesignedvforvLow-IncomevSubsidyvmembers.v-vCORRECTvANSWERv-
Classic
WhichvLISvcategoryvisvassignedvtovmembersvwhosevcostsvarevfullyvsubsidizedvandvwhovreceivevthevmost
va
ssistance?v-vCORRECTvANSWERv-Three
Thev_________vplanvisvexpectedvtovhavevonevofvthevlowestvpremiumsvinvthevcountry!
v-
CORRECTvANSWERv-ValuevScript
ThevWellcarevpreferredvpharmacyvnetworkvincludesvWalgreens,vCVS,vandvsomevgroceryvchainsvinv2024.
v-
CORRECTvANSWERv-True
Wellcarevcontinuesvtovexpandvitsvreachvbyvofferingvmorevproductsvinvavwidervgeography.v____vnewvWe
llc
arevplansvarevgoingvtovmarket.v-vCORRECTvANSWERv-Twenty-three
AllvPrescriptionvDrugvPlansv(PDPs)vwillvoffvervav$___vcopayvforvmostvPartvDvpreventivevvaccines,vregardl
es
svofvwhichvnetworkvpharmacyvisvusedvbyvmembers.v-vCORRECTvANSWERv-Zero
WhichvofvthevPrescriptionvDrugvPlanv(PDP)vproductsvisvnewvtovthev6-
tiervformularyvstructurevforv2024?v-
CORRECTvANSWERv-Classic
InvthevCatastrophicvCoveragevstage,vthevmembervwillvpayv$___vforvbrandvandvgenericvdrugsvforvthevre
mai
ndervofvthevyearvoncevtheirvtotalvoutvofvpocketvcostsvreachv$8,000.v-vCORRECTvANSWERv-Zero
