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2025 Wellcare ACT Mastery Exam-Questions with Correct Answers
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2025 Wellcare ACT Mastery Exam-Questions with Correct Answers
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2025 Wellcare ACT Mastery Exam-Questions with Correct Answers20. 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. - ✔✔FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - ✔✔1
Which elements are available as part of Wellcare's Sales Support model? - ✔✔All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums - ✔✔False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists - ✔✔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 - ✔✔True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a - ✔✔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. - ✔✔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). - ✔✔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. -
✔✔True
CustomPoint sales material order dates will be posted on Wellcare.com - ✔✔False
The online Centene Workbench self-service portal enables you to - ✔✔All of these
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: - ✔✔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).
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench. - ✔✔All of these
Which of the following is not an example of Protected Health Information (PHI)? -
✔✔Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - ✔✔48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - ✔✔True
, When explaining the provider network for D-SNPs and C-SNPs: - ✔✔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
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. - ✔✔True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - ✔✔Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive
the most assistance? - ✔✔Three
The _________ plan is expected to have one of the lowest premiums in the country! -
✔✔Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery
chains in 2024. - ✔✔True
Wellcare continues to expand its reach by offering more products in a wider geography.
____ new Wellcare plans are going to market. - ✔✔Twenty-three
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. - ✔✔Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure
for 2024? - ✔✔Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs
for the remainder of the year once their total out of pocket costs reach $8,000. - ✔✔Zero
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