2027 Wellcare ACT Mastery Exam - TeleAgent | Questions with 100%
Verified Answers | Latest Update
Question: Why does Wellcare offer different types of Traditional Medicare Advantage plans?
Answer:
To better meet members' specific needs
Question: Which of the following is listed as an example of a supplemental benefit?
Answer:
Routine dental care or dentures
Question: What must Applicable Integrated Plans (AIPs) implement?
Answer:
Unified plan-level appeal and grievance processes
Question: Who is eligible for a Dual Eligible Special Needs Plan, or D- SNP?
Answer:
Beneficiaries eligible for both Medicare and Medicaid
Question: What determines whether a Dual Eligible Special Needs Plan (D-SNP) member may have
some cost-share responsibility?
Answer:
The member's Medicaid eligibility
Question: Which benefit is offered on most Wellcare Medicare Advantage plans?
Answer:
$0 fitness benefits (most plans)
Question: What must happen after a beneficiary enrolls in a Wellcare Chronic Special Needs Plan
(C-SNP)?
Answer:
The provider must confirm the member's chronic condition before the 60th day after the enrollment
effective date.
Question: How should agents describe Special Supplemental Benefits for the Chronically Ill (SSBCI)?
Answer:
As conditional benefits that may be available only to members who meet specific eligibility requirements
Verified Answers | Latest Update
Question: Why does Wellcare offer different types of Traditional Medicare Advantage plans?
Answer:
To better meet members' specific needs
Question: Which of the following is listed as an example of a supplemental benefit?
Answer:
Routine dental care or dentures
Question: What must Applicable Integrated Plans (AIPs) implement?
Answer:
Unified plan-level appeal and grievance processes
Question: Who is eligible for a Dual Eligible Special Needs Plan, or D- SNP?
Answer:
Beneficiaries eligible for both Medicare and Medicaid
Question: What determines whether a Dual Eligible Special Needs Plan (D-SNP) member may have
some cost-share responsibility?
Answer:
The member's Medicaid eligibility
Question: Which benefit is offered on most Wellcare Medicare Advantage plans?
Answer:
$0 fitness benefits (most plans)
Question: What must happen after a beneficiary enrolls in a Wellcare Chronic Special Needs Plan
(C-SNP)?
Answer:
The provider must confirm the member's chronic condition before the 60th day after the enrollment
effective date.
Question: How should agents describe Special Supplemental Benefits for the Chronically Ill (SSBCI)?
Answer:
As conditional benefits that may be available only to members who meet specific eligibility requirements
