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