Wellcare ACT (2023/2024) (Centene) Questions and Answers 100% Pass

Wellcare ACT (2023/2024) (Centene) Questions and Answers 100% Pass A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. 60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). False Which of the following statements about completing telephonic enrollments is FALSE? Must include most of the required elements necessary to complete the enrollment A passing score of __ or higher must be achieved to successfully complete this course 85% To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. True Steps to take when safeguarding and securing PHI and PII include All of the Above An agent may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful or complete information True For 2022, ______ will no longer be a preferred pharmacy Walmart The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products True Communication of PHI can be: Written, Electronic, Verbal Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products True Wellcare offers a robust portfolio of products and plans across _____ states. 50 When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. True Wellcare's 2022 product expansion represents an 8% increase from 2021. True Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: Coverage Gap Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? All of the Above Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. Identify the INCORRECT statement regarding the plan consolidation. The agent of record will not remain with the member after the consolidation. All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: True Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Wellcare offers a wide variety of Medicare products consolidated under a new Wellcare brand True Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? Member Payments Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. Compliant tracking module, grievance, secret shop finding Wellcare has streamlined standalone PDP offerings from six plans to ___ in all 34 regions across all 50 states and D.C. Three plans For the 2022 plan year, which health plans will be consolidated into the Wellcare Medicare brand: Health Net, Fidelis Care, AllWell, 'Ohana, Trillium Advantage, WellCare Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. False Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are All of the Above Wellcare has added ____ new counties to our footprint in 2022 327 Which standalone Prescription Drug Plan is best for "dual-eligible" members? Classic