WELLCARE CENTENE QUESTIONS AND ANSWERS GRADED A+
WELLCARE CENTENE QUESTIONS AND ANSWERS GRADED A+ Which of the following is not an example of Protected Health Information (PHI)? Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. 1 Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 mins after the event start time. FALSE Ascend is a fast, easy, and compliant way for agents to submit agent-assisted electronic enrollments. TRUE Wellcare has expanded coverage in Massachusetts, Nebraska, and Oklahoma. TRUE Which of the following statements about Scope of Appointment (SOA) is FALSE? An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. Wellcare's 2022 product expansion represents an 8% increase from 2021. TRUE Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. TRUE Local sales support at the health plan level can help you: All of the above Wellcare offers a wide variety of Medicare products consolidated under a new Wellcare brand. True Notification of events must be received by Wellcare Prior to the event Upon certification, access to the Single Sign-On Portal, Agent Connect (Broker Portal) and Custom Point (Materials Ordering) broker resources is gained. True Wellcare has streamlined standalone PDP offerings from six plans to ___ in all 34 regions across all 50 states and D.C. Three plans Health Risk Assessments: All of the above 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 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 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 discussing prescription drug coverage, agents should: All of the above From October 1st to October 14th, what activity is not permissible by agents: Assist with completing and collecting completed applications. All standalone PDP formularies have a ___-tier structure for 2022. five Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are: All of the above All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. True Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage? Coverage Gap (Stage 3) Members in all plans impacted by the 2022 PDP contract consolidation will be reissued an ID card. TRUE Which standalone Prescription Drug Plan is best for "dual-eligible" members? Classic Wellcare has added ____ new counties to our footprint in 2022. 327 Steps to take when safeguarding and securing PHI and PII include: All of the above Wellcare offers a robust portfolio of products and plans across _____ states. all 50 Useful member resources (e.g. Formulary, Summary of Benefits, Evidence of Coverage, etc.) are available online at the health plan website. True Communication of PHI can be: Select all that apply. all of it
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