Wellcare 2023/2024 Questions and Answers 100% Verified

Wellcare 2023/2024 Questions and Answers 100% Verified Agents who have never had any verbal warnings cannot be issued a corrective action plan False A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is made aware of the issue. 60 Steps to take when safeguarding and securing PHI and PII include: all of the above Wellcare has added ____ new counties to our footprint in 2022 327 Which of the following is not an example of Protected Health Information (PHI) Library Card All standalone PDP formularies have a ____ -tier structure for 2022 five To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. True Communication of PHI can be: Written, Electronic, Verbal Key areas you as a Sales Agent/Broker have control over and impact upon regarding Star (quality) ratings are: All of the above (Member satisfaction/Experience, Complaints, Rapid Disenrollment) All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. True Wellcare has expanded coverage in Massachusetts, Nebraska, and Oklahoma. True Wellcare offers a wide variety of Medicare products consolidated under a new Wellcare brand. True Any request of distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True 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. Wellcare has streamlined standalone PDP offerings from six plans to __ in all 34 regions across all 50 states and D.C. Three The information contained within ACT will equip agents to certify, market and sell which health plans? All of the above (Ascension Complete and Wellcare) Upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. True Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. True Wellcare's 2022 product expansion represents an 8% increase from 2021 True Members in all plans impacted by the 2022 PDP contract consolidation will be reissued an ID card. True Agents are to put into practice all guidelines set forth in: 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 (AOR) will not remain with the member after the consolidation Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. False 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 through a: Complaint Tracking Module (CTM);Grievance;Secret Shop Finding For 2022, ____ will no longer be a preferred pharmacy. Walmart Wellcare offers a robust portfolio of products and plans across ____ states all 50 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 For the 2022 plan year, which health plans will be considered into the Wellcare Medicare brand? Health Net; Fidelis Care; Allwell; 'Ohana; Trillium Advantage; Wellcare 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) Which of the following is not considered a grievance? A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination. Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products. True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? All of the above 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 Which standalone Prescription Drug Plan is best for "dual-eligible" members? a. Value Script b. Value Plus (not this one) c. Classic