Centene Wellcare 2023 Questions and Answers Rated A+

Centene Wellcare 2023 Questions and Answers Rated A+ A Health Risk Assessment (HRA) All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. True Health plan fax numbers vary for health plans that offer fax enrollment submissions. True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communication of PHI can be: Written, Electronic , Verbal Which resources are available for download from the Shared Resources section found within Centene Workbench? All of the above 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 Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. False Enrollments through Ascend offer the following unique benefits: Validation of important data to help prevent incorrect or missing information. Search for providers and formularies to validate physician and prescription availability. Extra help eligibility status. Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment application. Wellcare offers a range of Medicare plans to provide members with affordable access to: All of the above Which of the following is not an example of Protected Health Information (PHI)? Library card Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: Complaint Tracking Module (CTM) Grievance Secret Shop Finding When a paper SOA form is used, it must be completed __________ hosting the sales presentation. Prior to Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which of the following methods? All of the above A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. False Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are: All of the above Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: Available for Medicaid status searches in select states A way to assist brokers/agents with enrolling beneficiaries into the right plan based on their extra help status. Centene's 2023 product expansion represents a __% increase from 2022. 3 ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. 3 The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023. True The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on all Value Script, Value Plus PDPs, and select Wellcare MAPD plans. True Centene continues to expand its reach by offering more products in a wider geography. ____ new Wellcare and Ascension Complete plans are going to market. 48 The _________ plan is expected to have one of the lowest premiums in the country! Value Script For 2023, Ascension Complete added 27 new counties to their footprint. True For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions. Value Plus There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. 4 Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. 6 All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). True Centene has new PPO D-SNP product expansion in CT, IN, KS, KY, MS, OH, OK, PA, SC, and a new HMO D-SNP in LA. True