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Wellcare | 2023/24 QUESTIONS AND ANSWERS | Actual solution When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - False Noting the correct enrollment period on enrollme

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Wellcare | 2023/24 QUESTIONS AND ANSWERS | Actual solution When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. - c All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - True Medicare Star Ratings and performance are at the forefront of WelIcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? a. Member Service b. Reputation c. Member Payments d. Serving Government Customers - c All PDPs will continue to offer SD Tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). - True 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? a. Initial Coverage (Stage 2) b. Catastrophic Coverage (Stage 4) c. Coverage Gap (Stage 3) d. Deductible (Stage 1) - c Key areas you as a Sales Agent/ Broker have control over and impact upon regarding Star (Quality) Ratings are: a. Member Satisfaction / Experience b. Complaints c. Rapid Disenrollment d. All of the above - d A

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Wellcare
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Institution
Wellcare
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Wellcare

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Uploaded on
November 3, 2023
Number of pages
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Written in
2023/2024
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Wellcare | 2023/24 QUESTIONS AND ANSWERS | Actual solution When completing an application, you should ensure that you ente r the provider ID of a specialist and not a Primary Care Physician (PCP). - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True Wellcare has streamlined standalone PDP offering s from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. - c All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - True Medicare Star Ratings a nd performance are at the forefront of WelIcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? a. Member Service b. Reputation c. Member Payments d. Serving Government Cus tomers - c All PDPs will continue to offer SD Tier 1 preferred cost -sharing through CVS Medication Home Delivery (Mail Order). - True When enrolling a D -SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is el igible 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? a. Initial Coverage (Stage 2) b. Catastrophic Coverage (Stage 4) c. Coverage Gap (Stage 3) d. Deductible (Stage 1) - c Key areas you as a Sales Agent/ Broker have control over and impact upon regarding Star (Quality) Ratings are: a. Member Satisfacti on / Experience b. Complaints c. Rapid Disenrollment d. All of the above - d 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 p roducts consolidated under a new Wellcare brand. - True

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