Wellcare 2024 Questions And Answers A+ Graded

Which is an example of a top beneficiary complaint that affects Star Ratings? - Answer-The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. - Answer-True Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, including but not limited to: - Answer-All 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? - AnswerNOT - Serving Government Customers Once the enrollment is completed, you can save a copy of the application for your reference. - Answer-False The Mastery Exam will lock for a period of 48 hours after each failed attempt. - Answer-False The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) - Answer-All A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: - Answer-Appeal Which of the following statements about Scope of Appointment (SOA) is FALSE - Answer-An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment Wellcare added which state to its footprint for 2024? - Answer-Delaware The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies - Answer-60,000Members are no longer required to pay a partial deductible due to the Inflation Reduction Act - Answer-False The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for all insulins and insulin-combination products that are on the formulary, regardless of tier, and are included in the $35 cap for one month's supply - Answer-True