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Examen

2024 WELLCARE ACT MASTERY EXAM – BROKER Exam

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2024 WELLCARE ACT MASTERY EXAM – BROKER Exam 1. Centene requires all contracted brokers/agents to read, under- stand, and agree to Centene's Busi- ness Ethics and Code of Conduct Policy. True False 2. 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.) a. Included in any marketing ma- terials, including print materials and television advertisements de- veloped, used, or distributed by the TPMO. b. Verbally conveyed within the first minute of a sales call. c. Prominently displayed on TPMO websites (regardless of content). d. Electronically conveyed when communicating with a beneficiary through email, online chat, or oth- er electronic means of communica- tion (regardless of content). 3. When a paper SOA form is used, it must be completed hosting the sales presentation. a. 48 Hours prior to b. During c. After 4. When verifying a D-SNP beneficia- ry's Medicaid eligibility through the Ascend Medicaid search tool, you should confirm their current Med- True a. Included in any marketing mate- rials, including print materials and television advertisements developed, used, or distributed by t

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Institución
2024 WELLCARE ACT MASTERY
Grado
2024 WELLCARE ACT MASTERY

Información del documento

Subido en
3 de agosto de 2024
Número de páginas
38
Escrito en
2024/2025
Tipo
Examen
Contiene
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2024 WELLCARE ACT MASTERY EXAM – BROKER Exam

1. Centene requires all contracted True
brokers/agents to read, under-
stand, and agree to Centene's Busi-
ness Ethics and Code of Conduct
Policy.
True
False

2. The TPMO disclaimer must be used a. Included in any marketing mate-
by any TPMO that sells plans on rials, including print materials and
behalf of more than one MA plan television advertisements developed,
provider. The disclaimer must be: used, or distributed by the TPMO.
(Select all that apply.) b. Verbally conveyed within the first
a. Included in any marketing ma- minute of a sales call.
terials, including print materials c. Prominently displayed on TPMO
and television advertisements de- websites (regardless of content).
veloped, used, or distributed by the d. Electronically conveyed when com-
TPMO. municating with a beneficiary through
b. Verbally conveyed within the first email, online chat, or other electronic
minute of a sales call. means of communication (regardless
c. Prominently displayed on TPMO of content).
websites (regardless of content).
d. Electronically conveyed when
communicating with a beneficiary
through email, online chat, or oth-
er electronic means of communica-
tion (regardless of content).

3. When a paper SOA form is used, a. 48 Hours prior to
it must be completed
hosting the sales presentation.
a. 48 Hours prior to
b. During
c. After

4. When verifying a D-SNP beneficia- True
ry's Medicaid eligibility through the
Ascend Medicaid search tool, you
should confirm their current Med-


, 2024 WELLCARE ACT MASTERY EXAM – BROKER Exam

icaid status qualifies for the select-
ed D-SNP being enrolled in and ex-
plain that changes in Medicaid eli-
giblity may affect enrollment and/or
cost sharing.
True
False

5. Medicare Star Ratings and perfor- c. Member Payments
mance are at the forefront of Well-
care's quality strategy. Wellcare's
quality focus consists of six dri-
vers. Which of the following is not
a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers

6. Although options for capturing and d. All of these
submitting SOAs vary by health
plan, Wellcare accepts SOAs in
which of the following methods?
a. Ascend
b. Telephonic
c. Paper
d. All of these

7. Brokers/Agents can submit a sup- True
port ticket online through their
Centene Workbench portal.
True
False

8. An SEP is a period outside of the True
ICEP, AEP, or MA OEP when bene-
ficiaries can enroll based solely on
life events that qualify for an SEP
period.


, 2024 WELLCARE ACT MASTERY EXAM – BROKER Exam

True
False

9. *From October 1 to October 14, cer- d. All of these
tain activities are Non-Permissible
Activities. These include: *NOT a. Assist with completing an ap-
a. Assist with completing an appli- plication
cation
b. Collect a completed application
c. Advise the beneficiary to com-
plete an application prior to Octo-
ber 15.
d. All of these

10. Ascend is a fast, easy, and compli- True
ant way for brokers/agents to sub-
mit agent-assisted electronic en-
rollments.
True
False

11. Member PHI can be stored on an False
external hard drive or a cloud stor-
age service like Google Drive or
Apple Cloud.
True
False

12. The beneficiary (or their authorized True
representative) must indicate the
product types to be discussed dur-
ing the appointment on the Scope
of Appointment (SOA).
True
False

13. Which elements are available as d. All of these
part of Wellcare's Sales Support
model?


, 2024 WELLCARE ACT MASTERY EXAM – BROKER Exam

a. Online
b. Local
c. Corporate
d. All of these

14. Key areas you as a broker/agent d. All of these
have control over and impact upon
regarding Star Ratings for quality
are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these

15. Which of the following is not an ex- c. Library card
ample of Protected Health Informa-
tion (PHI)?
a. Medical records
b. Payment history
c. Library card

16. Which option is the preferred b. Ascend Web/Mobile Application
method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper

17. With which types of inquiries can d. All of these
Wellcare's Corporate Sales Sup-
port team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these

18. A request to the plan from a mem- a. Appeal
ber or provider for a formal review
of an Action (Denial) or Adverse
Plan Determination (Medicare) is
$14.49
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