Centene Wellcare 2025 Exam || All
Questions & Solutions (100% Correct)
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - ANSWER - Prior to
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods? - ANSWER - 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. - ANSWER - False
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are: - ANSWER - All of the above
Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: - ANSWER
- 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. - ANSWER -
3
____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER -
3
The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery
chains in 2023. - ANSWER - 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. -
ANSWER - 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. - ANSWER -
48
The _________ plan is expected to have one of the lowest premiums in the country! -
ANSWER - Value Script
For 2023, Ascension Complete added 27 new counties to their footprint. - ANSWER -
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. - ANSWER - Value Plus
There are ___ LIS copay categories that could be assigned to a member, depending on
the level of need. - ANSWER - 4
Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023.
- ANSWER - 6
All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication
Home Delivery (Mail Order). - ANSWER - 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. - ANSWER – True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a: - ANSWER - Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Enrollments through Ascend offer the following unique benefits: - ANSWER - Validation
of important data to help prevent incorrect or missing information.
Digital capture of the broker's/agent's and beneficiary's electronic signatures through
Send for Signature at any time throughout the enrollment application.
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.
During an appointment, you may not discuss any products not agreed to in advance by
the beneficiary. - ANSWER – True
A Health Risk Assessment (HRA) - ANSWER - 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. - ANSWER - True
Health plan fax numbers vary for health plans that offer fax enrollment submissions. -
ANSWER - True
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy. - ANSWER - True
Questions & Solutions (100% Correct)
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - ANSWER - Prior to
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods? - ANSWER - 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. - ANSWER - False
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are: - ANSWER - All of the above
Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: - ANSWER
- 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. - ANSWER -
3
____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER -
3
The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery
chains in 2023. - ANSWER - 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. -
ANSWER - 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. - ANSWER -
48
The _________ plan is expected to have one of the lowest premiums in the country! -
ANSWER - Value Script
For 2023, Ascension Complete added 27 new counties to their footprint. - ANSWER -
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. - ANSWER - Value Plus
There are ___ LIS copay categories that could be assigned to a member, depending on
the level of need. - ANSWER - 4
Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023.
- ANSWER - 6
All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication
Home Delivery (Mail Order). - ANSWER - 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. - ANSWER – True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a: - ANSWER - Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Enrollments through Ascend offer the following unique benefits: - ANSWER - Validation
of important data to help prevent incorrect or missing information.
Digital capture of the broker's/agent's and beneficiary's electronic signatures through
Send for Signature at any time throughout the enrollment application.
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.
During an appointment, you may not discuss any products not agreed to in advance by
the beneficiary. - ANSWER – True
A Health Risk Assessment (HRA) - ANSWER - 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. - ANSWER - True
Health plan fax numbers vary for health plans that offer fax enrollment submissions. -
ANSWER - True
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy. - ANSWER - True
