1
Wellcare ACT Celene Mastery Questions
and Correct Answers
You can help prevent grievances by: (Select all that
apply.) Answer: a. Always confirming availability of
the beneficiary's primary and specialist providers by
using the provider search tool available on the plan's
website.
b. Always using plan materials to clearly explain plan
benefits and cost (including medications) and check for
understanding.
c. Always confirming a beneficiary's intent to enroll
before accepting their enrollment application.
(All of the above)
Which of the following is not an example of Protected
Health Information (PHI)? Answer: Library card
When enrolling a D-SNP beneficiary, be sure to verify
plan enrollment eligibility and that the Medicare
Savings Program (MSP) level is eligible for the
requested plan. Answer: True
Pretest - Stuvia US
, 2
Member PHI can be stored on an external hard drive or
a cloud storage service like Google Drive or Apple
Cloud. Answer: False
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? Answer:
Member Payments - (The Six Drivers are Member
Service, Serving Government Customers, Selection and
Enrollment, Reputation, Requirement of Participation,
Bonus Payment.)
Agents must meet all required contracting, training,
and certification requirements to be eligible to sell
Wellcare's Medicare products. Answer: True
The information contained within ACT will equip agents
to certify, market, and sell which health plans?
Answer: All of the above (Ascension Complete and
Wellcare)
Which of the following statements about completing
telephonic enrollments is FALSE? Answer: Must
Pretest - Stuvia US
Wellcare ACT Celene Mastery Questions
and Correct Answers
You can help prevent grievances by: (Select all that
apply.) Answer: a. Always confirming availability of
the beneficiary's primary and specialist providers by
using the provider search tool available on the plan's
website.
b. Always using plan materials to clearly explain plan
benefits and cost (including medications) and check for
understanding.
c. Always confirming a beneficiary's intent to enroll
before accepting their enrollment application.
(All of the above)
Which of the following is not an example of Protected
Health Information (PHI)? Answer: Library card
When enrolling a D-SNP beneficiary, be sure to verify
plan enrollment eligibility and that the Medicare
Savings Program (MSP) level is eligible for the
requested plan. Answer: True
Pretest - Stuvia US
, 2
Member PHI can be stored on an external hard drive or
a cloud storage service like Google Drive or Apple
Cloud. Answer: False
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? Answer:
Member Payments - (The Six Drivers are Member
Service, Serving Government Customers, Selection and
Enrollment, Reputation, Requirement of Participation,
Bonus Payment.)
Agents must meet all required contracting, training,
and certification requirements to be eligible to sell
Wellcare's Medicare products. Answer: True
The information contained within ACT will equip agents
to certify, market, and sell which health plans?
Answer: All of the above (Ascension Complete and
Wellcare)
Which of the following statements about completing
telephonic enrollments is FALSE? Answer: Must
Pretest - Stuvia US
