WellCare QUESTIONS AND ANSWERS 2023

WellCare QUESTIONS AND ANSWERS 2023When 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 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 products consolidated under a new Wellcare brand. True upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. Ture The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products. True Agents may be investigated after being suspected of noncompliant activity reported through a: Select all that apply. a. Complaint Tracking Module (CTM) b. Yelp review c. Grievance d. Secret Shop Finding A, C, and D Steps to take when safeguarding and securing PHI and Pll include: a. Shred documents that contain PHI or PI' using appropriate means. b. Never leave laptops, PHI, or Pll in an unattended vehicle. c. Do not include PHI or Pll in the subject line or body of an email. d. All of the above d Wellcare offers a robust portfolio of products and plans across __ states. a. 33 b. all 50 c. 42 b Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library Card c Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with investigator as quickly as possible. b. Answer all questions honestly and completely. . Offer information and documents important to the investigation. d. All of the above d The information contained within ACT will equip agents to certify, market, and sell which health plans? a. Ascension Complete b. Wellcare c. All of the above c