Wellcare 2024 (100% verified answers)

Which is an example of a top beneficiary complaint that affects Star Ratings? correct answers 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. correct answers 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: correct answers 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? correct answers NOT - Serving Government Customers Once the enrollment is completed, you can save a copy of the application for your reference. correct answers False The Mastery Exam will lock for a period of 48 hours after each failed attempt. correct answers 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.) correct answers 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: correct answers Appeal Which of the following statements about Scope of Appointment (SOA) is FALSE correct answers 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? correct answers Delaware The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies correct answers 60,000 Members are no longer required to pay a partial deductible due to the Inflation Reduction Act correct answers 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 correct answers True