Wellcare ACT Mastery Exam Questions and Answers (Latest 2023 – 2024) Verified Solutions

ow-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. - False Which is an example of a top beneficiary complaint that affects Star Ratings? - The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan. Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they are using the current, approved logo. - False An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - False Once the enrollment is completed, you can save a copy of the application for your reference. - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True When completing an application, you should ensure that you enter the provider ID of a specialist and not a primary care provider (PCP). - False Agents may be investigated after being suspected of noncompliant activity reported through a: - Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding Which of the following statements about completing telephonic enrollments is FALSE? - Must include most of the required elements necessary to complete the enrollment. 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. - True When completing an enrollment, be sure to use the correct enrollment application for the desired plan year. - True 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. - True Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - True