• Wrong document? Swap it for free
  • Written by students who passed
  • Immediately available after payment
  • Read online or as PDF
  • 4.6 TrustPilot
0
Sell
Where do you study
Your language
Start selling Create your account
  • Wellcare Insurance
  • Wellcare Insurance
To add items to your wishlist, you must be logged in
Document preview thumbnail
Preview 2 out of 7 pages
Exam (elaborations)

Wellcare Exam 2024 questions and answers correct verified 100%

0.0
(0 reviews)
- sold
7 pages
2024/2025 Written for academic year
Institution Wellcare Insurance
Course Wellcare Insurance
Document preview thumbnail
Preview 2 out of 7 pages

Wellcare Exam 2024 questions and answers correct verified 100%Wellcare Exam 2024 questions and answers correct verified 100% A request to the plan 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-a.APPEAL A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than __ calendar days from the date of the event or the date the member is made aware of the issue. - correct answers-60 An LEP is assessed by CMS when a member goes___days or longer without creditable prescription drug coverage after they become Medicare-eligible. - correct answers-B. 63 DAYS Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. - correct answers-TRUE A Health Risk Assessment (HRA): - correct answers-a. Provides physiscians with an overview of a member's health status. B. help us understand the unique health situation og each of our members and allows us to make sure they receive the services that meet their needs. c. is an important part of our quality initiative, directly impacting our star ratings. D. ALL OF THESE (CORRECT) A broker/agent may be terminated for cause if they fail to comply with compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful complete information. - correct answers-TRUE A broker/ agent who has never had any verbal warnings cannot be issued a corrective action plan. - correct answers-FALSE A Low-income subsidy (LIS) member will be assigned of the __copay categories depending on the level of need. - correct answers-C. FOUR All prescription drug plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. - correct answers-TRUE All prescription drug plans (

Content preview

Wellcare Exam 2024 questions and answe
lk lk lk lk lk




rs correct verified 100%
lk lk lk




AlkrequestlktolkthelkplanlktolkthelkplanlkfromlkalkmemberlkorlkproviderlkforlkalkformallkreviewlkoflkanlkActionlk(Denial
)lkorlk

AdverselkPlanlkDeterminationlk(medicare)lkislka/an:lk-lkcorrectlkanswers-a.APPEAL

Alkgrievancelkrequest,lkorlkanylkevidencelkconcerninglkalkgrievance,lkmustlkbelkfiledlkorallylkorlkinlkwritinglknolklate
rlkthanlk__lkcalendarlkdayslkfromlkthelkdatelkoflkthelkeventlkorlkthelkdatelkthelkmemberlkislkmadelkawarelkoflkthelkiss
ue.lk-lkcorrectlkanswers-60

AnlkLEPlkislkassessedlkbylkCMSlkwhenlkalkmemberlkgoes___dayslkorlklongerlkwithoutlkcreditablelkprescriptionlkdr
uglk

coveragelkafterlktheylkbecomelkMedicare-eligible.lk-lkcorrectlkanswers-B.lk63lkDAYS

Ascendlkislkalkfast,lkeasy,lkandlkcompliantlkwaylkforlkbrokers/agentslktolksubmitlkagent-assistedlkelectroniclk

enrollments.lk-lkcorrectlkanswers-TRUE

AlkHealthlkRisklkAssessmentlk(HRA):lk-lkcorrectlkanswers-
a.lkProvideslkphysiscianslkwithlkanlkoverviewlkoflkalkmember'slkhealthlkstatus.lk

B.lkhelplkuslkunderstandlkthelk

uniquelkhealthlksituationlkoglkeachlkoflkourlkmemberslkandlkallowslkuslktolkmakelksurelktheylkreceivelkthelk

serviceslkthatlkmeetlktheirlkneeds.

c.lkislkanlkimportantlkpartlkoflkourlkqualitylkinitiative,lkdirectlylk

impactinglkourlkstarlkratings.lk

D.lkALLlkOFlkTHESElk(CORRECT)

Alkbroker/agentlkmaylkbelkterminatedlkforlkcauselkiflktheylkfaillktolkcomplylkwithlkcompliancelkinvestigation,lkenco
uragelkotherslktolkavoidlkthelkcompliancelkinterviewlkprocess,lkorlkfaillktolkprovidelktruthfullkcompletelkinformati
on.lk-lkcorrectlkanswers-TRUE

Alkbroker/lkagentlkwholkhaslkneverlkhadlkanylkverballkwarningslkcannotlkbelkissuedlkalkcorrectivelkactionlkplan.lk-
lkcorrectlkanswers-FALSE



AlkLow-
incomelksubsidylk(LIS)lkmemberlkwilllkbelkassignedlkoflkthelk__copaylkcategorieslkdependinglkonlkthelklevellkoflkne
ed.lk-lkcorrectlkanswers-C.lkFOUR

, Alllkprescriptionlkdruglkplanslk(PDPs)lkwilllkfeaturelkalk$0lkTierlk1lkbenefitlkwhenlkfilledlkatlkpreferredlkpharmacies.lk
-lkcorrectlkanswers-TRUE

Alllkprescriptionlkdruglkplanslk(PDPs)lkwilllkcontinuelktolkofferlk$0lkTierlk1lkpreferredlkcost-
sharinglkthroughlkExpresslkScriptslkpharmacylk(maillkorder).lk-lkcorrectlkanswers-TRUE

AlllkPrescriptionlkDruglkPlanslk(PDPs)lkwilllkofferlkalk$__lkcopaylkforlkmostlkPartlkDlkpreventivelkVaccines,lkregardle
sslkoflkwhichlknetworklkpharmacylkislkusedlkbylkmembers.lk-lkcorrectlkanswers-ZERO

Atlkthelkendlkoflkthislkcourse,lktherelkwilllkbelkalkMasterylkExam.lkAgentslkmustlkachievelkalkpassinglkscorelkoflk85%lk
orlkhigherlktolksuccessfullylkcompletelkthislkcourse.lk-lkcorrectlkanswers-TRUE

AlthoughlkoptionslkforlkcapturinglkandlksubmittinglkSOAslkvarylkbylkhealthlkplan,lkwellcarelkacceptslkSOAslkinlkwhi
chlkoflkthelkfollowinglkmethods?lk-lkcorrectlkanswers-ALLlkOFlkTHESE

AnylkrequestlkorlkdistributionlkoflkPHlkshouldlkcontainlkonlylkthelkminimumlkamountlkoflkPHlkrequiredlktolkcomple
telkthelkintendedlktasklk-lkcorrectlkanswers-TRUE

AnlkSEPlkislkalkperiodlkoutsidelkoflkthelkICEP,lkAEP,lkorlkMAlkOEPlkwhenlkbeneficiarieslkcanlkenrolllkbasedlksolelylkonlk
lifelkeventslkthatlkqualifylkforlkanlkSEPlkperiod.lk-lkcorrectlkanswers-TRUE

Beneficiary-
facinglkmarketinglkmaterialslkforlkmultiplelkMAlkorganizationslkorlkplanslkmustlkbelksubmittedlktolkthelkHPMSlkMa
rketinglkModulelkbylkthelkthird-partylkmarketinglkorganizationlk(TPMO)lknolklaterlkthanlk30lkdayslkoflkuse.lk-
lkcorrectlkanswers-FALSE



Broker/AgentslkcanlksubmitlkalksupportlkticketlkonlinelkthroughlktheirlkCentenelkWorkbenchlkportallk-
lkcorrectlkanswers-TRUE



Brokers/agentslkmaylkbelkinvestigatedlkafterlkbeinglksuspectedlkoflknoncompliantlkactivitylkreportedlkthroughlka
:lk-lkcorrectlkanswers-a.lkCompliantlktrackinglkmodulelk(CTM)lk

b.lkGrievancelk

c.lksecretlkshoplkfinding.

Broker/AgentslkcanlkaccesslkthelkfollowinglkresourceslkunderlkthelkSharedlkResourceslksectionlkinlkCentenelkWor
kbenchlk-lkcorrectlkanswers-ALLlkOFlkTHESE

Broker/AgentslkcanlkaccesslkandlkdownloadlkenrollmentlkmaterialslkthroughlkCustomPoint.lk-
lkcorrectlkanswers-TRUE



Broker/AgentslkMUSTlkcompletelkalkWellcarelkcontractlkrecertificationlkcaselkinlkCentenelkWorkbenchlk(CWB)lke
verylktwolkyears.lk-lkcorrectlkanswers-FALSE

Centenelkrequireslkalllkcontractedlkbrokers/agentslktolkread,lkunderstand,lkandlkagreelktolkCentene'slkBusinesslk
EthicslkandlkCodelkoflkConductlkPolicylk-lkcorrectlkanswers-TRUE

CustomPointlksaleslkmateriallkorderlkdateslkwilllkbelkpostedlkonlkWellcare.comlk-lkcorrectlkanswers-FALSE

CVSlkCaremarklkMaillkOrderlkwilllkbelkin-networklkforlk2024.lk-lkcorrectlkanswers-FALSE

Document information

Uploaded on
October 11, 2024
Number of pages
7
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers
Report Copyright Violation
$13.49
Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF
Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
clevercopies
4.0
(53)
Sold
119
Followers
11
Items
5045
Last sold
21 hours ago

Browse related subjects

Subjects

  • wellcare exam 2024 questions and answers correct v

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Learn more Create citation
Working on your references?

Frequently asked questions