Wellcare ACT Celene Mastery
You can help prevent grievances by: (Select all that apply.) Correct answers
a. Always availability of the beneficiary's primary and specialist providers
confirming
by using search
provider the 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
applicatio
n.
(All of the
above)
Which of the following is not an example of Protected Health Information
(PHI)? Correct
answers Library
card
When enrolling a D-SNP beneficiary, be sure to verify plan enrollment
eligibility
the Medicareand Savings
that Program (MSP) level is eligible for the requested
plan. Correct
answers
True
Member PHI can be stored on an external hard drive or a cloud storage
service Drive
Google like or Apple Cloud. Correct answers
False
Medicare Star Ratings and performance are at the forefront of
Wellcare'sWellcare's
strategy. quality quality focus consists of six drivers. Which of the
following quality
Wellcare is not adriver? Correct answers Member Payments - (The Six
Drivers
Memberare Service, Serving Government Customers, Selection and
Enrollment,
Reputation, Requirement of Participation, Bonus
Payment.)
Agents must meet all required contracting, training, and certification
requirements
eligible to sell to be
Wellcare's Medicare products. Correct
answers True
The information contained within ACT will equip agents to certify, market,
and sellplans?
health whichCorrect answers All of the above (Ascension Complete and
Wellcare)
Which of the following statements about completing telephonic enrollments
is FALSE?
Correct answers Must include most of the required elements necessary to
complete the
enrollmen
t.
Noting the correct enrollment period on enrollment applications helps in
preventing
delayed enrollment processing. Correct
answers True
Which of the following is not considered a grievance? Correct answers A
disputeof
appeal ofantheorganization determination, coverage determination or a Late
Enrollment
Penalty (LEP)
determination.
You can help prevent grievances by: (Select all that apply.) Correct answers
a. Always availability of the beneficiary's primary and specialist providers
confirming
by using search
provider the 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
applicatio
n.
(All of the
above)
Which of the following is not an example of Protected Health Information
(PHI)? Correct
answers Library
card
When enrolling a D-SNP beneficiary, be sure to verify plan enrollment
eligibility
the Medicareand Savings
that Program (MSP) level is eligible for the requested
plan. Correct
answers
True
Member PHI can be stored on an external hard drive or a cloud storage
service Drive
Google like or Apple Cloud. Correct answers
False
Medicare Star Ratings and performance are at the forefront of
Wellcare'sWellcare's
strategy. quality quality focus consists of six drivers. Which of the
following quality
Wellcare is not adriver? Correct answers Member Payments - (The Six
Drivers
Memberare Service, Serving Government Customers, Selection and
Enrollment,
Reputation, Requirement of Participation, Bonus
Payment.)
Agents must meet all required contracting, training, and certification
requirements
eligible to sell to be
Wellcare's Medicare products. Correct
answers True
The information contained within ACT will equip agents to certify, market,
and sellplans?
health whichCorrect answers All of the above (Ascension Complete and
Wellcare)
Which of the following statements about completing telephonic enrollments
is FALSE?
Correct answers Must include most of the required elements necessary to
complete the
enrollmen
t.
Noting the correct enrollment period on enrollment applications helps in
preventing
delayed enrollment processing. Correct
answers True
Which of the following is not considered a grievance? Correct answers A
disputeof
appeal ofantheorganization determination, coverage determination or a Late
Enrollment
Penalty (LEP)
determination.
