WellCare Re-Cert Exam 2023 Study
Questions and Answers
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity? - Correct answer-All of these
Key areas you as an agent have control over and impact upon regarding Star
Ratings for quality are: - Correct answer-All of these
What are some examples of steps that can be taken when safeguarding and
securing PHI and PII? - Correct answer-Shred documents that contain PHI or PII
using appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
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 answer-60
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, Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible
SEP once per each of the ______ calendar quarters only. - Correct answer-First
Second
Third
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. - Correct answer-
True
Which of the following statements about completing telephonic enrollments is
FALSE? - Correct answer-Must include most of the required elements necessary to
complete the enrollment.
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 answer-Included in any marketing materials,
including print materials and television advertisements developed, used, or
distributed by the TPMO.
Verbally conveyed within the first minute of a sales call.
Prominently displayed on TPMO websites (regardless of content).
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
Questions and Answers
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity? - Correct answer-All of these
Key areas you as an agent have control over and impact upon regarding Star
Ratings for quality are: - Correct answer-All of these
What are some examples of steps that can be taken when safeguarding and
securing PHI and PII? - Correct answer-Shred documents that contain PHI or PII
using appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
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 answer-60
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible
SEP once per each of the ______ calendar quarters only. - Correct answer-First
Second
Third
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. - Correct answer-
True
Which of the following statements about completing telephonic enrollments is
FALSE? - Correct answer-Must include most of the required elements necessary to
complete the enrollment.
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 answer-Included in any marketing materials,
including print materials and television advertisements developed, used, or
distributed by the TPMO.
Verbally conveyed within the first minute of a sales call.
Prominently displayed on TPMO websites (regardless of content).
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
