2024 WELLCARE MASTERY TEST ACTUAL EXAM 80 QUESTIONS AND CORRECT DETAILED ANSWERS
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 - (answer) answer: True
Any request or distribution of PHI should contain only the minimum amount of PHI required to
complete the intended task. - (answer) Answer: TRUE
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: - (answer) Answer: Appeal
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan - (answer)
Answer: False
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity? - (answer) Answer: All of these
Which of the following statements about completing telephonic enrollments is FALSE? - (answer) c.
Must include most of the required elements necessary to complete the enrollment.
Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and
Code of Conduct Policy. - (answer) True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or
higher to successfully complete this course. - (answer) True
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? - (answer) c.
Member Payments
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. - (answer) 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 - (answer) answer: True
Any request or distribution of PHI should contain only the minimum amount of PHI required to
complete the intended task. - (answer) Answer: TRUE
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: - (answer) Answer: Appeal
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan - (answer)
Answer: False
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity? - (answer) Answer: All of these
Which of the following statements about completing telephonic enrollments is FALSE? - (answer) c.
Must include most of the required elements necessary to complete the enrollment.
Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and
Code of Conduct Policy. - (answer) True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or
higher to successfully complete this course. - (answer) True
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? - (answer) c.
Member Payments
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. - (answer) True
