WELLCARE ACT mastery exam Questions
Questions with Verified Correct Answers
Communication of PHI can be:
a.
Written
b.
Electronic
c.
Verbal
A, B and C
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
An agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan.
False
Which of the following is not considered a grievance?
A dispute of the appeal of an organization determination, coverage determination, or a Late
Enrollment Penalty (LEP) determination.
, Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums.
False
You can help prevent grievances by:
a.
Always confirming availability of the beneficiary's primary and specialist providers by using the
provider search 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 application.
All
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?
Member Payments
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.
Questions with Verified Correct Answers
Communication of PHI can be:
a.
Written
b.
Electronic
c.
Verbal
A, B and C
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
An agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan.
False
Which of the following is not considered a grievance?
A dispute of the appeal of an organization determination, coverage determination, or a Late
Enrollment Penalty (LEP) determination.
, Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums.
False
You can help prevent grievances by:
a.
Always confirming availability of the beneficiary's primary and specialist providers by using the
provider search 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 application.
All
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?
Member Payments
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.
