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Examen

Wellcare final Questions and Answers 100% Verified

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Subido en
02-08-2024
Escrito en
2024/2025

Are members required to pay a partial deductible due to the Inflation Reduction Act? - No. Can a broker/agent who has never had any verbal warnings be issued a Corrective Action Plan? - False. Does the Wellcare preferred pharmacy network include Walgreens, CVS, and some grocery chains in 2024? - True. For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will continue to offer a discount (2.5 x 30-day preferred retail copay) for Tier 2, 3, and 6 prescriptions. - Value Plus How can you help prevent grievances? - Confirm availability of providers, use plan materials to explain benefits, and confirm beneficiary's intent to enroll. How many calendar days do enrollment applications need to be received by Wellcare? - 1 How many states did Wellcare expand their county footprint in for 2024? - Five. In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the remainder of the year once their total out of pocket costs reach $8,000. - $0 Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS the member is granted. - True The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for all insulins and insulin-combination products that are on the formulary, regardless of tier, and are included in the $35 cap for one month's supply. - TrueTrue or False: Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - True True or False: Enrollments through Ascend offer unique benefits. - True True or False: The Single Sign-On Portal provides access to CustomPoint. - True True or False: When completing an enrollment, you should use the correct enrollment application for the desired plan year. - True Wellcare added which state to its footprint for 2024? - Delaware What actions are required when contacted regarding an allegation of noncompliant activity? - Speak with the investigator as quickly as possible. What are the unique benefits of enrollments through Ascend? - Validation of important data and digital capture of electronic signatures What does Wellcare's 2024 product expansion represent in terms of percentage increase from 2023? - One percent. What 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. What is an SEP? - A period outside of the ICEP, AEP, or MA OEP. What is the deadline for receiving enrollment applications from beneficiaries? - No later than 1 calendar day following receipt from the beneficiary.

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Institución
Wellcare
Grado
Wellcare

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Subido en
2 de agosto de 2024
Número de páginas
4
Escrito en
2024/2025
Tipo
Examen
Contiene
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Wellcare final
Are members required to pay a partial deductible due to the Inflation Reduction Act? - No.



Can a broker/agent who has never had any verbal warnings be issued a Corrective Action Plan? -
False.



Does the Wellcare preferred pharmacy network include Walgreens, CVS, and some grocery chains in
2024? - True.



For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will continue to offer a
discount (2.5 x 30-day preferred retail copay) for Tier 2, 3, and 6 prescriptions. - Value Plus



How can you help prevent grievances? - Confirm availability of providers, use plan materials to
explain benefits, and confirm beneficiary's intent to enroll.



How many calendar days do enrollment applications need to be received by Wellcare? - 1



How many states did Wellcare expand their county footprint in for 2024? - Five.



In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the
remainder of the year once their total out of pocket costs reach $8,000. - $0



Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS
the member is granted. - True



The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for all insulins and
insulin-combination products that are on the formulary, regardless of tier, and are included in the $35
cap for one month's supply. - True
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