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EXAM NEWEST ACTUAL EXAM WITH COM g g g g g
PLETE QUESTIONS AND DETAILED ANSWER
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S GRADED A | BRAND NEW!!!
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Which option is the preferred method to submit enrollment? -
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✔✔✔ Correct Answer > Ascend Web/Mobile Applicaiton
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From October 1 to October 14, certain activities are Non-
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Permissible Activities. These include: -
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✔✔✔ Correct Answer > All of these
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A broker/agent who has never had any verbal warnings cannot b
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e issued a Corrective Action Plan. -
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✔✔✔ Correct Answer > False
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A request to the plan from a member or provider for a formal revie
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w of an Action (Denial) or Adverse n Determination (Medicare) is a/
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an: - ✔✔✔ Correct Answer > Appeal
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,An SEP is a period outside of the ICEP, ARP, or MA OEP when b
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eneficiaries can enroll based solely on life events that qualify fo
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r an SEP period? - ✔✔✔ Correct Answer > True
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Communication of PHI can be: (Select all that apply.) - ✔✔✔ g g g g g g g g g g
Correct Answer > Written, Electronic, and Verbal
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The online Centene Workbench self-
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service portal enables you to: - g g g g g
g✔✔✔ Correct Answer > All of these
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If a requested effective date is available for the special election
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period being selected, ensure you are requesting a date within t
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he correct timeframe for the member based on their eligibility d
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ate or change date needed. - ✔✔✔ Correct Answer > True
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Dual-eligible and LIS beneficiaries that are not at- g g g g g g g
risk may use a Dual-Eligible SEP once per each of the
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calendar quarters g g
only. (Select all that apply.) -
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g✔✔✔ Correct Answer > First, Second, and Third
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Brokers/agents may be investigated after being suspected of nonco g g g g g g g g
mpliant activity reported through a: (Select all that
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,apply.) - g
✔✔✔ Correct Answer > Complaint Tracking Module (CTM), Grieva
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nce, and Secret Shop Finding
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Key areas you as a broker/agent have control over and impact
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upon regarding Star Ratings for quality are: -
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✔✔✔ Correct Answer > All of these
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Centene requires all contracted brokers/agents to read, unders
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tand, and agree to Centene's Business Ethics and Code of Condu
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ct Policy. - ✔✔✔ Correct Answer > True
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Enrollment applications must be received by Wellcare no later
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than g
calendar day(s) following receipt from the benefici g g g g g g
ary. - ✔✔✔ Correct Answer > One (1)
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Which elements are available as part of Wellcare's Sales Support
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model? - ✔✔✔ Correct Answer > All of these
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When completing an enrollment, be sure to use the correct enro
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llment application for the desired plan year. -
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g✔✔✔ Correct Answer > True
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, For Prescription Drug Plan (PDP)Medication Home Delivery, the
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plan will continue to offer a discount (2.5 x 30-
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day preferred retail copay) for Tier 2, 3, and 6 prescriptions. -
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✔✔✔ Correct Answer > Value Plus
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Which Prescription Drug Plan (PDP) product features no deducti
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ble on any tier? - ✔✔✔ Correct Answer > Value Plus
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Which of the Prescription Drug Plan (PDP) product is new to the
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6-tier formulary structure for 2024? -
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✔✔✔ Correct Answer > Classic
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Prescription Drug Plans (PDPs) will be offered across all g g g g g g g g g
50 U.S. states and Washington, D.C. -
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✔✔✔ Correct Answer > Three
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All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit
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when filled at preferred pharmacies. -
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✔✔✔ Correct Answer > True
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All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1
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preferred cost-
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sharing through Express Scripts Pharmacy (Mail Order). -
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g✔✔✔ Correct Answer > True
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EXAM NEWEST ACTUAL EXAM WITH COM g g g g g
PLETE QUESTIONS AND DETAILED ANSWER
g g g g
S GRADED A | BRAND NEW!!!
g g g g g
Which option is the preferred method to submit enrollment? -
g g g g g g g g g
✔✔✔ Correct Answer > Ascend Web/Mobile Applicaiton
g g g g g g
From October 1 to October 14, certain activities are Non-
g g g g g g g g g
Permissible Activities. These include: -
g g g g g
✔✔✔ Correct Answer > All of these
g g g g g g g
A broker/agent who has never had any verbal warnings cannot b
g g g g g g g g g g
e issued a Corrective Action Plan. -
g g g g g g
✔✔✔ Correct Answer > False
g g g g g
A request to the plan from a member or provider for a formal revie
g g g g g g g g g g g g g
w of an Action (Denial) or Adverse n Determination (Medicare) is a/
g g g g g g g g g g g
an: - ✔✔✔ Correct Answer > Appeal
g g g g g g
,An SEP is a period outside of the ICEP, ARP, or MA OEP when b
g g g g g g g g g g g g g g
eneficiaries can enroll based solely on life events that qualify fo
g g g g g g g g g g
r an SEP period? - ✔✔✔ Correct Answer > True
g g g g g g g g g
Communication of PHI can be: (Select all that apply.) - ✔✔✔ g g g g g g g g g g
Correct Answer > Written, Electronic, and Verbal
g g g g g g
The online Centene Workbench self-
g g g g
service portal enables you to: - g g g g g
g✔✔✔ Correct Answer > All of these
g g g g g g
If a requested effective date is available for the special election
g g g g g g g g g g g
period being selected, ensure you are requesting a date within t
g g g g g g g g g g
he correct timeframe for the member based on their eligibility d
g g g g g g g g g g
ate or change date needed. - ✔✔✔ Correct Answer > True
g g g g g g g g g g
Dual-eligible and LIS beneficiaries that are not at- g g g g g g g
risk may use a Dual-Eligible SEP once per each of the
g g g g g g g g g g g
calendar quarters g g
only. (Select all that apply.) -
g g g g g
g✔✔✔ Correct Answer > First, Second, and Third
g g g g g g g
Brokers/agents may be investigated after being suspected of nonco g g g g g g g g
mpliant activity reported through a: (Select all that
g g g g g g g
,apply.) - g
✔✔✔ Correct Answer > Complaint Tracking Module (CTM), Grieva
g g g g g g g g g
nce, and Secret Shop Finding
g g g g
Key areas you as a broker/agent have control over and impact
g g g g g g g g g g g
upon regarding Star Ratings for quality are: -
g g g g g g g
✔✔✔ Correct Answer > All of these
g g g g g g g
Centene requires all contracted brokers/agents to read, unders
g g g g g g g
tand, and agree to Centene's Business Ethics and Code of Condu
g g g g g g g g g g
ct Policy. - ✔✔✔ Correct Answer > True
g g g g g g g
Enrollment applications must be received by Wellcare no later
g g g g g g g g g
than g
calendar day(s) following receipt from the benefici g g g g g g
ary. - ✔✔✔ Correct Answer > One (1)
g g g g g g g
Which elements are available as part of Wellcare's Sales Support
g g g g g g g g g
model? - ✔✔✔ Correct Answer > All of these
g g g g g g g g g
When completing an enrollment, be sure to use the correct enro
g g g g g g g g g g
llment application for the desired plan year. -
g g g g g g g
g✔✔✔ Correct Answer > True
g g g g
, For Prescription Drug Plan (PDP)Medication Home Delivery, the
g g g g g g g
plan will continue to offer a discount (2.5 x 30-
g g g g g g g g g
day preferred retail copay) for Tier 2, 3, and 6 prescriptions. -
g g g g g g g g g g g
✔✔✔ Correct Answer > Value Plus
g g g g g g
Which Prescription Drug Plan (PDP) product features no deducti
g g g g g g g g
ble on any tier? - ✔✔✔ Correct Answer > Value Plus
g g g g g g g g g g
Which of the Prescription Drug Plan (PDP) product is new to the
g g g g g g g g g g g g
6-tier formulary structure for 2024? -
g g g g g
✔✔✔ Correct Answer > Classic
g g g g g
Prescription Drug Plans (PDPs) will be offered across all g g g g g g g g g
50 U.S. states and Washington, D.C. -
g g g g g g
✔✔✔ Correct Answer > Three
g g g g g
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit
g g g g g g g g g g g g
when filled at preferred pharmacies. -
g g g g g
✔✔✔ Correct Answer > True
g g g g g
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1
g g g g g g g g g g g
preferred cost-
g g
sharing through Express Scripts Pharmacy (Mail Order). -
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g✔✔✔ Correct Answer > True
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