Wellcare
The information contained within ACT will equip agents to certify, market, and sell which health plans?
a. Ascension Complete
b. Wellcare
c. All of the above - c
Agents are to put into practice all guidelines set forth in:
a. Medicare Advantage policies and procedures that apply to marketing and selling Wellcare and
Ascension Complete plans.
b. Centene's Code of Conduct and Business Ethics
c. AHIP
d. All of the above - d
Agents may be investigated after being suspected of noncompliant activity reported through a:
Select all that apply.
a. Complaint Tracking Module (CTM)
b. Yelp review
c. Grievance
d. Secret Shop Finding - A, C, and D
Agents must meet all required contracting, training, and certification requirements to be eligible to sell
Wellcare's Medicare Products. - True
Agents who have never had any verbal warnings cannot be issued a Corrective Action Plan. - False
All PDPs will continue to offer SD Tier 1 preferred cost-sharing through CVS Medication Home Delivery
(Mail Order). - True
, All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - True
Any request or distribution of PHI should contain only the minimum amount of PHI required to complete
the intended task. - True
For 2022, ___ will no longer be a preferred pharmacy.
a. Walgreens
b. Walmart
c. cvs - b
Key areas you as a Sales Agent/ Broker have control over and impact upon regarding Star (Quality)
Ratings are:
a. Member Satisfaction / Experience
b. Complaints
c. Rapid Disenrollment
d. All of the above - d
Medicare Star Ratings and performance are at the forefront of WelIcare's quality strategy. Wellcare's
quality focus consists of six drivers. Which of
the following is not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers - c
Members in all plans impacted by the 2022 PDP contract consolidation will be reissued an ID card. -
True
The information contained within ACT will equip agents to certify, market, and sell which health plans?
a. Ascension Complete
b. Wellcare
c. All of the above - c
Agents are to put into practice all guidelines set forth in:
a. Medicare Advantage policies and procedures that apply to marketing and selling Wellcare and
Ascension Complete plans.
b. Centene's Code of Conduct and Business Ethics
c. AHIP
d. All of the above - d
Agents may be investigated after being suspected of noncompliant activity reported through a:
Select all that apply.
a. Complaint Tracking Module (CTM)
b. Yelp review
c. Grievance
d. Secret Shop Finding - A, C, and D
Agents must meet all required contracting, training, and certification requirements to be eligible to sell
Wellcare's Medicare Products. - True
Agents who have never had any verbal warnings cannot be issued a Corrective Action Plan. - False
All PDPs will continue to offer SD Tier 1 preferred cost-sharing through CVS Medication Home Delivery
(Mail Order). - True
, All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - True
Any request or distribution of PHI should contain only the minimum amount of PHI required to complete
the intended task. - True
For 2022, ___ will no longer be a preferred pharmacy.
a. Walgreens
b. Walmart
c. cvs - b
Key areas you as a Sales Agent/ Broker have control over and impact upon regarding Star (Quality)
Ratings are:
a. Member Satisfaction / Experience
b. Complaints
c. Rapid Disenrollment
d. All of the above - d
Medicare Star Ratings and performance are at the forefront of WelIcare's quality strategy. Wellcare's
quality focus consists of six drivers. Which of
the following is not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers - c
Members in all plans impacted by the 2022 PDP contract consolidation will be reissued an ID card. -
True
