Wellcare Centene Mastery Test UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Centene requires all contracted agents to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy. - CORRECT ANSWER - True
Verbal permission granted to discuss plan details qualifies an authorized representative to
complete an application on behalf of the beneficiary. - CORRECT ANSWER - False
Which of the following statements about completing telephonic enrollments is FALSE? -
CORRECT ANSWER - Must include most of the required elements necessary to complete
the enrollment
To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary -
CORRECT ANSWER - True
What are some examples of steps that can be taken when safeguarding and securing PHI and PII?
(Select all that apply.) - CORRECT ANSWER - All choices are correct
a.
Shred documents that contain PHI or PII using appropriate means.
b.
Never leave laptops, PHI, or PII in an unattended vehicle.
c.
Do not include PHI or PII in the subject line or body of an email.
d.
Secure emails that contain PHI or PII.
, Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the
newly selected plan can cause a sales allegation. - CORRECT ANSWER - TRUE
What are some examples of what can trigger a beneficiary complaint?
(Select all that apply.) - CORRECT ANSWER - ALL ANSWERS ARE CORRECT
a.
Did not consent to enroll in the plan.
b.
Received incorrect plan benefit information or were dissatisfied with plan benefits.
c.
Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment
penalty, loss of entitlement).
d.
Were misled about which providers were in-network.
When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the
Medicare Savings Program (MSP) level is eligible for the requested plan. - CORRECT
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? - CORRECT ANSWER - Member Payments
Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive
or Apple Cloud. - CORRECT ANSWER - FALSE
Agents must meet all required contracting, training, and certification requirements to be eligible
to sell Wellcare's Medicare products. - CORRECT ANSWER - TRUE
ACTUAL Exam Questions and CORRECT
Answers
Centene requires all contracted agents to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy. - CORRECT ANSWER - True
Verbal permission granted to discuss plan details qualifies an authorized representative to
complete an application on behalf of the beneficiary. - CORRECT ANSWER - False
Which of the following statements about completing telephonic enrollments is FALSE? -
CORRECT ANSWER - Must include most of the required elements necessary to complete
the enrollment
To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary -
CORRECT ANSWER - True
What are some examples of steps that can be taken when safeguarding and securing PHI and PII?
(Select all that apply.) - CORRECT ANSWER - All choices are correct
a.
Shred documents that contain PHI or PII using appropriate means.
b.
Never leave laptops, PHI, or PII in an unattended vehicle.
c.
Do not include PHI or PII in the subject line or body of an email.
d.
Secure emails that contain PHI or PII.
, Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the
newly selected plan can cause a sales allegation. - CORRECT ANSWER - TRUE
What are some examples of what can trigger a beneficiary complaint?
(Select all that apply.) - CORRECT ANSWER - ALL ANSWERS ARE CORRECT
a.
Did not consent to enroll in the plan.
b.
Received incorrect plan benefit information or were dissatisfied with plan benefits.
c.
Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment
penalty, loss of entitlement).
d.
Were misled about which providers were in-network.
When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the
Medicare Savings Program (MSP) level is eligible for the requested plan. - CORRECT
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? - CORRECT ANSWER - Member Payments
Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive
or Apple Cloud. - CORRECT ANSWER - FALSE
Agents must meet all required contracting, training, and certification requirements to be eligible
to sell Wellcare's Medicare products. - CORRECT ANSWER - TRUE
