Wellcare ACT Celene Mastery Questions And Answers With Verified Solutions Graded A+

____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - Three Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Complaint Tracking Module (CTM),Grievance, and Secret Shop Finding Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. - True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). - True All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. - True Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - True Centene continues to expand its reach by offering more products in a wider geography. ____ new Wellcare and Ascension Complete plans are going to market. - Forty-eight Centene has new PPO D-SNP product expansion in CT, IN, KS, KY, MS, OH, OK, PA, SC, and a new HMO DSNP in LA. - True Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - True Centene's 2023 product expansion represents a __% increase from 2022. - 3Failure 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. - True For 2023, Ascension Complete added 27 new counties to their footprint. - True For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions. - Value Plus 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 - (The Six Drivers are Member Service, Serving Government Customers, Selection and Enrollment, Reputation, Requirement of Participation, Bonus Payment.) Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True Once the enrollment is completed, you can save a copy of the application for your reference. - False The _________ plan is expected to have one of the lowest premiums in the country! - Value Script The information contained within ACT will equip agents to certify, market, and sell which health plans? - All of the above (Ascension Complete and Wellcare) There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. - FourTo ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. Select One - True Upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. - True