Exam (elaborations)
Wellcare 2024 with questions and answers
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Wellcare 2024 with questions and answers
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Wellcare 2024 with questions andanswers
Which is an example of a top beneficiary complaint that affects Star Ratings? - The
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beneficiary did not understand that enrolling in a Wellcare plan would change their current
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Medicare Advantage plan
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ii An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll
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ii based solely on life events that qualify for an SEP period. - True
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ii Prior to the beginning of the enrollment process, a broker/agent is required to cover certain
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ii beneficiary specific information, including but not limited to: - All ii ii ii ii ii ii ii ii ii ii
ii Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. ii ii ii ii ii ii ii ii ii ii ii ii
ii Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii quality driver? - NOT - Serving Government Customers
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ii Once the enrollment is completed, you can save a copy of the application for your
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ii reference. - False ii ii ii
ii The Mastery Exam will lock for a period of 48 hours after each failed attempt. - False
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The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than
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one MA plan provider. The disclaimer must be:
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(Select all that apply.) - All ii ii ii ii ii ii
ii A request to the plan from a member or provider for a formal review of an Action (Denial) or
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ii Adverse Plan Determination (Medicare) is a/an: - Appeal ii ii ii ii ii ii ii ii
ii Which of the following statements about Scope of Appointment (SOA) is FALSE - An
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ii electronic SOA submitted in Ascend must be in a Pending status prior to beginning the ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii appointment
ii Wellcare added which state to its footprint for 2024? - Delaware ii ii ii ii ii ii ii ii ii ii ii
ii The Prescription Drug Plan (PDP) network is expected to include over ____ total
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ii pharmacies - 60,000 ii ii ii
ii Members are no longer required to pay a partial deductible due to the Inflation Reduction ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Act - False ii ii ii
ii The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for
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ii all insulins and insulin-combination products that are on the formulary, regardless of tier,
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ii and are included in the $35 cap for one month's supply - True
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