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Wellcare Mastery Test with Questions and Correct Answers Verified Solutions
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When verifying a Dual Eligible Special Needs Plan (D-SNP) beneficiary's Medicaid eligibility through the Ascend Medicaid search tool, you should: - Answer Both When prospective Wellcare members check online for the status of their submitted application, which element is optional? - Answer Confir...

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  • August 18, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • wellcare mastery test with questions

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  • Wellcare Mastery
  • Wellcare Mastery

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Wellcare Mastery Test with Questions and
Correct Answers\ Verified Solutions

When verifying a Dual Eligible Special Needs Plan (D-SNP) beneficiary's Medicaid
eligibility through the Ascend Medicaid search tool, you should: - Answer Both


When prospective Wellcare members check online for the status of their submitted
application, which element is optional? - Answer Confirmation number


Grievance procedures are separate and distinct from initial determination and appeal
procedures. - Answer True


A grievance request, or any evidence concerning a grievance, must be filed orally or in
writing no later than _____ calendar days from the date of the event or the date the
member is made aware of the issue. - Answer 60


The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client
after enrollment to ensure the enrollee understands important plan benefits and rules. -
Answer False


When an enrollment application is completed in Ascend, brokers/agents can complete a
Health Risk Assessment (HRA) directly in Ascend after the enrollment application,
through the Value-Based Enrollment (VBE) portal. - Answer True


What are some examples of steps that can be taken when safeguarding and securing
PHI and PII? (Select all that apply.) - Answer All


Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - Answer False

, The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) - Answer All


An Election Period Request for Information (RFI) must be resolved within 7 calendar
days, or the application will be denied. - Answer True


All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier
1 preferred generic medications through Express Scripts Pharmacy home delivery. -
Answer True


All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - Answer True


Effective 2025, key provisions of the Inflation Reduction Act include a lower annual
threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. -
Answer 2,000


Which will be Wellcare's Preferred Mail Order pharmacy? - Answer express scripts


Wellcare does not need to be informed of informal marketing/sales events at which
plans or materials will be presented or distributed. - Answer False


When a paper Scope of Appointment (SOA) form is used, it must be completed
__________ hosting the sales presentation. - Answer 48 hours prior to


When completing an enrollment, be sure to use the correct enrollment application for
the desired plan year. - Answer True

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