Wellcare Updated 2024/2025 Actual Questions and answers with complete solutions
25 views 0 purchase
Course
Wellcare
Institution
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 a...
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 benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
