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WELLCARE ACT MASTERY 2024/2025 ACTUAL CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE QUESTIONS AND DETAILED ANSWERS AND STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS$13.49
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WELLCARE ACT MASTERY 2024/2025 ACTUAL CURRENTLY TESTING EXAM VERSIONS WITH ACCURATE QUESTIONS AND DETAILED ANSWERS AND STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
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Course
WELLCARE ACT MASTERY
Institution
WELLCARE ACT MASTERY
WELLCARE ACT MASTERY 2024/2025 ACTUAL
CURRENTLY TESTING EXAM VERSIONS WITH
ACCURATE QUESTIONS AND DETAILED ANSWERS
AND STUDY GUIDE | EXPERT VERIFIED FOR
GUARANTEED PASS
WELLCARE ACT MASTERY 2024/2025 ACTUAL
CURRENTLY TESTING EXAM VERSIONS WITH
ACCURATE QUESTIONS AND DETAILED ANSWERS
...
WELLCARE ACT MASTERY 2024/2025 ACTUAL
CURRENTLY TESTING EXAM VERSIONS WITH
ACCURATE QUESTIONS AND DETAILED ANSWERS
AND STUDY GUIDE | EXPERT VERIFIED FOR
GUARANTEED PASS
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy.
True
False - CORRECT ANSWER -True
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one
MA plan provider. The disclaimer must be:
(Select all that apply.)
a. Included in any marketing materials, including print materials and television advertisements
developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email, online chat,
or other electronic means of communication (regardless of content). - CORRECT ANSWER -a.
Included in any marketing materials, including print materials and television advertisements
developed, used, or distributed by the TPMO.
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation.
a. 48 Hours prior to
b. During
c. After - CORRECT ANSWER -a. 48 Hours prior to
When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid search
tool, you should confirm their current Medicaid status qualifies for the selected D-SNP being
,enrolled in and explain that changes in Medicaid eligiblity may affect enrollment and/or cost
sharing.
True
False - 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?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers - CORRECT ANSWER -c. Member Payments
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts
SOAs in which of the following methods?
a. Ascend
b. Telephonic
c. Paper
d. All of these - CORRECT ANSWER -d. All of these
Brokers/Agents can submit a support ticket online through their Centene Workbench portal.
True
False - CORRECT ANSWER -True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based
solely on life events that qualify for an SEP period.
True
False - CORRECT ANSWER -True
*From October 1 to October 14, certain activities are Non-Permissible Activities. These include:
,a. Assist with completing an application
b. Collect a completed application
c. Advise the beneficiary to complete an application prior to October 15.
d. All of these - CORRECT ANSWER -d. All of these
*NOT a. Assist with completing an application
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments.
True
False - CORRECT ANSWER -True
Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive
or Apple Cloud.
True
False - CORRECT ANSWER -False
The beneficiary (or their authorized representative) must indicate the product types to be
discussed during the appointment on the Scope of Appointment (SOA).
True
False - CORRECT ANSWER -True
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - CORRECT ANSWER -d. All of these
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for
quality are:
, a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these - CORRECT ANSWER -d. All of these
Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card - CORRECT ANSWER -c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - CORRECT ANSWER -b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - CORRECT ANSWER -d. All of these
A request to the plan from a member or provider for a formal review of an Action (Denial) or
Adverse Plan Determination (Medicare) is a/an:
a. Appeal
b. Grievance - CORRECT ANSWER -a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
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