Exam (elaborations)
2024 Wellcare ACT Mastery Exam Questions And Answers
2024 Wellcare ACT Mastery Exam Questions And Answers2024 Wellcare ACT Mastery Exam Questions And Answers2024 Wellcare ACT Mastery Exam Questions And Answers2024 Wellcare ACT Mastery Exam Questions And Answers2024 Wellcare ACT Mastery Exam Questions And Answers2024 Wellcare ACT Mastery Exam Question...
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Uploaded on
September 7, 2024
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Exam (elaborations)
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Wellcare,
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Wellcare,
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2024 Wellcare ACT Mastery Exam
Questions And Answers
Enrollment iapplications imust ibe ireceived iby iWellcare ino ilater ithan i___ icalendar iday(s) ifollowing
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ireceipt ifrom ithe ibeneficiary. i- icorrect iAnswers i✔✔ i-1
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Which ielements iare iavailable ias ipart iof iWellcare's iSales iSupport imodel? i- icorrect iAnswers i✔✔
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i-All iof ithese
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Low-Income iSubsidy i(LIS), iwhich iis ioften ireferred ito ias iExtra iHelp, ireduces iall iPart iD iplan
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ipremiums i- icorrect iAnswers i✔✔ i-False
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Prior ito icompleting ithe ienrollment iform, ibroker/agents ishould ialways iconfirm ithe ibeneficiary's
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iprimary icare iprovider i(PCP) iand/or ispecialists i- icorrect iAnswers i✔✔ i-True
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At ithe iend iof ithis icourse, ithere iwill ibe ia iMastery iExam. iAgents imust iachieve ia ipassing iscore
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iof i85% ior ihigher ito isuccessfully icomplete ithis icourse i- icorrect iAnswers i✔✔ i-True
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Brokers/Agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported
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ithrough ia i- icorrect iAnswers i✔✔ i-Complaint iTracking iModule i(CTM)
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Grievance
Secret iShop iFinding kr kr
A ibroker/agent iwho ihas inever ihad iany iverbal iwarnings icannot ibe iissued ia iCorrective iAction
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iPlan. i- icorrect iAnswers i✔✔ i-False
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Wellcare idoes inot ineed ito ibe iinformed iof iall imarketing/sales ievents iat iwhich iplans ior imaterials
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iwill ibe ipresented ior idistributed i(formaland iinformal). i- icorrect iAnswers i✔✔ i-False
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Marketing ibenefits iin ia iservice iarea iwhere ithose ibenefits iare inot iavailable iis iprohibited iand
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iconsidered imisleading iunless ithat iis iunavoidable ibecause iof ilocal/regional ior imedia iuse. i-
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icorrect iAnswers i✔✔ i-True
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CustomPoint isales imaterial iorder idates iwill ibe iposted ion iWellcare.com i- icorrect iAnswers i✔✔ i-
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False
, The ionline iCentene iWorkbench iself-service iportal ienables iyou ito i- icorrect iAnswers i✔✔ i-All iof
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ithese
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The iTPMO idisclaimer imust ibe iused iby iany iTPMO ithat isells iplans ion ibehalf iof imore ithan ione
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iMA iplan iprovider. iThe idisclaimer imust ibe: i- icorrect iAnswers i✔✔ i-Included iin iany imarketing
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imaterials, iincluding iprint imaterials iand itelevision iadvertisements ideveloped, iused, ior idistributed
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iby ithe iTPMO.
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Verbally iconveyed iwithin ithe ifirst iminute iof ia isales icall.
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Prominently idisplayed ion iTPMO iwebsites i(regardless iof icontent).
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Electronically iconveyed iwhen icommunicating iwith ia ibeneficiary ithrough iemail, ionline ichat, ior
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iother ielectronic imeans iof icommunication i(regardless iof icontent).
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Brokers/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin
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iCentene iWorkbench. i- icorrect iAnswers i✔✔ i-All iof ithese
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Which iof ithe ifollowing iis inot ian iexample iof iProtected iHealth iInformation i(PHI)? i- icorrect
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iAnswers i✔✔ i-Library iCard
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When ia ipaper iSOA iform iis iused, iit imust ibe icompleted i__________ ihosting ithe isales
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ipresentation. i- icorrect iAnswers i✔✔ i-48 iHours iprior ito
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Ascend iis ia ifast, ieasy, iand icompliant iway ifor ibrokers/agents ito isubmit iagent-assisted ielectronic
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ienrollments. i- icorrect iAnswers i✔✔ i-True
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When iexplaining ithe iprovider inetwork ifor iD-SNPs iand iC-SNPs: i- icorrect iAnswers i✔✔ i-Avoid
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isubmitting iapplications iwith ino iprimary icare iprovider i(PCP) ito iassist ithese ihigher-risk imembers.
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If ia imember iis inot iconnected ito ia iprimary icare iprovider i(PCP), iwe ishould ialways iencourage
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iand iassist iwith iconnecting ithem iwith ian iin-network idoctor
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If ia irequested ieffective idate iis iavailable ifor ithe ispecial ielection iperiod ibeing iselected, iensure
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iyou iare irequesting ia idate iwithin ithe icorrect itime iframe ifor ithe imember ibased ion itheir
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ieligibility idate ior ichange idate ineeded. i- icorrect iAnswers i✔✔ i-True
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Wellcare's i_____ iplan iis idesigned ifor iLow-Income iSubsidy imembers. i- icorrect iAnswers i✔✔ i-
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Classic