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WELLCARE ACT MASTERY TEST 2024 QUESTIONS AND CORRECT ANSWERS
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WELLCARE ACT MASTERY TEST 2024 QUESTIONS AND CORRECT ANSWERS
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WELLCARE ACT MASTERY TEST 2024QUESTIONS AND CORRECT ANSWERS
At the end of this course, there will be a Mastery Exam.
Agents must achieve a passing score of 85% or higher to
successfully complete this course. Correct Answer True
You can help prevent grievances by:
(Select all that apply.) Correct Answer a.
Always confirming availability of the beneficiary's primary
and specialist providers by using the provider search tool
available on the plan's website.
b.
Always using plan materials to clearly explain plan
benefits and cost (including medications) and check for
understanding.
The Single Sign-On Portal provides access to several
applications, including CustomPoint. Correct Answer True
Which elements are available as part of Wellcare's Sales
Support model? Correct Answer d.
All of these
Noting the correct enrollment period on enrollment
applications helps in preventing delayed enrollment
processing. Correct Answer True
,Wellcare continues to expand its reach by offering more
products in a wider geography. ____ new Wellcare plans
are going to market. Correct Answer a.
Twenty-three
In the Catastrophic Coverage stage, the member will pay
$___ for brand and generic drugs for the remainder of the
year once their total out of pocket costs reach $8,000.
Correct Answer d.
Zero
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1
benefit when filled at preferred pharmacies. Correct
Answer True
Which Prescription Drug Plan (PDP) product features no
deductible on any tier? Correct Answer c.
Value Plus
Once the enrollment is completed, you can save a copy of
the application for your reference. Correct 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. Correct
Answer True
Which of the following statements about Scope of
Appointment (SOA) is FALSE? Correct Answer c.
,An electronic SOA submitted in Ascend must be in a
Pending status prior to beginning the appointment.
When a paper SOA form is used, it must be completed
__________ hosting the sales presentation. Correct
Answer a.
48 Hours prior to
Communication of PHI can be:
(Select all that apply.) Correct Answer a.
Written
b.
Electronic
c.
Verbal
Brokers/Agents can access the following resources under
the Shared Resources section in Centene Workbench.
Correct Answer d.
All of these
Marketing materials that have been developed by a third-
party marketing organization (TPMO) for multiple MA
organizations or plans must be pre-reviewed by each MA
organization, submitted to CMS in the Health Plan
Management System (HPMS), and opted-in by the Plan
prior to distribution. Correct Answer True
If a requested effective date is available for the special
election period being selected, ensure you are requesting
a date within the correct timeframe for the member based
, on their eligibility date or change date needed. Correct
Answer True
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: Correct Answer a.
Appeal
Wellcare does not need to be informed of all
marketing/sales events at which plans or materials will be
presented or distributed (formal and informal). Correct
Answer False
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? Correct Answer c.
Member Payments
Providers may create co-branded marketing pieces using
the Wellcare name and logo, as long as they are using the
current, approved logo. Correct Answer False
Which is an example of a top beneficiary complaint that
affects Star Ratings? Correct Answer c.
The beneficiary did not understand that enrolling in a
Wellcare plan would change their current Medicare
Advantage plan.
With the Pharmacy Benefit Manager (PBM) migration to
Express Scripts effective 1/1/2024, existing members can
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