Exam (elaborations)
WELLCARE EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
- Course
- Institution
WELLCARE EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
[Show more]
Content preview
WELLCARE EXAM 2024/2025 WITH 100%ACCURATE SOLUTIONS
A request to the plan to the plan from a member or provider for a formal
review of an Action (Denial) or
Adverse Plan Determination (medicare) is a/an: - Answer
✔✔a.APPEAL
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
An LEP is assessed by CMS when a member goes___days or longer
without creditable prescription drug
coverage after they become Medicare-eligible. - Answer ✔✔B. 63
DAYS
Ascend is a fast, easy, and compliant way for brokers/agents to submit
agent-assisted electronic
enrollments. - Answer ✔✔TRUE
A Health Risk Assessment (HRA): - Answer ✔✔a. Provides physiscians
with an overview of a member's health status.
B. help us understand the
, unique health situation og each of our members and allows us to make
sure they receive the
services that meet their needs.
c. is an important part of our quality initiative, directly
impacting our star ratings.
D. ALL OF THESE (CORRECT)
A broker/agent may be terminated for cause if they fail to comply with
compliance investigation, encourage others to avoid the compliance
interview process, or fail to provide truthful complete information. -
Answer ✔✔TRUE
A broker/ agent who has never had any verbal warnings cannot be issued
a corrective action plan. - Answer ✔✔FALSE
A Low-income subsidy (LIS) member will be assigned of the __copay
categories depending on the level of need. - Answer ✔✔C. FOUR
All prescription drug plans (PDPs) will feature a $0 Tier 1 benefit when
filled at preferred pharmacies. - Answer ✔✔TRUE
All prescription drug plans (PDPs) will continue to offer $0 Tier 1
preferred cost-sharing through Express Scripts pharmacy (mail order). -
Answer ✔✔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 YANCHY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now