Wellcare 202 - Study guides, Class notes & Summaries

Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: Complaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: Validation of important data to help prevent incorrect or missing information. Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment application. Which of th...

1 / 4 Wellcare 2025 Mastery 1. Value Plus 2. True 3. Classic 4. False 5. Access thru Well- For Prescription Drug Plan (PDP) Medication home deliv- ery, the plan will continue to offer a discount (2.5x 30-day preferred retail copay) for a 90-day supply of Tier 2 medications. Members who ha LIS and enroll in a plan other than Wellcare's Classic plan will pay a premium regardless of LIS subsidy status. Wellcare's plan is designed for Low-|ncome Subsidy (LIS) members. Custom Poin...

Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) Centene Wellcare 2024 Exam || All Questions & Solutions (100% Correct) A Health Risk Assessment (HRA) - ANSWER - All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. - ANSWER - True Health plan fax numbers vary for health plans that offer fax enrollment submissions. - ANSWER - True Centene requires a...

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False correct answers True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. All of the above correct answers A...

A+ Wellcare 2024(100%) Correct Solutions .

Wellcare 2024 Exam || With Complete Solutions (100% Correct) Wellcare 2024 Exam || With Complete Solutions (100% Correct) When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWER - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWER - True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans ...

Centene Wellcare 2023 Questions and Answers Rated A+ A Health Risk Assessment (HRA) All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. True Health plan fax numbers vary for health plans that offer fax enrollment submissions. True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communic...

Which is an example of a top beneficiary complaint that affects Star Ratings? The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan 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 Brainpower Read More 0:00 / 0:00 Prior to the beginning of the enrollment process, a broker/agent is required to cover certain be...

Wellcare 2023/2024 Questions and Answers 100% Verified Agents who have never had any verbal warnings cannot be issued a corrective action plan False A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is made aware of the issue. 60 Steps to take when safeguarding and securing PHI and PII include: all of the above Wellcare has added ____ new counties to our footprint in...