Pdps - Study guides, Class notes & Summaries

The information contained within ACT will equip agents to certify, market, and sell which health plans? a. Ascension Complete b. Wellcare c. All of the above - c Agents are to put into practice all guidelines set forth in: a. Medicare Advantage policies and procedures that apply to marketing and selling Wellcare and Ascension Complete plans. b. Centene's Code of Conduct and Business Ethics c. AHIP d. All of the above - d Agents may be investigated after being suspected of noncompliant...

When explaining the provider network for D-SNPs and C-SNPs: Avoid submitting applications with no primary care provider (PCP) to assist these higher-risk members. If a member is not connected to a primary care provider (PCP), we should always encourage and assist with connecting them with an in-network doctor. 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 Brainpower ...

Wellcare Centene Cert Review 2023 Already Passed Wellcare offers a range of Medicare plans to provide members with affordable access to: All of the above Which of the following statements about completing telephonic enrollments is FALSE? Must include most of the required elements necessary to complete the enrollment. Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal Verbal permission granted to discuss plan details qualifies an authorized representativ...

WellCare Re-Cert Exam 2023 Study Guide Graded A+ 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? Member Payments Which of the following is not an example of Protected Health Information (PHI)? Library card Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Which of the...

Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - 1 Which elements are available as part of Wellcare's Sales Support model? - All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - False Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary care provider (PCP) and/or specialists - True At the end...

Once the enrollment is completed, you can save a copy of the application for your reference. False Which elements are available as part of Wellcare's sales support model? All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communication of PHI can be: (Select all that apply.) -Written -Electronic -Verbal Prior to completing the enrollment form, you should...

2024 WELLCARE MASTERY TEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE The Mastery Exam will lock for a period of 48 hours after each failed attempt. - ANSWER- False Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - ANSWER- True True - ANSWER- True Which of the following is not an example of Protected Health Information (PHI)? - ANSWER-...

During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False True Wellcare does not need to be informed of all marketing/sales events at which plans or mat...

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 ...

Selection and Enrollment DEFINITION Members use ratings systems to help them choose a plan or decide whether to stay with our plans. LOCATION Selection and Enrollment TERM Reputation DEFINITION Wellcare strives to be an industry-leading organization that is attractive & valuable to our members and to our providers & government partners. LOCATION Reputation TERM Member Service DEFINITION Our first priority is to provide our members with excellent care and service. LOCATION ...