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 enrol lment applications hel
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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 enrol lment applications helps in preventing delayed enrollment processing. - ANSWER True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. - ANSWER c All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - ANSWER True Medicare Star Ratings and performance are at the forefront of WelIcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? a. Member Service b. Reputation c. Member Payments d. Serving Government Customers - ANSWER c All PDPs will continue to offer SD Tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). - ANSWER True When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. - ANSWER True Wellcare's 2022 product expansion represents an 8% increase from 2021. - ANSWER True Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage? a. Initial Coverage (Stage 2) b. Catastrophic Coverage (Stage 4) c. Coverage Gap (Stage 3) d. Deductible (Stage 1) - ANSWER c Key areas you as a Sales Agent/ Broker have control over and impact upon regarding Star (Quality) Ratings are: a. Member Satisfaction / Experience b. Complaints c. Rapid Disenrollment d. All of the above - ANSWER d Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - ANSWER True Wellcare offers a wide variety of Medicare products consolidated under a new Wellcare brand. - ANSWER True upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. - ANSWER Ture The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products. - ANSWER True Agents may be investigated after being suspected of noncompliant activity reported through a: Select all that apply. a. Complaint Tracking Module (CTM) b. Yelp review c. Grievance d. Secret Shop Finding - ANSWER A, C, and D Steps to take when safeguarding and securing PHI and Pll include: a. Shred documents that contain PHI or PI' using appropriate means. b. Never leave laptops, PHI, or Pll in an unattended vehicle. c. Do not include PHI or Pll in the subject line or body of an email. d. All of the above - ANSWER d Wellcare offers a robust portfolio of products and plans across __ states. a. 33 b. all 50 c. 42 - ANSWER b Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library Card - ANSWER c Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with investigator as quickly as possible. b. Answer all questions honestly and completely. . Offer information and documents important to the investigation. d. All of the above - ANSWER d 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 - ANSWER c Wellcare has added __ new counties to our footprint in 2022. a. 327 b. 122 c. 284 - ANSWER a Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. - ANSWER False Agents who have never had any verbal warnings cannot be issued a Corrective Action Plan. - ANSWER False Which standalone Prescription Drug Plan is best for "dual-eligible" members? a. Value Script b. Value Plus c. Classic - ANSWER c Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products. - ANSWER True For 2022, ___ will no longer be a preferred pharmacy. a. Walgreens b. Walmart c. cvs - ANSWER b A passing score of ____ or higher must be achieved to successfully complete this course. a. 75% b. 85% c. 80% - ANSWER b 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 - ANSWER d Members in all plans impacted by the 2022 PDP contract consolidation will be reissued an ID card. - ANSWER True Which of the following statements about completing telephonic enrollments is FALSE? a. Must be completed on a recorded call b. Must include a statement of the individual's agreement to be recorded c. Must include most of the required elements necessary to complete the enrollment d. Must include a verbal attestation of the intent to enroll - ANSWE
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