2023 Wellcare - Mastery Test with Questions Completely Verified., Exams of Nursing

Download 2023 Wellcare - Mastery Test with Questions Completely Verified. and more Exams Nursing in PDF only on Docsity! 2023 Wellcare - Mastery Test with Questions Completely Verified. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - Answer True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - Answer A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True 2023 Wellcare - Mastery Test with Questions Completely Verified. False - Answer True Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be presented or distributed (Formal & Informal). Select one: True False - Answer False 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. 2023 Wellcare - Mastery Test with Questions Completely Verified. False - Answer True 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. a. 30 b. 45 c. 60 d. 90 - Answer C. 60 Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. Select one: 2023 Wellcare - Mastery Test with Questions Completely Verified. True False - Answer True Beneficiary-facing content that includes generic or plan-specific product or benefit information must be submitted for review and CMS submission, as well as acceptance or approval, prior to distribution. Select one: True False - Answer True A broker/agent may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful or complete information. 2023 Wellcare - Mastery Test with Questions Completely Verified. Select one: True False - Answer True 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. Select one: True False - Answer True A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. 2023 Wellcare - Mastery Test with Questions Completely Verified. False - Answer True The _________ plan is expected to have one of the lowest premiums in the country! a. Classic b. Value Plus c. Value Script - Answer C. Value script Wellcare added ___ counties to their footprint for 2023. a. 122 b. 209 c. 284 d. 327 - Answer B. 209 2023 Wellcare - Mastery Test with Questions Completely Verified. The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023. Select one: True False - Answer True ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. a. Two b. Three c. Four d. Five - Answer B. Three 2023 Wellcare - Mastery Test with Questions Completely Verified. All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). Select one: True False - Answer True There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. a. two b. three c. four d. five - Answer C. Four 2023 Wellcare - Mastery Test with Questions Completely Verified. Centene has new PPO D-SNP product expansion in CT, IN, KS, KY, MS, OH, OK, PA, SC, and a new HMO D-SNP in LA. Select one: True False - Answer True Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. a. 3 b. 4 c. 5 d. 6 - Answer D. 6 2023 Wellcare - Mastery Test with Questions Completely Verified. Wellcare offers a range of Medicare plans to provide members with affordable access to: a. Doctors b. Hospitals c. Specialists d. All of the above - Answer D. All of the Above What type of inquiries can Wellcare's Corporate Sales Support team assist with? a. Application and Enrollment b. Onboarding and Certifications c. Commissions d. All of the above - Answer D. All of the above 2023 Wellcare - Mastery Test with Questions Completely Verified. Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. Select one: True False - Answer True From October 1st to October 14th, which activity is not permissible by brokers/agents? a. Host events/1:1 appointments and discuss 2023 plan benefits. b. Use CMS-approved 2023 sales material. c. Assist with completing and collecting completed applications. 2023 Wellcare - Mastery Test with Questions Completely Verified. a. Ascend b. Telephonic c. Paper d. All of the above - Answer D. All of the above Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library card - Answer C. Library Card Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 minutes after the event start time. 2023 Wellcare - Mastery Test with Questions Completely Verified. Select one: True False - Answer False The Single Sign-On Portal provides access to several applications, including Centene Workbench. Select one: True False - Answer True Once the enrollment is completed, you can save a copy of the application for your reference. Select one: 2023 Wellcare - Mastery Test with Questions Completely Verified. True False - Answer False Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. a. 1 b. 3 c. 5 d. 7 - Answer A. 1 Communication of PHI can be: (Select all that apply.) a. Written 2023 Wellcare - Mastery Test with Questions Completely Verified. The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on all Value Script, Value Plus PDPs, and select Wellcare MAPD plans. Select one: True False - Answer True All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. Select one: True False - Answer True 2023 Wellcare - Mastery Test with Questions Completely Verified. Which of the following is not considered a grievance? a. An agent contacting a beneficiary without consent. b. Premium and copay complaints. c. A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination. d. Enrollment or disenrollment concerns. - Answer C. A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). - Answer True The NEW online Centene Workbench self-service portal enables you to: - Answer All of the Above 2023 Wellcare - Mastery Test with Questions Completely Verified. What are some examples of steps that can be taken when safeguarding and securing PHI and PII? (Select all that apply.) - Answer ALL ______ events are designed to inform the people that attend about Medicare Advantage, Prescription Drug, or other Medicare programs without going into the specifics of a particular carrier. - Answer Educational You can help prevent grievances by: (Select all that apply.) - Answer ALL APPLY Which elements are available as part of Wellcare's sales support model? - Answer All of the above