Wellcare ACT 2022 (Centene) Well Answered Questions & Answers, Exams of Personal Health

Download Wellcare ACT 2022 (Centene) Well Answered Questions & Answers and more Exams Personal Health in PDF only on Docsity! Wellcare ACT 2022 (Centene) Well Answered Questions & Answers 1) 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. - Correct answer 60 2) A passing score of __ or higher must be achieved to successfully complete this course - Correct answer 85% 3) Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. - Correct answer Compliant tracking module, grievance, secret shop finding 4) Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - Correct answer True 5) All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - Correct answer True 6) An 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 - Correct answer True 7) Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - Correct answer True 8) Communication of PHI can be: - Correct answer Written, Electronic, Verbal 9) For 2022, ______ will no longer be a preferred pharmacy - Correct answer Walmart 10) For the 2022 plan year, which health plans will be consolidated into the Wellcare Medicare brand: - Correct answer Health Net, Fidelis Care, AllWell, 'Ohana, Trillium Advantage, WellCare 11) Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - Correct answer All of the Above 12) 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? - Correct answer Member Payments 13) Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - Correct answer True 14) Steps to take when safeguarding and securing PHI and PII include - Correct answer All of the Above 15) The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products - Correct answer True 16) To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. - Correct answer True 17) Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. - Correct answer False 18) Wellcare has added ____ new counties to our footprint in 2022 - Correct answer 327 19) Wellcare has streamlined standalone PDP offerings from six plans to ___ in all 34 regions across all 50 states and D.C. - Correct answer Three plans 20) Wellcare offers a robust portfolio of products and plans across _____ states. - Correct answer 50