Download Wellcare Exam Questions with 100% Correct Answers | Verified | Updated 2024 and more Exams Advanced Education in PDF only on Docsity! Wellcare Exam Questions with 100% Correct Answers | Verified | Updated 2024 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - Correct Answer-False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - Correct 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. - Correct Answer-c All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. - Correct 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 - Correct Answer-c All PDPs will continue to offer SD Tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). - Correct 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. - Correct Answer-True Wellcare's 2022 product expansion represents an 8% increase from 2021. - Correct 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) - Correct 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 - Correct Answer-d Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - Correct Answer-True Wellcare offers a wide variety of Medicare products consolidated under a new Wellcare brand. - Correct Answer-True upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. - Correct 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. - Correct 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 - Correct 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 - Correct Answer-d Wellcare offers a robust portfolio of products and plans across __ states. a. 33 b. all 50 c. 42 - Correct Answer-b Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library Card - Correct Answer-c
