Wellcare 2023\2024 Exam Review with Correct & Verified Solutions., Exams of Nursing

Download Wellcare 2023\2024 Exam Review with Correct & Verified Solutions. and more Exams Nursing in PDF only on Docsity! Wellcare 2023\2024 Exam Review with Correct & Verified Solutions. Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - Answer Complaint Tracking Module (CTM) Grievance Secret Shop Finding Enrollments through Ascend offer the following unique benefits: - Answer Validation of important data to help prevent incorrect or missing information. Digital capture of the broker's/agent's and beneficiary's electronic signatures through Send for Signature at any time throughout the enrollment application. Which of the following statements about Scope of Appointment (SOA) is FALSE? - Answer An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. - Answer True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - Answer True Wellcare 2023\2024 Exam Review with Correct & Verified Solutions. From October 1st to October 14th, which activity is not permissible by brokers/agents? - Answer Assist with completing and collecting completed applications. Health Risk Assessment - Answer All of the above When a paper SOA form is used, it must be completed __________ hosting the sales presentation. - Answer Prior to 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. - Answer True You can help prevent grievances by: - Answer Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Wellcare 2023\2024 Exam Review with Correct & Verified Solutions. b. Never leave laptops, PHI, or PII in an unattended vehicle. c. Do not include PHI or PII in the subject line or body of an email. d. Secure emails that contain PHI or PII. Which standalone Prescription Drug Plan is best for a dual-eligible chooser? - Answer The Classic standalone Prescription Drug Plan is best for a dual-eligible chooser There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. - Answer 4 For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescription - Answer Value Plus All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). - Answer T Wellcare 2023\2024 Exam Review with Correct & Verified Solutions. ____ PDPs will be offered across all 50 U.S. states and Washington, D.C - Answer 3 Centene's 2023 product expansion represents a __% increase from 2022. - Answer 3 Wellcare added ___ counties to their footprint for 2023. - Answer 209 The _________ plan is expected to have one of the lowest premiums in the country! - Answer Value Script Centene continues to expand its reach by offering more products in a wider geography. ____ new Wellcare and Ascension Complete plans are going to market. - Answer 48 The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023. - Answer T Wellcare 2023\2024 Exam Review with Correct & Verified Solutions. All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. - Answer