Download WELLCARE ACT Mastery Exam Questions With 100% Correct Answers 2024 and more Exams Advanced Education in PDF only on Docsity! WELLCARE ACT Mastery Exam Questions With 100% Correct Answers 2024 Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False - Correct Answer-True 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. c. Offer information and documents important to the investigation. d. All of the above - Correct Answer-d. All of the above Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal - Correct Answer-a, b, c 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 - Correct 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 Clear my choice - Correct Answer-a. 1 Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. Select one: True False - Correct Answer-True During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. Select one: True False - Correct Answer-True A Health Risk Assessment (HRA): a. Provides physicians with an overview of a member's health status. b. Ensures members are able to access care and receive services that meet their needs. c. Is an important part of our quality initiative, directly impacting our Star Ratings. d. All of the above - Correct Answer-d. All of the above Which elements are available as part of Wellcare's sales support model? a. Online b. Local c. Corporate d. All of the above - Correct Answer-d. All of the above Once the enrollment is completed, you can save a copy of the application for your reference. Select one: Specialists d. All of the above - Correct Answer-d. All of the above All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. Select one: True False - Correct Answer-True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). Select one: True False - Correct Answer-True For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions. a. Classic b.Value Plus c.Value Script - Correct Answer-b.Value Plus The _________ plan is expected to have one of the lowest premiums in the country! a. Classic b. Value Plus c. Value Script - Correct Answer-c. Value Script Wellcare added ___ counties to their footprint for 2023. a. 122 b. 209 c. 284 d. 327 Clear my choice - Correct Answer-b. 209 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 - Correct Answer-True 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 - Correct Answer-True Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. a. 3 b. 4 c. 5 d. 6 - Correct Answer-d. 6 For 2023, Ascension Complete added 27 new counties to their footprint. Select one: True False - Correct Answer-True The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023. Select one: True False - Correct Answer-True Centene continues to expand its reach by offering more products in a wider geography. ____ new Wellcare and Ascension Complete plans are going to market. a. Thirty-three b. Forty-eight c. Fifty-two - Correct Answer-b. Forty-eight Centene's 2023 product expansion represents a __% increase from 2022. a. 1 b. 2 c. 3 d. 5 - Correct Answer-c. 3
