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WellCare Mastery 2024 Test Questions with Correct Answers Latest Update., Exams of Nursing

WellCare Mastery 2024 Test Questions with Correct Answers Latest Update.

Typology: Exams

2022/2023

Available from 08/01/2023

Pronurse1
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Download WellCare Mastery 2024 Test Questions with Correct Answers Latest Update. and more Exams Nursing in PDF only on Docsity! WellCare Mastery 2024 Test Questions with Correct Answers Latest Update. Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. - Exact Answer False Which is an example of a top beneficiary complaint that affects Star Ratings? - Exact Answer The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan. Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they are using the current, approved logo. - Exact Answer False An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - Exact Answer False Once the enrollment is completed, you can save a copy of the application for your reference. - Exact Answer False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - Exact Answer True When completing an application, you should ensure that you enter the provider ID of a specialist and not a primary care provider (PCP). - Exact Answer False WellCare Mastery 2024 Test Questions with Correct Answers Latest Update. Agents may be investigated after being suspected of noncompliant activity reported through a: - Exact Answer Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding Which of the following statements about completing telephonic enrollments is FALSE? - Exact Answer Must include most of the required elements necessary to complete the enrollment. 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. - Exact Answer True When completing an enrollment, be sure to use the correct enrollment application for the desired plan year. - Exact Answer True An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. - Exact Answer True Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - Exact Answer True WellCare Mastery 2024 Test Questions with Correct Answers Latest Update. Wellcare added which state to its footprint for 2024? - Exact Answer Delaware The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies. - Exact Answer Sixty Thousand CVS Caremark Mail Order will be in-network for 2024. - Exact Answer False Which Prescription Drug Plan (PDP) product features no deductible on any tier? - Exact Answer Value Plus The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will impact which plan(s)? - Exact Answer Both PDP & MAPD For Prescription Drug Plan (PDP) Medication Home Delivery, the __ Plan will continue to offer a discount (2.5 x 30-day preferred retail copay) for Tier 2,3, and 6 prescriptions. - Exact Answer Value Plus Wellcare expanded our county footprint in __ states for 2024 - Exact Answer Five All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless of which network pharmacy is used by members. - Exact Answer Zero WellCare Mastery 2024 Test Questions with Correct Answers Latest Update. To ensure accurate data entry, agents should repeat the Medicare ID back to the beneficiary. - Exact Answer True Upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID - Exact Answer True Key areas you as an agent have control over and impact upon regarding Star Ratings for quality are: - Exact Answer All of these At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or higher to successfully complete this course. - Exact Answer True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - Exact Answer All of these Prior to the beginning of the enrollment process, an agent is required to cover certain beneficiary specific information, including but not limited to: - Exact Answer All of these The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: WellCare Mastery 2024 Test Questions with Correct Answers Latest Update. (Select all that apply.) - Exact Answer Included in any marketing materials, including print materials and television advertisements developed, used, or distributed by the TPMO. Verbally conveyed within the first minute of a sales call. Prominently displayed on TPMO websites (regardless of content).