Wellcare - Mastery Test Exam Questions With 100% Correct Answers 2024, Exams of Advanced Education

Download Wellcare - Mastery Test Exam Questions With 100% Correct Answers 2024 and more Exams Advanced Education in PDF only on Docsity! Wellcare - Mastery Test Exam Questions With 100% Correct Answers 2024 During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - Correct Answer-True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - Correct Answer-A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - Correct Answer-True 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 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 Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are: a. Member Satisfaction/Experience b. Complaints c. Rapid Disenrollment d. All of the above - Correct Answer-D. All of the above Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: True False - Correct Answer-True Health plan fax numbers vary for health plans that offer fax enrollment submissions. Select one: True False - Correct Answer-True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Select one: True False - Correct Answer-True 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. a. 30 b. 45 c. 60 d. 90 - Correct Answer-C. 60 Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. Select one: True False - Correct Answer-True Beneficiary-facing content that includes generic or plan-specific product or benefit information must be submitted for review and CMS submission, as well as acceptance or approval, prior to distribution. Select one: True False - Correct Answer-True c. Classic - Correct Answer-C. Classic For 2023, Ascension Complete added 27 new counties to their footprint. 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 Centene's 2023 product expansion represents a __% increase from 2022. a. 1 b. 2 c. 3 d. 5 - Correct Answer-C. 3 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 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 Wellcare offers a range of Medicare plans to provide members with affordable access to: a. Doctors b. Hospitals c. Specialists d. All of the above - Correct Answer-D. All of the Above What type of inquiries can Wellcare's Corporate Sales Support team assist with? a. Application and Enrollment b. Onboarding and Certifications c. Commissions d. All of the above - Correct Answer-D. All of the above Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. Select one: True False - Correct Answer-True From October 1st to October 14th, which activity is not permissible by brokers/agents? a. Host events/1:1 appointments and discuss 2023 plan benefits. b. Use CMS-approved 2023 sales material. c. Assist with completing and collecting completed applications. d. Leave an application and BRE with only your broker/agent information populated with the beneficiary. - Correct Answer-c. Assist with completing and collecting completed applications. Which of the following statements about Scope of Appointment (SOA) is FALSE? a. A signed and completed Scope of Appointment (SOA) is required to be submitted for all agent-assisted enrollments. b. You may not discuss any products not agreed to in advance by the beneficiary. c. An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. d. SOAs are required for all personal and individual sales appointments, regardless of the venue or client relationship (e.g., in-home, conference call, library, walk-in to a broker/agent office). - Correct Answer-c. An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: (Select all that apply.) a. Available for LIS level searches in all states. b. Available for Medicaid status searches in select states. c. A way to assist brokers/agents with enrolling beneficiaries into the right plan based on their extra help status. - Correct Answer-ALL APPLY Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which of the following methods? a. Ascend b. Telephonic c. Paper d. All of the above - Correct Answer-D. All of the above 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. Library Card Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 minutes after the event start time. Select one: True False - Correct Answer-False The Single Sign-On Portal provides access to several applications, including Centene Workbench. Select one: True False - Correct Answer-True Once the enrollment is completed, you can save a copy of the application for your reference. 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 - Correct Answer-A. 1 Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal - Correct Answer-All Apply