BUNDLE OF Wellcare Mastery ExamS with Questions and Correct Answers Verified Solutions

When verifying a Dual Eligible Special Needs Plan (D-SNP) beneficiary's Medicaid eligibility through the Ascend Medicaid search tool, you should: - Answer Both When prospective Wellcare members check online for the status of their submitted application, which element is optional? - Answer Confir...

Which of the following statements about the Scope of Appointment (SOA) is FALSE? - Answer An electronic SOA submitted in Ascend in a Pending status is considered complete and compliant An Election Period Request for Information (RFI) must be resolved within 7 calendar days, or the application wi...

A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: Appeal Grievance procedures are separate and distinct from initial determination and appeal procedures. TRUE A grievance request, or any evidence concerni...

A grievance request or any evidence concerning agreements 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 60 Medicare star ratings and performance are at the forefront of wellcare's quality strat...

Wellcare's _____ plan is designed for Low-Income Subsidy members. - Answer Classic Which LIS category is assigned to members whose costs are fully subsidized and who receive the most assistance? - Answer Three The _________ plan is expected to have one of the lowest premiums in the country! - ...

Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales Leader and must indicate: - Answer All of these ______ events are designed to inform the people who attend about Medicare Advantage, Prescription Drug, or other Medicare programs without going into...