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Exam (elaborations)

Wellcare Questions and Answers 100% Correct

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  • Wellcare certification
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  • Wellcare Certification

Wellcare Questions and Answers 100% CorrectWellcare Questions and Answers 100% CorrectWellcare Questions and Answers 100% CorrectWellcare Questions and Answers 100% CorrectWellcare Questions and Answers 100% Correct Which is an example of a top beneficiary complaint that affects Star Ratings?...

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  • September 13, 2023
  • 2
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • Wellcare certification
  • Wellcare certification
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NursingTutor1
Wellcare 2023-2024 Questions and Answers 100% Correct
Which is an example of a top beneficiary complaint that affects Star Ratings? - ANSWER-The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan
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. - ANSWER-True
Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, including but not limited to: - ANSWER-All
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? - ANSWER-NOT - Serving Government Customers
Once the enrollment is completed, you can save a copy of the application for your reference. - ANSWER-False
The Mastery Exam will lock for a period of 48 hours after each failed attempt. - ANSWER-False
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:
(Select all that apply.) - ANSWER-All
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: - ANSWER-Appeal
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
Wellcare added which state to its footprint for 2024? - ANSWER-Delaware
The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies - ANSWER-60,000
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act - ANSWER-False

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