Exam (elaborations)
WELLCARE ACT MASTERY EXAM 2024
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WELLCARE ACT MASTERY EXAM 2024
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WELLCARE ACT MASTERY EXAM 2024Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - Answer ✔✔1
Which elements are available as part of Wellcare's Sales Support model? - Answer ✔✔All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - Answer✔✔False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary care provider (PCP) and/or specialists - Answer ✔✔True
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 - Answer ✔✔True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a - Answer✔✔Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - Answer✔✔False
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be presented or distributed (formaland informal). - Answer ✔✔False
Marketing benefits in a service area where those benefits are not available is prohibited and considered misleading unless that is unavoidable because of local/regional or media use. - Answer ✔✔True CustomPoint sales material order dates will be posted on Wellcare.com - Answer ✔✔False
The online Centene Workbench self-service portal enables you to - 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: - 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).
Electronically conveyed when communicating with a beneficiary through email, online chat, or other electronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources section in Centene Workbench. - Answer ✔✔All of these
Which of the following is not an example of Protected Health Information (PHI)? - Answer ✔✔Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales presentation. - Answer✔✔48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. - Answer ✔✔True
When explaining the provider network for D-SNPs and C-SNPs: - Answer ✔✔Avoid submitting applications with no primary care provider (PCP) to assist these higher-risk members.
If a member is not connected to a primary care provider (PCP), we should always encourage and assist with connecting them with an in-network doctor
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