Wellcare Mastery Test with Questions and Correct Answers Verified Solutions
35 views 0 purchase
Course
Wellcare Mastery
Institution
Wellcare Mastery
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...
Wellcare Mastery Test 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 Confirmation number
Grievance procedures are separate and distinct from initial determination and appeal
procedures. - 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. - Answer 60
The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client
after enrollment to ensure the enrollee understands important plan benefits and rules. -
Answer False
When an enrollment application is completed in Ascend, brokers/agents can complete a
Health Risk Assessment (HRA) directly in Ascend after the enrollment application,
through the Value-Based Enrollment (VBE) portal. - Answer True
What are some examples of steps that can be taken when safeguarding and securing
PHI and PII? (Select all that apply.) - Answer All
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - Answer False
, The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) - Answer All
An Election Period Request for Information (RFI) must be resolved within 7 calendar
days, or the application will be denied. - Answer True
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier
1 preferred generic medications through Express Scripts Pharmacy home delivery. -
Answer True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - Answer True
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual
threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. -
Answer 2,000
Which will be Wellcare's Preferred Mail Order pharmacy? - Answer express scripts
Wellcare does not need to be informed of informal marketing/sales events at which
plans or materials will be presented or distributed. - Answer False
When a paper Scope of Appointment (SOA) form is used, it must be completed
__________ hosting the sales presentation. - Answer 48 hours prior to
When completing an enrollment, be sure to use the correct enrollment application for
the desired plan year. - Answer True
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Examsplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
