Wellcare 2024 (Centene) Exam Practice Questions and Answers
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Course
WellCare Mastery
Institution
WellCare Mastery
Wellcare 2024 (Centene) Exam Practice
Questions and Answers
When explaining the provider network for D-SNPs and C-SNPs: -
Answer️️ -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...
Wellcare 2024 (Centene) Exam Practice
Questions and Answers
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.
Failure to inform a beneficiary that a trusted provider is out-of-network or
is not available in the newly selected plan can cause a sales allegation. -
Answer✔️✔️-True
Upon completion of the application, you must provide the beneficiary with
the enrollment application confirmation ID. - Answer✔️✔️-True
Providers may create co-branded marketing pieces using the Wellcare
name and logo, as long as they are using the current, approved logo. -
Answer✔️✔️-False
Noting the correct enrollment period on enrollment applications helps in
preventing delayed enrollment processing. - Answer✔️✔️-True
Lead-generating activities (either directly or indirectly) facilitated by a
third-party marketing organization (TPMO) need to include a notice to the
beneficiary that their information may be shared with a licensed agent for
future contact. - Answer✔️✔️-True
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✔️✔️-Member
Payments
You can help prevent grievances by: - Answer✔️✔️-Always confirming
availability of the beneficiary's primary and specialist providers by using
the provider search tool available on the plan's website.
Always using plan materials to clearly explain plan benefits and cost
(including medications) and check for understanding.
Always confirming a beneficiary's intent to enroll before accepting their
enrollment application.
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