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2024 Wellcare ACT Mastery Exam Questions And Answers.
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2024 Wellcare ACT Mastery Exam Questions And Answers.2024 Wellcare ACT Mastery Exam Questions And Answers.2024 Wellcare ACT Mastery Exam Questions And Answers.2024 Wellcare ACT Mastery Exam Questions And Answers.2024 Wellcare ACT Mastery Exam Questions And Answers.2024 Wellcare ACT Mastery Exam Que...

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  • September 6, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • 2024 wellcare act mastery exam questions and answe

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2024 Wellcare ACT Mastery Exam
Questions And Answers


Enrollment iapplications imust ibe ireceived iby iWellcare ino ilater ithan i___ icalendar iday(s) ifollowing
ireceipt ifrom ithe ibeneficiary. i- icorrect iAnswers i✔✔ i-1


Which ielements iare iavailable ias ipart iof iWellcare's iSales iSupport imodel? i- icorrect iAnswers i✔✔ i-All
iof ithese


Low-Income iSubsidy i(LIS), iwhich iis ioften ireferred ito ias iExtra iHelp, ireduces iall iPart iD iplan ipremiums
i- icorrect iAnswers i✔✔ i-False


Prior ito icompleting ithe ienrollment iform, ibroker/agents ishould ialways iconfirm ithe ibeneficiary's
iprimary icare iprovider i(PCP) iand/or ispecialists i- icorrect iAnswers i✔✔ i-True


At ithe iend iof ithis icourse, ithere iwill ibe ia iMastery iExam. iAgents imust iachieve ia ipassing iscore iof i85%
ior ihigher ito isuccessfully icomplete ithis icourse i- icorrect iAnswers i✔✔ i-True


Brokers/Agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported ithrough
ia i- icorrect iAnswers i✔✔ i-Complaint iTracking iModule i(CTM)


Grievance

Secret iShop iFinding

A ibroker/agent iwho ihas inever ihad iany iverbal iwarnings icannot ibe iissued ia iCorrective iAction iPlan. i-
icorrect iAnswers i✔✔ i-False


Wellcare idoes inot ineed ito ibe iinformed iof iall imarketing/sales ievents iat iwhich iplans ior imaterials iwill
ibe ipresented ior idistributed i(formaland iinformal). i- icorrect iAnswers i✔✔ i-False


Marketing ibenefits iin ia iservice iarea iwhere ithose ibenefits iare inot iavailable iis iprohibited iand
iconsidered imisleading iunless ithat iis iunavoidable ibecause iof ilocal/regional ior imedia iuse. i- icorrect
iAnswers i✔✔ i-True


CustomPoint isales imaterial iorder idates iwill ibe iposted ion iWellcare.com i- icorrect iAnswers i✔✔ i-False

The ionline iCentene iWorkbench iself-service iportal ienables iyou ito i- icorrect iAnswers i✔✔ i-All iof ithese

, The iTPMO idisclaimer imust ibe iused iby iany iTPMO ithat isells iplans ion ibehalf iof imore ithan ione iMA
iplan iprovider. iThe idisclaimer imust ibe: i- icorrect iAnswers i✔✔ i-Included iin iany imarketing imaterials,
iincluding iprint imaterials iand itelevision iadvertisements ideveloped, iused, ior idistributed iby ithe iTPMO.




Verbally iconveyed iwithin ithe ifirst iminute iof ia isales icall.



Prominently idisplayed ion iTPMO iwebsites i(regardless iof icontent).



Electronically iconveyed iwhen icommunicating iwith ia ibeneficiary ithrough iemail, ionline ichat, ior iother
ielectronic imeans iof icommunication i(regardless iof icontent).


Brokers/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin iCentene
iWorkbench. i- icorrect iAnswers i✔✔ i-All iof ithese


Which iof ithe ifollowing iis inot ian iexample iof iProtected iHealth iInformation i(PHI)? i- icorrect iAnswers
i✔✔ i-Library iCard


When ia ipaper iSOA iform iis iused, iit imust ibe icompleted i__________ ihosting ithe isales ipresentation. i-
icorrect iAnswers i✔✔ i-48 iHours iprior ito


Ascend iis ia ifast, ieasy, iand icompliant iway ifor ibrokers/agents ito isubmit iagent-assisted ielectronic
ienrollments. i- icorrect iAnswers i✔✔ i-True


When iexplaining ithe iprovider inetwork ifor iD-SNPs iand iC-SNPs: i- icorrect iAnswers i✔✔ i-Avoid
isubmitting iapplications iwith ino iprimary icare iprovider i(PCP) ito iassist ithese ihigher-risk imembers.




If ia imember iis inot iconnected ito ia iprimary icare iprovider i(PCP), iwe ishould ialways iencourage iand
iassist iwith iconnecting ithem iwith ian iin-network idoctor


If ia irequested ieffective idate iis iavailable ifor ithe ispecial ielection iperiod ibeing iselected, iensure iyou
iare irequesting ia idate iwithin ithe icorrect itime iframe ifor ithe imember ibased ion itheir ieligibility idate
ior ichange idate ineeded. i- icorrect iAnswers i✔✔ i-True


Wellcare's i_____ iplan iis idesigned ifor iLow-Income iSubsidy imembers. i- icorrect iAnswers i✔✔ i-Classic

Which iLIS icategory iis iassigned ito imembers iwhose icosts iare ifully isubsidized iand iwho ireceive ithe
imost iassistance? i- icorrect iAnswers i✔✔ i-Three


The i_________ iplan iis iexpected ito ihave ione iof ithe ilowest ipremiums iin ithe icountry! i- icorrect
iAnswers i✔✔ i-Value iScript

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