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Wellcare Exam Questions And Answers
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  • September 6, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • wellcare exam questions and answers

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  • WELLCARE MASTERY
  • WELLCARE MASTERY

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Wellcare Exam Questions And
Answers


When Icompleting Ian Iapplication, Iyou Ishould Iensure Ithat Iyou Ienter Ithe Iprovider IID Iof Ia Ispecialist
Iand Inot Ia IPrimary ICare IPhysician I(PCP). I- Icorrect IAnswers I✔✔ I-False


Noting Ithe Icorrect Ienrollment Iperiod Ion Ienrollment Iapplications Ihelps Iin Ipreventing Idelayed
Ienrollment Iprocessing. I- Icorrect IAnswers I✔✔ I-True


Wellcare Ihas Istreamlined Istandalone IPDP Iofferings Ifrom Isix Iplans Ito I

a. Itwo Iplans I

b. Ione Iplan I

c. Ithree Iplans I

d. Ifour Iplans I

in Iall I34 Iregions Iacross Iall I50 Istates Iand ID.C. I- Icorrect IAnswers I✔✔ I-c

All IWellcare Istandalone IPDP Iplans Iwill Ihave Ia I$0 ITier I1 Ipreferred Iretail Iand Imail Ibenefit. I- Icorrect
IAnswers I✔✔ I-True


Medicare IStar IRatings Iand Iperformance Iare Iat Ithe Iforefront Iof IWelIcare's Iquality Istrategy.
IWellcare's Iquality Ifocus Iconsists Iof Isix Idrivers. IWhich Iof I


the Ifollowing Iis Inot Ia IWellcare Iquality Idriver? I

a. IMember IService I

b. IReputation I

c. IMember IPayments I

d. IServing IGovernment ICustomers I- Icorrect IAnswers I✔✔ I-c

All IPDPs Iwill Icontinue Ito Ioffer ISD ITier I1 Ipreferred Icost-sharing Ithrough ICVS IMedication IHome
IDelivery I(Mail IOrder). I- Icorrect IAnswers I✔✔ I-True

, When Ienrolling Ia ID-SNP Ibeneficiary, Ibe Isure Ito Iverify Iplan Ienrollment Ieligibility Iand Ithat Ithe IMSP
Iprogram Ilevel Iis Ieligible Ifor Ithe Irequested Iplan. I- Icorrect IAnswers I✔✔ I-True


Wellcare's I2022 Iproduct Iexpansion Irepresents Ian I8% Iincrease Ifrom I2021. I- Icorrect IAnswers I✔✔ I-
True

Which Istage Iof Icoverage Iis Ireferred Ito Ias Ithe I"donut Ihole" Ias Ithe Imember Iis Ipaying Ithe Imost Ifor
Idrug Icoverage? I


a. IInitial ICoverage I(Stage I2) I

b. ICatastrophic ICoverage I(Stage I4) I

c. ICoverage IGap I(Stage I3) I

d. IDeductible I(Stage I1) I- Icorrect IAnswers I✔✔ I-c

Key Iareas Iyou Ias Ia ISales IAgent/ IBroker Ihave Icontrol Iover Iand Iimpact Iupon Iregarding IStar I(Quality)
IRatings Iare: I


a. IMember ISatisfaction I/ IExperience I

b. IComplaints I

c. IRapid IDisenrollment I

d. IAll Iof Ithe Iabove I- Icorrect IAnswers I✔✔ I-d

Any Irequest Ior Idistribution Iof IPHI Ishould Icontain Ionly Ithe Iminimum Iamount Iof IPHI Irequired Ito
Icomplete Ithe Iintended Itask. I- Icorrect IAnswers I✔✔ I-True


Wellcare Ioffers Ia Iwide Ivariety Iof IMedicare Iproducts Iconsolidated Iunder Ia Inew IWellcare Ibrand. I-
Icorrect IAnswers I✔✔ I-True


upon Icompletion Iof Ithe Iapplication, Iyou Imust Iprovide Ithe Ibeneficiary Iwith Ithe Ienrollment
Iapplication Iconfirmation IID. I- Icorrect IAnswers I✔✔ I-Ture


The IPart ID ISenior ISavings IModel I(SSM), Iwhich Ireduces Imember Ispending Ion Iinsulin, Iwill Ibe Ioffered
Ion Ithe IValue IScript Iand IValue IPlus Iproducts. I- Icorrect IAnswers I✔✔ I-True


Agents Imay Ibe Iinvestigated Iafter Ibeing Isuspected Iof Inoncompliant Iactivity Ireported Ithrough Ia: I

Select Iall Ithat Iapply. I

a. IComplaint ITracking IModule I(CTM) I

b. IYelp Ireview I

c. IGrievance I

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