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Exam (elaborations)

Wellcare Exam Answered correct

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When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWER False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWER True Wellcare has...

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  • July 30, 2022
  • 4
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
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Wellcare Exam Answered correct
When completing an application, you should ensure that you enter the provider ID of a
specialist and not a Primary Care Physician (PCP). - ANSWER False

Noting the correct enrollment period on enrollment applications helps in preventing
delayed enrollment processing. - ANSWER True

Wellcare has streamlined standalone PDP offerings from six plans to
a. two plans
b. one plan
c. three plans
d. four plans
in all 34 regions across all 50 states and D.C. - ANSWER c

All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail
benefit. - ANSWER True

Medicare Star Ratings and performance are at the forefront of WelIcare's quality
strategy. Wellcare's quality focus consists of six drivers. Which of
the following is not a Wellcare quality driver?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers - ANSWER c

All PDPs will continue to offer SD Tier 1 preferred cost-sharing through CVS Medication
Home Delivery (Mail Order). - ANSWER True

When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that
the MSP program level is eligible for the requested plan. - ANSWER True

Wellcare's 2022 product expansion represents an 8% increase from 2021. - ANSWER
True

Which stage of coverage is referred to as the "donut hole" as the member is paying the
most for drug coverage?
a. Initial Coverage (Stage 2)
b. Catastrophic Coverage (Stage 4)
c. Coverage Gap (Stage 3)
d. Deductible (Stage 1) - ANSWER c

Key areas you as a Sales Agent/ Broker have control over and impact upon regarding
Star (Quality) Ratings are:
a. Member Satisfaction / Experience
b. Complaints
c. Rapid Disenrollment
d. All of the above - ANSWER d

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