Wellcare Mastery Exam with Questions and Correct Answers
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Course
Wellcare Mastery
Institution
Wellcare Mastery
A grievance request or any evidence concerning agreements 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
60
Medicare star ratings and performance are at the forefront of wellcare's quality
strat...
Wellcare Mastery Exam with Questions and
Correct Answers
A grievance request or any evidence concerning agreements 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
60
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
Member payments
What are some examples of steps that can be taken when safeguarding and
securing phi and pii? Select all that apply
Select all. Shred documents that contain PHI or pii using appropriate means.
Never leave laptops, PHI, or pii in an unattended vehicle. Do not include PHI or pii
in the subject line or body of an email. Secure emails that contain phi or pii.
For 2025, WellCare has 43 new plans going to market
True
For 2025 WellCare preferred networks include Walgreens, CVS and some
grocery chains
True
The prescription drug plan network is expected to include over _____ Total
pharmacies
60
The _____ plan is expected to continue to offer members a cost-effective option
with one of the lowest premiums in the nation
Value script
, Agent/brokers can submit a support ticket online through their sentine
workbench portal
True
Disciplinary action stemming from the result of a compliant allegation are
always progressive
False
Broker/agents can access and download enrollment materials through custom
point
True
The single sign-on portal provides access to multiple applications, including
custom point
True
Wellcare does not need to be informed of informal marketing/selves events at
which plans or materials will be presented or distributed
False
Materials that include plan comparisons or cost sharing do not require centers
for Medicare and Medicaid services submission
False
Names and or logos of providers cobranding partners can be displayed on
marketing materials as long as the current and approved logos are used
False
Members who failed to pay the required premiums before the end of the grace
period, (WellCare has a 3-month grace period) will be terminated
True
A scope of appointment is valid______ following the beneficiary signature date
12 months
When discussing prescription drug coverage, you should: select all that apply
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