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WELLCARE REAL EXAM AND STUDY GUIDE 120 QUESTIONS AND CORRECT ANSWERS LATEST VERSION//ALREADY GRADED A+ Which is an example of a top beneficiary complaint that affects Star Ratings?$23.49
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WELLCARE REAL EXAM AND STUDY GUIDE 120 QUESTIONS AND CORRECT ANSWERS LATEST VERSION//ALREADY GRADED A+ Which is an example of a top beneficiary complaint that affects Star Ratings?
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WELLCARE REAL EX
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WELLCARE REAL EX
WELLCARE REAL EXAM AND STUDY GUIDE 120
QUESTIONS AND CORRECT ANSWERS LATEST
VERSION//ALREADY GRADED A+
Which is an example of a top beneficiary complaint that affects Star Ratings?
WELLCARE REAL EXAM AND STUDY GUIDE 120
QUESTIONS AND CORRECT ANSWERS LATEST
VERSION//ALREADY GRADED A+
Wh...
WELLCARE REAL EXAM AND STUDY GUIDE 120
QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST
VERSION//ALREADY GRADED A+
Which is an example of a top beneficiary complaint that affects Star Ratings? - CORRECT ANSWER-The
beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare
Advantage plan
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life
events that qualify for an SEP period. - CORRECT ANSWER-True
Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary
specific information, including but not limited to: - CORRECT ANSWER-All
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? - CORRECT
ANSWER-NOT - Serving Government Customers
Once the enrollment is completed, you can save a copy of the application for your reference. - CORRECT
ANSWER-False
The Mastery Exam will lock for a period of 48 hours after each failed attempt. - CORRECT ANSWER-False
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan
provider. The disclaimer must be:
(Select all that apply.) - CORRECT ANSWER-All
A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse
Plan Determination (Medicare) is a/an: - CORRECT ANSWER-Appeal
Which of the following statements about Scope of Appointment (SOA) is FALSE - CORRECT ANSWER-An
electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment
,Wellcare added which state to its footprint for 2024? - CORRECT ANSWER-Delaware
The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies - CORRECT
ANSWER-60,000
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act -
CORRECT ANSWER-False
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for all insulins and
insulin-combination products that are on the formulary, regardless of tier, and are included in the $35
cap for one month's supply - CORRECT ANSWER-True
The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will impact which
plan(s)? - CORRECT ANSWER-Both
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX, and WI.
- CORRECT ANSWER-True
Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS
the member is granted - CORRECT ANSWER-False
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for 2024? -
CORRECT ANSWER-NOT - Value Script
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless
of which network pharmacy is used by members - CORRECT ANSWER-$0
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums -
CORRECT ANSWER-False
CVS Caremark Mail Order will be in-network for 2024 - CORRECT ANSWER-False
, Which LIS category is assigned to members whose costs are fully subsidized and who receive the most
assistance? - CORRECT ANSWER-Three
During an appointment, you may not discuss any products not agreed to in advance by the beneficiary.
a. True
b. False - CORRECT ANSWER-True
When a paper SOA form is used, it must be completed __________ hosting the sales presentation.
a. Prior to
b. During
c. After - CORRECT ANSWER-A. Prior to
Brokers/Agents can submit a support ticket online through their Centene Workbench portal.
Select one:
True
False - CORRECT ANSWER-True
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be
presented or distributed (Formal & Informal).
Select one:
True
False - CORRECT ANSWER-False
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity?
a. Speak with the investigator as quickly as possible.
b. Answer all questions honestly and completely.
c. Offer information and documents important to the investigation.
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