Pdps - Study guides, Class notes & Summaries

Centene Wellcare 2023 Questions and Answers Rated A+ A Health Risk Assessment (HRA) All of the above Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. True Health plan fax numbers vary for health plans that offer fax enrollment submissions. True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communic...

Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - 1 Which elements are available as part of Wellcare's Sales Support model? - All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - False Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary care provider (PCP) and/or specialists - True At the end...

2024 WELLCARE MASTERY TEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE The Mastery Exam will lock for a period of 48 hours after each failed attempt. - ANSWER- False Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. - ANSWER- True True - ANSWER- True Which of the following is not an example of Protected Health Information (PHI)? - ANSWER...

Statement of Appointment - ANSWER Completing a SOA is a CMS requirement for any appointment that might discuss Medicare Advantage or Prescription Drug Plans (PDPs). Prior to an appointment, the topics to be discussed are agreed upon between the agent and the beneficiary; they are documented by a signed SOA form. There are no exceptions auto-pay - ANSWER Those who enroll in auto-pay are 41% more likely to stay with their Cigna Medicare Plan. Field Enrollment Submission - ANSWER Cigna Med...

WellCare Re-Cert Exam 2023 Study Guide Graded A+ 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 Which of the following is not an example of Protected Health Information (PHI)? Library card Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. True Which of the...

Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, including but not limited to: - All All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless of which network pharmacy is used by members - $0 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. - True CVS Caremark Mail Ord...

WELLCARE MASTERY EXAM QUESTIONS AND COMPLETE WELL EXPLAINED 100% CORRECT ANSWERS WITH RATIONALES ALREADY PASSED VERIFIED BY EXPERTS AND GRADED A+ LATEST 2024 VERSION WITH 100% GUARANTEED SUCCESS AFTER DOWNLOAD (ALL YOU NEED TO PASS YOUR EXAMS) All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies True For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains True For 2025, Wellcare has 43 new plans going to mar...

Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - True Once the enrollment is completed, you can save a copy of the application for your reference. - False Agents may be investigated after being suspected of noncompliant activity reported through a: - Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless ...

Wellcare Centene Cert Review 2023 Already Passed Wellcare offers a range of Medicare plans to provide members with affordable access to: All of the above Which of the following statements about completing telephonic enrollments is FALSE? Must include most of the required elements necessary to complete the enrollment. Communication of PHI can be: (Select all that apply.) a. Written b. Electronic c. Verbal Verbal permission granted to discuss plan details qualifies an authorized representativ...

Once the enrollment is completed, you can save a copy of the application for your reference. False Which elements are available as part of Wellcare's sales support model? All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True Communication of PHI can be: (Select all that apply.) -Written -Electronic -Verbal Prior to completing the enrollment form, you should...