Pdp and medicare s - Study guides, Class notes & Summaries

By selecting the correct provider during the enrollment process, you can: -  ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led 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. –  ANSWER 60 The Single Sign-On Portal provides access to several applications, including Centene Workbench. –  ANSWER True Failure to inform a beneficiary that a t...

UHC Ethics and Compliance Section for Certification 2023 Questions and Answers (Verified Answers) What is a servicing agent? an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics compliance assessments on an annual basis What does CMS stand for? center for medi...

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...

Brokers/Agents can access the following resources under the Shared Resources section in Centene Workbench. a.Training Resources b.Commission Resources c.Marketing Resources d.All of these d.All of These Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which of the following methods? a.Ascend b.Telephonic c.Paper d.All of these d.All of These Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 second...

WELLCARE CENTENE 2024 Exam || All Questions & Answers (100% Verified) WELLCARE CENTENE 2024 Exam || All Questions & Answers (100% Verified) Which of the following is not an example of Protected Health Information (PHI)? - ANSWER - Library card Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. - ANSWER - 1 Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 ...

Which of the following customer profiles would best fit any of our PPO plans? - Answer- Clara, who values network travel and craves choice and flexibility Which of the following is true about Cigna Medicare PPO plans? - Answer- PCP selection is not required, but strongly encouraged Which of the following is a true statement regarding features of our HMO plans? - Answer- All of these Which of the following statement(s) is accurate about Cigna Medicare plans? - Answer- (INCORRECT) Offers...

Which of the following is a correct statement about in-network provider services? HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-network services received, with a few important exceptions. Which of the following are eligibility requirements for enrollment in a Medicare Advantage (MA) Plan? (Select 3) Resides in the plan's service area Is enrolled in Medicare Part B Is entitled to Medicare Part A Brainpower Read More Pre...

Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low-income subsidy. Where might he turn for help with his prescription drug costs? a.Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program. b.Mr. Wu may still qualify for help in paying for Part D costs through the Federal Pharmaceutical Assistance Program. c.Mr. Wu may still qualify for help in paying for Part D costs through the loca...

Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. False Which is an example of a top beneficiary complaint that affects Star Ratings? The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan. Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Providers may create co-branded marketing pieces u...

Humana Test Prep (Questions with Correct Answers) 2023 Complete Graded A+ 2023 Humana Test Questions | 91 Questions With 100% Correct Answers What are the dates for the SEP for Non-Renewal? - Correct answer-December 8 - end of February CMS expects agents to provide a clear, concise explanation of the plan's drug benefit. Which of the following actions is prohibited by Humana and CMS? - Correct answer- Asking the beneficiary to consult with their doctor or pharmacist to obtain gener...