Wellcare medicare - Study guides, Class notes & Summaries

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. Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they are using the current, approved logo. - False An agent who has never had any verbal ...

Wellcare ACT Mastery Exam 2023/2024 with Complete Solutions Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True 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 inve...

TERM Selection and Enrollment DEFINITION Members use ratings systems to help them choose a plan or decide whether to stay with our plans. LOCATION Image: Selection and Enrollment TERM Reputation DEFINITION Wellcare strives to be an industry-leading organization that is attractive & valuable to our members and to our providers & government partners. LOCATION Image: Reputation TERM Member Service DEFINITION Our first priority is to provide our members with excellent care and...

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

When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - 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. - c All Wellcare standalone PDP plans will have a $0 ...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False True 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.) a. Included in any marketing materials, including print materials and television advertisements developed, used, or distributed by the TPMO. b. Verbally conveyed within the first ...

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-...

Wellcare Questions and Answers Already Passed When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). False Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. 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. c All Wellcar...

Wellcare 2023/2024 Questions and Answers 100% Verified Agents who have never had any verbal warnings cannot be issued a corrective action plan False A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is made aware of the issue. 60 Steps to take when safeguarding and securing PHI and PII include: all of the above Wellcare has added ____ new counties to our footprint in...

alse Agents who have never had any verbal warnings cannot be issued a corrective action plan 60 A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is made aware of the issue. all of the above Steps to take when safeguarding and securing PHI and PII include: 327 Wellcare has added ____ new counties to our footprint in 2022 Library Card Whic...