Wellcare 2023 Mastery Test
Which elements are available as part of Wellcare's sales support model?
All of the above.
Which standalone Prescription Drug Plan is best for a dual-eligible chooser?
Classic
A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal.
False
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan.
False
Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud.
False
Once the enrollment is completed, you can save a copy of the application for your reference.
False
Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is:
Select All! a.Available for LIS level searches in all states. b.Available for Medicaid status searches in select states. c.A way to assist brokers/agents with enrolling beneficiaries into the right plan based on their extra help status.
What are some examples of what can trigger a beneficiary complaint?
Select All! a.Did not consent to enroll in the plan. b.Received incorrect plan benefit information or were dissatisfied with plan benefits. c.Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). d.Were misled about which providers were in-network.
____ PDPs will be offered across all 50 U.S. states and Washington, D.C.
Three
All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order).
True
All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies.
True
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments.
True
Beneficiary-facing content that includes generic or plan-specific product or benefit information must be submitted for review and CMS submission, as well as acceptance or approval, prior to distribution.
True
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy.
True
For 2023, Ascension Complete added 27 new counties to their footprint.
True
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one:
True
Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists.
True
The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on all Value Script, Value Plus PDPs, and select Wellcare MAPD plans.
True
The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023.
True
The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA).
True
____ PDPs will be offered across all 50 U.S. states and Washington, D.C.
True
For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions.
Value Plus
Communication of PHI can be: (Select all that apply.)
-Written -Electronic -Verbal
Wellcare added ___ counties to their footprint for 2023.
209
Centene's 2023 product expansion represents a __% increase from 2022.
3
Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023.
6
Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity?
All of the above
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are:
All of the above
The NEW online Centene Workbench self-service portal enables you to:
All of the above
What type of inquiries can Wellcare's Corporate Sales Support team assist with?
All of the above