QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ A Health Risk Assessment (HRA).
Answer: 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..
Answer: True
◍ False.
Answer: Agents who have never had any verbal warnings cannot be issued a
corrective action plan
◍ 60.
Answer: 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.
Answer: Steps to take when safeguarding and securing PHI and PII include:
◍ Health plan fax numbers vary for health plans that offer fax enrollment
submissions..
Answer: True
◍ Centene requires all contracted brokers/agents to read, understand, and agree
to Centene's Business Ethics and Code of Conduct Policy..
Answer: True
◍ 327.
Answer: Wellcare has added ____ new counties to our footprint in 2022
,◍ Communication of PHI can be:.
Answer: Written, Electronic , Verbal
◍ Library Card.
Answer: Which of the following is not an example of Protected Health
Information (PHI)
◍ five.
Answer: All standalone PDP formularies have a ____ -tier structure for 2022
◍ True.
Answer: To ensure accurate data entry, you should repeat the Medicare ID
back to the beneficiary.
◍ Written, Electronic, Verbal.
Answer: Communication of PHI can be:
◍ All of the above (Member satisfaction/Experience, Complaints, Rapid
Disenrollment).
Answer: Key areas you as a Sales Agent/Broker have control over and
impact upon regarding Star (quality) ratings are:
◍ True.
Answer: All Wellcare standalone PDP plans will have a $0 Tier 1 preferred
retail and mail benefit.
◍ Which resources are available for download from the Shared Resources
section found within Centene Workbench?.
Answer: All of the above
◍ True.
Answer: Wellcare has expanded coverage in Massachusetts, Nebraska, and
Oklahoma.
◍ Noting the correct enrollment period on enrollment applications helps in
preventing delayed enrollment processing..
Answer: True
, ◍ True.
Answer: Wellcare offers a wide variety of Medicare products consolidated
under a new Wellcare brand.
◍ True.
Answer: Any request of distribution of PHI should contain only the
minimum amount of PHI required to complete the intended task.
◍ False.
Answer: When completing an application, you should ensure that you enter
the provider ID of a specialist and not a Primary Care Physician (PCP).
◍ Must include most of the required elements necessary to complete the
enrollment..
Answer: Which of the following statements about completing telephonic
enrollments is FALSE?
◍ Member PHI can be stored on an external hard drive or a cloud storage
service like Google Drive or Apple Cloud..
Answer: False
◍ Enrollments through Ascend offer the following unique benefits:.
Answer: Validation of important data to help prevent incorrect or missing
information.Search for providers and formularies to validate physician and
prescription availability.Extra help eligibility status.Digital capture of the
broker's/agent's and beneficiary's electronic signatures through Send for
Signature at any time throughout the enrollment application.
◍ Wellcare offers a range of Medicare plans to provide members with
affordable access to:.
Answer: All of the above
◍ Three.
Answer: Wellcare has streamlined standalone PDP offerings from six plans
to __ in all 34 regions across all 50 states and D.C.
◍ Which of the following is not an example of Protected Health Information