2024 Wellcare ACT Mastery Exam Questions And Answers

2024 Wellcare ACT Mastery Exam
Questions And Answers


Enrollment iapplications imust ibe ireceived iby iWellcare ino ilater ithan i___ icalendar iday(s) ifollowing
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ireceipt ifrom ithe ibeneficiary. i- icorrect iAnswers i✔✔ i-1
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Which ielements iare iavailable ias ipart iof iWellcare's iSales iSupport imodel? i- icorrect iAnswers i✔✔
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i-All iof ithese
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Low-Income iSubsidy i(LIS), iwhich iis ioften ireferred ito ias iExtra iHelp, ireduces iall iPart iD iplan
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ipremiums i- icorrect iAnswers i✔✔ i-False
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Prior ito icompleting ithe ienrollment iform, ibroker/agents ishould ialways iconfirm ithe ibeneficiary's
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iprimary icare iprovider i(PCP) iand/or ispecialists i- icorrect iAnswers i✔✔ i-True
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At ithe iend iof ithis icourse, ithere iwill ibe ia iMastery iExam. iAgents imust iachieve ia ipassing iscore
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iof i85% ior ihigher ito isuccessfully icomplete ithis icourse i- icorrect iAnswers i✔✔ i-True
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Brokers/Agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported
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ithrough ia i- icorrect iAnswers i✔✔ i-Complaint iTracking iModule i(CTM)
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Grievance

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A ibroker/agent iwho ihas inever ihad iany iverbal iwarnings icannot ibe iissued ia iCorrective iAction
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iPlan. i- icorrect iAnswers i✔✔ i-False
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Wellcare idoes inot ineed ito ibe iinformed iof iall imarketing/sales ievents iat iwhich iplans ior imaterials
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iwill ibe ipresented ior idistributed i(formaland iinformal). i- icorrect iAnswers i✔✔ i-False
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Marketing ibenefits iin ia iservice iarea iwhere ithose ibenefits iare inot iavailable iis iprohibited iand
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iconsidered imisleading iunless ithat iis iunavoidable ibecause iof ilocal/regional ior imedia iuse. i-
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icorrect iAnswers i✔✔ i-True
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CustomPoint isales imaterial iorder idates iwill ibe iposted ion iWellcare.com i- icorrect iAnswers i✔✔ i-
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False

, The ionline iCentene iWorkbench iself-service iportal ienables iyou ito i- icorrect iAnswers i✔✔ i-All iof
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ithese
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The iTPMO idisclaimer imust ibe iused iby iany iTPMO ithat isells iplans ion ibehalf iof imore ithan ione
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iMA iplan iprovider. iThe idisclaimer imust ibe: i- icorrect iAnswers i✔✔ i-Included iin iany imarketing
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imaterials, iincluding iprint imaterials iand itelevision iadvertisements ideveloped, iused, ior idistributed
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iby ithe iTPMO.
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Verbally iconveyed iwithin ithe ifirst iminute iof ia isales icall.
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Prominently idisplayed ion iTPMO iwebsites i(regardless iof icontent).
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Electronically iconveyed iwhen icommunicating iwith ia ibeneficiary ithrough iemail, ionline ichat, ior
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iother ielectronic imeans iof icommunication i(regardless iof icontent).
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Brokers/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin
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iCentene iWorkbench. i- icorrect iAnswers i✔✔ i-All iof ithese
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Which iof ithe ifollowing iis inot ian iexample iof iProtected iHealth iInformation i(PHI)? i- icorrect
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iAnswers i✔✔ i-Library iCard
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When ia ipaper iSOA iform iis iused, iit imust ibe icompleted i__________ ihosting ithe isales
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ipresentation. i- icorrect iAnswers i✔✔ i-48 iHours iprior ito
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Ascend iis ia ifast, ieasy, iand icompliant iway ifor ibrokers/agents ito isubmit iagent-assisted ielectronic
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ienrollments. i- icorrect iAnswers i✔✔ i-True
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When iexplaining ithe iprovider inetwork ifor iD-SNPs iand iC-SNPs: i- icorrect iAnswers i✔✔ i-Avoid
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isubmitting iapplications iwith ino iprimary icare iprovider i(PCP) ito iassist ithese ihigher-risk imembers.
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If ia imember iis inot iconnected ito ia iprimary icare iprovider i(PCP), iwe ishould ialways iencourage
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iand iassist iwith iconnecting ithem iwith ian iin-network idoctor
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If ia irequested ieffective idate iis iavailable ifor ithe ispecial ielection iperiod ibeing iselected, iensure
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iyou iare irequesting ia idate iwithin ithe icorrect itime iframe ifor ithe imember ibased ion itheir
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ieligibility idate ior ichange idate ineeded. i- icorrect iAnswers i✔✔ i-True
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Wellcare's i_____ iplan iis idesigned ifor iLow-Income iSubsidy imembers. i- icorrect iAnswers i✔✔ i-
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Classic