Answers
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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Which iis ian iexample iof ia itop ibeneficiary icomplaint ithat iaffects iStar iRatings? i- icorrect iAnswers
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i✔✔ i-The ibeneficiary idid inot iunderstand ithat ienrolling iin ia iWellcare iplan iwould ichange itheir
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icurrent iMedicare iAdvantage iplan.
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Providers imay icreate ico-branded imarketing ipieces iusing ithe iWellcare iname iand ilogo, ias ilong ias
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ithey iare iusing ithe icurrent, iapproved ilogo. i- icorrect iAnswers i✔✔ i-False
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An iagent iwho ihas inever ihad iany iverbal iwarnings icannot ibe iissued ia iCorrective iAction iPlan. i-
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icorrect iAnswers i✔✔ i-False
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Once ithe ienrollment iis icompleted, iyou ican isave ia icopy iof ithe iapplication ifor iyour ireference. i-
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icorrect iAnswers i✔✔ i-False
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Noting ithe icorrect ienrollment iperiod ion ienrollment iapplications ihelps iin ipreventing idelayed
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ienrollment iprocessing. i- icorrect iAnswers i✔✔ i-True
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When icompleting ian iapplication, iyou ishould iensure ithat iyou ienter ithe iprovider iID iof ia
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ispecialist iand inot ia iprimary icare iprovider i(PCP). i- icorrect iAnswers i✔✔ i-False
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Agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported ithrough ia: i-
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icorrect iAnswers i✔✔ i-Complaint iTracking iModule i(CTM), iGrievance, iand iSecret iShop iFinding
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Which iof ithe ifollowing istatements iabout icompleting itelephonic ienrollments iis iFALSE? i- icorrect
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iAnswers i✔✔ i-Must iinclude imost iof ithe irequired ielements inecessary ito icomplete ithe
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ienrollment.
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Failure ito iinform ia ibeneficiary ithat ia itrusted iprovider iis iout-of-network ior iis inot iavailable iin
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ithe inewly iselected iplan ican icause ia isales iallegation. i- icorrect iAnswers i✔✔ i-True
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When icompleting ian ienrollment, ibe isure ito iuse ithe icorrect ienrollment iapplication ifor ithe
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idesired iplan iyear. i- icorrect iAnswers i✔✔ i-True
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