2024 WELLCARE MASTERY TEST ACTUAL EXAM 80
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |AGRADE
Once the enrollment is completed, you can save a copy of the application for your
reference. - ANSWER: False
Which elements are available as part of Wellcare's sales support model? - ANSWER:
All of the above.
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy. - ANSWER: True
Communication of PHI can be:
(Select all that apply.) - ANSWER: -Written
-Electronic
-Verbal
Prior to completing the enrollment form, you should always confirm the beneficiary's
primary care physician (PCP) and/or specialists. - ANSWER: True
Noting the correct enrollment period on enrollment applications helps in preventing
delayed enrollment processing.
Select one: - ANSWER: True
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. - ANSWER: False
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. - ANSWER: True
A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan. - ANSWER: False
The NEW online Centene Workbench self-service portal enables you to: - ANSWER:
All of the above
What are some examples of what can trigger a beneficiary complaint? - ANSWER:
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.
, Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud. - ANSWER: False
What type of inquiries can Wellcare's Corporate Sales Support team assist with? -
ANSWER: All of the above
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity? - ANSWER: All of the above
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments. - ANSWER: True
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are: - ANSWER: All of the above
Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: -
ANSWER: 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.
The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA). -
ANSWER: True
Value Script and Value Plus PDP products have a ___-tier formulary structure for
2023. - ANSWER: 6
The Wellcare preferred pharmacy network includes Walgreens, CVS, and many
grocery chains in 2023. - ANSWER: True
All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS
Medication Home Delivery (Mail Order). - ANSWER: 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.
- ANSWER: True
Centene's 2023 product expansion represents a __% increase from 2022. - ANSWER:
3
For 2023, Ascension Complete added 27 new counties to their footprint. - ANSWER:
True
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |AGRADE
Once the enrollment is completed, you can save a copy of the application for your
reference. - ANSWER: False
Which elements are available as part of Wellcare's sales support model? - ANSWER:
All of the above.
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy. - ANSWER: True
Communication of PHI can be:
(Select all that apply.) - ANSWER: -Written
-Electronic
-Verbal
Prior to completing the enrollment form, you should always confirm the beneficiary's
primary care physician (PCP) and/or specialists. - ANSWER: True
Noting the correct enrollment period on enrollment applications helps in preventing
delayed enrollment processing.
Select one: - ANSWER: True
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. - ANSWER: False
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. - ANSWER: True
A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan. - ANSWER: False
The NEW online Centene Workbench self-service portal enables you to: - ANSWER:
All of the above
What are some examples of what can trigger a beneficiary complaint? - ANSWER:
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.
, Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud. - ANSWER: False
What type of inquiries can Wellcare's Corporate Sales Support team assist with? -
ANSWER: All of the above
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity? - ANSWER: All of the above
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments. - ANSWER: True
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are: - ANSWER: All of the above
Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: -
ANSWER: 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.
The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA). -
ANSWER: True
Value Script and Value Plus PDP products have a ___-tier formulary structure for
2023. - ANSWER: 6
The Wellcare preferred pharmacy network includes Walgreens, CVS, and many
grocery chains in 2023. - ANSWER: True
All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS
Medication Home Delivery (Mail Order). - ANSWER: 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.
- ANSWER: True
Centene's 2023 product expansion represents a __% increase from 2022. - ANSWER:
3
For 2023, Ascension Complete added 27 new counties to their footprint. - ANSWER:
True
