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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.
The beneficiary (or their authorized representative) must indicate the product
types to be discussed during the appointment on the Scope of Appointment
(SOA).
True
Value Script and Value Plus PDP products have a ___-tier formulary structure for
2023.
6
The Wellcare preferred pharmacy network includes Walgreens, CVS, and many
grocery chains in 2023.
True
,All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS
Medication Home Delivery (Mail Order).
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
Centene's 2023 product expansion represents a __% increase from 2022.
3
For 2023, Ascension Complete added 27 new counties to their footprint.
True
Which standalone Prescription Drug Plan is best for a dual-eligible chooser?
Classic
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
____ PDPs will be offered across all 50 U.S. states and Washington, D.C.
Three
, ____ PDPs will be offered across all 50 U.S. states and Washington, D.C.
True
All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies.
True
Wellcare added ___ counties to their footprint for 2023.
209
If a requested effective date is available for the special election period being
selected, ensure you are requesting a date within the correct timeframe for the
member based on their eligibility date or change date needed.
True
Which of the following is not an example of Protected Health Information (PHI)?
Library Card
An LEP is assessed by CMS when a member goes days or longer without
creditable
prescription drug coverage after they become Medicare-eligible.
63 days
Wellcare does not need to be informed of all marketing/sales events at which
plans or materials will be presented or distributed (formal and informal).
False