Wellcare 2024 exam-with 100% verified solutions 2024-2025.docx, Exams of Nursing

Download Wellcare 2024 exam-with 100% verified solutions 2024-2025.docx and more Exams Nursing in PDF only on Docsity! Wellcare 2024 exam-with 100% verified solutions 2024-2025 Which is an example of a top beneficiary complaint that affects Star Ratings? The beneficiary did not understand that enrolling in a Wellcare plan would change their current Medicare Advantage plan An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. True Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, including but not limited to: All Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? NOT - Serving Government Customers Once the enrollment is completed, you can save a copy of the application for your reference. False The Mastery Exam will lock for a period of 48 hours after each failed attempt. False The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one MA plan provider. The disclaimer must be: (Select all that apply.) All A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: Appeal Which of the following statements about Scope of Appointment (SOA) is FALSE An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment Wellcare added which state to its footprint for 2024? Delaware The Prescription Drug Plan (PDP) network is expected to include over total pharmacies 60,000 Members are no longer required to pay a partial deductible due to the Inflation Reduction Act False