Agents may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process or fail to provide truthful or complete information True If a paper Scope of Appointment (SOA) form was used to capture SOA, and your appointment turns into an application for enrollment, which … Read more
all of the above Steps to take when safeguarding and securing PHI and PII include: 327 Wellcare has added ____ new counties to our footprint in 2022 Library Card Which of the following is not an example of Protected Health Information (PHI) five All standalone PDP formularies have a ____ -tier structure for 2022 True … Read more
The Agent of Record (AOR) will not remain with the member after the consolidation Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. Identify the INCORRECT statement regarding the plan consolidation. False Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of … Read more
What are two options for Medicare consumers to get Part D prescription drug coverage? … In what order do the four prescription drug coverage stages occur? Deductible, initial coverage, coverage gap, catastrophic coverage Which of these statements is NOT true about the drug utilization management rules? If the medication has a UM rule, the member … Read more
Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true about members of a Medicare Advantage (MA) Plan … Read more
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of what? Utilization Management Rules Can a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs? Yes, through subsidies such as lower or no monthly plan premiums and lower … Read more
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) An MA Plan is a health plan option approved by Medicare and offered by private insurance companies. An MA Plan provides Medicare hospital and medical insurance (Medicare … Read more
