(Wellcare Companies)Health Net; Fidelis Care; Allwell; ‘Ohana; Trillium Advantage 2021 年 10 月 18 日2021 年 9 月 17 日 作者 Jeremy Lai 6,797 Views 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 the beneficiary. Member Payments 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? Complaint Tracking Module (CTM);Grievance;Secret Shop Finding Agents may be investigated after being suspected of noncompliant activity reported through a: Walmart For 2022, ____ will no longer be a preferred pharmacy. all 50 Wellcare offers a robust portfolio of products and plans across ____ states True The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products. Health Net; Fidelis Care; Allwell; ‘Ohana; Trillium Advantage; Wellcare For the 2022 plan year, which health plans will be considered into the Wellcare Medicare brand? Coverage Gap (Stage 3) Which stage of coverage is referred to as the “donut hole” as the member is paying the most for drug coverage? A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination. Which of the following is not considered a grievance? True Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare’s Medicare Products. All of the above Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? True When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. a. Value Script b. Value Plus (not this one) c. Classic Which standalone Prescription Drug Plan is best for “dual-eligible” members? Related posts: Aetna Care Management Humana – PHI posting UHC Important CSNP Consumer FYI 紅藍卡老人如何減免屋主稅？ AHIP Test 11 什麼是美國公共負擔？
