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(Wellcare Companies)Health Net; Fidelis Care; Allwell; ‘Ohana; Trillium Advantage

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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?

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