What are some examples of what can trigger a beneficiary complaint? (Select all that apply.) a. Did not consent to enroll in the plan. b. Received incorrect plan benefit information or were dissatisfied with plan benefits. c. Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). d. Were misled about which providers … Read more

Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. Select one: True

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? c. Member Payments

Prior to completing the enrollment form, you should always confirm the beneficiary’s primary care physician (PCP) and/or specialists. Select one: True

Which elements are available as part of Wellcare’s sales support model? d. All of the above

Which of the following is not considered a grievance? c. A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination.

Brokers/Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare’s Medicare Products. Select one: True