WellCare Mastery 2024 Test QUESTIONS
AND CORRECT DETAILED ANSWERS
ALREADY GRADED A
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. - ANSWER>> false Which of the following is not considered a grievance? - ANSWER>> c.A dispute of the appeal of an organization determination, coverage determination, or a Late Enrollment Penalty (LEP) determination.When completing an enrollment, be sure to use the correct enrollment application for the desired plan year. - ANSWER>> true
When explaining the provider network for D-SNPs and C-SNPs: - ANSWER>> a.
Avoid submitting applications with no primary care provider (PCP) to assist these higher- risk members.b.If a member is not connected to a primary care provider (PCP), we should always encourage and assist with connecting them with an in-network doctor.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: - ANSWER>> A,B,C & D
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWER>> true CVS Caremark Mail Order will be in-network for 2024. - ANSWER>> false
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