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Wellcare ACT Centene Exam Review Questions and Answers (Verified)
- Agents may be investigated after being suspected of noncompliant activity
reported through a Complaint Tracking Module (CTM),
grievance, secret shop finding, internal audit or reporting.: True
- Which of the following health plans are now available through Centene Cor-
poration? Select the best answer.: Health Net, Fidelis Care, Allwell, Ascension
Complete, WellCare
3. True or False: The four stages of coverage are NOT the same for PDP and
MAPD.: False
- True or False: PII stands for Personally Identifiable Information and includes
any information that permits the identity of an individual to be inferred,
including information linked or linkable to the individual.: True
- True or False: When enrolling a beneficiary, you should ensure that you enter
the provider ID of a specialist and not a primary care physician (PCP).: False
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6. True or False: An agent could 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
7. True or False: A complaint or violation that could not be proven and where
no pattern of compliance issues exists is a founded complaint.: False
- Beneficiaries who are first eligible for Medicare have a seven-month Initial
Enrollment Period to enroll in a Medicare Advantage Plan. If eligible for Medicare, beneficiaries can sign up during the seven-month period that:: All the above
- True or False: Centene will offer 6 Part D standalone plans in all 34 regions
across all 50 states; 204 plans nationwide.: True
- True or False: For plan year 2021, our PPO offerings have doubled: True
- Which of the following is not an ancillary benefit on Centene's Medicare
Advantage plans?: Personal shopping services
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