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Wellcare ACT Centene Exam Review
Questions and Answers (Verified Answers)
- 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
2.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
4.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
5.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
8.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
9.True or False: Centene will offer 6 Part D standalone plans in all 34
regions across all 50 states; 204 plans nationwide.: True
10.True or False: For plan year 2021, our PPO offerings have doubled: True
11.Which of the following is not an ancillary benefit on Centene’s
Medicare Advantage plans?: Personal shopping services