2021 Centene ACT Mastery Exam REVIEW (QUESTIONS & ANSWERS 100% CORRECT)

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2021 Centene ACT Mastery Exam REVIEW (QUESTIONS & ANSWERS 100% CORRECT)In 2021, Centene is offering which of the the following types of Medicare Advantage Prescription Drug (MAPD) products? A. HMO a... nd HMO/POS B. DSNP and CSNP C. PPO D. PFFS - ✔✔E. All of the above 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: A. Begins three months before the month in which the member turns 65. B. Includes the month in which the member turns 65. C. Ends three months after the month in which the member turns 65. - ✔✔D. All the above Per CMS, all telephonic enrollment must be completed on a recorded call. - ✔✔T Upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID. - ✔✔T 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. - ✔✔T If the application is being completed by an authorized representative, all corresponding fields must be completed. - ✔✔T A score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. - ✔✔T When should you verify a beneficiary's eligibility for D-SNP? - ✔✔Before the enrollment The Centene product expansion has increased 5% from 2020. - ✔✔T Generics and brand name drugs are covered on which Part D drug tiers? A. Tiers 1 and 2 B. Tiers 3 and 4 C. Tier 5 - ✔✔D. All of the above OEP runs from January 1 to March 31. Which of the following statements apply: A. Beneficiaries can switch to another MA or MAPD Plan (including adding or removing drug coverage). [Show More]

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