Wellcare Mastery Practice Exam 2025 – Comprehensive Test Prep

Question: 1 / 400

Which of the following actions would NOT help in preventing grievances?

Confirming availability of providers

Using plan materials to explain benefits

Ignoring beneficiary questions

Ignoring beneficiary questions would not help in preventing grievances because it directly undermines effective communication and support for members. Addressing questions is essential in building trust and ensuring that beneficiaries feel valued and understood. When beneficiaries have questions or concerns and these are overlooked or dismissed, it can lead to frustration and dissatisfaction, which may escalate into grievances.

In contrast, confirming the availability of providers, using plan materials to explain benefits, and checking for understanding all contribute positively to the member experience. Confirming provider availability ensures that members know they can access necessary services, while using plan materials helps clarify benefits, making them easier to understand. Checking for understanding allows for effective communication, ensuring that beneficiaries feel heard and that their concerns are addressed, which ultimately fosters a supportive environment and reduces the likelihood of grievances.

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Checking for understanding

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