Wellcare ACT TeleAgent Practice Exam 2025 – Complete Preparation

The practice that should be avoided when assisting high-risk members is submitting applications with no primary care physician (PCP). This is crucial because having a designated PCP is a foundational aspect of coordinated care, especially for high-risk individuals who may require more tailored healthcare services. A PCP acts as the first point of contact for patients' healthcare needs, manages overall health, and ensures comprehensive treatment plans are followed.

Submitting an application without a PCP undermines this process and can leave members without essential guidance or continuity in their care, potentially exacerbating their health issues. It could lead to gaps in treatment or preventative care, making it particularly detrimental for those who are already identified as high-risk. Ultimately, ensuring that high-risk members have a PCP is vital for fostering better health outcomes and facilitating their access to the necessary healthcare resources.