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AHIP FINAL EXAM, PRACTICE EXAM AND STUDY
GUIDE LATEST QUESTIONS WITH ANSWERS (100%
CORRECT ANSWERS)
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but
does not want to be limited in terms of where he obtains his care. What should you tell him
about how a Medicare Cost Plan might fit his needs? Answer: a. Cost plan enrollees can
choose to receive Medicare covered services under the plan's benefits by going to plan network
providers and paying plan cost sharing, or may receive services from non-network providers
and pay cost-sharing due under Original Medicare.
b. Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to
comply with CMS marketing requirements, including those regarding using only approved
call scripts. Answer: Ms. Lopez is an independent agent under contract with MarketCo, a
third-party marketing organization. MarketCo has a contract with BestCare health plan, a
Medicare Advantage (MA) organization, to offer marketing services through its contracted
agents and agencies. Ms. Lopez returns calls to individuals who contact MarketCo in response
to its mailers promoting BestCare health plan. Which of the following best describes the
responsibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare but is exempt from the
marketing rules regarding approved call scripts because she works directly for MarketCo.
b. Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to
comply with CMS marketing requirements, including those regarding using only approved
call scripts.
c. Ms. Lopez no longer needs to be concerned about state licensure since she is marketing an
MA product subject to federal rules.
d. Ms. Lopez needs to maintain state licensure, but because she is working for a third-party
marketing organization she is exempt from CMS training requirements that apply to
BestCare captive agents.
© 2025 All rights reserved
AHIP FINAL EXAM, PRACTICE EXAM AND STUDY
GUIDE LATEST QUESTIONS WITH ANSWERS (100%
CORRECT ANSWERS)
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but
does not want to be limited in terms of where he obtains his care. What should you tell him
about how a Medicare Cost Plan might fit his needs? Answer: a. Cost plan enrollees can
choose to receive Medicare covered services under the plan's benefits by going to plan network
providers and paying plan cost sharing, or may receive services from non-network providers
and pay cost-sharing due under Original Medicare.
b. Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to
comply with CMS marketing requirements, including those regarding using only approved
call scripts. Answer: Ms. Lopez is an independent agent under contract with MarketCo, a
third-party marketing organization. MarketCo has a contract with BestCare health plan, a
Medicare Advantage (MA) organization, to offer marketing services through its contracted
agents and agencies. Ms. Lopez returns calls to individuals who contact MarketCo in response
to its mailers promoting BestCare health plan. Which of the following best describes the
responsibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare but is exempt from the
marketing rules regarding approved call scripts because she works directly for MarketCo.
b. Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to
comply with CMS marketing requirements, including those regarding using only approved
call scripts.
c. Ms. Lopez no longer needs to be concerned about state licensure since she is marketing an
MA product subject to federal rules.
d. Ms. Lopez needs to maintain state licensure, but because she is working for a third-party
marketing organization she is exempt from CMS training requirements that apply to
BestCare captive agents.
© 2025 All rights reserved
