AHIP FINAL EXAM VERSION 3 - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: *Mr. Shultz* Was Still Working When He First Qualified
For Medicare. At That Time, He Had Employer Group Coverage That
Was Creditable. During His Initial Part D Eligibility Period, He
Decided Not To Enroll Because He Was Satisfied With His Drug
Coverage. It Is Now A Year Later And Mr. Shultz Has Lost His
Employer Group Coverage. How Would You Advise Him
Answer:
Mr. Schultz Should Enroll In A Part D Plan Before He Has A 63- Day
Break In Coverage In Order To Avoid A Premium Penalty
Question 2: *Mrs. Mclntire Is Enrolled In Her State's Medicaid Plan
And Has Just Become Eligible For Medicare As Well. What Can She
Except Will Happen With Respect To Her Drug Coverage?
Answer:
Unless She Chooses A Medicare Part D Prescription Drug Plan On Her
Own, She Will Be Automatically Enrolled In One Available In Her Area
Question 3: Agent *Armstrong* Is Employed By Xyz Agency, Which
Is Under Contract With Abc Health Plan, A Medicare Advantage
(Ma) Plan That Offer Plans In Multiple States. Xyz Agency Maintains
A Individuals Who Request More Information About Abc..........
,Answer:
Agent Armstrong Needs To Be Licensed And Appointed In Every State
In Which Beneficiaries To Whom He Markets Abc Ma Plans Are
Located.
Question 4: Agent *Antonio* Is Preparing For A Presentation On
Medicare And Medicare Advantage Before A Local Senior Citizen
Civic Group Where He Helps To Enroll Some Attendees. Which Of
The Following Steps Should He Take In Oreder To Be In
Compliance With Marketing Rules?
Answer:
Antonio Should Include On The Invitation A Statement That A
Salesperson Will Be Present With Information And Applications.
Question 5: You Have Set Up An Appointment Ofr An In Home
Sales Presentation With *Mrs. Fernandez* Who.......
Answer:
Prior To Conducting The Presentation, Obtain, And Documents Having
Obtained........
Question 6: Which Of The Following Statements Best Describes
How Business Reply Cards (Brcs) May Be Employed In The
Marketing Of Medicare Advantage Products?
Answer:
A Brc May Be Used To Document A Beneficiary's Scope Of Appointment
Agreement Provided It Has Been Submitted To Cms For Approval And
Includes A Statement Following The Beneficiary That A Salesperson
, May Call.
Question 7: Agent *Mark Andrews* Would Like To Employ
Technology To Facilitate The Growth Of His Medicare Advantage
(Ma) Practice. What Steps Would You Recommend That Mark Take?
Answer:
Purchase Internet Pop-Up Ads Providing Plan-Specific Information That
Have Been Reviewed And Approved By Cms.
Question 8: Abc Is A Medicare Advantage (Ma) Plan Sponsor. It
Would Like To Use Its Enrollees' Protected Health Information To
Market Non-Health Related Products Such As Life Insurance And
Annuities.......
Answer:
Authorization May Be Obtained By Directing A Beneficiary To A Website
To Provide Consent.
Question 9: Ajax Agency Is Targeting Potential Enrollees For Msa
Plans. Which Of The Following Statements Best Describes The
Rules That Apply To The Msa Materials It Distributes?
Answer:
The Materials Must Make Clear That Medicare Msa Plans Do Not Cover
Prescription Drugs And That Beneficiaries Can Join A Separate Part D
Prescription Drug Plan.
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: *Mr. Shultz* Was Still Working When He First Qualified
For Medicare. At That Time, He Had Employer Group Coverage That
Was Creditable. During His Initial Part D Eligibility Period, He
Decided Not To Enroll Because He Was Satisfied With His Drug
Coverage. It Is Now A Year Later And Mr. Shultz Has Lost His
Employer Group Coverage. How Would You Advise Him
Answer:
Mr. Schultz Should Enroll In A Part D Plan Before He Has A 63- Day
Break In Coverage In Order To Avoid A Premium Penalty
Question 2: *Mrs. Mclntire Is Enrolled In Her State's Medicaid Plan
And Has Just Become Eligible For Medicare As Well. What Can She
Except Will Happen With Respect To Her Drug Coverage?
Answer:
Unless She Chooses A Medicare Part D Prescription Drug Plan On Her
Own, She Will Be Automatically Enrolled In One Available In Her Area
Question 3: Agent *Armstrong* Is Employed By Xyz Agency, Which
Is Under Contract With Abc Health Plan, A Medicare Advantage
(Ma) Plan That Offer Plans In Multiple States. Xyz Agency Maintains
A Individuals Who Request More Information About Abc..........
,Answer:
Agent Armstrong Needs To Be Licensed And Appointed In Every State
In Which Beneficiaries To Whom He Markets Abc Ma Plans Are
Located.
Question 4: Agent *Antonio* Is Preparing For A Presentation On
Medicare And Medicare Advantage Before A Local Senior Citizen
Civic Group Where He Helps To Enroll Some Attendees. Which Of
The Following Steps Should He Take In Oreder To Be In
Compliance With Marketing Rules?
Answer:
Antonio Should Include On The Invitation A Statement That A
Salesperson Will Be Present With Information And Applications.
Question 5: You Have Set Up An Appointment Ofr An In Home
Sales Presentation With *Mrs. Fernandez* Who.......
Answer:
Prior To Conducting The Presentation, Obtain, And Documents Having
Obtained........
Question 6: Which Of The Following Statements Best Describes
How Business Reply Cards (Brcs) May Be Employed In The
Marketing Of Medicare Advantage Products?
Answer:
A Brc May Be Used To Document A Beneficiary's Scope Of Appointment
Agreement Provided It Has Been Submitted To Cms For Approval And
Includes A Statement Following The Beneficiary That A Salesperson
, May Call.
Question 7: Agent *Mark Andrews* Would Like To Employ
Technology To Facilitate The Growth Of His Medicare Advantage
(Ma) Practice. What Steps Would You Recommend That Mark Take?
Answer:
Purchase Internet Pop-Up Ads Providing Plan-Specific Information That
Have Been Reviewed And Approved By Cms.
Question 8: Abc Is A Medicare Advantage (Ma) Plan Sponsor. It
Would Like To Use Its Enrollees' Protected Health Information To
Market Non-Health Related Products Such As Life Insurance And
Annuities.......
Answer:
Authorization May Be Obtained By Directing A Beneficiary To A Website
To Provide Consent.
Question 9: Ajax Agency Is Targeting Potential Enrollees For Msa
Plans. Which Of The Following Statements Best Describes The
Rules That Apply To The Msa Materials It Distributes?
Answer:
The Materials Must Make Clear That Medicare Msa Plans Do Not Cover
Prescription Drugs And That Beneficiaries Can Join A Separate Part D
Prescription Drug Plan.
