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AHIP Module 4 Already Graded A+

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AHIP Module 4 Already Graded A+ Question 1: Can a marketing presentation about Medicare Advantage plans be considered educational if it mentions plan-specific premiums? Answer: No, discussing plan-specific premiums at an event advertised as educational is prohibited. Question 2: What should you do when creating advertisements for an educational event? Answer: You must ensure that the advertisements indicate it is an educational event, otherwise it will be considered a marketing event. Question 3: What marketing activities are permitted with current Medicare Advantage plan members? Answer: Plan sponsors may market non-health related items or services, such as life insurance or annuity policies, to current members as permitted following HIPAA Privacy Rules. Question 4: How must a Medicare Advantage plan sponsor obtain authorization from enrollees to market non-health related products? Answer: The plan sponsor must obtain a HIPAA-compliant authorization from enrollees indicating that the plan or plan sponsor may use their information for marketing purposes. Question 5: How can you address concerns from a hospital administrator about marketing in their facility? Answer: You can explain that Medicare guidelines allow marketing activities in common areas of a provider's facility. Question 6: What penalty might a plan impose on an agent who has engaged in misconduct? Answer: The plan may withhold commission, require retraining, report the misconduct to a state department of insurance, or terminate the contract. Question 7: What should you tell a client who asks about Medicare agency recommendations for plans? Answer: Tell her that the Medicare agency does not endorse or recommend any plan. Question 8: What can you do during an appointment with a client who has signed a scope of appointment form? Answer: You can provide her with the required enrollment materials and take her completed enrollment application. Question 9: What should you do before engaging in a discussion about Medicare Advantage options with a beneficiary? Answer: You must have her sign a scope of appointment form, indicating which products she wishes to discuss, and then proceed with the discussion. Question 10: How should you respond to a colleague who suggests targeting specific neighborhoods based on income levels? Answer: This could be considered discriminatory activity and is prohibited. Question 11: Can you present a program about MA-PD plans to residents of an assisted living facility at your friend's request? Answer: Yes, you appreciate the opportunity and can schedule an appointment with anyone at their request. Question 12: What statement best describes the marketing and compliance rules that apply to Agent Armstrong? Answer: Agent Armstrong needs to be licensed and appointed in every state where beneficiaries he markets ABC MA plans are located. Question 13: What advice should you give Miguel Sanchez during the MA-OEP?

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2023/2024
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AHIP Module 4 Already Graded A+
Question 1: Can a marketing presentation about Medicare Advantage plans be considered educational if
it mentions plan-specific premiums?



Answer: No, discussing plan-specific premiums at an event advertised as educational is prohibited.



Question 2: What should you do when creating advertisements for an educational event?



Answer: You must ensure that the advertisements indicate it is an educational event, otherwise it will be
considered a marketing event.



Question 3: What marketing activities are permitted with current Medicare Advantage plan members?



Answer: Plan sponsors may market non-health related items or services, such as life insurance or
annuity policies, to current members as permitted following HIPAA Privacy Rules.



Question 4: How must a Medicare Advantage plan sponsor obtain authorization from enrollees to
market non-health related products?



Answer: The plan sponsor must obtain a HIPAA-compliant authorization from enrollees indicating that
the plan or plan sponsor may use their information for marketing purposes.



Question 5: How can you address concerns from a hospital administrator about marketing in their
facility?



Answer: You can explain that Medicare guidelines allow marketing activities in common areas of a
provider's facility.



Question 6: What penalty might a plan impose on an agent who has engaged in misconduct?
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