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?