Mr. Prentice has many clients who are Medicare
beneficiaries. He should review the Centers for c. Medicare Advantage (MA) and Prescription
Medicare & Medicaid Services’ Marketing Guidelines to Drug (PDP) plans Correct
ensure he is compliant for which type of products?
Another agent working for your agency claims that
because you are not employed by the Medicare c. Your coworker is not correct. Marketing on
Advantage plans that you represent, you are not behalf of a plan is considered marketing by
subject to the same requirements as the plans the plan and requires that all contracted and
themselves. How should you respond to such a employed agents comply with all Medicare
statement? marketing rules. Correct
Wendy Park becomes eligible for Medicare for the first
time in FeelBetter will pay Agent Chan initial year
July. With the help of Agent James Chan, she enrolls in compensation for the months July through
FeelBetter Medicare Advantage plan with an effective December. Renewal amounts will be paid
date of July 1st. Which statement best describes how starting in January if Ms. Park remains enrolled
Agent Chan may be compensated under CMS rules? the following year.
You work for a company that has marketed Medigap b. You must submit your materials to the plan
products for many years. The company has added you represent, so CMS can review and approve
Medicare Advantage and Part D plans and you will the materials to ensure they are accurate.
begin marketing those plans this fall. You are planning Correct
what materials to use to easily show the differences in
benefits, premiums and cost sharing for each of the
, AHIP Module 4 Answers (100% SOLVED)
products. What do you need to do with your materials
before using them for marketing purposes?
Which of the following is a correct statement about
state laws as they pertain to marketing d. Medicare health plans must comply with
representatives? requests for information from state insurance
departments investigating complaints about a
marketing representative. Correct
You are seeking to represent an individual Medicare
a. You will not be able to represent any
Advantage plan and an individual Part D plan in your
Medicare Advantage or Part D plan until you
state. You have completed the required training for
complete the training and achieve an
each plan, but you did not achieve a passing score on
adequate score, although you will not have to
the tests that came after the training. What can you do
take a test if you exclusively market
in this situation?
employer/union group plans and the
companies do not require testing. Correct
, describes the marketing and compliance rules
AHIP Module 4 Answers (100% SOLVED)
that apply to Agent Armstrong?
Your colleague works at a third party marketing
organization (TMO) and she said she did not need to d. You could tell her she is wrong, and that
take the Medicare training for brokers and agents or only agents selling employer/union group
pass a test to market Medicare plans since her plans are permitted an exemption from testing,
contract is with the TMO, not the plans that have the but some employer/union group plans may
products she sells. What could you say to her? require testing to promote agent compliance
with CMS marketing requirements. Correct
Agent Armstrong is employed by XYZ Agency, which is c. Agent Armstrong needs to be licensed and
under contract with ABC Health Plan, a Medicare appointed in every state in which beneficiaries
Advantage (MA) plan that offers plans in multiple to whom he markets ABC MA plans are located.
states. XYZ Agency maintains a website marketing the Correct
MA plans with which it has contracts. Agent Armstrong
follows up with individuals who request more
information about ABC MA plans via the website and
tries to persuade them to enroll in ABC plans. What
statement best
You are mailing invitations to new Medicare
beneficiaries for a marketing event. You want an idea d. You may request RSVPs, but you are not
of how many people to expect, so you would like to permitted to require contact information.
request RSVPs. What should you keep in mind? Correct