AHIP 2024 Midterm Exam Questions With
Latest Verified Answers (Already Graded A+)
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How
could you address her concerns?
Tell her that Medicare guidelines allow you to conduct marketing
activities in common areas of a provider's facility.
You are working several plans and community organizations to
sponsor an educational event. When putting together advertisements
for this event, what should you do?
You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event.
Miguel Sanchez is a relatively new agent who has come to you for
advice as to what he can do during the Medicare Advantage Open
Enrollment Period (MA-OEP). What advice should you give Miguel?
During the MA-OEP, Miguel can have one-on-one meetings with
beneficiaries who have requested such meetings.
Wendy Park becomes eligible for Medicare for the first time in July.
With the help of Agent James Chan, she enrolls in FeelBetter Medicare
Advantage plan with an effective date of July 1st. Which statement
best describes how Agent Chan may be compensated under CMS
rules?
Feel Better will pay Agent Chan initial year compensation for July
through December. The renewal amounts will be paid starting in
January if Ms. Park remains enrolled the following year.
,Melissa Meadows is a marketing representative for Best Care which
has recently introduced a Medicare Advantage plan offering
comprehensive dental benefits for $15 per month. Best Care has not
submitted any potential posts to CMS for approval. Melissa would like
to use the power of social media to reach potential prospects. What
advice would you give her?
As soon as CMS approves Best Care's social media posts, Agent
Meadows could post a tweet stating that "Best Care offers an array of
Medicare Advantage benefit packages. One might be right for you. Call
me to find out more!"
Your friend's mother just moved to an assisted living facility and he
asked if you could present a program for the residents about the MA-
PD plans you market. What could you tell him?
You appreciate the opportunity and would be happy to schedule an
appointment with anyone at their request.
Your client, Alexis Jones, calls you on December 4th about changing
her Medicare Advantage plan during the annual election period which
ends December 7th. What should you do?
Complete a scope of appointment (SOA) during the call and indicate
that they will meet to discuss Medicare Advantage plans during an
appointment the following day.
Linda Sanchez is conducting a previously agreed upon appointment
with client, Maria Gomez about a MA-Part D plan she represents.
Before an enrollment form is completed, Linda needs to provide
Maria with information about ____
I. whether or not Maria's primary care provider is in the plan's
network.II. whether Maria's current prescriptions are covered by the
,plan.III. the monthly premium cost(s).IV. the life insurance products
that Linda also sells
I, II, and III only
You are seeking to represent an individual Medicare Advantage plan
and an individual Part D plan in your state. You have completed the
required training for each plan, but you did not achieve a passing
score on the tests that came after the training. What can you do in
this situation?
You will not be able to represent any Medicare Advantage or Part D
plan until you complete the training and achieve an adequate score.
However, you will not have to take a test if you exclusively market
employer/union group plans and the companies do not require testing.
Another agent you know has engaged in misconduct that has been
verified by the plan she represented. What sort of penalty might the
plan impose on this individual?
The plan may withhold commission, require retraining, report the
misconduct to a state department of insurance or terminate the
contract.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use
its enrollees' information to market non-health related products such
as life insurance and annuities. Which statement best describes ABC's
obligation to its enrollees regarding marketing such products?
It must obtain a HIPAA compliant authorization from an enrollee that
indicates the plan or plan sponsor may use their information for
marketing purposes.
You have been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients look
, forward to attending this annual event. When marketing Medicare
Advantage and Part D plans, what are you permitted to do with
respect to meals?
You may provide light snacks, but a Thanksgiving style meal would be
prohibited, regardless of who provides or pays for the meal.
You have sought permission from a hospital to place brochures for
your product in their gift shop and cafeteria. The hospital
administration expresses some hesitation about allowing marketing in
a health care facility. What should you tell them?
Marketing in health care facilities is an acceptable practice, as long as it
takes place in common areas where patients are not receiving health
care services.
Another agent working for your agency claims that because you are
not employed by the Medicare Advantage plans that you represent,
you are not subject to the same marketing requirements as the plans
themselves. How should you respond to such a statement?
Your coworker is not correct. Marketing on behalf of a plan is
considered marketing by the plan and requires that all contracted and
employed agents comply with all Medicare marketing rules.
Evan Marsh is a newly appointed agent. Evan intends to conduct an
educational session on Medicare at a senior citizens center near his
home. He has advertised the session as an educational event. Evan
asks you what is permissible at such an event. What should you say?
Evan may provide a meal as long as its value is $15 or less per attendee
and he may make available business reply cards (BRCs).
Hector Hernandez is an independent agent. Hector sells plans on
behalf of three Medicare Advantage organizations that offer a total of
Latest Verified Answers (Already Graded A+)
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How
could you address her concerns?
Tell her that Medicare guidelines allow you to conduct marketing
activities in common areas of a provider's facility.
You are working several plans and community organizations to
sponsor an educational event. When putting together advertisements
for this event, what should you do?
You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event.
Miguel Sanchez is a relatively new agent who has come to you for
advice as to what he can do during the Medicare Advantage Open
Enrollment Period (MA-OEP). What advice should you give Miguel?
During the MA-OEP, Miguel can have one-on-one meetings with
beneficiaries who have requested such meetings.
Wendy Park becomes eligible for Medicare for the first time in July.
With the help of Agent James Chan, she enrolls in FeelBetter Medicare
Advantage plan with an effective date of July 1st. Which statement
best describes how Agent Chan may be compensated under CMS
rules?
Feel Better will pay Agent Chan initial year compensation for July
through December. The renewal amounts will be paid starting in
January if Ms. Park remains enrolled the following year.
,Melissa Meadows is a marketing representative for Best Care which
has recently introduced a Medicare Advantage plan offering
comprehensive dental benefits for $15 per month. Best Care has not
submitted any potential posts to CMS for approval. Melissa would like
to use the power of social media to reach potential prospects. What
advice would you give her?
As soon as CMS approves Best Care's social media posts, Agent
Meadows could post a tweet stating that "Best Care offers an array of
Medicare Advantage benefit packages. One might be right for you. Call
me to find out more!"
Your friend's mother just moved to an assisted living facility and he
asked if you could present a program for the residents about the MA-
PD plans you market. What could you tell him?
You appreciate the opportunity and would be happy to schedule an
appointment with anyone at their request.
Your client, Alexis Jones, calls you on December 4th about changing
her Medicare Advantage plan during the annual election period which
ends December 7th. What should you do?
Complete a scope of appointment (SOA) during the call and indicate
that they will meet to discuss Medicare Advantage plans during an
appointment the following day.
Linda Sanchez is conducting a previously agreed upon appointment
with client, Maria Gomez about a MA-Part D plan she represents.
Before an enrollment form is completed, Linda needs to provide
Maria with information about ____
I. whether or not Maria's primary care provider is in the plan's
network.II. whether Maria's current prescriptions are covered by the
,plan.III. the monthly premium cost(s).IV. the life insurance products
that Linda also sells
I, II, and III only
You are seeking to represent an individual Medicare Advantage plan
and an individual Part D plan in your state. You have completed the
required training for each plan, but you did not achieve a passing
score on the tests that came after the training. What can you do in
this situation?
You will not be able to represent any Medicare Advantage or Part D
plan until you complete the training and achieve an adequate score.
However, you will not have to take a test if you exclusively market
employer/union group plans and the companies do not require testing.
Another agent you know has engaged in misconduct that has been
verified by the plan she represented. What sort of penalty might the
plan impose on this individual?
The plan may withhold commission, require retraining, report the
misconduct to a state department of insurance or terminate the
contract.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use
its enrollees' information to market non-health related products such
as life insurance and annuities. Which statement best describes ABC's
obligation to its enrollees regarding marketing such products?
It must obtain a HIPAA compliant authorization from an enrollee that
indicates the plan or plan sponsor may use their information for
marketing purposes.
You have been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients look
, forward to attending this annual event. When marketing Medicare
Advantage and Part D plans, what are you permitted to do with
respect to meals?
You may provide light snacks, but a Thanksgiving style meal would be
prohibited, regardless of who provides or pays for the meal.
You have sought permission from a hospital to place brochures for
your product in their gift shop and cafeteria. The hospital
administration expresses some hesitation about allowing marketing in
a health care facility. What should you tell them?
Marketing in health care facilities is an acceptable practice, as long as it
takes place in common areas where patients are not receiving health
care services.
Another agent working for your agency claims that because you are
not employed by the Medicare Advantage plans that you represent,
you are not subject to the same marketing requirements as the plans
themselves. How should you respond to such a statement?
Your coworker is not correct. Marketing on behalf of a plan is
considered marketing by the plan and requires that all contracted and
employed agents comply with all Medicare marketing rules.
Evan Marsh is a newly appointed agent. Evan intends to conduct an
educational session on Medicare at a senior citizens center near his
home. He has advertised the session as an educational event. Evan
asks you what is permissible at such an event. What should you say?
Evan may provide a meal as long as its value is $15 or less per attendee
and he may make available business reply cards (BRCs).
Hector Hernandez is an independent agent. Hector sells plans on
behalf of three Medicare Advantage organizations that offer a total of
