AHIP Module 4
1. A Medicare beneficiary has walked into your office and asked that you sit down along
with her and discuss her alternatives under the Medicare Advantage application. Before
carrying out this type of dialogue, what need to you do? - ANS-You ought to have her
signal a scope of appointment form, indicating which products she wishes to discuss.
You may also then continue with the dialogue.
2. ABC is a Medicare Advantage (MA) plan sponsor. It would like to apply its enrollees'
information to market non-fitness associated products including existence insurance and
annuities. Which announcement first-rate describes ABC's obligation to its enrollees
concerning advertising such merchandise? - ANS-It must attain a HIPAA compliant
authorization from an enrollee that indicates the plan or plan sponsor might also use
their records for marketing functions.
3. Agent Armstrong is hired by way of XYZ Agency, that is below agreement with ABC
Health Plan, a Medicare Advantage (MA) plan that gives plans in a couple of states. XYZ
Agency keeps a internet site advertising the MA plans with which it has contracts. Agent
Armstrong follows up with individuals who request extra data about ABC MA plans via
the internet site and tries to steer them to enroll in ABC plans. What declaration fine
describes the advertising and marketing and compliance guidelines that practice to
Agent Armstrong? - ANS-Agent Armstrong desires to be certified and appointed in every
nation wherein beneficiaries to whom he markets ABC MA plans are located.
4. Agent Jennings makes a presentation on Medicare advertised as an academic event.
Agent Jennings distributes substances which are solely instructional. However, she gives
a brief presentation that mentions plan-particular charges. Is this a prohibited activity at
an event that has been advertised as instructional? - ANS-Yes. When an event has been
advertised as "educational," discussing plan-particular premiums is impermissible.
5. Agent Martinez desires to solicit Medicare Advantage potentialities through electronic
mail and asks you for advice as to whether that is feasible. What need to you inform her?
- ANS-Marketing representatives may additionally initiate digital contact through e-mail
however an opt-out technique ought to be supplied.
6. Another agent running to your enterprise claims that due to the fact you are not hired via
the Medicare Advantage plans that you constitute, you aren't problem to the identical
advertising requirements as the plans themselves. How should you respond to the sort
of statement? - ANS-Your coworker isn't always correct. Marketing on behalf of a plan is
taken into consideration advertising and marketing with the aid of the plan and requires
that every one contracted and hired sellers comply with all Medicare marketing
regulations.
7. Another agent you know has engaged in misconduct that has been verified through the
plan she represented. What kind of penalty would possibly the plan impose in this
character?7 - ANS-The plan may also withhold commission, require retraining, record
the misconduct to a nation department of coverage or terminate the contract
1. A Medicare beneficiary has walked into your office and asked that you sit down along
with her and discuss her alternatives under the Medicare Advantage application. Before
carrying out this type of dialogue, what need to you do? - ANS-You ought to have her
signal a scope of appointment form, indicating which products she wishes to discuss.
You may also then continue with the dialogue.
2. ABC is a Medicare Advantage (MA) plan sponsor. It would like to apply its enrollees'
information to market non-fitness associated products including existence insurance and
annuities. Which announcement first-rate describes ABC's obligation to its enrollees
concerning advertising such merchandise? - ANS-It must attain a HIPAA compliant
authorization from an enrollee that indicates the plan or plan sponsor might also use
their records for marketing functions.
3. Agent Armstrong is hired by way of XYZ Agency, that is below agreement with ABC
Health Plan, a Medicare Advantage (MA) plan that gives plans in a couple of states. XYZ
Agency keeps a internet site advertising the MA plans with which it has contracts. Agent
Armstrong follows up with individuals who request extra data about ABC MA plans via
the internet site and tries to steer them to enroll in ABC plans. What declaration fine
describes the advertising and marketing and compliance guidelines that practice to
Agent Armstrong? - ANS-Agent Armstrong desires to be certified and appointed in every
nation wherein beneficiaries to whom he markets ABC MA plans are located.
4. Agent Jennings makes a presentation on Medicare advertised as an academic event.
Agent Jennings distributes substances which are solely instructional. However, she gives
a brief presentation that mentions plan-particular charges. Is this a prohibited activity at
an event that has been advertised as instructional? - ANS-Yes. When an event has been
advertised as "educational," discussing plan-particular premiums is impermissible.
5. Agent Martinez desires to solicit Medicare Advantage potentialities through electronic
mail and asks you for advice as to whether that is feasible. What need to you inform her?
- ANS-Marketing representatives may additionally initiate digital contact through e-mail
however an opt-out technique ought to be supplied.
6. Another agent running to your enterprise claims that due to the fact you are not hired via
the Medicare Advantage plans that you constitute, you aren't problem to the identical
advertising requirements as the plans themselves. How should you respond to the sort
of statement? - ANS-Your coworker isn't always correct. Marketing on behalf of a plan is
taken into consideration advertising and marketing with the aid of the plan and requires
that every one contracted and hired sellers comply with all Medicare marketing
regulations.
7. Another agent you know has engaged in misconduct that has been verified through the
plan she represented. What kind of penalty would possibly the plan impose in this
character?7 - ANS-The plan may also withhold commission, require retraining, record
the misconduct to a nation department of coverage or terminate the contract
