Ahip 2025 module 4
Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings
distributes materials that are solely educational. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been advertised as educational?
- ANS Yes. Whether or not an event has been advertised as "educational" or a "sales presentation,"
discussing plan-specific information is impermissible.
You are meeting with Mrs. Hall in her home. On her scope of appointment form, she asked to discuss
Medicare Advantage plans. During the meeting, she asked to discuss a stand-alone prescription drug
plan. She is leaving the next day to visit her family for a week in another state, so she needs to decide
before she leaves. What must happen before that additional discussion can take place? - ANS Since Mrs.
Hall specifically asked that you discuss the stand-alone Part D plan, you may do so, as long as she signs a
new scope of appointment form first, indicating that she wants to discuss the Part D plan.
During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a 5-star rating in
customer service and care coordination, and received an overall plan performance rating of a 4-star,
which of the following would be the best statement to say to her? - ANS The Medicare Advantage plan
received a 5-star rating in customer service and care coordination with an overall performance rating of
4 stars.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - ANS Winthrop Brokerage does not need to submit the advertisement to CMS for
prior approval because it does not include information about the plans' benefits structures, cost-sharing,
or information about measures or ranking standards.
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the MA and Part D marketing
appointments? - ANS You can present only health care related lines of business but must obtain the
beneficiary's permission to do so before the presentation occurs and document that you have obtained
that permission.
Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings
distributes materials that are solely educational. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been advertised as educational?
- ANS Yes. Whether or not an event has been advertised as "educational" or a "sales presentation,"
discussing plan-specific information is impermissible.
You are meeting with Mrs. Hall in her home. On her scope of appointment form, she asked to discuss
Medicare Advantage plans. During the meeting, she asked to discuss a stand-alone prescription drug
plan. She is leaving the next day to visit her family for a week in another state, so she needs to decide
before she leaves. What must happen before that additional discussion can take place? - ANS Since Mrs.
Hall specifically asked that you discuss the stand-alone Part D plan, you may do so, as long as she signs a
new scope of appointment form first, indicating that she wants to discuss the Part D plan.
During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a 5-star rating in
customer service and care coordination, and received an overall plan performance rating of a 4-star,
which of the following would be the best statement to say to her? - ANS The Medicare Advantage plan
received a 5-star rating in customer service and care coordination with an overall performance rating of
4 stars.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - ANS Winthrop Brokerage does not need to submit the advertisement to CMS for
prior approval because it does not include information about the plans' benefits structures, cost-sharing,
or information about measures or ranking standards.
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the MA and Part D marketing
appointments? - ANS You can present only health care related lines of business but must obtain the
beneficiary's permission to do so before the presentation occurs and document that you have obtained
that permission.
