AHIP (AMERICA’S HEALTH INSURANCE PLANS) FINAL
TEST BANK - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Several agents you work with are planning sales events
in your area. One plans on giving door prizes worth $5,
refreshments valued at $8 per anticipated attendee, and coupon
books with discounts worth $10. Since no gift or prize exceeds the
$15 limit he believes his plan is acceptable. What should you tell
them
Answer:
d. He can give away more than one gift during a single event, but the
aggregate retail value cannot exceed $15 Correct
Question 2: You have approached a hospital administrator about
marketing in her facility. The administrator is uncomfortable with
the suggestion. How could you address her concerns?
Answer:
d. Tell her that Medicare guidelines allow you to conduct marketing
activities in common areas of a provider's facility. Correct
Question 3: You would like to market an MA plan at a neighborhood
pharmacy. What should you keep in mind to comply with the
marketing requirements for MA plans?
,Answer:
c. You must set up your table, make marketing presentations, and
accept enrollment applications only in common areas outside of where
the patient waits for services from the pharmacist. Correct
Question 4: 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?
Answer:
b. You appreciate the opportunity and would be happy to schedule an
appointment with anyone at their request. Correct
Question 5: ABC is a long-term care facility provider. What steps
may it take to inform residents of the Medicare options available to
them?
Answer:
b. ABC may provide residents that meet the I-SNP criteria an
explanatory brochure, reply card, and phone number for additional
information for each I-SNP with which it contracts. Correct
Question 6: 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?
Answer:
,a. Marketing in health care facilities is an acceptable practice, as long as
it takes place in common areas where patients are not receiving or
waiting to receive health care and as long as the hospital displays
materials for all plans that provide them to the hospital. Correct
Question 7: Plan sponsors may undertake the following marketing
activities with current Medicare Advantage plan members?
Answer:
c. Market non-Medicare health-related products, such as dental
insurance, to current members as permitted by HIPAA Privacy Rules.
Correct
Question 8: This year you have decided to focus your efforts on
marketing to employer group plans. One employer provides you
with a list of their retirees and asks you to contact them to explain
the characteristics of the plan they have selected. What should you
do?
Answer:
a. You may go ahead and call them. Correct
Question 9: Next week you will be participating in your first
"educational event" for prospective enrollees. In order to be sure
that you do not violate any of the applicable guidelines, in what
activities should you plan to engage?
Answer:
a. You should plan to ensure that the educational event is a social event,
and must not conduct a sales presentation or distribute or accept
, enrollment forms at the event. Correct
Question 10: If you are to be in compliance with Medicare's
guidance regarding educational events, which of the following
would be acceptable activities?
Answer:
b. You may distribute business cards to individuals who request
information on how to contact you for further details on the plan(s) you
represent. Correct
Question 11: You are working with a number of plans and
community organizations to sponsor an educational event. When
putting together advertisements for this event, what should you
do?
Answer:
c. You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event. Correct
Question 12: You plan to participate in an educational event
sponsored by a large regional health care system. One of your
colleagues suggests that you do a presentation on one of the
Medicare Health plans you market, and modify it to include
information about preventive screening tests showcased at the
event. How should you respond to your colleague's suggestion?
Answer:
c. You should tell your colleague no because participation in an
educational event may not include a sales presentation. Correct
TEST BANK - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Several agents you work with are planning sales events
in your area. One plans on giving door prizes worth $5,
refreshments valued at $8 per anticipated attendee, and coupon
books with discounts worth $10. Since no gift or prize exceeds the
$15 limit he believes his plan is acceptable. What should you tell
them
Answer:
d. He can give away more than one gift during a single event, but the
aggregate retail value cannot exceed $15 Correct
Question 2: You have approached a hospital administrator about
marketing in her facility. The administrator is uncomfortable with
the suggestion. How could you address her concerns?
Answer:
d. Tell her that Medicare guidelines allow you to conduct marketing
activities in common areas of a provider's facility. Correct
Question 3: You would like to market an MA plan at a neighborhood
pharmacy. What should you keep in mind to comply with the
marketing requirements for MA plans?
,Answer:
c. You must set up your table, make marketing presentations, and
accept enrollment applications only in common areas outside of where
the patient waits for services from the pharmacist. Correct
Question 4: 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?
Answer:
b. You appreciate the opportunity and would be happy to schedule an
appointment with anyone at their request. Correct
Question 5: ABC is a long-term care facility provider. What steps
may it take to inform residents of the Medicare options available to
them?
Answer:
b. ABC may provide residents that meet the I-SNP criteria an
explanatory brochure, reply card, and phone number for additional
information for each I-SNP with which it contracts. Correct
Question 6: 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?
Answer:
,a. Marketing in health care facilities is an acceptable practice, as long as
it takes place in common areas where patients are not receiving or
waiting to receive health care and as long as the hospital displays
materials for all plans that provide them to the hospital. Correct
Question 7: Plan sponsors may undertake the following marketing
activities with current Medicare Advantage plan members?
Answer:
c. Market non-Medicare health-related products, such as dental
insurance, to current members as permitted by HIPAA Privacy Rules.
Correct
Question 8: This year you have decided to focus your efforts on
marketing to employer group plans. One employer provides you
with a list of their retirees and asks you to contact them to explain
the characteristics of the plan they have selected. What should you
do?
Answer:
a. You may go ahead and call them. Correct
Question 9: Next week you will be participating in your first
"educational event" for prospective enrollees. In order to be sure
that you do not violate any of the applicable guidelines, in what
activities should you plan to engage?
Answer:
a. You should plan to ensure that the educational event is a social event,
and must not conduct a sales presentation or distribute or accept
, enrollment forms at the event. Correct
Question 10: If you are to be in compliance with Medicare's
guidance regarding educational events, which of the following
would be acceptable activities?
Answer:
b. You may distribute business cards to individuals who request
information on how to contact you for further details on the plan(s) you
represent. Correct
Question 11: You are working with a number of plans and
community organizations to sponsor an educational event. When
putting together advertisements for this event, what should you
do?
Answer:
c. You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event. Correct
Question 12: You plan to participate in an educational event
sponsored by a large regional health care system. One of your
colleagues suggests that you do a presentation on one of the
Medicare Health plans you market, and modify it to include
information about preventive screening tests showcased at the
event. How should you respond to your colleague's suggestion?
Answer:
c. You should tell your colleague no because participation in an
educational event may not include a sales presentation. Correct
