AHIP Module 4 question and 100% verified correct answers
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? - Correct Answer Yes. When an
event has been advertised as "educational," discussing plan-specific premiums is
impermissible.
You are working several plans and community organizations to sponsor an educational
event. When putting together advertisements for this event, what should you do? -
Correct Answer You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members? - Correct Answer Market non-health related items or
services such as life insurance or annuities policies to current members as permitted
following HIPAA Privacy Rules.
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? - Correct Answer 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 approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns? - Correct Answer Tell her that Medicare guidelines allow you to conduct
marketing activities in common areas of a provider's facility.
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?7 -
Correct Answer The plan may withhold commission, require retraining, report the
misconduct to a state department of insurance or terminate the contract
During a sales presentation, your client asks you whether the Medicare agency
recommends that she sign up for your plan or stay in Original Medicare. What should
you tell her? - Correct Answer Tell her that the Medicare agency does not endorse or
recommend any plan.
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a
Medicare Advantage plan. She agreed to sign a scope of appointment form and meet
with you on October 15. During the appointment, what are you permitted to do? -
Correct Answer You may provide her with the required enrollment materials and take
her completed enrollment application.
A Medicare beneficiary has walked into your office and requested that you sit down with
her and discuss her options under the Medicare Advantage program. Before engaging
in such a discussion, what should you do? - Correct Answer You must have her sign a
scope of appointment form, indicating which products she wishes to discuss. You may
then proceed with the discussion.
One of your colleagues argues that it is better to focus your time and energy exclusively
in neighborhoods with single-family homes. He further argues that their older owners
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? - Correct Answer Yes. When an
event has been advertised as "educational," discussing plan-specific premiums is
impermissible.
You are working several plans and community organizations to sponsor an educational
event. When putting together advertisements for this event, what should you do? -
Correct Answer You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members? - Correct Answer Market non-health related items or
services such as life insurance or annuities policies to current members as permitted
following HIPAA Privacy Rules.
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? - Correct Answer 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 approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns? - Correct Answer Tell her that Medicare guidelines allow you to conduct
marketing activities in common areas of a provider's facility.
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?7 -
Correct Answer The plan may withhold commission, require retraining, report the
misconduct to a state department of insurance or terminate the contract
During a sales presentation, your client asks you whether the Medicare agency
recommends that she sign up for your plan or stay in Original Medicare. What should
you tell her? - Correct Answer Tell her that the Medicare agency does not endorse or
recommend any plan.
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a
Medicare Advantage plan. She agreed to sign a scope of appointment form and meet
with you on October 15. During the appointment, what are you permitted to do? -
Correct Answer You may provide her with the required enrollment materials and take
her completed enrollment application.
A Medicare beneficiary has walked into your office and requested that you sit down with
her and discuss her options under the Medicare Advantage program. Before engaging
in such a discussion, what should you do? - Correct Answer You must have her sign a
scope of appointment form, indicating which products she wishes to discuss. You may
then proceed with the discussion.
One of your colleagues argues that it is better to focus your time and energy exclusively
in neighborhoods with single-family homes. He further argues that their older owners
