Module 4 AHIP questions and 100% verified correct answers
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? - Correct Answer You appreciate the opportunity and would be happy to
schedule an appointment with anyone at their request.
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.
You will be holding a sales event soon, at which you would like to offer door prizes to
attendees. Under guidelines from the Medicare agency, what types of gifts or prizes
would not be allowed in this situation? - Correct Answer Gift cards or gift certificates of
$15 or less that can be readily converted to cash
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health
Plan, a Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency
maintains a website marketing the MA plans with which it has contracts. Agent
Armstrong follows up with individuals who request more information about ABC MA
plans via the website and tries to persuade them to enroll in ABC plans. What statement
best describes the marketing and compliance rules that apply to Agent Armstrong? -
Correct Answer Agent Armstrong needs to be licensed and appointed in every state in
which beneficiaries to whom he markets ABC MA plans are located.
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? - Correct Answer During the MA-OEP, Miguel can have
one-on-one meetings with beneficiaries who have requested such meetings.
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? - Correct Answer 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? -
Correct Answer The plan may withhold commission, require retraining, report the
misconduct to a state department of insurance or terminate the contract.
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.
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail and asks
you for advice as to whether this is possible. What should you tell her? - Correct Answer
Marketing representatives may initiate electronic contact through e-mail but an opt-out
process must be provided.
, 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.
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
are more likely to have higher incomes and purchase the Medicare Advantage products
you represent compared to those living in apartment complexes. How should you
respond? - Correct Answer This could be considered discriminatory activity and a
prohibited practice.
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.
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? - Correct Answer 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!"
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? - Correct Answer 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.
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.
Next week you will be participating in your first "educational event" for prospective
enrollees. To be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage? - Correct Answer You should plan to ensure that
the educational event is an informative event and must not conduct a sales presentation
or distribute or accept enrollment forms at the 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.
You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
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? - Correct Answer You appreciate the opportunity and would be happy to
schedule an appointment with anyone at their request.
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.
You will be holding a sales event soon, at which you would like to offer door prizes to
attendees. Under guidelines from the Medicare agency, what types of gifts or prizes
would not be allowed in this situation? - Correct Answer Gift cards or gift certificates of
$15 or less that can be readily converted to cash
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health
Plan, a Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency
maintains a website marketing the MA plans with which it has contracts. Agent
Armstrong follows up with individuals who request more information about ABC MA
plans via the website and tries to persuade them to enroll in ABC plans. What statement
best describes the marketing and compliance rules that apply to Agent Armstrong? -
Correct Answer Agent Armstrong needs to be licensed and appointed in every state in
which beneficiaries to whom he markets ABC MA plans are located.
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? - Correct Answer During the MA-OEP, Miguel can have
one-on-one meetings with beneficiaries who have requested such meetings.
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? - Correct Answer 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? -
Correct Answer The plan may withhold commission, require retraining, report the
misconduct to a state department of insurance or terminate the contract.
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.
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail and asks
you for advice as to whether this is possible. What should you tell her? - Correct Answer
Marketing representatives may initiate electronic contact through e-mail but an opt-out
process must be provided.
, 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.
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
are more likely to have higher incomes and purchase the Medicare Advantage products
you represent compared to those living in apartment complexes. How should you
respond? - Correct Answer This could be considered discriminatory activity and a
prohibited practice.
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.
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? - Correct Answer 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!"
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? - Correct Answer 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.
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.
Next week you will be participating in your first "educational event" for prospective
enrollees. To be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage? - Correct Answer You should plan to ensure that
the educational event is an informative event and must not conduct a sales presentation
or distribute or accept enrollment forms at the 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.
You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
