AHIP 2025 FINAL ACTUAL EXAM , PRACTICE EXAM,STUDY
GUIDE AND REVIEW ALL QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION ALREADY A+ GRADED
WITH EXPERT FEEDBACK | NEW AND REVISED .
Mrs. Walters is enrolled in her state's Medicaid program in
addition to Medicare.
What should she be aware of when considering enrollment in a
Medicare Advantage (MA) plan? - ANSWER-She cannot enroll in
an MA Medical Savings Account (MSA) plan.
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? - ANSWER-You should plan to ensure that
the educational event is informative and must not conduct a sales
presentation or distribute or accept enrollment forms at the event.
You market many different types of insurance and ordinarily you
spend time each evening calling potential clients. To comply with
requirements for marketing Medicare Advantage and Part D
plans, what must you do about contacting potential clients to
market those plansl? - ANSWER-You will have to avoid calling
,any potential client unless he or she initiates contact with you
and specifically asks that you give him or her a call.
If you are to comply with Medicare's guidance regarding
educational events, which of the following would be acceptable
activities? - ANSWER-You may distribute business cards to
individuals who request information on how to contact you for
further details on the plan(s) you represent.
By contacting plans available in your area, you have learned that
the plan you represent has a significantly lower monthly premium
than the others. Furthermore, you see that the plan you represent
has a unique benefits package. What should you do to make sure
your clients know about these pieces of information? - ANSWER-
You may make comparisons between plans if you can support
them with studies or statistical data and such comparisons are
factually based and referenced.
You have set up an appointment for an in-home sales
presentation with Mrs. Fernandez, who expressed interest in the
Medicare plans you represent. In preparation for the sales
presentation, what must you do? - ANSWER-Before conducting
the presentation, obtain and document having obtained her
permission to visit, along with her interest in the specific
products you will present.
,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? - ANSWER-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.
You are mailing invitations to new Medicare beneficiaries for a
marketing event.
You want an idea of how many people to expect, so you would
like to request RSVPs. What should you keep in mind? -
ANSWER-You may request RSVPs, but you are not permitted to
require contact information.
Your colleague works at a third-party marketing organization
(TMO) and she said she did not need to take the Medicare training
for brokers and agents or pass a test to market Medicare plans
since her contract is with the TMO, not the plans that have the
products she sells. What could you say to her? - ANSWER-You
could tell her she is wrong, and that only agents selling
, employer/union group plans are permitted an exemption from
testing, but some employer/union group plans may require
testing to promote agent compliance with CMS marketing
requirements.
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? – ANSWER-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.
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-
You should tell your colleague no, because marketing
representatives are not permitted to participate, in any way, in an
educational event.
GUIDE AND REVIEW ALL QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION ALREADY A+ GRADED
WITH EXPERT FEEDBACK | NEW AND REVISED .
Mrs. Walters is enrolled in her state's Medicaid program in
addition to Medicare.
What should she be aware of when considering enrollment in a
Medicare Advantage (MA) plan? - ANSWER-She cannot enroll in
an MA Medical Savings Account (MSA) plan.
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? - ANSWER-You should plan to ensure that
the educational event is informative and must not conduct a sales
presentation or distribute or accept enrollment forms at the event.
You market many different types of insurance and ordinarily you
spend time each evening calling potential clients. To comply with
requirements for marketing Medicare Advantage and Part D
plans, what must you do about contacting potential clients to
market those plansl? - ANSWER-You will have to avoid calling
,any potential client unless he or she initiates contact with you
and specifically asks that you give him or her a call.
If you are to comply with Medicare's guidance regarding
educational events, which of the following would be acceptable
activities? - ANSWER-You may distribute business cards to
individuals who request information on how to contact you for
further details on the plan(s) you represent.
By contacting plans available in your area, you have learned that
the plan you represent has a significantly lower monthly premium
than the others. Furthermore, you see that the plan you represent
has a unique benefits package. What should you do to make sure
your clients know about these pieces of information? - ANSWER-
You may make comparisons between plans if you can support
them with studies or statistical data and such comparisons are
factually based and referenced.
You have set up an appointment for an in-home sales
presentation with Mrs. Fernandez, who expressed interest in the
Medicare plans you represent. In preparation for the sales
presentation, what must you do? - ANSWER-Before conducting
the presentation, obtain and document having obtained her
permission to visit, along with her interest in the specific
products you will present.
,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? - ANSWER-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.
You are mailing invitations to new Medicare beneficiaries for a
marketing event.
You want an idea of how many people to expect, so you would
like to request RSVPs. What should you keep in mind? -
ANSWER-You may request RSVPs, but you are not permitted to
require contact information.
Your colleague works at a third-party marketing organization
(TMO) and she said she did not need to take the Medicare training
for brokers and agents or pass a test to market Medicare plans
since her contract is with the TMO, not the plans that have the
products she sells. What could you say to her? - ANSWER-You
could tell her she is wrong, and that only agents selling
, employer/union group plans are permitted an exemption from
testing, but some employer/union group plans may require
testing to promote agent compliance with CMS marketing
requirements.
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? – ANSWER-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.
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-
You should tell your colleague no, because marketing
representatives are not permitted to participate, in any way, in an
educational event.
