AHIP Module 4
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
protected health information to market non-health related products such as life
insurance and annuities. To do so it must obtain authorization from the enrollees. Which
statement best describes the authorization process? - ANSWER-Authorization may be
obtained by directing a beneficiary to a website to provide consent as long as the
website includes a mechanism for an electronic signature that is valid under applicable
law.
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 correct statement to
say to her? - ANSWER-The Medicare Advantage plan received a 5-star rating in
customer service and care coordination with an overall performance rating of 4-stars.
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? - ANSWER-Tell her that the Medicare agency does not endorse or
recommend any plan.
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 benefit 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 by studies or statistical data and
such comparisions are factually based.
You have been providing a pre-Thanksgiving meal during sales presentations in
November for many years and your clients look forward to attending this annual event.
When marketing Medicare Advantage and Part D plans, what are you permitted to do
, with respect to meals? - ANSWER-You may provide light snacks, but a Thanksgiving
style meal would be prohibited, regardless of who provides or pays for the meal.
When you market Medicare Advantage and Part D plans, what may you offer as a gift to
induce enrollment in a plan? - ANSWER-You may provide gifts or prizes to all potential
enrollees during an event that do not exceed $15 in retail value.
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? - ANSWER-This could be considered discriminatory activity and a prohibited
practice.
Agent Harriet Walker has recently begun marketing Medicare Advantage and related
products aimed at meeting the needs of senior citizens. Client Mildred Jones has
expressed interest in a Medicare Advantage plan. It is now the beginning of September.
If you were in Agent Walker's position, what would you do? - ANSWER-Inquire whether
the client qualifies for a special enrollment period, and if not, solicit an enrollment
application once the annual open enrollment election period begins on October 15th.
Mr. Murphy is an agent. A neighbor invited him to discuss the Medicare Advantage (MA)
and Part D plans he sells at the regular Tuesday brunch the neighbors have for senior
citizens. What should Mr. Murphy tell his neighbor about the kinds of food that can be
provided to potential enrollees who attend the sales presentation? - ANSWER-The
neighbors may not provide a meal, but light snacks would be permitted.
Mr. Edwards, a marketing representative of the ACME Insurance Company, scheduled
a marketing event and expects about 40 people to attend. He has hired a magician at a
cost of $200 to entertain attendees. Can he do this in a way that complies with guidance
from the Medicare agency? - ANSWER-He can do this, because the estimated number
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
protected health information to market non-health related products such as life
insurance and annuities. To do so it must obtain authorization from the enrollees. Which
statement best describes the authorization process? - ANSWER-Authorization may be
obtained by directing a beneficiary to a website to provide consent as long as the
website includes a mechanism for an electronic signature that is valid under applicable
law.
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 correct statement to
say to her? - ANSWER-The Medicare Advantage plan received a 5-star rating in
customer service and care coordination with an overall performance rating of 4-stars.
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? - ANSWER-Tell her that the Medicare agency does not endorse or
recommend any plan.
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 benefit 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 by studies or statistical data and
such comparisions are factually based.
You have been providing a pre-Thanksgiving meal during sales presentations in
November for many years and your clients look forward to attending this annual event.
When marketing Medicare Advantage and Part D plans, what are you permitted to do
, with respect to meals? - ANSWER-You may provide light snacks, but a Thanksgiving
style meal would be prohibited, regardless of who provides or pays for the meal.
When you market Medicare Advantage and Part D plans, what may you offer as a gift to
induce enrollment in a plan? - ANSWER-You may provide gifts or prizes to all potential
enrollees during an event that do not exceed $15 in retail value.
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? - ANSWER-This could be considered discriminatory activity and a prohibited
practice.
Agent Harriet Walker has recently begun marketing Medicare Advantage and related
products aimed at meeting the needs of senior citizens. Client Mildred Jones has
expressed interest in a Medicare Advantage plan. It is now the beginning of September.
If you were in Agent Walker's position, what would you do? - ANSWER-Inquire whether
the client qualifies for a special enrollment period, and if not, solicit an enrollment
application once the annual open enrollment election period begins on October 15th.
Mr. Murphy is an agent. A neighbor invited him to discuss the Medicare Advantage (MA)
and Part D plans he sells at the regular Tuesday brunch the neighbors have for senior
citizens. What should Mr. Murphy tell his neighbor about the kinds of food that can be
provided to potential enrollees who attend the sales presentation? - ANSWER-The
neighbors may not provide a meal, but light snacks would be permitted.
Mr. Edwards, a marketing representative of the ACME Insurance Company, scheduled
a marketing event and expects about 40 people to attend. He has hired a magician at a
cost of $200 to entertain attendees. Can he do this in a way that complies with guidance
from the Medicare agency? - ANSWER-He can do this, because the estimated number
