AHIP FINAL EXAM 2025/2026 – UPDATED QUESTIONS AND
100% CORRECT ANSWERS| GRADED A+
Agent Daniel Webber has properly set up a sales appointment to meet with client Edward Young
at Agent Webber's office. At the agreed upon appointment time, Mr. Young arrives with his
elderly neighbor - Clara Burton, who wants to learn about her Medicare Advantage options.
What should Agent Daniel Webber do?- :answers :After executing a scope of appointment
(SOA) with Clara Burton, meet with Edward Young and Clara Burton to discuss their Medicare
Advantage options.
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?- :answers
: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.
Linda Sanchez is conducting a previously agreed upon appointment with client, Maria Gomez
about a MA-Part D plan she represents. Before an enrollment form is completed, Linda needs to
provide Maria with information about ____- :answers :whether or not Maria's primary care
provider is in the plan's network. whether Maria's current prescriptions are covered by the plan.
the monthly premium cost(s).
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?- :answers :During the MA-OEP, Miguel can have one-on-one meetings with
beneficiaries who have requested such meetings.
Evan Marsh is a newly appointed agent. Evan intends to conduct an educational session on
Medicare at a senior citizens center near his home. He has advertised the session as an
,educational event. Evan asks you what is permissible at such an event. What should you say?-
:answers :Evan may provide a meal as long as its value is $15 or less per attendee and he may
make available business reply cards (BRCs).
You have approached a hospital administrator about marketing in her facility. The administrator
is uncomfortable with the suggestion. How could you address her concerns?- :answers :Tell her
that Medicare guidelines allow you to conduct marketing activities in common areas of a
provider's facility.
Your client, Alexis Jones, calls you on December 4th about changing her Medicare Advantage
plan during the annual election period which ends December 7th. What should you do?-
:answers :Complete a scope of appointment (SOA) during the call and indicate that they will
meet to discuss Medicare Advantage plans during an appointment the following day.
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?- :answers :Marketing in health
care facilities is an acceptable practice, as long as it takes place in common areas where patients
are not receiving health care services.
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?- :answers :The plan
may withhold commission, require retraining, report the misconduct to a state department of
insurance or terminate the contract.
You are working several plans and community organizations to sponsor an educational event.
When putting together advertisements for this event, what should you do?- :answers :You must
ensure that the advertisements indicate it is an educational event, otherwise it will be
considered a marketing event.
Sal D'Angelo is new to the Medicare marketplace having previously been focused on life
insurance and disability income protection products. He intends to conduct an educational
, seminar during the AEP at a local hotel and then invite those who attend to a subsequent
marketing meeting to discuss the benefits of next year's plans. How would you advise Sal?-
:answers :Sal should conduct the education seminar as an early morning meeting and the
marketing meeting on the following day in the late afternoon so that there are at least 12 hours
between the two meetings.
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?-
:answers :You appreciate the opportunity and would be happy to schedule an appointment
with anyone at their request.
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?- :answers :Marketing
representatives may initiate electronic contact through e-mail but an opt-out process must be
provided.
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?- :answers :You may provide her
with the required enrollment materials and take her completed enrollment application.
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?- :answers :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 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?-
:answers :You may provide light snacks, but a Thanksgiving style meal would be prohibited,
regardless of who provides or pays for the meal.
100% CORRECT ANSWERS| GRADED A+
Agent Daniel Webber has properly set up a sales appointment to meet with client Edward Young
at Agent Webber's office. At the agreed upon appointment time, Mr. Young arrives with his
elderly neighbor - Clara Burton, who wants to learn about her Medicare Advantage options.
What should Agent Daniel Webber do?- :answers :After executing a scope of appointment
(SOA) with Clara Burton, meet with Edward Young and Clara Burton to discuss their Medicare
Advantage options.
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?- :answers
: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.
Linda Sanchez is conducting a previously agreed upon appointment with client, Maria Gomez
about a MA-Part D plan she represents. Before an enrollment form is completed, Linda needs to
provide Maria with information about ____- :answers :whether or not Maria's primary care
provider is in the plan's network. whether Maria's current prescriptions are covered by the plan.
the monthly premium cost(s).
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?- :answers :During the MA-OEP, Miguel can have one-on-one meetings with
beneficiaries who have requested such meetings.
Evan Marsh is a newly appointed agent. Evan intends to conduct an educational session on
Medicare at a senior citizens center near his home. He has advertised the session as an
,educational event. Evan asks you what is permissible at such an event. What should you say?-
:answers :Evan may provide a meal as long as its value is $15 or less per attendee and he may
make available business reply cards (BRCs).
You have approached a hospital administrator about marketing in her facility. The administrator
is uncomfortable with the suggestion. How could you address her concerns?- :answers :Tell her
that Medicare guidelines allow you to conduct marketing activities in common areas of a
provider's facility.
Your client, Alexis Jones, calls you on December 4th about changing her Medicare Advantage
plan during the annual election period which ends December 7th. What should you do?-
:answers :Complete a scope of appointment (SOA) during the call and indicate that they will
meet to discuss Medicare Advantage plans during an appointment the following day.
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?- :answers :Marketing in health
care facilities is an acceptable practice, as long as it takes place in common areas where patients
are not receiving health care services.
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?- :answers :The plan
may withhold commission, require retraining, report the misconduct to a state department of
insurance or terminate the contract.
You are working several plans and community organizations to sponsor an educational event.
When putting together advertisements for this event, what should you do?- :answers :You must
ensure that the advertisements indicate it is an educational event, otherwise it will be
considered a marketing event.
Sal D'Angelo is new to the Medicare marketplace having previously been focused on life
insurance and disability income protection products. He intends to conduct an educational
, seminar during the AEP at a local hotel and then invite those who attend to a subsequent
marketing meeting to discuss the benefits of next year's plans. How would you advise Sal?-
:answers :Sal should conduct the education seminar as an early morning meeting and the
marketing meeting on the following day in the late afternoon so that there are at least 12 hours
between the two meetings.
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?-
:answers :You appreciate the opportunity and would be happy to schedule an appointment
with anyone at their request.
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?- :answers :Marketing
representatives may initiate electronic contact through e-mail but an opt-out process must be
provided.
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?- :answers :You may provide her
with the required enrollment materials and take her completed enrollment application.
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?- :answers :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 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?-
:answers :You may provide light snacks, but a Thanksgiving style meal would be prohibited,
regardless of who provides or pays for the meal.
