AHIP MODULE 3 WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
RATED A+
Requests for RSVPs are permitted as long as people are not
required to provide contact information as a prerequisite for
attending the event. Correct Answer 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?
I, II, and IV Correct Answer Monica is an agent focused on
serving seniors eligible for Medicare. As she reviews her records,
she is trying to determine which of the following items are
considered compensation. What do you tell her?
I. Commissions
II. Bonuses
III. Mileage reimbursement
IV. Awards
You may go ahead and call them. Correct Answer This year you
have decided to focus your efforts on marketing to employer
group plans. One employer provides you with a list of their
retirees and asks you to contact them to explain the
characteristics of the plan they have selected. What should you
do?
Betty and Denise, but not Alice (the employee) or Carl or Edward
(to whom exceptions apply). Correct Answer Alice is a marketing
representative employed by a health plan. Betty is a captive agent
of a health plan who markets to multiple plans and sponsors. Carl
is a captive agent who markets to only one plan/sponsor. Denise
is an independent agent who markets to different types of groups.
,Edward is an independent agent who markets only to employer
and union groups. CMS marketing representative compensation
rules generally apply to:
He can do this because the estimated number of attendees is
based on the venue size and response rate and the value of the
gift does not exceed $15. Correct Answer 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 for $200 to entertain attendees.
Can he do this in a way that complies with guidance from the
Medicare agency?
their plan, stand alone PDP Correct Answer beneficiaries enrolled
in a cost plan or ma pffs plan may obtain part d benefits through
____ or ___
pace and ie-snp, standalone pdp Correct Answer these plans will
include part d benefits and if you enroll in either you will be
ineligible to enroll in ___
shingles and tdap Correct Answer what kinds of viruses are not
covered by part b but covered by part d
formulary Correct Answer part d plans include the part d drugs
they will cover on a list known as
at least 2 drugs in each therapeutic cat and generic and brand
name Correct Answer part d plan formularies must include
troop Correct Answer TrOOP stands for true out-of-pocket
expenses that count toward the Medicare Part D catastrophic limit
and include not only expenses paid by a beneficiary but also in
some instances drug manufacturer discounts
, Mr. Rice should check with his employer's benefits administrator
before making any change. If a beneficiary drops employer
prescription drug coverage, they may not be able to get it back -
idk the Correct Answer Correct Answer Mr. Rice is 68, actively
working and has coverage for medical services and medications
through his employer's group health plan. He is entitled to
premium free Part A and thinking of enrolling in Part B and
switching to an MA-PD because he is paying a very large part of
his group coverage premium and it does not provide coverage for
a number of his medications. Which of the following is NOT a
consideration when making the change?
vitamins Correct Answer By law, Part D plans are not permitted to
provide coverage for
You can present only health care related lines of business but
must obtain the beneficiary's permission to do so before the
presentation occurs and document that you have obtained that
permission. Correct Answer While making an appointment to
discuss Medicare Advantage (MA) and Part D plans with a
potential enrollee, you are asked to describe other types of
insurance products that your client might wish to purchase. What
additional types of insurance can you present during the MA and
Part D marketing appointment?
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. Correct Answer 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?
QUESTIONS AND CORRECT ANSWERS
RATED A+
Requests for RSVPs are permitted as long as people are not
required to provide contact information as a prerequisite for
attending the event. Correct Answer 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?
I, II, and IV Correct Answer Monica is an agent focused on
serving seniors eligible for Medicare. As she reviews her records,
she is trying to determine which of the following items are
considered compensation. What do you tell her?
I. Commissions
II. Bonuses
III. Mileage reimbursement
IV. Awards
You may go ahead and call them. Correct Answer This year you
have decided to focus your efforts on marketing to employer
group plans. One employer provides you with a list of their
retirees and asks you to contact them to explain the
characteristics of the plan they have selected. What should you
do?
Betty and Denise, but not Alice (the employee) or Carl or Edward
(to whom exceptions apply). Correct Answer Alice is a marketing
representative employed by a health plan. Betty is a captive agent
of a health plan who markets to multiple plans and sponsors. Carl
is a captive agent who markets to only one plan/sponsor. Denise
is an independent agent who markets to different types of groups.
,Edward is an independent agent who markets only to employer
and union groups. CMS marketing representative compensation
rules generally apply to:
He can do this because the estimated number of attendees is
based on the venue size and response rate and the value of the
gift does not exceed $15. Correct Answer 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 for $200 to entertain attendees.
Can he do this in a way that complies with guidance from the
Medicare agency?
their plan, stand alone PDP Correct Answer beneficiaries enrolled
in a cost plan or ma pffs plan may obtain part d benefits through
____ or ___
pace and ie-snp, standalone pdp Correct Answer these plans will
include part d benefits and if you enroll in either you will be
ineligible to enroll in ___
shingles and tdap Correct Answer what kinds of viruses are not
covered by part b but covered by part d
formulary Correct Answer part d plans include the part d drugs
they will cover on a list known as
at least 2 drugs in each therapeutic cat and generic and brand
name Correct Answer part d plan formularies must include
troop Correct Answer TrOOP stands for true out-of-pocket
expenses that count toward the Medicare Part D catastrophic limit
and include not only expenses paid by a beneficiary but also in
some instances drug manufacturer discounts
, Mr. Rice should check with his employer's benefits administrator
before making any change. If a beneficiary drops employer
prescription drug coverage, they may not be able to get it back -
idk the Correct Answer Correct Answer Mr. Rice is 68, actively
working and has coverage for medical services and medications
through his employer's group health plan. He is entitled to
premium free Part A and thinking of enrolling in Part B and
switching to an MA-PD because he is paying a very large part of
his group coverage premium and it does not provide coverage for
a number of his medications. Which of the following is NOT a
consideration when making the change?
vitamins Correct Answer By law, Part D plans are not permitted to
provide coverage for
You can present only health care related lines of business but
must obtain the beneficiary's permission to do so before the
presentation occurs and document that you have obtained that
permission. Correct Answer While making an appointment to
discuss Medicare Advantage (MA) and Part D plans with a
potential enrollee, you are asked to describe other types of
insurance products that your client might wish to purchase. What
additional types of insurance can you present during the MA and
Part D marketing appointment?
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. Correct Answer 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?
