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AHIP Module 4 Exam Questions With100% Verified Answers | LATEST UPDATE

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AHIP Module 4 Exam Questions With100% Verified Answers | LATEST UPDATE 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? - ANSWER 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. 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 ____ I. whether or not Maria's primary care provider is in the plan's network.II. whether Maria's current prescriptions are covered by the plan.III. the monthly premium cost(s).IV. the life insurance products that Linda also sells - ANSWER I, II, and III only Wendy Park becomes eligible for Medicare for the first time in July. With the help of Agent James Chan, she enrolls in FeelBetter Medicare Advantage plan with an effective date of July 1st. Which statement best describes how Agent Chan may be compensated under CMS rules? - ANSWER FeelBetter will pay Agent Chan initial year compensation for July through December. The renewal amounts will be paid starting in January if Ms. Park remains enrolled the following year. You have approached a hospital administrator about marketing in her facility. The administrator is uncomfortable with the suggestion. How could you address her concerns? - ANSWER Tell her that Medicare guidelines allow you to conduct marketing activities in common areas of a provider's facility. 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? - ANSWER You may provide her with the required enrollment materials and take her completed enrollment application. 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? - ANSWER You appreciate the opportunity and would be happy to schedule an appointment with anyone at their request. 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? - ANSWER During the MA-OEP, Miguel can have oneon-one meetings with beneficiaries who have requested such meetings. Hector Hernandez is an independent agent. Hector sells plans on behalf of three Medicare Advantage organizations that offer a total of 10 plans but does not represent all Medicare Advantage organizations offering plans that are available in his area. Which of the following statements best describes any steps Hector is required to take? - ANSWER During the first minute of a sales call, Hector must use a disclaimer that says "I do not represent every plan available in your area. I represent 3 organizations that offer 10 plans in your area. Please contact M, 1 800MEDICARE, or your local State Health Insurance Program to get information on all your options." 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? - ANSWER 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). 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? - 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. You are working several plans and community organizations to sponsor an educational event. When putting together advertisements for this event, what should you do? - ANSWER You must ensure that the advertisements indicate it is an educational event, otherwise it will be considered a marketing event. 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? - ANSWER The plan may withhold commission, require retraining, report the misconduct to a state department of insurance or terminate the contract. 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? - ANSWER Marketing representatives may initiate electronic contact through e-mail but an opt-out process must be provided. 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

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Subido en
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AHIP Module 4 Exam Questions With100% Verified
Answers | LATEST UPDATE

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? -
ANSWER 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.

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 ____
I. whether or not Maria's primary care provider is in the plan's network.II.
whether Maria's current prescriptions are covered by the plan.III. the
monthly premium cost(s).IV. the life insurance products that Linda also
sells - ANSWER I, II, and III only

Wendy Park becomes eligible for Medicare for the first time in
July. With the help of Agent James Chan, she enrolls in
FeelBetter Medicare Advantage plan with an effective date of July 1st.
Which statement best describes how Agent Chan may be compensated
under CMS rules? - ANSWER FeelBetter will pay Agent Chan initial year
compensation for July through December. The renewal amounts will be
paid starting in January if Ms. Park remains enrolled the following year.

You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How could
you address her concerns? - ANSWER Tell her that Medicare guidelines

, allow you to conduct marketing activities in common areas of a provider's
facility.

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? - ANSWER You may provide her with the required
enrollment materials and take her completed enrollment application.

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? -
ANSWER You appreciate the opportunity and would be happy to
schedule an appointment with anyone at their request.

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? - ANSWER
During the MA-OEP, Miguel can have oneon-one meetings with
beneficiaries who have requested such meetings.

Hector Hernandez is an independent agent. Hector sells plans on behalf of
three Medicare Advantage organizations that offer a total of 10 plans but
does not represent all Medicare Advantage organizations offering plans
that are available in his area. Which of the following statements best
describes any steps Hector is required to take? - ANSWER During the first
minute of a sales call, Hector must use a disclaimer that says "I do not
represent every plan available in your area. I represent 3 organizations that
offer 10 plans in your area. Please contact Medicare.gov, 1-
800MEDICARE, or your local State Health Insurance Program to get
information on all your options."

Evan Marsh is a newly appointed agent. Evan intends to conduct an
educational session on Medicare at a senior citizens center near his home.
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