8/30/25, 12:32 AM AHIP Module 4
AHIP M0dule 4 actual practice questions and
accurate detailed answers \verified answers
\actual exam 2025-2026 \latest update
A Medicare beneficiary has You must have her sign a scope of appointment form, indicating
walked into your office and which products she wishes to discuss. You may then proceed
requested that you sit down with the discussion. Correct
with her and discuss her
options
under the Medicare Advantage
program. Before engaging in
such a discussion, what should
you do?
Mr. Prentice has many clients Medicare Advantage (MA) and Prescription Drug (PDP) plans
who are Correct
Medicare beneficiaries. He
should review the Centers
for Medicare & Medicaid
Services' Marketing Guidelines
to ensure
he is compliant for which type
of products?
Another agent working for Your coworker is not correct. Marketing on behalf of a
your agency plan is considered marketing by the plan and requires
claims that because you are
that all contracted and employed agents comply with
not employed by the
all Medicare marketing rules.
Medicare Advantage plans
that you represent, you are
not subject to the same
requirements as the plans
themselves. How should
you respond to such a
statement?
1/1
9
,8/30/25, 12:32 AM AHIP Module 4
You work for a company that You must submit your materials to the plan you
has marketed Medigap represent, so CMS can review and approve the
products for many years. materials to ensure they are accurate.
The
company has added
Medicare Advantage and
Part D plans and you will
begin marketing those
plans this fall. You are
planning what materials to
use to easily show the
differences in benefits,
premiums and cost sharing
for each of the products.
What do you need to do with
your
materials before using them
for marketing purposes?
Agent Lopez helps Ralph to Agent Lopez's entire compensation must be recouped
enroll in Top Choice Medicare because Ralph disenrolled within 3 months of
Advantage plan during the enrollment.
Annual Open Enrollment
Period.
Ralph's effective enrollment
date is January 1st. Ralph
disenrolls on February 12th
because he did not
understand that the
plan did not cover services
furnished by several of his
longtime providers. Which of
the following statements best
describes the impact of
Ralph's action upon Agent
Lopez's compensation?
2/1
9
, 8/30/25, 12:32 AM AHIP Module 4
Agent Higgins helps Mrs. AB MA plan does not have to recoup Agent Higgins'
O'Malley to enroll in AB compensation because she has moved away from its
Medicare Advantage (MA) service area.
plan
during the Annual Open
Enrollment Period. Mrs.
O'Malley's effective
enrollment date is January
1st. Subsequently, Mrs.
O'Malley
disenrolls on February
12th following a move
outside the plan's service
area. What impact will this
have on Agent Higgins
compensation?
You are seeking to represent You will not be able to represent any Medicare
an individual Medicare Advantage or Part D plan until you complete the
Advantage plan and an training and achieve an adequate score, although you
individual Part D plan in your will not have to
state. You have take a test if you exclusively market employer/union
completed the required group plans and the companies do not require testing.
training for each plan, but
you did not achieve a
passing
score on the tests that came
after the
training. What can you do in
this situation?
Your colleague works at a You could tell her she is wrong, and that only agents
third party marketing selling employer/union group plans are permitted an
organization (TMO) and she exemption from testing, but some employer/union
said she did not need to group
take the Medicare plans may require testing to promote agent compliance
training for brokers and with CMS marketing requirements.
agents or pass a test to
market Medicare plans since
her
3/1
9
AHIP M0dule 4 actual practice questions and
accurate detailed answers \verified answers
\actual exam 2025-2026 \latest update
A Medicare beneficiary has You must have her sign a scope of appointment form, indicating
walked into your office and which products she wishes to discuss. You may then proceed
requested that you sit down with the discussion. Correct
with her and discuss her
options
under the Medicare Advantage
program. Before engaging in
such a discussion, what should
you do?
Mr. Prentice has many clients Medicare Advantage (MA) and Prescription Drug (PDP) plans
who are Correct
Medicare beneficiaries. He
should review the Centers
for Medicare & Medicaid
Services' Marketing Guidelines
to ensure
he is compliant for which type
of products?
Another agent working for Your coworker is not correct. Marketing on behalf of a
your agency plan is considered marketing by the plan and requires
claims that because you are
that all contracted and employed agents comply with
not employed by the
all Medicare marketing rules.
Medicare Advantage plans
that you represent, you are
not subject to the same
requirements as the plans
themselves. How should
you respond to such a
statement?
1/1
9
,8/30/25, 12:32 AM AHIP Module 4
You work for a company that You must submit your materials to the plan you
has marketed Medigap represent, so CMS can review and approve the
products for many years. materials to ensure they are accurate.
The
company has added
Medicare Advantage and
Part D plans and you will
begin marketing those
plans this fall. You are
planning what materials to
use to easily show the
differences in benefits,
premiums and cost sharing
for each of the products.
What do you need to do with
your
materials before using them
for marketing purposes?
Agent Lopez helps Ralph to Agent Lopez's entire compensation must be recouped
enroll in Top Choice Medicare because Ralph disenrolled within 3 months of
Advantage plan during the enrollment.
Annual Open Enrollment
Period.
Ralph's effective enrollment
date is January 1st. Ralph
disenrolls on February 12th
because he did not
understand that the
plan did not cover services
furnished by several of his
longtime providers. Which of
the following statements best
describes the impact of
Ralph's action upon Agent
Lopez's compensation?
2/1
9
, 8/30/25, 12:32 AM AHIP Module 4
Agent Higgins helps Mrs. AB MA plan does not have to recoup Agent Higgins'
O'Malley to enroll in AB compensation because she has moved away from its
Medicare Advantage (MA) service area.
plan
during the Annual Open
Enrollment Period. Mrs.
O'Malley's effective
enrollment date is January
1st. Subsequently, Mrs.
O'Malley
disenrolls on February
12th following a move
outside the plan's service
area. What impact will this
have on Agent Higgins
compensation?
You are seeking to represent You will not be able to represent any Medicare
an individual Medicare Advantage or Part D plan until you complete the
Advantage plan and an training and achieve an adequate score, although you
individual Part D plan in your will not have to
state. You have take a test if you exclusively market employer/union
completed the required group plans and the companies do not require testing.
training for each plan, but
you did not achieve a
passing
score on the tests that came
after the
training. What can you do in
this situation?
Your colleague works at a You could tell her she is wrong, and that only agents
third party marketing selling employer/union group plans are permitted an
organization (TMO) and she exemption from testing, but some employer/union
said she did not need to group
take the Medicare plans may require testing to promote agent compliance
training for brokers and with CMS marketing requirements.
agents or pass a test to
market Medicare plans since
her
3/1
9
