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10/13/201 2020 Final Exam: Final
9 Exam
Medicare Course Home Transcript
Final Exam - Attempt 1
1
Marks: 1
Which of the following is a correct statement about state laws as they pertain to marketing representatives?
Choose one answer. Plans must contract only with marketing representatives who reside in the state where they in
State licensure laws are pre-empted and do not apply to marketing representatives marketing
Plan sponsors can use any marketing representative, as long as they are licensed in at least o
Medicare health plans must comply with requests for information from state insurance depart
2
Marks: 1
Mr. Moreno invited his neighbor, Agent Tom Smith, to discuss Medicare Advantage (MA) and Part D plans that Age
Choose one answer. Any type of meal or food is allowed, as long as it is available to the general public and not jus
Any meal is allowed, as long as it is valued at less than $15.
A meal cannot be provided, but light snacks would be permitted.
Nothing may be provided to eat or drink during the sales presentation.
3
Marks: 1
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that plan, what type of Medic
Choose one answer. The beneficiary could only choose an 1876 Cost Plan.
The beneficiary could only choose a Medicare Medical Savings Account (MSA) plan.
The beneficiary could enroll in a private fee-for-service (PFFS) plan that does not include presc
The beneficiary could only stay in a stand-alone prescription drug plan if he or she has origina
You are working with a number of plans and community organizations to sponsor an educational
event. When putting together advertisements for this event, what should you do?
Choose one a. Plans may not participate in advertising such an event. All advertising must
be done by answer. community organizations.
b. You must only ensure that the advertisement is factually accurate.
c. You must state in the advertisement that it will be an educational event
and that the education will consist of specific information about the
participating plans.
d. You must ensure that the advertisements indicate it is an educational event,
otherwise it will be considered a marketing event.
5
Marks: 1
Mrs. Allen has a rare condition for which two different brand name drugs are the only available treatment. She is co
Choose one answer. When medication costs exceed a certain threshold amount, which rises each year, a Medicare
Medicare prescription drug plans are required to cover drugs in each therapeutic category. Sh
Medicare prescription drug plans are required to include only a certain percentage of brand n
Medicare prescription drug plans are allowed to restrict their coverage to generic drugs. She w
6
Marks: 1
Able, Baker, and Charles are engaged in the marketing to and enrollment of beneficiaries into Medicare health pla
Choose one answer. Able is subject to CMS compensation rules because he is paid directly by a health plan. Agent
Charles is subject to CMS compliance rules because he works for a TMO and CMS applies an e
All three are treated as independent agents under CMS compensation rules.
Baker and Charles are subject to CMS compensation rules because they are paid by third part
7
Marks: 1
Agent Mary Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings distrib
Choose one answer. a. Yes. When an event has been advertised as “educational,” discussing plan-specific premium
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