Exam (elaborations)
AHIP MEDICARE MODULE 4 QUESTIONS
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AHIP MEDICARE MODULE 4 QUESTIONS
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AHIP MEDICARE MODULE 4 QUESTIONSQuestion text
A Medicare beneficiary has walked into your office and requested that you sit down with
her and discuss her options under the Medicare Advantage program. Before engaging
in such a discussion, what should you do? - Answers -You must have her sign a scope
of appointment form, indicating which products she wishes to discuss. You may then
proceed with the discussion.
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 -Accurate advertising is not the only requirement for putting together an
educational event.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members? - Answers -Plan sponsors cannot market lists of current
members without compliant permission. HIPAA Privacy Rules are applicable, not Dodd-
Frank legislation.
Next week you will be participating in your first "educational event" for prospective
enrollees. To be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage? - Answers -You should plan to ensure that the
educational event is an informative event and must not conduct a sales presentation or
distribute or accept enrollment forms at the event.
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.
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.
You will be holding a sales event soon, at which you would like to offer door prizes to
attendees. Under guidelines from the Medicare agency, what types of gifts or prizes
would not be allowed in this situation? - Answers -This statement is incorrect because if
the gift is one large item that would be enjoyed by all attending the event, the total cost
must be $15 or less divided by estimated attendance. Anticipated attendance for such a
calculation may be used, but must be based on venue size, response rate or
advertisement circulation.
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