AHIP Medicare Exam | Questions
and Answers Rated A+ | Latest
2024/2025 | Rated A+
During a sales presentation, your client asks you whether the
Medicare agency recommends that she sign up for your plan or
stay in Original Medicare. What should you tell her?
- Correct Answer - Tell her that the Medicare agency does not
endorse or recommend any plan.
Agent Jennings makes a presentation on Medicare advertised
as an educational event. Agent Jennings distributes materials
that are solely educational in nature. However, she gives a brief
presentation that mentions plan-specific premiums. Is this a
prohibited activity at an event that has been advertised as
educational?
- Correct Answer - Yes. When an event has been advertised as
"educational," discussing plan-specific premiums is
impermissible.
You will be holding a sales event in the near future, 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?
- Correct Answer - Gift cards or gift certificates of $15 or less
that can be readily converted to cash.
Agent Armstrong is employed by XYZ Agency, which is under
contract with ABC Health Plan, a Medicare Advantage (MA)
plan that offers plans in multiple states. XYZ Agency maintains
a website marketing the MA plans with which it has contracts.
Agent Armstrong follows up with individuals who request more
information about ABC MA plans via the website and tries to
persuade them to enroll in ABC plans. What statement best
describes the marketing and compliance rules that apply to
Agent Armstrong?
- Correct Answer - Agent Armstrong needs to be licensed and
appointed in every state in which beneficiaries to whom he
markets ABC MA plans are located.
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?
,- Correct Answer - During the MA-OEP, Miguel can have one-
on-one meetings with beneficiaries who have requested such
meetings
Agent Lopez helps Ralph to enroll in Top Choice Medicare
Advantage plan during the Annual Open Enrollment Period.
Ralph's effective enrollment date is January 1st. Ralph
disenrolls on February 12th because he discovers that the plan
does 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?
- Correct Answer - Agent Lopez's entire compensation must be
recouped because Ralph disenrolled within 3 months of
enrollment.
One of your colleagues argues that it is better to focus your
time and energy exclusively in neighborhoods with single-family
homes. He further argues that their older owners are more
likely to have higher incomes and purchase the Medicare
Advantage products you represent compared to those living in
apartment complexes. How should you respond?
- Correct Answer - This could be considered discriminatory
activity and a prohibited practice.
, You are seeking to represent an individual Medicare Advantage
plan and an individual Part D plan in your state. You have
completed the required 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?
- Correct Answer - You will not be able to represent any
Medicare Advantage or Part D plan until you complete the
training and achieve an adequate score, although you will not
have to take a test if you exclusively market employer/union
group plans and the companies do not require testing.
You would like to market a MA plan at a neighborhood
pharmacy. What should you keep in mind to comply with the
marketing requirements for MA plans?
- Correct Answer - You must set up your table, make marketing
presentations, and accept enrollment applications only in
common areas outside of where the patient waits for services
from the pharmacist.
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?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nursehailey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
