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AHIP MODULE 4 EXAM GUIDE QUESTIONS WITH CORRECT ANSWERS
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AHIP MODULE 4 EXAM GUIDE QUESTIONS WITH CORRECT ANSWERS
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AHIP MODULE 4 EXAM GUIDEQUESTIONS WITH CORRECT ANSWERS
Mr. Prentice has many clients who are Medicare beneficiaries. He should review the
Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is
compliant for which type of products? - Answer-Medicare Advantage (MA) and
Prescription Drug (PDP) plans Correct
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
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 work for a company that has marketed Medigap products for many years. 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? -
Answer-You must submit your materials to the plan you represent, so CMS can review
and approve the materials to ensure they are accurate.
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? - 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.
Your colleague works at a third party marketing organization (TMO) and she said she
did not need to take the Medicare training for brokers and agents or pass a test to
market Medicare plans since her contract is with the TMO, not the plans that have the
products she sells. What could you say to her? - Answer-You could tell her she is
wrong, and that only agents selling employer/union group plans are permitted an
exemption from testing, but some employer/union group plans may require testing to
promote agent compliance with CMS marketing requirements.
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - Answer-Medicare health plans must comply with requests
for information from state insurance departments investigating complaints about a
marketing representative.
, Next week you will be participating in your First educational event. In order to be sure
that you do not violate any of the applicable guidelines, in what activities should you
plan to engage? - Answer-You should plan to ensure that the educational event is a
social event, and must NOT conduct a sales presentation or distribute or accept
enrollment forms at the event.
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? -
Answer-Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located.
You are mailing invitations to new Medicare beneficiaries for a marketing event. You
want an idea of how many people to expect, so you would like to request RSVPs. What
should you keep in mind? - Answer-You may request RSVPs, but you are not permitted
to require contact information.
If you are to be in compliance with Medicare's guidelines regarding educational events,
which of the following would be acceptable activities? - Answer-You may distribute
business cards to individuals who request information on how to contact you for further
details on the plan(s) you represent.
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? - Answer-You must ensure that the advertisements indicate it is an educational
event, otherwise it will be considered a marketing event.
You plan to participate in an educational event sponsored by a large regional health
care system. One of your colleagues suggests that you do a presentation on one of the
Medicare Health plans you market, and modify it to include information about preventive
screening tests showcased at the event. How should you respond to your colleague's
suggestion? - Answer-You should tell your colleague no because participation in an
educational event may not include a sales presentation.
Agent Mary 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? - Answer-Yes.
When an event has been advertised as "educational," discussing plan-specific
premiums is impermissible.
You have set up an appointment for an in-home sales presentation with Mrs.
Fernandez, who expressed interest in the Medicare plans you represent. In preparation
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