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AHIP Module 4 questions and answers graded A+ by experts 2024/2025
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AHIP Module 4 questions and answers graded A+ by experts 2024/2025
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AHIP Module 4Agent Jennings makes a presentation on Medicare advertised as an educational event.
Agent Jennings distributes materials that are solely educational. 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? - ANSYes. When an event has been advertised as
"educational," discussing plan-specific premiums is impermissible.
You are working several plans and community organizations to sponsor an educational
event. When putting together advertisements for this event, what should you do? - ANSYou
must ensure that the advertisements indicate it is an educational event, otherwise it will be
considered a marketing event.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members? - ANSMarket non-health related items or services such as life
insurance or annuities policies to current members as permitted following HIPAA Privacy
Rules.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
information to market non-health related products such as life insurance and annuities.
Which statement best describes ABC's obligation to its enrollees regarding marketing such
products? - ANSIt must obtain a HIPAA compliant authorization from an enrollee that
indicates the plan or plan sponsor may use their information for marketing purposes.
You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her concerns? -
ANSTell her that Medicare guidelines allow you to conduct marketing activities in common
areas of a provider's facility.
Another agent you know has engaged in misconduct that has been verified by the plan she
represented. What sort of penalty might the plan impose on this individual?7 - ANSThe plan
may withhold commission, require retraining, report the misconduct to a state department of
insurance or terminate the contract
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? -
ANSTell her that the Medicare agency does not endorse or recommend any plan.
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a Medicare
Advantage plan. She agreed to sign a scope of appointment form and meet with you on
October 15. During the appointment, what are you permitted to do? - ANSYou may provide
her with the required enrollment materials and take her completed enrollment application.
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
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