AHIP FINAL EXAM LATEST EXAM | QUESTIONS
AND CORRECT ANSWERS | ALREADY GRADED
A+ | VERIFIED ANSWERS | JUST RELEASED
Linda Sanchez is conducting a previously agreed upon appointment with
client, Maria Gomez about a MA-Part D plan she represents. Before an
enrollment form is completed, Linda needs to provide Maria with
information about ____ ---------CORRECT ANSWER-----------------whether
or not Maria's primary care provider is in the plan's network. whether
Maria's current prescriptions are covered by the plan. the monthly premium
cost(s).
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.
Evan Marsh is a newly appointed agent. Evan intends to conduct an
educational session on Medicare at a senior citizens center near his home.
He has advertised the session as an educational event. Evan asks you
what is permissible at such an event. What should you say? ---------
CORRECT ANSWER-----------------Evan may provide a meal as long as its
value is $15 or less per attendee and he may make available business
reply cards (BRCs).
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How could
you address her concerns? ---------CORRECT ANSWER-----------------Tell
her that Medicare guidelines allow you to conduct marketing activities in
common areas of a provider's facility.
,Your client, Alexis Jones, calls you on December 4th about changing her
Medicare Advantage plan during the annual election period which ends
December 7th. What should you do? ---------CORRECT ANSWER------------
-----Complete a scope of appointment (SOA) during the call and indicate
that they will meet to discuss Medicare Advantage plans during an
appointment the following day.
You have sought permission from a hospital to place brochures for your
product in their gift shop and cafeteria. The hospital administration
expresses some hesitation about allowing marketing in a health care
facility. What should you tell them? ---------CORRECT ANSWER---------------
--Marketing in health care facilities is an acceptable practice, as long as it
takes place in common areas where patients are not receiving health care
services.
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? ---------CORRECT ANSWER-----------------The plan may
withhold commission, require retraining, report the misconduct to a state
department of insurance or terminate the contract.
You are working several plans and community organizations to sponsor an
educational event. When putting together advertisements for this event,
what should you do? ---------CORRECT ANSWER-----------------You must
ensure that the advertisements indicate it is an educational event,
otherwise it will be considered a marketing event.
Sal D'Angelo is new to the Medicare marketplace having previously been
focused on life insurance and disability income protection products. He
,intends to conduct an educational seminar during the AEP at a local hotel
and then invite those who attend to a subsequent marketing meeting to
discuss the benefits of next year's plans. How would you advise Sal? --------
-CORRECT ANSWER-----------------Sal should conduct the education
seminar as an early morning meeting and the marketing meeting on the
following day in the late afternoon so that there are at least 12 hours
between the two meetings.
Your friend's mother just moved to an assisted living facility and he asked if
you could present a program for the residents about the MA-PD plans you
market. What could you tell him? ---------CORRECT ANSWER-----------------
You appreciate the opportunity and would be happy to schedule an
appointment with anyone at their request.
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? ---------CORRECT ANSWER-----------------Marketing
representatives may initiate electronic contact through e-mail but an opt-out
process must be provided.
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? ---------CORRECT ANSWER-----------------You may
provide her with the required enrollment materials and take her completed
enrollment application.
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? ---------CORRECT
ANSWER-----------------It 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 been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients look forward to
attending this annual event. When marketing Medicare Advantage and Part
D plans, what are you permitted to do with respect to meals? ---------
CORRECT ANSWER-----------------You may provide light snacks, but a
Thanksgiving style meal would be prohibited, regardless of who provides or
pays for the meal.
Mrs. Kumar would like her daughter, who lives in another state, to meet
with you during the Annual Election Period to help her complete her
enrollment in a Part D plan. She asked you when she should have her
daughter plan to visit. What could you tell her? ---------CORRECT
ANSWER-----------------Her daughter should come in November.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and
her MA Initial Coverage Election Period (ICEP) has just begun. Which of
the following can she not do during the ICEP? ---------CORRECT
ANSWER-----------------She can enroll in a Medigap plan to supplement the
benefits of the MA plan that she's also enrolling in.
You have come to Mrs. Midler's home for a sales presentation. At the
beginning of the presentation, Mrs. Midler tells you that she has a copy of
her medical records available because she thinks this will help you
understand her needs. She suggests that you will know which questions to
ask her about her health status in order to best assist her in selecting a
plan. What should you do? ---------CORRECT ANSWER-----------------You
can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has one of the conditions that would qualify her for
a special needs plan.
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