2025 AHIP Module 4 - Communications and Marketing Rules for Medicare Advantage and Part D Plans questions and answers 2015/2016
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2025 AHIP Module 4 - Communications and Marketing Rules for Medicare Advantage and Part D Plans questions and answers 2015/2016
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2025 AHIP Module 4 - Communications
and Marketing Rules for Medicare
Advantage and Part D Plans
1.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?
a. You must set an appointment for another time, at least 48 hours from the point when she
walked into your office.
b. Before speaking with the individual, you must inquire as to her eligibility for MA and Part D
plans and then complete a scope of appointment form for the plans for which she is eligible.
c. You do not have to do anything. You may proceed with the discussion and enroll the individual
if she so desires.
d. You must have her sign a scope of appointment form, indicating which products she wishes to
discuss. You may then proceed with the discussion. >ANS>d
2.Agent Harriet Walker has recently begun marketing Medicare Advantage and related products
aimed at meeting the needs of senior citizens. Client Mildred Jones has expressed interest in a
Medicare Advantage plan. It is now the beginning of September. If you were in Agent Walker's
position, what would you do?
a. Inquire whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on October 15th.
b. Tell the client that she should also consider non-health products (such as cash value life
insurance) to meet some of her health needs and offer to submit a life insurance application to
see if client Jones is insurable.
c. Solicit and complete the enrollment application in September and wait until the open
enrollment date to submit it so that the client does not purchase a plan through another agent.
d. Tell the client >ANS>a
3.Agent 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?
, a. Yes. When an event has been advertised as "educational," discussing plan-specific premiums
is impermissible.
b. Yes. Whether or not an event has been advertised as "educational" or a "sales presentation,"
discussing plan-specific information is impermissible.
c. This action is permissible. Handing out enrollment forms, on the other hand, would not be
permissible.
d. Attendees expect some "puffery" at any event on a product in which they may be potentially
interested. >ANS>a
4.By contacting plans available in your area, you have learned that the plan you represent has a
significantly lower monthly premium than the others. Furthermore, you see that the plan you
represent has a unique benefits package. What should you do to make sure your clients know
about these pieces of information?
a. You have anecdotal evidence that your plan is the best and can say so to your clients.
b. You may create a chart based on anecdotal hearsay that lists each plan in the beneficiary's
service area along with the benefits of the plan you represent, compared to those of the other
available plans.
c. You may make comparisons between plans if you can support them with studies or statistical
data and such comparisons are factually based and referenced.
d. To obtain information about another plan's benefits, you must refer clients to those other
plans, because you may not provide comparative information, regard >ANS>c
5.During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a 5-star
rating in customer service and care coordination, and received an overall plan performance
rating of a 4-star, which of the following would be the best statement to say to her?
a. The Medicare Advantage plan received the best star rating in customer service and care
coordination.
b. This Medicare Advantage plan is a 5-star rated plan due to its high rating in customer service.
c. The Medicare Advantage plan received a 5-star rating in customer service and care
coordination with an overall performance rating of 4 stars.
d. The Medicare Advantage plan is a top-rated plan. >ANS>c
6.If you are to comply with Medicare's guidance regarding educational events, which of the
following would be acceptable activities?
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