AHIP 2023 FINAL EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉Winthrop Brokerage wishes to place an advertisement in the local
newspaper that says: "We offer Medicare Advantage plans offered by
AB Health and Top Choice Health. Contact us if you would like to learn
more." Which of the following best describes the obligation(s) of
Winthrop Brokerage regarding the advertisement? ANSWER: -
Winthrop Brokerage does not need to submit the advertisement to CMS
for prior approval because it does not include information about the
plans' benefits structures, cost-sharing, or information about measures or
ranking standards.
◉BestCare Health Plan has received a request from a state insurance
department in connection with the investigation of several marketing
representatives licensed by the state who sell Medicare Advantage plans.
What action(s) should BestCare take in response? ANSWER: -
Cooperate with the state and supply requested information.
◉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? ANSWER: - The
Medicare Advantage plan received a 5-star rating in customer service
and care coordination with an overall performance rating of 4-stars.
, ◉You market many different types of insurance and ordinarily you
spend time each evening calling potential clients. To comply with
requirements for marketing Medicare Advantage and Part D plans, what
must you do about contacting potential clients to market those plans?
ANSWER: - You will have to avoid calling any potential client unless
he or she initiates contact with you and specifically asks that you give
him or her a call.
◉While making an appointment to discuss Medicare Advantage (MA)
and Part D plans with a potential enrollee, you are asked to describe
other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the
MA and Part D marketing appointment? ANSWER: - You can present
only health care related lines of business but must obtain the
beneficiary's permission to do so before the presentation occurs and
document that you have obtained that permission.
◉If you are to comply with Medicare's guidance 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 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
QUESTIONS WITH ANSWERS GRADED A+
◉Winthrop Brokerage wishes to place an advertisement in the local
newspaper that says: "We offer Medicare Advantage plans offered by
AB Health and Top Choice Health. Contact us if you would like to learn
more." Which of the following best describes the obligation(s) of
Winthrop Brokerage regarding the advertisement? ANSWER: -
Winthrop Brokerage does not need to submit the advertisement to CMS
for prior approval because it does not include information about the
plans' benefits structures, cost-sharing, or information about measures or
ranking standards.
◉BestCare Health Plan has received a request from a state insurance
department in connection with the investigation of several marketing
representatives licensed by the state who sell Medicare Advantage plans.
What action(s) should BestCare take in response? ANSWER: -
Cooperate with the state and supply requested information.
◉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? ANSWER: - The
Medicare Advantage plan received a 5-star rating in customer service
and care coordination with an overall performance rating of 4-stars.
, ◉You market many different types of insurance and ordinarily you
spend time each evening calling potential clients. To comply with
requirements for marketing Medicare Advantage and Part D plans, what
must you do about contacting potential clients to market those plans?
ANSWER: - You will have to avoid calling any potential client unless
he or she initiates contact with you and specifically asks that you give
him or her a call.
◉While making an appointment to discuss Medicare Advantage (MA)
and Part D plans with a potential enrollee, you are asked to describe
other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the
MA and Part D marketing appointment? ANSWER: - You can present
only health care related lines of business but must obtain the
beneficiary's permission to do so before the presentation occurs and
document that you have obtained that permission.
◉If you are to comply with Medicare's guidance 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 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
