AHIP MEDICARE CERTIFICATION: MODULE 4 EXAM ASSESSMENT 2026

AHIP MEDICARE CERTIFICATION: MODULE 4
EXAM ASSESSMENT
Marketing Medicare Advantage (MA) and Part D Plans


1. What is required by the Centers for Medicare & Medicaid Services (CMS) before an
agent can market Medicare Advantage (MA) plans to beneficiaries?

 A) The beneficiary must sign a marketing agreement.
 B) The agent must obtain a signed Scope of Appointment (SOA) form.
 C) The agent must provide a copy of the Medicare Advantage plan’s brochure.
 D) The beneficiary must be enrolled in Medicare Part A and Part B.

Answer:
B) The agent must obtain a signed Scope of Appointment (SOA) form.

Rationale:
CMS requires that agents obtain a signed Scope of Appointment (SOA) form from
beneficiaries before discussing Medicare Advantage or Part D plans with them.



2. Which of the following practices is prohibited by CMS when marketing Medicare
Advantage plans?

 A) Providing a gift valued at $25 to all attendees at marketing events.
 B) Offering incentives to beneficiaries for attending a marketing event.
 C) Giving a gift valued at less than $15 to beneficiaries.
 D) Conducting marketing presentations during business hours.

Answer:
B) Offering incentives to beneficiaries for attending a marketing event.

Rationale:
CMS prohibits offering gifts, incentives, or any form of compensation to beneficiaries for
attending marketing events as a way to encourage enrollment.



3. What is the primary purpose of the Scope of Appointment (SOA) form in Medicare
Advantage marketing?

 A) To ensure the agent discloses all plan options available.
 B) To document which topics the beneficiary wants to discuss during the
appointment.
 C) To provide a list of all available agents.

,  D) To confirm that the beneficiary is eligible for a Medicare Advantage plan.

Answer:
B) To document which topics the beneficiary wants to discuss during the appointment.

Rationale:
The SOA form documents the topics the beneficiary is willing to discuss during the
marketing appointment, ensuring compliance with CMS guidelines and avoiding unsolicited
discussions.



4. During a marketing presentation, what must an agent do if the beneficiary asks about
a Medicare Advantage plan’s drug formulary?

 A) Provide an oral explanation of the formulary.
 B) Direct the beneficiary to the plan’s website.
 C) Give the beneficiary a written copy of the formulary or inform them of where to
obtain it.
 D) Refer the beneficiary to the beneficiary’s primary care provider.

Answer:
C) Give the beneficiary a written copy of the formulary or inform them of where to
obtain it.

Rationale:
If a beneficiary inquires about a drug formulary, the agent must provide a written copy or
direct the beneficiary to where they can access the formulary to ensure accurate and
transparent information.



5. How does CMS require marketing materials for Medicare Advantage plans to be
presented?

 A) Marketing materials must be comprehensive and detailed, including all plan
options.
 B) Marketing materials must include only the plan’s most basic coverage options.
 C) Marketing materials must be in a clear, accurate, and non-deceptive format.
 D) Marketing materials can use persuasive language that exaggerates the benefits of
the plan.

Answer:
C) Marketing materials must be in a clear, accurate, and non-deceptive format.

Rationale:
CMS requires that marketing materials for Medicare Advantage plans be clear, accurate, and
non-deceptive, ensuring that beneficiaries are fully informed about their choices without
misleading information.