AHIP 2025 Final Exam 200
questions TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
advertised as "educational," discussing plan-specific
premiums is impermissible. Mr. Prentice has many clients
who are Medicare beneficiaries. He should review the
Centers for Medicare & Medicaid Services (CMS)
Communication and Marketing Guidelines to ensure he is
compliant with which type of products. -
ANSWER//Medicare Advantage (MA) and Prescription
Drug (PDP) plans. Next week you will be participating in
your first "educational event" for prospective enrollees. To
be sure that you do not violate any of the applicable
guidelines, in what activities should you plan to engage? -
ANSWER//You should plan to ensure that the educational
event is informative and must not conduct a sales
presentation or distribute or accept enrollment forms at the
event. 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 plansl? -
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. 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. 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? - ANSWER//You may make
comparisons between plans if you can support them with
studies or statistical data and such comparisons are
factually based and referenced. You have set up an
appointment for an in-home sales presentation with Mrs.
Fernandez, who expressed interest in the Medicare plans
you represent. In preparation for the sales presentation,
what must you do? - ANSWER//Before conducting the
presentation, obtain and document having obtained her
permission to visit, along with her interest in the specific
products you will present. 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. You are mailing
invitations to new Medicare beneficiaries for a marketing
event. You want an idea of how many people to expect, so
you would like to request RSVPs. What should you keep
in mind? - ANSWER//You may request RSVPs, but you
are not permitted to require contact information. Your
colleague works at a third-party marketing organization
(TMO) and she said she did not need to take the Medicare
training for brokers and agents or pass a test to market
Medicare plans since her contract is with the TMO, not the
plans that have the products she sells. What could you
say to her? - ANSWER//You could tell her she is wrong,
,and that only agents selling employer/union group plans
are permitted an exemption from testing, but some
employer/union group plans may require testing to
promote agent compliance with CMS marketing
requirements. You are meeting with Mrs. Hall in her home.
On her scope of appointment form, she asked to discuss
Medicare Advantage plans. During the meeting, she
asked to discuss a stand-alone prescription drug plan.
She is leaving the next day to visit her family for a week in
another state, so she needs to decide before she leaves.
What must happen before that additional discussion can
take place? - ANSWER//Since Mrs. Hall specifically asked
that you discuss the stand-alone Part D plan, you may do
so, as long as she signs a new scope of appointment form
first, indicating that she wants to discuss the Part D plan.
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 marketing representatives are not
permitted to participate, in any way, in an educational
event. You will be holding a sales event soon, at which
you would like to offer door prizes to attendees. Under
guidelines from the Medicare agency, what types of gifts
or prizes would not be allowed in this situation -
ANSWER//Gift cards or gift certificates of $15 or less that
can be readily converted to cash. When you market
Medicare Advantage and Part D plans, what may you offer
as a gift to induce enrollment in a plan? - ANSWER//You
may provide gifts or prizes to all potential enrollees during
an event that does not exceed $15 in retail value. You
would like to market a MA plan at a neighborhood
pharmacy. What should you keep in mind to comply with
the marketing requirements for MA plans? -
, ANSWER//You must set up your table, make marketing
presentations, and accept enrollment applications only in
common areas outside of where the patient waits for
services from the pharmacist. 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? - ANSWER//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. Which
of the following individuals are likely to qualify for a special
election period (SEP) for either a MA and/or Part D due to
a change of residence? I. Edward (enrolled in MA and
Part D) moves to a new home within the same
neighborhood in his existing plan's service area. II. Fiona
(enrolled in MA and Part D) moves cross-country to an
area outside her existing plan's service area. III. Gilbert
moves into a plan service area where there is now a Part
D plan available to him from a service area where no Part
D plan was available. IV. Henry makes a permanent move
to a new state providing him with new MA and Part D
options. - ANSWER//II, III, and IV only. Mr. Chen is
enrolled in his employer's group health plan and will be
retiring soon. He would like to know his options since he
has decided to drop his retiree coverage and is eligible for
Medicare. What should you tell him? - ANSWER//Mr.
Chen can disenroll from his employer-sponsored coverage
to elect a Medicare Advantage or Part D plan within 2
months of his disenrollment. Mr. Liu turns 65 on June 19.
He has never previously qualified for Medicare so his first
Medicare eligibility date will be June 1. Mr. Liu's ICEP and
Part D IEP begin on March 1 and end on September 30.
He wants prescription drug coverage with his Part A and
Part B benefits. What advice can you provide him? -
questions TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
advertised as "educational," discussing plan-specific
premiums is impermissible. Mr. Prentice has many clients
who are Medicare beneficiaries. He should review the
Centers for Medicare & Medicaid Services (CMS)
Communication and Marketing Guidelines to ensure he is
compliant with which type of products. -
ANSWER//Medicare Advantage (MA) and Prescription
Drug (PDP) plans. Next week you will be participating in
your first "educational event" for prospective enrollees. To
be sure that you do not violate any of the applicable
guidelines, in what activities should you plan to engage? -
ANSWER//You should plan to ensure that the educational
event is informative and must not conduct a sales
presentation or distribute or accept enrollment forms at the
event. 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 plansl? -
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. 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. 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? - ANSWER//You may make
comparisons between plans if you can support them with
studies or statistical data and such comparisons are
factually based and referenced. You have set up an
appointment for an in-home sales presentation with Mrs.
Fernandez, who expressed interest in the Medicare plans
you represent. In preparation for the sales presentation,
what must you do? - ANSWER//Before conducting the
presentation, obtain and document having obtained her
permission to visit, along with her interest in the specific
products you will present. 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. You are mailing
invitations to new Medicare beneficiaries for a marketing
event. You want an idea of how many people to expect, so
you would like to request RSVPs. What should you keep
in mind? - ANSWER//You may request RSVPs, but you
are not permitted to require contact information. Your
colleague works at a third-party marketing organization
(TMO) and she said she did not need to take the Medicare
training for brokers and agents or pass a test to market
Medicare plans since her contract is with the TMO, not the
plans that have the products she sells. What could you
say to her? - ANSWER//You could tell her she is wrong,
,and that only agents selling employer/union group plans
are permitted an exemption from testing, but some
employer/union group plans may require testing to
promote agent compliance with CMS marketing
requirements. You are meeting with Mrs. Hall in her home.
On her scope of appointment form, she asked to discuss
Medicare Advantage plans. During the meeting, she
asked to discuss a stand-alone prescription drug plan.
She is leaving the next day to visit her family for a week in
another state, so she needs to decide before she leaves.
What must happen before that additional discussion can
take place? - ANSWER//Since Mrs. Hall specifically asked
that you discuss the stand-alone Part D plan, you may do
so, as long as she signs a new scope of appointment form
first, indicating that she wants to discuss the Part D plan.
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 marketing representatives are not
permitted to participate, in any way, in an educational
event. You will be holding a sales event soon, at which
you would like to offer door prizes to attendees. Under
guidelines from the Medicare agency, what types of gifts
or prizes would not be allowed in this situation -
ANSWER//Gift cards or gift certificates of $15 or less that
can be readily converted to cash. When you market
Medicare Advantage and Part D plans, what may you offer
as a gift to induce enrollment in a plan? - ANSWER//You
may provide gifts or prizes to all potential enrollees during
an event that does not exceed $15 in retail value. You
would like to market a MA plan at a neighborhood
pharmacy. What should you keep in mind to comply with
the marketing requirements for MA plans? -
, ANSWER//You must set up your table, make marketing
presentations, and accept enrollment applications only in
common areas outside of where the patient waits for
services from the pharmacist. 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? - ANSWER//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. Which
of the following individuals are likely to qualify for a special
election period (SEP) for either a MA and/or Part D due to
a change of residence? I. Edward (enrolled in MA and
Part D) moves to a new home within the same
neighborhood in his existing plan's service area. II. Fiona
(enrolled in MA and Part D) moves cross-country to an
area outside her existing plan's service area. III. Gilbert
moves into a plan service area where there is now a Part
D plan available to him from a service area where no Part
D plan was available. IV. Henry makes a permanent move
to a new state providing him with new MA and Part D
options. - ANSWER//II, III, and IV only. Mr. Chen is
enrolled in his employer's group health plan and will be
retiring soon. He would like to know his options since he
has decided to drop his retiree coverage and is eligible for
Medicare. What should you tell him? - ANSWER//Mr.
Chen can disenroll from his employer-sponsored coverage
to elect a Medicare Advantage or Part D plan within 2
months of his disenrollment. Mr. Liu turns 65 on June 19.
He has never previously qualified for Medicare so his first
Medicare eligibility date will be June 1. Mr. Liu's ICEP and
Part D IEP begin on March 1 and end on September 30.
He wants prescription drug coverage with his Part A and
Part B benefits. What advice can you provide him? -
