2022 AHIP Medicare Module 4 QUESTIONS WITH
CORRECT ANSWERS
Question text
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? Correct Answer: You must have her sign a scope of appointment form, indicating which
products she wishes to discuss. You may then proceed with the discussion.
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: Accurate
advertising is not the only requirement for putting together an educational event.
Plan sponsors may undertake the following marketing activities with current Medicare Advantage plan
members? Correct Answer: Plan sponsors cannot market lists of current members without compliant
permission. HIPAA Privacy Rules are applicable, not Dodd-Frank legislation.
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? Correct Answer: You should plan to ensure that the educational event is an informative event
and must not conduct a sales presentation or distribute or accept enrollment forms at the event.
Another agent working for your agency claims that because you are not employed by the Medicare
Advantage plans that you represent, you are not subject to the same marketing requirements as the
plans themselves. How should you respond to such a statement? Correct Answer: Your coworker is not
correct. Marketing on behalf of a plan is considered marketing by the plan and requires that all
contracted and employed agents comply with all Medicare marketing rules.
One of your colleagues argues that it is better to focus your time and energy exclusively in
neighborhoods with single-family homes. He further argues that their older owners are more likely to
have higher incomes and purchase the Medicare Advantage products you represent compared to those
living in apartment complexes. How should you respond? Correct Answer: Marketing representatives
must not engage in any activity that would be considered discriminatory such as attempting to recruit
Medicare beneficiaries from higher-income areas without making comparable efforts to recruit
Medicare beneficiaries from lower-income areas.
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. 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: Because Mrs. Lu only requested help
CORRECT ANSWERS
Question text
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? Correct Answer: You must have her sign a scope of appointment form, indicating which
products she wishes to discuss. You may then proceed with the discussion.
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: Accurate
advertising is not the only requirement for putting together an educational event.
Plan sponsors may undertake the following marketing activities with current Medicare Advantage plan
members? Correct Answer: Plan sponsors cannot market lists of current members without compliant
permission. HIPAA Privacy Rules are applicable, not Dodd-Frank legislation.
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? Correct Answer: You should plan to ensure that the educational event is an informative event
and must not conduct a sales presentation or distribute or accept enrollment forms at the event.
Another agent working for your agency claims that because you are not employed by the Medicare
Advantage plans that you represent, you are not subject to the same marketing requirements as the
plans themselves. How should you respond to such a statement? Correct Answer: Your coworker is not
correct. Marketing on behalf of a plan is considered marketing by the plan and requires that all
contracted and employed agents comply with all Medicare marketing rules.
One of your colleagues argues that it is better to focus your time and energy exclusively in
neighborhoods with single-family homes. He further argues that their older owners are more likely to
have higher incomes and purchase the Medicare Advantage products you represent compared to those
living in apartment complexes. How should you respond? Correct Answer: Marketing representatives
must not engage in any activity that would be considered discriminatory such as attempting to recruit
Medicare beneficiaries from higher-income areas without making comparable efforts to recruit
Medicare beneficiaries from lower-income areas.
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. 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: Because Mrs. Lu only requested help
