AHIP MODULE 4 EXAM 2024 WITH QUESTIONS
& CORRECT ANSWERS GRADED A+
Agent Lopez helps Ralph to enroll in Top Choice Medicare Advantage plan during
the Annual Open Enrollment Period. Ralph's effective enrollment date is January
1st. Ralph disenrolls on February 12th because he discovers that the plan does not
cover services furnished by several of his longtime providers. Which of the
following statements best describes the impact of Ralph's action upon Agent
Lopez's compensation?
Agent Lopez's entire compensation must be recouped because Ralph disenrolled
within 3 months of enrollment.
Miguel Sanchez is a relatively new agent who has come to you for advice as to
what he can do during the Medicare Advantage Open Enrollment Period (MA-
OEP). What advice should you give Miguel?
During the MA-OEP, Miguel can have one-on-one meetings with beneficiaries
who have requested such meetings
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail
and asks you for advice as to whether this is possible. What should you tell her?
Marketing representatives may initiate electronic contact through e-mail but an
opt-out process must be provided
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC
Health Plan, a Medicare Advantage (MA) plan that offers plans in multiple states.
XYZ Agency maintains a website marketing the MA plans with which it has
contracts. Agent Armstrong follows up with individuals who request more
information about ABC MA plans via the website and tries to persuade them to
enroll in ABC plans. What statement best describes the marketing and compliance
rules that apply to Agent Armstrong?
Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located
, 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?
You may provide light snacks, but a Thanksgiving style meal would be prohibited,
regardless of who provides or pays for the meal.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its
enrollees' information to market non-health related products such as life insurance
and annuities. To do so it must obtain authorization from the enrollees. Which
statement best describes the authorization process?
Authorization may be obtained by directing a beneficiary to a website to provide
consent as long as the website includes a mechanism for an electronic signature
that is valid under applicable law.
You will be holding a sales event in the near future, 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?
Gift cards or gift certificates of $15 or less that can be readily converted to cash.
You have sought permission from a hospital to place brochures for your product in
their gift shop and cafeteria. The hospital administration expresses some hesitation
about allowing marketing in a health care facility. What should you tell them?
Marketing in health care facilities is an acceptable practice, as long as it takes place
in common areas where patients are not receiving health care services.
You work for a company that has marketed Medigap products for many years. The
company has added Medicare Advantage and Part D plans and you will begin
marketing those plans this fall. You are planning what materials to use to easily
show the differences in benefits, premiums and cost sharing for each of the
products. What do you need to do with your materials before using them for
marketing purposes?
You must submit your materials to the plan you represent, so CMS can review and
approve the materials to ensure they are accurate
& CORRECT ANSWERS GRADED A+
Agent Lopez helps Ralph to enroll in Top Choice Medicare Advantage plan during
the Annual Open Enrollment Period. Ralph's effective enrollment date is January
1st. Ralph disenrolls on February 12th because he discovers that the plan does not
cover services furnished by several of his longtime providers. Which of the
following statements best describes the impact of Ralph's action upon Agent
Lopez's compensation?
Agent Lopez's entire compensation must be recouped because Ralph disenrolled
within 3 months of enrollment.
Miguel Sanchez is a relatively new agent who has come to you for advice as to
what he can do during the Medicare Advantage Open Enrollment Period (MA-
OEP). What advice should you give Miguel?
During the MA-OEP, Miguel can have one-on-one meetings with beneficiaries
who have requested such meetings
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail
and asks you for advice as to whether this is possible. What should you tell her?
Marketing representatives may initiate electronic contact through e-mail but an
opt-out process must be provided
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC
Health Plan, a Medicare Advantage (MA) plan that offers plans in multiple states.
XYZ Agency maintains a website marketing the MA plans with which it has
contracts. Agent Armstrong follows up with individuals who request more
information about ABC MA plans via the website and tries to persuade them to
enroll in ABC plans. What statement best describes the marketing and compliance
rules that apply to Agent Armstrong?
Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located
, 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?
You may provide light snacks, but a Thanksgiving style meal would be prohibited,
regardless of who provides or pays for the meal.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its
enrollees' information to market non-health related products such as life insurance
and annuities. To do so it must obtain authorization from the enrollees. Which
statement best describes the authorization process?
Authorization may be obtained by directing a beneficiary to a website to provide
consent as long as the website includes a mechanism for an electronic signature
that is valid under applicable law.
You will be holding a sales event in the near future, 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?
Gift cards or gift certificates of $15 or less that can be readily converted to cash.
You have sought permission from a hospital to place brochures for your product in
their gift shop and cafeteria. The hospital administration expresses some hesitation
about allowing marketing in a health care facility. What should you tell them?
Marketing in health care facilities is an acceptable practice, as long as it takes place
in common areas where patients are not receiving health care services.
You work for a company that has marketed Medigap products for many years. The
company has added Medicare Advantage and Part D plans and you will begin
marketing those plans this fall. You are planning what materials to use to easily
show the differences in benefits, premiums and cost sharing for each of the
products. What do you need to do with your materials before using them for
marketing purposes?
You must submit your materials to the plan you represent, so CMS can review and
approve the materials to ensure they are accurate
