4/25/25, 2:22 PM
AHIP Module 4 Exam 2025
Your time: 40 min
Correct 50
100%
Incorrect 0
Next steps
Your answers
1 of 50
Term
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How
could you address her concerns?
1/46
,4/25/25, 2:22 PM
Suggest that you can only market if
Assure her that marketing is not
she personally approves the
allowed in any healthcare facility.
materials.
Tell her that Medicare
Inform her that you will not be able
guidelines allow you to conduct
to market unless she provides a
marketing activities in common
written agreement.
areas of a provider's facility.
2 of 50
Term
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?
Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
You could tell her she is wrong, and that only agents selling employer/union
group plans are permitted an exemption from testing, but some
2/46
,4/25/25, 2:22 PM
employer/union group plans may require testing to promote agent
compliance with CMS marketing requirements.
You should plan to ensure that the educational event is a social event, and must
NOT conduct a sales presentation or distribute or accept enrollment forms at the
event.
Yes. When an event has been advertised as "educational," discussing plan-specific
premiums is impermissible.
3 of 50
Term
Medicare health plans establish provisions in marketing representative
contracts to ensure compliance with applicable laws and policies. If
non-compliance occurs, CMS can penalize a plan in which of the
following ways?
CMS requires plan sponsors to
CMS allows plans to self-regulate
create and complete a
without any penalties for non-
corrective action plan and may
compliance.
terminate a sponsor's contract.
3/46
, 4/25/25, 2:22 PM
CMS can only penalize plans by CMS will only issue a verbal warning
reducing their funding for marketing. for minor infractions.
4 of 50
Term
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?
Medicare health plans must comply with requests for information from state
insurance departments investigating complaints about a marketing representative.
Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located.
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.
4/46
AHIP Module 4 Exam 2025
Your time: 40 min
Correct 50
100%
Incorrect 0
Next steps
Your answers
1 of 50
Term
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How
could you address her concerns?
1/46
,4/25/25, 2:22 PM
Suggest that you can only market if
Assure her that marketing is not
she personally approves the
allowed in any healthcare facility.
materials.
Tell her that Medicare
Inform her that you will not be able
guidelines allow you to conduct
to market unless she provides a
marketing activities in common
written agreement.
areas of a provider's facility.
2 of 50
Term
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?
Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
You could tell her she is wrong, and that only agents selling employer/union
group plans are permitted an exemption from testing, but some
2/46
,4/25/25, 2:22 PM
employer/union group plans may require testing to promote agent
compliance with CMS marketing requirements.
You should plan to ensure that the educational event is a social event, and must
NOT conduct a sales presentation or distribute or accept enrollment forms at the
event.
Yes. When an event has been advertised as "educational," discussing plan-specific
premiums is impermissible.
3 of 50
Term
Medicare health plans establish provisions in marketing representative
contracts to ensure compliance with applicable laws and policies. If
non-compliance occurs, CMS can penalize a plan in which of the
following ways?
CMS requires plan sponsors to
CMS allows plans to self-regulate
create and complete a
without any penalties for non-
corrective action plan and may
compliance.
terminate a sponsor's contract.
3/46
, 4/25/25, 2:22 PM
CMS can only penalize plans by CMS will only issue a verbal warning
reducing their funding for marketing. for minor infractions.
4 of 50
Term
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?
Medicare health plans must comply with requests for information from state
insurance departments investigating complaints about a marketing representative.
Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located.
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.
4/46
