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AHIP Module 4 2025 | Actual Exam
Questions With Answers
Mr. Prentice has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he
is compliant for which type of products? -correct-answer-Medicare Advantage
(MA) and Prescription Drug (PDP) plans Correct
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 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.
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? -correct-answer-You must submit your materials to the plan
you represent, so CMS can review and approve the materials to ensure they are
accurate.
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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? -
correct-answer-Winthrop Brokerage does not need to submit the advertisement
to CMS for prior approval because it does not include information about the plans'
benefit structures, cost sharing, or information about measures or ranking
standards.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
protected health 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? -correct-answer-
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.
During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a
5-star rating in customer service and care coordination, and received an overall
plan performance rating of a 4-star, which of the following would be the correct
statement to say to her? -correct-answer-The Medicare Advantage plan received a
5-star rating in customer service and care coordination with an overall
performance rating of 4-stars.
AHIP Module 4 2025 | Actual Exam
Questions With Answers
Mr. Prentice has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he
is compliant for which type of products? -correct-answer-Medicare Advantage
(MA) and Prescription Drug (PDP) plans Correct
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 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.
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? -correct-answer-You must submit your materials to the plan
you represent, so CMS can review and approve the materials to ensure they are
accurate.
, 2|Page
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? -
correct-answer-Winthrop Brokerage does not need to submit the advertisement
to CMS for prior approval because it does not include information about the plans'
benefit structures, cost sharing, or information about measures or ranking
standards.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
protected health 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? -correct-answer-
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.
During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a
5-star rating in customer service and care coordination, and received an overall
plan performance rating of a 4-star, which of the following would be the correct
statement to say to her? -correct-answer-The Medicare Advantage plan received a
5-star rating in customer service and care coordination with an overall
performance rating of 4-stars.
