2025 AHIP Module 4 - Communications
and Marketing Rules for Medicare
Advantage and Part D Plans
You are meeting with Mrs. Hall in her domestic. On her scope of appointment shape, she
requested to speak about Medicare Advantage plans. During the meeting, she requested to
speak about a stand-alone prescription drug plan. She is leaving the following day to go to
her own family for every week in any other nation, so she wishes to decide before she
leaves. What should show up earlier than that additional dialogue can take region?
A. You need to make a smartphone name from a location outdoor Mrs. Hall's home to make
certain that the dialogue of the prescription drug plan can take vicinity.
B. Since Mrs. Hall is leaving the state, you can at once gift her with information at the
prescription drug plan, so she will be able to determine before it's miles too late.
C. You need to refer Mrs. Hall to any other agent for her so as to interact in any such
discussion.
D. Since Mrs. Hall especially asked which you talk the stand-on my own Part D plan, you
can accomplish that, so long as she signs a new s - ANSd
Agent Harriet Walker has lately all started advertising Medicare Advantage and related
products aimed at meeting the needs of senior residents. Client Mildred Jones has
expressed hobby in a Medicare Advantage plan. It is now the start of September. If you had
been in Agent Walker's position, what would you do?
A. Inquire whether or not the patron qualifies for a unique enrollment length, and if not, solicit
an enrollment software as soon as the annual open enrollment election period starts
offevolved on October fifteenth.
B. Tell the customer that she should additionally take into account non-health products
(including coins price life insurance) to satisfy some of her fitness needs and provide to
submit a lifestyles coverage software to peer if purchaser Jones is insurable.
C. Solicit and entire the enrollment utility in September and wait till the open enrollment date
to publish it so that the consumer does not buy a plan through another agent.
D. Tell the patron - ANSa
, You are mailing invites to new Medicare beneficiaries for a advertising event. You want an
concept of what number of human beings to expect, so that you would love to request
RSVPs. What must you maintain in thoughts?
A. You may not require RSVPs, however when humans arrive, you can require the finishing
touch of touch records on a sign-up sheet.
B. You aren't accredited to request RSVPs, so that you will want to discover a specific way to
estimate what number of human beings are coming.
C. You may additionally require RSVPs and an e-mail cope with so that you can comply with
up in the event of a cancellation.
D. You might also request RSVPs, but you aren't authorized to require contact data. - ANSd
You may be keeping a income occasion quickly, at which you would really like to provide
door prizes to attendees. Under tips from the Medicare organisation, what varieties of items
or prizes could no longer be allowed in this situation
a. A gift card to Starbucks worth $5.
B. Gift cards or gift certificate of $15 or less that may be with ease transformed to cash.
C. Two or more presents whose combined price does not exceed $15
d. Gifts of nominal retail price ($15 or less) - ANSb
You would really like to marketplace a MA plan at a community pharmacy. What must you
hold in mind to conform with the advertising requirements for MA plans?
A. You might not marketplace in a pharmacy if you aren't a pharmacist.
B. You ought to set up your table and make marketing displays simplest in common regions,
but you could receive enrollment applications everywhere inside the pharmacy.
C. You need to installation your table, make marketing displays, and accept enrollment
packages most effective in commonplace regions out of doors of wherein the patient waits
for offerings from the pharmacist.
D. You must set up your desk, make advertising and marketing displays, and take delivery of
enrollment applications close to the drugstore counter where human beings watch for their
prescriptions. - ANSc
Mr. Prentice has many customers who are Medicare beneficiaries. He ought to review the
Centers for Medicare & Medicaid Services (CMS) Communication and Marketing Guidelines
to make sure he is compliant with which kind of merchandise.
A. Section 1332 waiver plans.
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