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AHIP TRAINING MODULE 4 MARKETING/67 Q and A/2023
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AHIP TRAINING MODULE 4 MARKETING/67 Q and A/2023
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AHIP TRAINING MODULE 4 MARKETING/67 Qand A/2023
PRENTICE has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare and Medicaid Services' Marketing guidelines to
ensure he is compliant for which type of products? - -MA and PDP
-Another agent working for your agency claims that because you are not
employed by the MA plans that you represent, you are not subject to the
same requirements as the plans themselves. - -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 MA and Part D plans and you will begin
marketing those plans this fall. You are planning what materials to use to
easily show the difference 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.
-Which of the following is a correct statement about state laws as they
pertain to marketing representatives? - -Medicare health plans must comply
with requests for information from state insurance departments investigating
complaints about a marketing representative.
-You are seeking to represent an individual MA plan and an individual Part D
plan in your state. You have completed the required training for each plan,
but you did not achieve a passing score on the tests that came after the
training. What can you do in this situation? - -You will NOT be able to
represent any MA or Part D plan until you compete the training and achieve
an adequate score, although you will NOT have to take a test if you
exclusively market employer/union group plans and the companies do not
require testing.
-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. - -You could tell her she is wrong,
and that only agents selling Employer/union group plans are permitted an
exemption from testing, but some employer/union group plans may require
testing to promote agent compliance with CMS marketing requirements.
, -During a sales presentation to Ms. Daley for MA 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? - -The MA plan received a 5 star rating in customer
service and care coordination with an overall performance rating of 4 stars.
-During a sales presentation, you client ask you whether the Medicare
agency recommends that she sign up for your plan or stay in Original
Medicare. - -Tell her that the Medicare agency does not endorse or
recommend any plan.
-Medicare health plan 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 create and complete a corrective action plan
and may terminate a sponsor's contract.
-You have set up an appointment for an in-home sales presentation with
Mrs. Fowler, who expressed interest in the Medicare plans you represent. In
preparation for the sales presentation, what must you do? - -Prior to
conducting the presentation, obtain, and document having obtained her
permission to visit, along wit her interest in the specific products you will
present.
-LU is turning 65 in November and called to ask for your help deciding on a
MA plan. She agreed to sign a scope of appointment form and meet with you
October 15. During the appointment, what are you permitted to do? - -You
may provide her with the required enrollment material and take her
completed enrollment application.
-The scope of appointment forms must be retained for a period of ten years.
- -
-A Medicare beneficiary has walked into your office and requested that you
sit down with her and discuss her options under the MA program. Before
engaging in such a discussion, what should you do? - -You must have her
sign a scope of appointment form, indicating which products she wishes to
discuss, and note on the form that she is a "walk in. " You may then proceed
with the discussion.
-You are meeting with Mrs. Hall in her home. On her scope of appointment
form she asked to discuss MA plans. During the meeting, she asks to discuss
a stand-alone Rx plan. She is leaving the next day to visit her family in
another state, so it is important to her to make a decision before she leaves.
What must happen before that additional discussion can take place? - -Since
Mrs. Hall specifically asked that you discuss the stand-alone Part D plan, you
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