ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
protected health information to market non-health related products
... [Show More] 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.
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? - ✔✔The Medicare Advantage plan received a 5-star rating in customer
service and care coordination with an overall performance rating of 4-stars.
agent lopez helps Ralph to enroll in Top Choice Medicare Advantage plan during the
open enrollment period. Ralph's effective enrollment is January 1st. Ralph disenrolls on
February 12th because he did not understand that the plan did 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 the 3
month period.
Agent Higgins helps Mrs. O'Malley to enroll in AB Medicare Advantage plan during the
Annual open enrollment period. Mrs. O'Malley effective enrollment date is January 1st.
Subsequently, Mrs. O'Malley disenrolls on February 12th following a move outside the
plan's service area. What impact will this have on Agent Higgins compensation? -
✔✔AB MA PLAN does not have to recoup Agent Higgins compensation because she
has moved away from the service area.
You plan to participate in an educational event sponsored by a large regional health
care system. One of your colleagues suggests that you do a presentation on one of the
Medicare Health plans you market, and modify it to include information about preventive
screening tests showcased at the event. How should you respond to your colleague's
suggestion? - ✔✔You should tell your colleague no because participation in an
educational event [Show Less]