AHIP Exam AHM-250 Topic 5 Question 108 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 108
Topic #: 5

The following statements are about the non-group market for managed care products in the United States. Select the answer choice containing the correct statement.

AIn order to promote a product to the individual market, MCOs typically rely on personal selling by captive agents rather than on promotional tools such as direct mail, telemarketing, and advertising.

BManaged Medicare plans typically are allowed to reject a Medicare applicant on the basis of the results of medical underwriting of the applicant.

CHCFA (now known as the Centers for Medicare and Medicaid Services) must approve all membership and enrollment materials used by MCOs to market managed care products to the Medicare population.

DManaged care plans are not allowed to health screen individual market customers who are under age 65, even if the health screen could help prevent anti selection.

Show Suggested Answer

Suggested Answer: C

by Helene at Mar 04, 2025, 04:22 AM

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Bettina

5 days ago

D seems like the right answer to me. Managed care plans should be allowed to health screen individual market customers under 65 to prevent anti-selection. It's a shame the regulations don't allow that.

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Brent

17 days ago

I think the correct answer is C. HCFA (now known as the Centers for Medicare and Medicaid Services) must approve all membership and enrollment materials used by MCOs to market managed care products to the Medicare population. This seems like the most straightforward and accurate statement.

upvoted 0 times