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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Juan

26 days ago

I'm just going to choose D and hope for the best. Trying to understand all these managed care regulations is enough to give me a headache!

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Cordell

2 days ago

I think D is a safe choice, good luck!

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Elden

1 months ago

C is definitely the correct answer. Gotta love those government bureaucrats approving everything! At least they're keeping a close eye on those crafty MCOs.

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Daron

1 days ago

I agree. It's reassuring to know that there are checks and balances in place to ensure that managed care products are marketed ethically and responsibly.

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Nancey

7 days ago

Yeah, it's important to have regulations in place to protect consumers from any potential abuse by the MCOs.

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Tracey

27 days ago

C is definitely the correct answer. Gotta love those government bureaucrats approving everything! At least they're keeping a close eye on those crafty MCOs.

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Germaine

1 months ago

Hmm, I'm torn between B and C. Managed Medicare plans should be able to reject applicants based on medical underwriting, but the enrollment materials also need to be approved. Maybe I'll just flip a coin.

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Bettina

1 months 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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Earnestine

2 days ago

I think the regulations are in place to ensure fair access to healthcare for all individuals.

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Elden

16 days ago

I agree, it does seem like a missed opportunity to prevent anti-selection.

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Brent

2 months 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.

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Clement

1 months ago

Actually, I think the answer is D. Managed 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.

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Maia

1 months ago

I'm not sure, but I think it might be A. In 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.

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