AHIP Practice Exam

What kind of prizes are not allowed at a sales event according to Medicare guidelines?

1. Gift cards of $50 or less

2. Gifts that are not related to healthcare services

3. Gift cards or gift certificates of $15 or less

4. Any food items as door prizes

The correct answer is: Gift cards or gift certificates of $15 or less

Gift cards or gift certificates of $15 or less are not allowed as prizes at sales events according to Medicare guidelines because the regulations set clear limits on the type and value of gifts that can be offered to beneficiaries during these events. This is to prevent undue influence on a person's decision-making regarding healthcare, ensuring that marketing practices remain ethical and do not lead to confusion or unethical situations. Medicare guidelines aim to ensure that any incentives offered do not encourage beneficiaries to enroll in plans solely based on the value of gifts, which could mislead them about the actual benefits of the plans being sold. Thus, while smaller gifts may seem harmless, allowing gift cards of certain values can blur the lines of appropriate marketing practices in healthcare, leading to potential issues of compliance. The other options involve various forms of gifts or prizes that can fall within acceptable limits or may not directly violate any specific guideline, but the usage of gift cards over the stated limit raises compliance concerns that the guidelines aim to avoid.