210k views
5 votes
Agent Hillary Baxter has recently become licensed and appointed to sell Medicare Advantage (MA) plans. She intends to reach out to members of her community who might be interested in such products. How would you advise Agent Baxter as to what steps would be permissible for her to undertake?

1 Answer

5 votes

Final answer:

Agent Hillary Baxter should conduct outreach in compliance with Medicare regulations and the Patient Protection and Affordable Care Act while understanding concepts such as moral hazard and adverse selection.

Educating her community about the benefits of Medicare Advantage plans and staying informed about health policy developments are critical steps.

Step-by-step explanation:

As a newly licensed agent appointed to sell Medicare Advantage (MA) plans, Agent Hillary Baxter has several steps to consider to ensure her outreach efforts are compliant and effective. MA plans are part of the Medicare program aimed at providing health coverage for those eligible.

When reaching out to potential clients, Agent Baxter should ensure her actions adhere to the rules and regulations established under the Patient Protection and Affordable Care Act (ACA or Obamacare), as well as Medicare marketing guidelines.

Firstly, Agent Baxter must understand the concept of moral hazard and adverse selection to accurately communicate the value of MA plans and navigate the concerns among her clientele. She should also be aware that unlike Medicaid, which is for low-income individuals, Medicare caters primarily to people over 65 and certain younger individuals with disabilities.

Agent Baxter can capitalize on the ACA's provisions, which have expanded access to health insurance, by educating her community on the benefits of MA plans, which often provide additional services compared to traditional fee-for-service Medicare.

As part of her professional practice, Agent Baxter should also familiarize herself with the various ways Medicare is funded and administered, so she can provide accurate information to her clients.

Remaining well-informed about current and future federal health policies is crucial, especially with ongoing discussions about health care reform and legislation. Therefore, Agent Baxter should continue to educate herself, stay connected with policy developments, and possibly engage in advocacy herself within the boundaries of her professional role.

User Cching
by
7.7k points