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The prohibition of gift cards or gift certificates, even those valued at $15 or less, aligns with Medicare's guidelines to maintain ethical standards in marketing practices. Offering cash equivalents, such as gift cards, can potentially influence beneficiaries' decisions regarding enrollment or plan selection. Therefore, the Medicare agency restricts these types of incentives to avoid any undue pressure or encouragement that could mislead beneficiaries in their decision-making process.

This policy aims to ensure that beneficiaries are making informed choices based on the merits of the health plans rather than being swayed by the promise of material rewards. It helps to maintain the integrity of the Medicare program and protects beneficiaries from marketing tactics that could exploit their trust.

Other options provide varying levels of gifts or incentives that, though they may seem benign, do not align with the strict guidelines set forth by Medicare to ensure fair and ethical sales practices.