What Is AHIP Medicare Training and What Does It Consist Of?

Most carriers require brokers to have an up-to-date America’s Health Insurance Plans (AHIP) certification in order to sell Medicare Advantage plans during the Annual Enrollment Period (AEP). AHIP certification is necessary because these plans are administered by the government. Before you start AHIP Medicare training, here’s what you should know.

What to Expect During AHIP Medicare Training

AHIP Medicare training will instruct you on the following items:

  • Who is eligible for Medicare and how coverage works
  • An introduction to Medicare fee-for-service plans, including their benefits and who is eligible for them
  • Medicare Advantage and Part D drug plans
  • Nondiscrimination
  • How to compliantly reach out to and enroll consumers in Medicare Advantage and Part D plans

In addition to the Medicare portion of the test, you’ll also have to take another section dealing with fraud, waste, and abuse (FWA). You must pass both the Medicare and FWA portions to receive your AHIP certification.

What to Expect During Fraud, Waste, and Abuse (FWA) Training

Whereas AHIP Medicare training covers the items listed above, FWA training will teach you about:

  • How to detect and report FWA when they occur within the Medicare program.
  • Industry advances on fraud detection.
  • How to use the legal system to stop FWA.
  • The human and financial costs of FWA.
  • How to report FWA.

What Is the Test for AHIP Certification Like?

This 50-question test is timed and administered as open book. Once you begin, you’ll have two hours to finish. Each broker gets three attempts to pass the test. Unfortunately, this isn’t like a normal test: You’ll have to answer at least 90 percent of the questions correctly in order to pass. Although it’s an open-book test, you’ll have to learn a lot of things, and the FWA and AHIP Medicare training can be daunting. But studying hard and giving yourself lots of time to prepare will make it much easier. Before taking the timed test, you should seek out some of the self-study AHIP training modules that are available.  

I’ve Already Done My AHIP Medicare Training. Do I Need to Do It Every Year?

Yes. You will have to do some studying every year, and you’ll also have to pay once again to take the AHIP certification tests. The AHIP test costs $175; however, many carriers offer a discounted rate of $125, if you take the test through them. The regulations surrounding Medicare Advantage change every year, so it’s important for brokers to stay updated on how to protect their consumers.

Where Can I Get My AHIP Certification?

If you still have AHIP Medicare training questions, talk to one of Excelsior’s regional sales directors. Contact Excelsior today to see how we can help guide you through this annual process.


http://www.croweandassociates.com/agentblog/ahip-certification-2018/ | https://www.ahip.org/course/medicare-fraud-waste-and-abuse-fwa-training/ | https://www.ahipmedicaretraining.com/ext/ahip/login.php | https://agentsurvivalguide.com/what-is-ahip-and-why-do-you-need-it | http://www.ahipmedicaretraining.com/file.php/1/public/User_Guides_Job_Aides_/Medicare_User_Guide.pdf | https://agentsurvivalguide.com/faqs-about-ahip

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