Plan Advisors

Helping you choose the right health plan

AHIP Frequently Asked Questions (FAQs)

AHIP

by

For new health insurance brokers looking to get appointed with carriers in the Medicare Advantage and Part D prescription drug plan arenas, most will be required to complete certification training. AHIP’s Medicare Fraud, Waste & Abuse training program is one of the most popular certification training programs. To help you prepare for your AHIP exam, we’ve put together some AHIP Frequently Asked Questions (FAQs).

AHIP Frequently Asked Questions

What is AHIP?

America’s Health Insurance Plans is a national trade association that represents over 1,000 companies that provide health coverage and health-related services to most of the U.S. population.

Do I have to take AHIP?

Most MA and Part D plan sponsors require Medicare sales certification training prior to allowing a health insurance broker to represent the carrier’s line of Medicare products.

AHIP’s Medicare Fraud, Waste & Abuse training is by far the most used program in the industry.

Each year carriers release the specifics on their required certification training. For example, here are Humana’s certification requirements for the 2022 plan year.

Where do I take the AHIP exam?

The AHIP training program is hosted on an interactive online platform, new for the 2022 plan year! The AHIP training platform makes it easy to complete self-guided modules and the final exam.

How much does it cost to take the AHIP Exam?

The full price for AHIP’s MFWA training is $175. Several carriers offer the course at a discounted price ($125) if a broker signs up for the training via the carrier’s producer portal.

As carriers release their certification information, we send out a full list of requirements to our brokers – so keep an eye on your email as June rolls around!

Is there a test?

Yes, you must pass the final exam found at the end of the training.

You only have three attempts to successfully pass the final exam. If you fail all three attempts, you will have to pay for the training again, and many carriers will not allow you to sell MA or Part D for the entire plan year.

What is the AHIP exam like?

The AHIP exam is 50 questions. Brokers have two hours to complete it, and they may print the AHIP training modules to use for the test. A passing score is 90% or higher.

Remember, brokers are encouraged to take their time and use notes!

You can find out more about AHIP’s Medicare Fraud, Waste & Abuse training platform HERE. But remember, you can sign up for the training through several different carrier portals to receive a $50 discount. Some brokers may even be fully reimbursed based on enrollments completed during the Annual Election Period.

We hope you’ve found these AHIP Frequently Asked Questions helpful. If you have more questions about the AHIP certification, we’d be happy to help!

by

Humana is making it easier than ever to get certified (or re-certified) to sell their array of Medicare Advantage and Part D prescription drug plans for the 2022 selling season.

This year, the courses will launch through Humana MarketPoint University on June 29, 2021. Brokers will have until November 30, 2021 to complete certification or recertification.

Expanded Options for Completing CMS Required Training

Starting with the 2022 plan year, Humana is allowing participating brokers to choose between AHIP or NAHU Medicare training programs to become certified to sell Humana.

Either option will be made available through Humana MarketPoint University at a discounted rate! Brokers must enroll in the PY22 Certification or Recertification course within Humana MarketPoint University to receive the discount.

Getting Certified to Sell Humana Plans with AHIP

Here are a few details you need to know if you choose to get certified to sell 2022 Humana plans through AHIP:

  • Brokers will receive Humana’s discounted rate of $125 (versus the regular AHIP rate of $175) when enrolling through Humana MarketPoint University’s PY22 Certification or Recertification course.
  • AHIP is widely accepted by other carriers.
  • A Spanish version will be made available after the June 29th launch. Look for additional communications on Spanish versions.

For more AHIP FAQs, visit this blog.

Choosing NAHU to Get Certified to Sell Humana 2022 Plans

If you choose not to use AHIP to get certified, you can complete your certification through NAHU instead. Here’s what you need to know:

  • Brokers will receive Humana’s discounted rate of $90 when enrolling through Humana MarketPoint University’s PY22 Certification or Recertification course.
  • CE credits are included!
  • Brokers should check with other carriers to see if training course is accepted.

Remember, the earlier you get in CMS compliance and carrier certified for 2022 AEP, the sooner you can move on to marketing and hustling!

CLICK HERE for complete details on Humana certification dates and changes.

Not contracted to sell Humana but want to be? Let’s talk about getting aligned with Plan Advisors to represent Humana’s wide array of plans. Already aligned with Plan Advisors? Get contracted.

by

We are a little more than a month away from AHIP’s launch of their 2022 plan year Medicare Fraud, Waste & Abuse (MFWA) training. The AHIP training program is by far the leader when it comes to annual CMS required training for Medicare sales specialists. Over 100,000 brokers use AHIP’s MFWA training every year to obtain compliance with CMS standards.

AHIP’s Plan Year 2022 MFWA Online Training Launches on June 21, 2021

Changes coming for 2022

AHIP is introducing their 2022 plan year training on a new interactive platform, that will provide the following:

  • Easier site navigation
  • Mobile-friendly use
  • Ease switching from Spanish to English
  • Stronger security

Why take the AHIP Medicare Fraud, Waste & Abuse training?

In order to sell Medicare Advantage plans, most carriers require brokers to complete AHIP training. This ensures that brokers are compliant with the latest CMS Medicare marketing and sales guidelines and regulations.

If you are new to the Medicare sales industry and have never taken the AHIP Medicare Fraud, Waste & Abuse training, here’s what you’ll learn:

  • Basics of Medicare eligibility and benefits
  • The various types of Medicare Advantage and Part D drug plans
  • Marketing and enrollment guidelines for Medicare Advantage and Part D drug plans
  • How to identify fraud, waste & abuse
  • The costs associated with fraud, waste & abuse

How AHIP Certification Works

The AHIP Certification program consists of self-guided training modules that culminate in a timed exam. At the end of each training module are review questions, which must be answered before taking the AHIP exam.

The exam itself has 50 questions and brokers have 2 hours to complete it. In order to pass, brokers must receive a 90% on the exam.

The 2022 plan year AHIP certification program goes live on June 21, 2021.

We will let you know once the 2022 plan year MFWA training goes live. We will also provide an update on plan sponsor discounts as soon as they are made available by the various carriers.

If this is your first year taking the AHIP certification, we’re here to help with answers to AHIP frequently asked questions.

Brokers interested in completing 2021 MFWA training still have until June 17th to gain compliance. CLICK HERE to get started.