Find out what AHIP certification is, how to get it, details on AHIP Medicare training and the latest updates on AHIP certification for 2024.
What is AHIP certification?
AHIP certification refers to the certification program offered by AHIP (American’s Health Insurance Plans) for the year 2024. AHIP provides annual certification training for insurance agents who intend to sell Medicare Advantage and prescription drug plans.
This certification ensures that agents know and adhere to the guidelines and regulations set forth by the Centers for Medicare & Medicaid Services (CMS). AHIP certification is designed to equip agents with the necessary skills and understanding to effectively sell Medicare plans while adhering to CMS requirements.
Covers topics such as rules, regulations, marketing guidelines, and Medicare fraud prevention. By completing the AHIP Certification, agents demonstrate their competency and eligibility to sell Medicare Advantage and Part D plans for the current plan year, which in this case it is.
It is important for agents to stay current on AHIP’s certification requirements and complete training within the specified time frame to ensure compliance and maintain their ability to sell Medicare plans in a legal and informed manner.
AHIP Medicare training
At AHIP certification training, you can expect to be assessed on your understanding of various Medicare-related topics. The training material covers a range of topics, including:
- Basics of Medicare Fee-for-Service Eligibility and Benefits.
- Different types of Medicare Advantage and Part D prescription drug plans.
- Eligibility criteria and coverage details.
- Anti-discrimination training.
- Marketing and enrollment procedures in accordance with Medicare Advantage and Part D requirements.
During the training, your understanding of these subjects will be tested to ensure your knowledge and expertise in the Medicare domain.
Updates on 2024 AHIP certification
The 2024 AHIP Medicare training season began on June 21, 2023 and includes the latest Marketing Medicare and Fraud, Waste and Abuse (FWA) training. This training is designed to meet compliance standards set by the Centers for Medicare & Medicaid Services (CMS).
AHIP, also known as America’s Health Insurance Plans, organizes this annual training program and ensures that it is updated to reflect the upcoming plan year. The purpose of the training is to provide agents with the necessary knowledge and skills to sell Medicare plans in a manner consistent with CMS guidelines.
It is important to note that the 2023 Medicare and FWA training will close on June 16, 2023 at 11:59 PM ET, in preparation for the launch of the 2024 AHIP Medicare and FWA training. Agents who wish to be certified to sell 2023 plans by the end of the year should ensure that they complete their 2023 certification before that deadline.
AHIP certification is widely accepted and often required by most carriers if you intend to legally sell Medicare Advantage (MA) or Prescription Drug Plans (PDP). However, it is worth mentioning that AHIP certification serves as a prerequisite for additional carrier-specific certifications that may be required by individual policyholders.
For more information on carrier-specific requirements for AHIP certification in 2024, you can stay up-to-date through Ritter’s Certification Center. To access carrier-specific requirements, you can log in to RitterIM.com. If you are new to the site, registration is free and will give you access to the information you need.
How can I get an AHIP certificate?
To obtain AHIP certification, follow these steps:
Begin the Certification Process: AHIP’s certification season typically begins on a specific date. For example, the 2024 certification season began on June 21, 2023. Check the AHIP website for the current certification season.
Register online: Visit the AHIP website and register for the certification test. Use your National Manufacturer Number (NPN) as your username and enter the password you previously used when logging in.
Take the test: The AHIP certification test is an open book exam consisting of 50 questions. It is held online with a time limit of 2 hours. You must pass both parts of the exam to receive AHIP certification for the current year.
Pay the certification fee: The cost of the AHIP certification test is usually $175 for three attempts. However, through certain providers such as PSM, you may be eligible for a $125 discount. Be sure to check for discounts available.
Upload Certification: Once you have successfully completed your AHIP certification, you need to upload it to the website of each carrier you wish to work with. This step is necessary to meet the specific requirements of the provider for selling their products.
Additional Carrier-Specific Training: Please note that some carriers may have additional training requirements in addition to AHIP certification. Make sure you meet these requirements to be able to sell their products.
Retake the test if necessary: If you do not pass the AHIP certification test within the three allowed attempts, you may have to re-apply and pay again for three more attempts. However, please note that some carriers may not accept applicants who have failed the test three times in a given year.
Consider Self-Study Courses: To increase your chances of success, it is recommended to take self-study courses that cover the material included in the AHIP certification test. These courses can help you prepare better and improve your knowledge.
By following these steps, you can become AHIP certified and demonstrate your competency in selling Medicare Advantage and Part D plans.
What does AHIP represent in Medicare?
AHIP, originally an acronym for America’s Health Insurance Plans, is a national trade organization in the United States. It was created in 2013 by the merger of two associations: the Health Insurance Association of America (HIAA) and the American Association of Health Plans (AAHP).
However, as of June 1, 2021, the organization now operates solely under the name AHIP. Currently, AHIP represents nearly 31 member organizations that provide health insurance, services and solutions to more than 200 million Americans.
Their reach extends to more than 90,000 healthcare workers across the country. AHIP actively advocates for a health care system that is more accessible, fairer and more sustainable.
They achieve this through various initiatives, such as lobbying for favorable policies, conducting research on health issues, and analyzing and developing policies. In addition, AHIP is well known for offering professional development courses, including their widely recognized Medicare and Fraud, Waste and Abuse training.
This training is specifically designed for insurance agents who sell Medicare Advantage and prescription drug plans. Overall, AHIP plays a significant role in shaping the healthcare landscape in the United States, advocating for positive change and providing valuable resources for healthcare professionals in the industry.
Disclaimer: The above information is for general information purposes only. All information on the website is provided in good faith, but we make no representations or warranties of any kind, express or implied, as to the accuracy, adequacy, validity, reliability, availability or completeness of any information on the website.
Categories: General
Source: HIS Education