Understanding AHIP

What Is AHIP Certification and How Do I Get It?

As an independent Medicare agent, you might think you’re ready to sell with your leads in hand and contracts signed. But wait—have you completed your AHIP certification yet? This crucial step ensures you comply with government rules for selling Medicare Advantage plans. Here’s what you need to know about AHIP certification and how to get it.

What Is AHIP?

AHIP stands for America’s Health Insurance Plans. It is a national trade organization that represents health insurance providers. Formed in 2013 from the merger of the Health Insurance Association of America (HIAA) and the American Association of Health Plans (AAHP), AHIP now represents over 127 organizations covering more than 200 million Americans and over 90,000 healthcare professionals. AHIP advocates for affordable, equitable, and sustainable healthcare through lobbying, research, and policy development. They are also known for their Medicare and Fraud, Waste, and Abuse (FWA) training for insurance agents.

Why Get AHIP Certified?

To sell Medicare Advantage plans during the Annual Enrollment Period (AEP), you must complete annual Medicare and FWA training compliant with the Centers for Medicare & Medicaid Services (CMS). Being AHIP certified means you have completed this training and understand the latest CMS guidelines and regulations, qualifying you to sell Medicare Advantage and Part D plans for the current or upcoming plan year.

How to Get AHIP Certified

  1. Start Date: The 2025 certification season begins on June 24, 2024.
  2. Registration: Contact us at contracts@essentialcare.info to receive your AHIP registration link with a discount! Visit our Essential Care YouTube channel to watch a step by step guide on how to register and complete your AHIP. https://www.youtube.com/watch?v=7TC2mpEdeW4&t=7s
  3. Courses: The certification includes two courses—Medicare and FWA. The Medicare course covers eligibility, benefits, and the different types of Medicare Advantage and Part D prescription drug plans. It also covers compliance with marketing guidelines and proper enrollment procedures. The FWA course educates you on detecting and reporting fraud in the Medicare program.
  4. Exam: After completing the courses, you must pass a timed, 50-question test with a score of 90% or higher to become AHIP certified. This certification of completion can be transmitted to all of your carrier active appointments directly after completing the course. Refer back to our YouTube channel for details.

FAQs About AHIP Certification

Do I need to pass AHIP annually?

Yes, because plans and CMS regulations change yearly, you must pass the test each year to continue selling.

How many attempts do I get?

You get three attempts. If you fail three times, you can re-enroll and purchase another set of attempts, but many carriers will not accept three failures in a year.

Is the test open-book?

Yes, you can print the training modules and use your notes during the test.

How much does it cost?

The 2025 AHIP certification test costs $175. Sales tax may apply depending on your state.

Is the test timed?

Yes, the final exam consists of 50 questions, and you have two hours to complete it.

What score do I need to pass?

You need a score of 90% to pass.

Tips for Passing the AHIP Exam

  1. Study and Take Notes: Use the AHIP training modules and take practice tests. Take thorough notes and familiarize yourself with them.
  2. Utilize Technology: Use split screens, open tabs, or Ctrl + F to quickly find information in your notes or training materials.
  3. Prepare Mentally and Physically: Get a good night’s sleep before the test, find a distraction-free environment, and maintain a positive attitude.

By following these steps and tips, you’ll be well on your way to getting AHIP certified and ready to sell Medicare Advantage and Part D plans for the upcoming year. For more strategies, check out our post on AHIP Test Tips and Tricks for Medicare Certification.

GET CONTRACTED WITH ESSENTIAL CARE INSURANCE AGENCY

For more information, please contact our office at 347-971-3399 or send an email to rdashevskyy@essentialcare.info.

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