AHIP, which stands for America’s Health Insurance Plans, was formed in 2013 and consists of 1,300 private companies providing health care coverage, services and solutions to millions of Americans. Through the expertise of thousands of industry professionals, they advocate for advancing health equity, supporting private insurance, Medicare Advantage advocating employer-based health coverage and promoting Medicare Advantage.

AHIP is especially relevant to the Medicare industry as the proprietor of the certification to sell Medicare Advantage plans.

Most carriers require certification to ensure compliancy with the latest CMS guidelines, which keeps seniors safe from fraud and holds agents accountable for sales.

The test is released on an annual basis, and is available June 21, 2021 for certification through 2022. Now that the test has been released, here is everything you need to know to prepare.

The test generally consists of two parts: Medicare and Fraud, Waste & Abuse. The former covers the basics of Medicare benefits and eligibility, Medicare Advantage and Part D Prescription Drug plans (via PMS Brokerage). The latter focuses on the consequences of human and financial waste, and provides information on proper reporting to avoid any risk associated with fraudulent behavior. Because Medicare Advantage plans are distributed by the U.S. government, it’s important that agents are educated on detecting and eliminating any presence of Fraud, Waste and Abuse within their book of business. If you’re interested in selling Medicare Advantage plans, find out more about passing this exam.

The test is $175, but many carriers offer discounts through their agent portals. It is a timed test with two hours to complete 50 questions, and three attempts to pass (via Excelsior). Luckily, there are training materials available for agents to help them prepare before the test is distributed.

Passing the AHIP certification is a necessary step in selling Medicare Advantage and Prescription Drug Plans, but it doesn’t need to be difficult. With proper preparation and training, agents can expand their product offerings and exponentially increase sales through Open Enrollment and beyond.