AHIP is a requirement for any health agent who wants to sell Medicare Advantage. The cost of the test is $175 per year, but each year you can utilize an AHIP discount code which reduces the cost by $50, bringing your total cost for AHIP to $125.
Here’s how it works.
You will need a specific link to use when registering for AHIP for the upcoming year. For example, if you go directly to AHIP and sign up, you can no longer receive the discount since you didn’t use a specific discount link.
Below is an AHIP discount code link you can use through out the year and moving forward to get $50 off the AHIP purchase price.
What does AHIP stand for?
AHIP is the acronym for America’s Health Insurance Plans.
It was formed when the Health Insurance Association of America (HIAA) and the Association of Health Plans (AAHP) merged.
What is AHIP?
At it’s core, AHIP is a national political advocacy and trade association.
It has about 1,300 member companies that sell health insurance coverage to an estimated 200 million Americans. The primary goal of AHIP is to lobby to create a more affordable health care system through research and policy development.
The AHIP Center for Policy and Research is responsible for the association’s research and publishes content on a variety of forms of private health insurance which is often based on data gathered from AHIP member companies. This includes studies on disability income, long-term care insurance and various types of medical expense insurance.
AHIP is a member of the Washington, D.C. based Council for Affordable Quality Healthcare Inc. (CAQH), which is a non-profit organization with the mission of accelerating the transformation of business processes in healthcare through collaboration, innovation and a commitment to ensuring value among stakeholders that includes healthcare providers, trade associations, and health plans.
AHIP member companies offer medical insurance, long-term care insurance, disability income insurance, dental insurance, supplemental insurance, stop-loss insurance and reinsurance to consumers, employers and public purchasers.
AHIP provides a unified voice for health insurance plans with the principal purpose of representing members on legislative and regulatory issues at the federal and state levels as well as with the media, consumers and employers. The association has a major policy goal of expanding access to high quality, affordable coverage to all Americans.
It accomplishes this through a variety of activities that include the dissemination of newsletters, publications, a magazine, and online services. AHIP also conducts education and quality assurance programs and several other activities designed to assist member organizations and inform policy makers and the public about health care financing and delivery.
The AHIP official Vision and Mission are:
“Our vision is to advance a vibrant, private-public system with consumer choice, product flexibility and innovation. We support initiatives empowering consumers with information they need to make health care decisions, promoting health care quality in partnership with health care providers and expanding affordable health care coverage to all Americans.”
“Our mission is to be an effective advocate for a workable legislative and regulatory environment at the federal and state levels in which our members can advance their vision of a health care system that meets the needs of consumers, employers and public purchasers.”
AHIP is governed by a Board of Directors comprised of several CEOs and presidents of top American insurance industry firms.
AHIP also provides links to member companies that provide health insurance coverage. It does not endorse particular products. The links are made available only as an informational service for consumers. The listed companies have all identified themselves as actively marketing insurance but not every company is licensed in all jurisdictions.
AHIP Certification: Who’s Required to Take It?
To sell Medicare Advantage plans during the Annual Enrollment Period, most insurers require completion of AHIP’s Medicare training courses. I say most because some companies have their own internal certification that satisfies their requirements. This is typically only an option for captive agents, so if you’re planning on representing multiple MAPD companies, then you’ll need to complete AHIP.
Insurers generally require AHIP to assure that agents selling their plans are compliant with the latest CMS guidelines and regulations
Required certifications are in place to help protect seniors and reward agents for following correct procedures and policies.
Because regulations surrounding Medicare Advantage change every year, brokers must take the AHIP certification test annually.
AHIP certification consists of passing a test based on knowledge about Medicare and Fraud, Waste & Abuse (FWA).
The test consists of 50 questions and is administered online.
Test takers have two hours to finish and must pass with a 90% score. This may seem a bit daunting, but that’s buffered by the fact that you get up to three attempts to pass the AHIP test.
If you fail on the three attempts, you can purchase another set of three attempts, but be aware that many carriers will not accept three failures in a given year.
You could very well be prohibited from selling their products during that particular plan year.
Here is a fly by…
AHIP Medicare Training
The Medicare course and test subject matter covers the basics of eligibility and benefits as well as different kinds of Medicare Advantage and Part D prescription drug plans.
Brokers will also cover nondiscrimination issues and how to stay compliant while reaching out and enrolling consumers in Medicare Advantage and Part D plans.
Fraud, Waste and Abuse (FWA) AHIP
The FWA course and test subject matter covers industry efforts to detect fraud in Medicare. The training and certification educates brokers on the human and financial costs of FWA and what brokers must do to report FWA. It also addresses industry advancements on fraud detection.
Brokers must past both parts of the test to receive AHIP certification for the current selling year.
Many insurers also require additional Medicare certification requirements over and above AHIP certification. These requirements will vary from insurer to insurer and will generally focus on that particular company’s specific plans. Agents and brokers will complete these certifications directly through each carrier’s broker portal.
Other AHIP Training Courses
In addition to AHIP certification courses, the association offers more than 40 courses overall that are flexible, affordable and fulfill CMS reporting verification requirements while earning Continuing Education Credits.
AHIP also offers 15 designations as well.
For example, AHIP offers a series of Disability Insurance courses. Enrollees start with a Disability Income Associate (DIA) designation by taking three courses and then can move to the next level, earning a Disability Income Fellow (DIF) designation when they complete two additional courses.
Enrollees in Long-Term Care Insurance classes can earn the designation of Long-Term Care Professional (LTCP) by completing four courses to signify their expertise in this area.
AHIP also offers agents and brokers the opportunity to meet CMS requirements with Federally-facilitated Marketplace Training. The program can be completed at your pace to help you fit training easily into your busy schedule.
AHIP Certification Study Material
Follow the steps below to complete your AHIP training and get your certificate.
- Get you ahip discount code.
- Create a new account or login to your existing AHIP account here.
- Choose the year which you need to be certified.
- Choose if you want your AHIP training to also give you continuing education credits (suggested).
- Take your modules and test quizzes
- Take your final exam and pass with a 90% or greater score.
- Print your certificate, save your certificate, or transmit your certificate to the Medicare Advantage companies you are contracted with.
What Insurance Companies Offer an AHIP Discount Code?
Many insurance companies will offer you an AHIP discount code. Below are some of the companies that have been known to offer an AHIP discount code for contracted agents. If you’re already appointed with one of these companies, you can simply request their ahip discount code from agent support.
AHIP Certification Cost
The fee to take the AHIP certification test is $175 if you don’t have a discount.
Many carriers offer a discount of $50 if you take the exam through their carrier portal.
Some carriers even offer a full AHIP reimbursement as a production incentive. This is definitely something you should be asking so you can get your fee reimbursed after you have placed the required number of applications.
Even when you use our discount code, you can still get reimbursed in many cases from your contracted companies you are selling.
When does the AHIP certification exam become available?
AHIP 2019 certification is now available on the AHIP website.
There is no official deadline to pass AHIP but be aware that most carriers view certification as the first step in completing additional carrier specific certifications.
The 2019 AHIP test will eventually be replaced by the 2020 test which generally takes place in early summer.
Printing Your AHIP Certificate
AHIP provides an online Medicare Training Course User Guide that walks certification applicants through the entire registration procedure, including step 4j that shows where and how you will be able to print your AHIP certification.
You will also be able to purchase CE credits and transmit results to various health plans if you want to utilize the time spent for your required continuing education credits.
You can also log in to your AHIP account at a later date and access your certification documents and electronically transmit to the various Medicare advantage companies.
How to Access AHIP Login
To access AHIP’s Login, go to their website located here. Remember, if you do not use a discount link to login, then you will not be credited an AHIP discount. Make sure you are using an AHIP discount code link when signing in to complete your AHIP training for the upcoming year.
Contact Information for AHIP
The address and phone number for AHIP are:
America’s Health Insurance Plans
601 Pennsylvania Avenue, NW
Washington, DC 20004