Aetna Medicare Certification
Aetna Medicare Certification (Individual Medicare annual certification process) must be completed and all contracting requirements met prior to either marketing or selling Aetna Individual Medicare products (MA, MAPD, PDP) This is the case during the Annual Election Period for January 1 effective dates as well as throughout the year.
Up-lines and principals must have licensing, appointments and certifications in all states and markets their down-line agents/employees sell in.
Note: The Pinnacle site will give you both the certifications and instructions for each on one website. However, you will need a user name and password to access the site. Call our office if you need one.
In order to sell Aetna, you must have a contract with them.
What is required for renewals?
To be eligible for renewal commission every January for prior years existing business, you must finish the annual certification process by December 31 of the previous year. You need both a valid insurance license and you must be appointed to sell as well.
MA and MAPD certification process and components:
1. Aetna Medicare Certification: AHIP Medicare training and test:
The main AHIP course has 5 modules. You will have 3 attempts to pass the test. A min score of 90% will be required. After completion, there are separate modules for Fraud, Waste and Abuse (FWA) and a test that must be passed.
- The standard AHIP test through the www.ahip.com site is $175 for every 3 tries. The same course is available through the Aetna site for $125.00. Aetna “Front Runners” for 2019 will be able to access the course at no cost.
If you already passed AHIP the previous year, you can take the fast track version by skipping mods 1-3 and only going through 4 and 5. You still need to complete the Fraud, Waste, and Abuse training/exam. This is a quicker way to get through AHIP. Since the final test has questions on all 5 mods, it is more difficult to take advantage of this strategy. As a result, this year is trickier.
2. Aetna Medicare Certification: Base training and exam:
This gives an overview of Aetna’s Code of Conduct and Medicare Compliance Program. As a result, it will satisfy the annual CMS requirements.
3. Aetna Medicare Certification: Broker attestations:
Attestation for Market training (market specific) An attestation stating training must be completed for each state and/or market an agent plans to sell in. The site to register for such training is provided below. AetnaMedicareAgentTraining.com to search by state.
Third-party website attestation: Needed for agents, brokers/reps and entities that use a website to either sell, advertise or promote MA,MAPD and PDP plans. In addition, it applies to sites that are obtaining client/prospect information for the purpose of selling or promoting such plans.
4. Aetna Medicare Certification: MA/MAPD review, training and Test:
Offers a overview of the Aetna (including Coventry) Individual MA, MAPD as well as Medicare Supplement plans (Med supps not in every state) to comply with the annual CMS certification requirements. In addition, this training also includes Aetna SNP/Dual Eligible plans they may offer.
5. Aetna Medicare Certifications: Notes about AHIP transfers
AHIP testing is available through a number of carriers. In addition, it is available through the AHIP site. As a result, anyone who takes and passes AHIP through another site can transfer their results to AETNA.