Each year, Medicare agents have to take several tests and certifications before they can offer products to their clients. This year, our AHIP 2025 test tips will help get you up and running for a successful 2025.
Most MA/MAPD and PDP carriers require agents to pass the AHIP although, UHC does not require it, they have their own certification. The 2025 exam is available starting June 24th, 2024. The 2025 AHIP covers any business you write for the rest of 2024 as well as through 2025.
Watch our YouTube video ” AHIP Test Tips 2025″
The AHIP is a CMS compliant course that is updated each year. This ensures the training is accurate as well as relevant to current CMS regulations. For this reason, the AHIP 2025 test tips is a great tool for agents to use and complete the AHIP successfully.
Please note: In order to pass the exam, you must receive a grade of 90% to pass the exam. Agents have 2 hours to complete the exam and have 3 attempts to pass. The exam consists of 50 multiple choice questions. Those who do not pass after the third attempt, must pay for and retake the course.
Important; if you do not pass in the first 3 attempts, some carriers will not allow you to market their products for the year.
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The cost for AHIP:
AHIP course and exam has a cost of $175. Agents can get a $50 discount by taking it through one of the major carrier’s sites (UHC, Aetna, Humana, etc.). Any agent who is part of the Pinnacle financial team can also receive are a $50 discount as well. All you need to do is go to pfsinsurance.com sign in, click on certifications tab and then the AEP Toolkit; from there you scroll down and see a link for the:
Click here for the Pinnacle AHIP discount
Please note; the 2025 AHIP is very similar to the 2024 AHIP
There are some new concepts and rules you need to be aware of. Click on the link below to watch our video and learn more:
Here is what the AHIP covers:
The first part consists of 5 modules
- Medicare basics; fee-for-service and eligibility as well as benefits
- The different types of Medicare Advantage & prescription drug plans (Part D)
- Who is eligible and what is covered
- Nondiscrimination training
- Requirements for marketing and enrollment of Medicare Advantage as well as Part D/PDP plans
It is important to download each module once you are in it. This is suggested to help you complete the test later. If you took the 2024 AHIP, you only need to click through the slides on modules 4 & 5. We recommend clicking on modules 1-3 so you can download the content. It is also not a bad idea to complete the practice tests at the end of ALL modules; many of those questions will be on the test.
Each module has a 20 question practice test at the end. Pay attention to the practice questions; most of the test questions come from there.
Once you finish all modules and the exam, do not forget to take the second part of the AHIP.
The second part covers fraud, waste, and abuse
- Learn how to spot fraud, waste, and abuse (FWA)
- Find out what the Medicare industry is doing to detect fraud
- What are the legal tools that combat FWA
- Understand the human as well as the financial cost of fraud waste and abuse
- Review general compliance requirements for Medicare Parts C and D fraud, waste, and abuse.
- Find out who commits fraud, waste, and abuse
- What are loophole and obligations to reporting fraud, waste and abuse
Once you successfully complete everything, remember to download your AHIP certificate. In some cases, carriers allow you to transmit your score directly from the AHIP site, but some require you to upload it into their dashboards yourself.
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