AHIP Certification: A Comprehensive Guide

By Chris Huston


It’s that time of year to start thinking about AHIP certification!

In this week’s podcast, we examine what you need to know about the AHIP and the new NABIP certification.

Certifications launch June 21, 2023

AHIP Certification 2024

AHIP (America’s Health Insurance Plans) is an industry-recognized certification test required by almost all Medicare carriers. 

It’s required to sell most Medicare Advantage (MA) and Prescription Drug Plans (PDPs) for each calendar year.

Most carriers require the AHIP certification as a prerequisite to their own additional specific certifications. If you are doing this certification test for the first time or want a reminder, here’s what you need to know:

The AHIP Certification Test

  • On average, preparation for the AHIP certification test may take 10-15 hours
  • Available exclusively online
  • It’s completed in 5 modules with a quiz at the end of each section
  • The final test consists of 50 questions and requires a score of 90% or higher
  • You are allowed 3 attempts to take it per calendar year

The AHIP training Includes:

  • The basics of Medicare fee-for-service eligibility and benefits
  • Different types of Medicare Advantage and Part D prescription drug plans
  • Eligibility and coverage
  • Nondiscrimination training
  • Marketing and enrollment under the Medicare Advantage and Part D program requirements
  • How to identify Fraud, Waste, and Abuse (FWA)
  • An overview of the industry efforts in detecting fraud
  • Legal tools to combat FWA
  • Understand both the human and financial costs of FWA
  • Review Medicare Parts C and D Fraud, Waste, and Abuse and General Compliance requirements
  • Who commits FWA
  • Reporting FWA; loopholes and obligations

From the AHIP Medicare Training Website

What about the NABIP Certification?

The National Association of Benefits and Insurance Professionals (NABIP) has launched its own Medicare certification, which some agents might want to consider this year!


For only $100, you will receive NABIP’s PY2024 Medicare, Medicare Advantage, and Compliance Requirements Certification training, which is accessible through NABIP’s Online Learning Institute.

The cost includes free CE credits (up to 8 credits awarded), the convenience of a private online library accessible 24/7 with easy navigation, and access to NABIP’s Live Student Services Help Desk at (844) 257-0990 or


On June 21, NABIP will launch the PY2024 Medicare, Medicare Advantage, and Compliance Requirements Certification, which meets CMS guidance and carrier approvals.

This training includes critical information on the changes to rights and protections, an expanded interpretation of the regulatory definition of the marketing rules, and the required Fraud, Waste & Abuse curriculum.

NABIP’s Medicare Certification is an interactive training in a straightforward delivery model, with no trick questions on the final exam. NABIP’s certification is written by agents for agents.

Chris Huston

About Chris Huston

As our Creative Content Specialist, you will likely find Chris recording & editing videos, producing podcasts, photographing events or posting to social media most days. When not in the office, she is spending time with her family, creating recipes on her food website or watching her son play baseball.