July 13

Aetna Certification Instructions

What's required to sell 2018 MA/MAPD and PDP plans

You must successfully complete the Aetna Individual Medicare annual certification process and meet all contracting requirements prior to marketing or selling Aetna or Coventry Individual Medicare products (MA/MAPD and PDP) during the Annual Election Period for January 1 effective dates and throughout the year.

Up-lines and principals must be fully licensed, appointed and certified in all states and markets where their downline agents or employees intend to sell.

What's required to receive renewal commission?

To receive renewal commission next January for business sold in prior years, you must complete the annual certification process by December 31. You must also be licensed and appointed with us.

How to access the certification site

Just login to Aetna's certification site at AetnaMedicareProducerCertification.com.

MA/MAPD/PDP certification components

AHIP Medicare training and exam: This course has five modules. The final exam requires a passing score of 90% or better within three attempts and includes Fraud, Waste and Abuse (FWA) training and a test.

The AHIP final exam costs $125. (Except for 2017 Front Runners. For Front Runners, the cost is FREE.)

If you’re recertifying and you completed last year’s AHIP training requirements, you can follow a recertification track of modules 4-5 only, plus the Fraud, Waste, and Abuse training/exam. You should still reacquaint yourself with modules 1-3, since the final exam covers all five modules.

Core training and exam: Provides a high-level view of Aetna’s Code of Conduct and Medicare Compliance Program to satisfy annual CMS certification requirements.

Part D training and exam: Offers a high-level look at Aetna and Coventry Part D products to satisfy annual CMS certification requirements.PDP-only certification components

AHIP Medicare training and exam: This course has five modules. The final exam requires a passing score of 90% or better within three attempts and includes Fraud, Waste and Abuse (FWA) training and a test.

The AHIP final exam costs $125. (Except for 2017 Front Runners. For Front Runners, the cost is FREE.)If you’re recertifying and you completed last year’s AHIP training requirements, you can follow a recertification track of modules 4-5 only, plus the Fraud, Waste, and Abuse training/exam. You should still reacquaint yourself with modules 1-3, since the final exam covers all five modules.

Core training and exam: Provides a high-level view of Aetna’s Code of Conduct and Medicare Compliance Program to satisfy annual CMS certification requirements.MA/MAPD overview training and exam: Offers a high-level look at Aetna and Coventry Individual MA/MAPD and Medicare Supplement products to satisfy annual CMS certification requirements.

Part D training and exam: Offers a high-level look at Aetna and Coventry Part D products.What else is new?

Also new this year, if your organization is considered a First Tier Entity, you can complete and submit your annual attestation to us right on the certification site. Attestation is quick and easy this year. FDRs will see the 2017 attestation on the certification site, on or after July 11, as a compliance requirement to complete.

Certification FAQs

Can my AHIP certification be transferred to Aetna? Yes, as long as you earn a score of 90% or better on the final exam within three attempts. You may transfer your existing AHIP certification to us through our certification site. You must still complete the other Aetna-specific requirements to finish the Aetna Individual Medicare annual certification process.

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