Welcome to the 2021 AHIP season! Tidewater is here to help you with any and all of your certification needs.
2021 AHIP was released on June 22nd at the price of $175 through their official website. However, wanted to show you some opportunities through some of our carrier partners that will give you a reduced cost. They will also offer an incentive and a reimbursement on that product if you exceed a certain amount of production during AEP. After completing your 2021 certification, you will be licensed to sell 2020 for the remainder of the year and 2021 plans starting this AEP with a 1/1/21 effective date.
Countdown to Medicare Advantage AEP
Have you taken AHIP before?
Good news! While the 2021 AHIP still has the 5 core modules like in years past, for those of you who are taking AHIP for at least the second year, you're only required to complete the 4th and 5th modules, but we strongly recommend reviewing all 5.
Something to focus on this year is a 20 question review quiz for each module, so you may decide to go back through all 5 for review. The quiz isn't graded, but you must take all 5. It will tell you what you get right and wrong, so take notes. These quizzes are great study tools, and you can even download the modules as PDFs to use as study material!
How to pass the final exam
The final exam still looks the same with 50 questions, and 3 attempts to get a passing score of a 90%. We have found that a large percentage of the final exam questions come from the modules and review quizzes. We recommend paying close attention and taking notes on the modules and review quizzes. Keep in mind that all of the questions will not be straight forward definitions or identification, they will require you to apply your knowledge.
After passing the final exam, you still aren't quite done. You will have to complete three more training modules which are Nondiscrimination Training, Medicare Fraud, Waste, and Abuse Training, and General Compliance Training. These modules also have review quizzes followed by a graded exam. There are 10 questions and you must score a passing grade of 70%.
2021 AHIP — What should you focus on?
As a whole, we think that this year's AHIP is well designed and fair, but that doesn't mean you don't need to prepare and study. Be sure to focus on the following topics:
Medicare Advantage Compliance Corner
We would like to show you where you can find a lot of information that we offer on our website that is free to use and offered 24/7. Go to our Medicare Advantage Compliance Corner to find information on every MAPD carrier associated with Tidewater.
First and foremost, look for the AHIP launch button. This will bring you directly to the AHIP site where you can take the 2020 AHIP certification. Using this resource will bring you directly to AHIP, where it will cost $175 to take the annual certification.
2021 AHIP for Medicare Advantage
AHIP's website is a single source for both Medicare and Fraud, Waste and Abuse (FWA) training. Their comprehensive online program covers the basics of Medicare eligibility and benefits, types of Medicare Advantage and Part D prescription drug plans, eligibility and coverage, nondiscrimination training, and marketing and enrollment under the Medicare Advantage and Part D program requirements.
UnitedHealthCare opened their certification on Jun 29th, Anthem's certification was released on June 30th, Humana released their certification on June 30th, and Aetna's certification was released on July 1st. WellCare / Allwell-Centene will release their certification on July 7th, and BlueCross BlueShield NC and BlueCross BlueShield SC will both release their certification on July 8th.
Going back to the MAPD Compliance Corner and scrolling down, you will find the Humana button. Click on “more details” to see how to do business with Humana, certification instructions, requests for ordering supplies, the agent portal, as well as accessing your certification for both the carrier and for AHIP. Every major carrier that we work with has a page that includes this information.
If you are a new-to-Tidewater agent or you do not currently have access to one of the carriers you see here, feel free to complete the form at the top of the page. This will let us know that you are interested in learning more and one of our agent partner specialists will help you get contracted or answer any questions that you may have. This can all be found on our MAPD Compliance Corner located at the MAPD button at the top of our homepage.
As you’ve seen on our MAPD Compliance Corner, we have a lot of information for you to take advantage of. We thank you for your partnership with Tidewater and for giving us the opportunity to earn and grow your business this year. If you have any questions, please feel free to give us a call at 888-622-9122. We look forward to speaking with you soon.