CERTIFICATIONS

What is AHIP?

AHIP is an industry-recognized certification test required by most carriers if agents want to sell Medicare Advantage (MA) and Prescription Drug Plans (PDP). Most carriers require you to take this test before taking their own additional specific certifications. This is an annual requirement and is of utmost importance.

What you’ll learn:

Medicare Fraud, Waste, and Abuse (FWA)
  • 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 FWA
  • An overview of the industry efforts in detecting fraud
  • Legal tools to combat FWA
  • Understand both the human and financial cost 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 ahip.org)

•  AHIP will be launching the new 2026 Medicare Certification on June 23, 2025


Aetna

•  PY26 Certification information coming soon!


Cigna

•  PY26 Certification information coming soon!


Clover Health

•  PY26 Certification information coming soon!


Devoted

•  PY26 Certification information coming soon!


Elevance Health

•  PY26 Certification information coming soon!


Humana
  • New and non-certified Partner Agents can enroll in the PY25 Certification course until May 31, 2025.
  • If Agents enroll in the PY25 course by May 31, they have until June 8 at 11:59 PM (ET) to complete it.
  • PY26 Annual Certification & Recertification (English) goes live in Humana MarketPoint University on July 8, 2025

Shared Health of MS

•  PY26 Certification information coming soon!


United Healthcare

•  PY26 Certification information coming soon!



Wellcare – Including Allwell/Centene

•  PY26 Certification information coming soon!


2026 Certification Information Coming Soon

To stay up to date with all certification dates and details, please check this page periodically.