2017 Medicare Certification Instructions (Ongoing Construction)

Aetna 2017 Certification

Products:

  • Medicare Advantage (MA)
  • Medicare Advantage Prescription Drug (MAPD)
  • Prescription Drug Plans (PDPs)

Certification Start Date:

Live

What’s Required to Sell 2017 MA/MAPD and PDP Plans?

Agents 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.

Uplines 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?

Agents must complete Aetna’s annual certification process by December 31 to receive renewal commission next January for business sold in prior years. They must also be licensed and appointed with Aetna.

Is AHIP Required for Certification?

Yes. You may transfer your existing AHIP certification to Aetna using their certification portal as long as you score 90% or higher on the final exam within three attempts.

What is the Cost of AHIP?

It is $175 if an agent registers on the AHIP site directly. However, if an agent completes AHIP through Aetna’s certification site, the cost is only $125 ($50 less than directly through AHIP).

2016 Aetna Medicare Front Runners can complete AHIP through Aetna’s certification site for FREE. Agents qualify for Aetna’s Front Runners program if they sold 18 or more apps with a January 1 effective date during AEP.

Can AHIP Be Used for Compliance Credit?

Yes

Does Carrier Reimburse for AHIP?

If you are a 2016 Aetna Medicare Front Runner, your certification is free. If you are not a Front Runner but complete AHIP through Aetna’s certification site, your cost is only $125 ($50 less than directly through AHIP).

MA/MAPD/PDP Certification Components:

This year, there will be one standardized learning plan. This will be for all agents including uplines. Aetna will not have access codes this year, which should alleviate confusion on which learning plan to choose. Agents certifying for Medicare Advantage will not have the separate Individual Market trainings this year, just the MAPD Overview. This overview will cover all markets.

  • 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.
  • 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.

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.
  • 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.

Is Face-to-Face Training Required?

Face-to-face trainings are encouraged, but they are not required.

Will Certifying for 2017 Allow Me to Sell 2016 Products?

Yes, 2017 certification will count for the remainder of the 2016 selling season.

Are Additional Steps Required for Those Certifying for the First Time Versus Those Who Are Recertifying?

Agents certifying for the first time must complete AHIP training modules 1–5. Those who are recertifying and completed last year’s AHIP training requirements must only complete modules 4–5 and the Fraud, Waste, and Abuse training/exam.

Note: Since the final exam covers all five modules, agents who are recertifying should still reacquaint themselves with modules 1–3.

How Do I Retrieve My Username and Password?

You can click on the “Forgot your username?” or “Forgot your Password?” links. If you need further assistance, you can contact Aetna’s Broker Service Department at 1-866-714-9301.

Who Do I Contact at Carrier to Confirm Certification?

Agents can contact Aetna’s Broker Services Department at 866-714-9301 and select option 4.

Certification Web Link:

https://aetna.cmpsystem.com/ext/ahip/login.php


Alignment Product Certification (CA) (2017)

Requirement for Certification: AHIP and Product Certification (Online / In-Person) In Person is mandatory if new to representing Alignment

Instructions:

            New to Alignment – AHIP and In-Person Product Certification

Northern California: RSVP to larissa@theagentcenter.com

            Date: 9-14-16

            Time: 1:00 pm

            Address: Quality Inn, 16855 Harlan Rd. Lathrop, CA 95330

Southern California: RSVP to larissa@theagentcenter.com

            Date: 9-22-16

            Time: 12:45 pm

            Address: Sheraton Ontario Airport Hotel, 429 N Vineyard Ave Ontario, CA 91764

 

Returning Agents – AHIP and EITHER In-Person or Online Producer

 ONLINE CERTIFICATION WEB ADDRESS NOT RELEASED YET


Blue Shield of CA Product Certification (2017)

Requirement for Certification: AHIP and Product Certification (Online)

Instructions:

            New to Blue Shield Medicare and Returning Agents

Online Certification Portal

AHIP certification site

Click HERE for Reimbursement of AHIP Fee

Medicare Producer Connection training page.

Online Certification Not Released Yet

Optional In-Person PRODUCT ONLY Training (Still need to certify online)

  • Date: 9-21-16
  • Time: 12:45 pm
  • Address: Sheraton Ontario Airport Hotel, 429 N Vineyard Ave Ontario, CA 91764

 RSVP to larissa@theagentcenter.com


2017 Brand New Day Product Certification (CA)

(Stone Hill agents are Green Leaf agents)

Requirement for Certification: AHIP and In-Person Product Certification

Instructions:

            New to Brand New Day and Returning Agents

Required In-Person Training

  • Date:  9-16-16
  • Time: Afternoon 1pm to 3pm
  • Location: Monte De Oro Winery, 35820 Rancho California Rd, Temecula, CA 92591

Complimentary wine tasting to follow the certification for all who attend.  

Green Leaf and Brand New Day will be hosting a Brand New Day training at the Monte De Oro Winery in Temecula.

Take this opportunity to add a new carrier to your portfolio.

Please RSVP to larissa@theagentcenter.com


2017 Care 1st Health Plan Product Certification

Requirement for Certification: AHIP and Product Certification (In Person)

Instructions:

  • New to Care 1st Health Plan and Returning Agents

Southern California In-Person Certification – Green Leaf only (Stone Hill agents are Green Leaf agents)

  • Date: 9-21-16
  • Time: 9:00 am
  • Address: Sheraton Ontario Airport Hotel, 429 N Vineyard Ave Ontario, CA 91764
  • RSVP to larissa@theagentcenter.com

Northern California and Southern California In-Person Certification

  • September General Sessions not yet Released by Care 1st

Humana 2017 Certification

Products:

  • Medicare Advantage
  • Part D

Certification Start Date:

  • 2017 MAPD Recertification: Live (Agents must complete Humana’s 2017 MAPD recertification by November 30, 2016)
  • 2017 MAPD Initial Certification: Live (MAPD pre-work is scheduled to launch)
  • 2017 PDP Initial Certification and Recertification: August 11, 2016

Note: Agents who certify for 2017 on or after August 2, 2016 do not need to recertify for 2017.

Is AHIP Required?

Yes

What is the Cost of AHIP?

If agents complete AHIP certification through the Humana Agent Portal, it costs $125. This is a discount of $50 off the standard $175 fee.

Can AHIP Be Used for Compliance Credit?

Yes

Does Carrier Reimburse for AHIP?

Agents receive a $50 discount off their AHIP if they access the training via Humana’s agent portal.

Certification Product Modules:

Information is currently unavailable.

Certification Compliance Modules:

Information is currently unavailable.

Is Face-to-Face Training Required?

Agents may select face-to-face training or online training.

Will Certifying for 2017 Allow Me to Sell 2016 Products?

Yes, agents who complete the 2017 initial certification after August 2 are able to sell plans with 2016 effective dates through November 30, 2016.

Are Additional Steps Required for Those Certifying for the First Time Versus Those Who Are Recertifying?

Agents who have already certified for 2016 will only have to recertify for 2017. Agents who certifying with Humana for the first time will have to complete 3 sets of pre-work before actually certifying.

How Do I Retrieve My Username and Password?

Agents may contact Humana’s Agent Support Unit at 800-309-3163 or emailagentsupport@humana.com for assistance.

Who Do I Contact at Carrier to Confirm Certification?

Reports are sent weekly to the MGA partner. Agents may contact Humana’s Agent Support Unit at 800-309-3163 or email agentsupport@humana.com to check/confirm their certification status.

Certification Web Link:

Agents must log into the Humana agent portal and enter the “Education” portal to access their initial certification or recertification work.


 

Inter Valley Health Plan Product Certification (CA) 2017 

Requirement for Certification: AHIP and Product Certification (In-Person)

Instructions:

Required In-Person Product Certification

Date: 9-21-16

Time: 1:45 pm

Address: Sheraton Ontario Airport Hotel, 429 N Vineyard Ave Ontario, CA 91764

 

RSVP to larissa@theagentcenter.com


Molina

Molina’s 2017 Online Certification Program is now live!  We will be using Gorman’s new Sentinel Elite platform, so everybody will be required to register as an agent, by clicking “Register as an Agent”, and create a new username and password. Enter your social security number and you will be prompted to register and assign yourself a new username.

Please complete the program so that you are ready to start enrolling eligible beneficiaries in time for the start of the 2017 Annual Election Period which begins10/15/2016.  Be sure to disable your “Pop up Blocker” and then log onto the below link. Attached is the Gorman Sentinel Elite User Guide to assist you in getting started. If you have already completed AHIP 2017 Medicare Certification, you can upload your certificate and bypass the Gorman Medicare Advantage Core Module.  Otherwise, you will have to complete it along with the rest of the four (4) modules. For technical assistance please call Gorman Sentinel Elite Customer Service at (877) 401-8999.

https://sentinelelite.com

Brokers with resident state licenses from Michigan, Texas, Utah and Wisconsin have the option to receive five (5) Continuing Education (CE) credits for the Gorman Medicare Advantage Core Training. The cost is $25. This is only available if you take the training through Gorman. In other words, this is not applicable to those who opt to upload their AHIP completion certification to satisfy the module requirement. Remember to make your selection to receive CE credits before you start the training. Otherwise, you will miss this opportunity.

As always, there is no cost to certify with Molina Medicare. And, you must be certified before you present or enroll a Medicare beneficiary in a 2017 Molina Plan.  This year we are implementing a training completion deadline, which is thirty (30) days from the date you begin the 2017 Certification.  After 30 days, you will be notified of your non-completion and given a fourteen (14) day extension to complete the certification.  Any broker who fails to complete their certification within their allotted time will be terminated.

If you are new to Molina, completion of the 2017 Molina Medicare Agent Certification Program will also qualify you to sell our 2016 Plans provided you review the 2016 Summary of Benefits before you present to your client.

2017 sales materials should be available by October, but only those who are certified will be able to make orders.  So, go online and complete your 2017 Broker Certification now!

Please notify your Broker Channel Manager if you are not going to market Molina Medicare plans for 2017.

We appreciate your partnership!

Molina Medicare Broker Support Unit


Regence Blue Cross Blue Shield

Complete your training by Sept. 30, 2016.
In order to sell and receive commissions for 2017 products sold to new clients and to receive commission on existing clients, you must recertify by Sept. 30, 2016.

You will need to download the two PDF documents. They will offer you links that allow you to get certified.

2017-regence-agent-aep-certification

2017-sentinel-elite-agent-user-guide

Need assistance? Call our Producer Support line at (800) 557-0555 M-F 8am-5pm PST. Before hours, M-F 5am-8am PST and weekends (starting 9/1) 7am-12pm PST, you can contact Gorman at (877) 206-1540 or email salestraining@gormanhealthgroup.com

 


SilverScript 2017 Certification

Certification Instructions for the Following Products:

Medicare Part D (PDP)

Certification Start Date:

AHIP: Live (July 11, 2016)

Products and Processes Course: Live (August 8, 2016)

Is AHIP Required?

No. If you do not complete AHIP training, you can complete Gorman training or certify for free with SilverScript by completing all of the certification courses they offer and require.

Can AHIP Be Used for Compliance Credit?

Yes, it is accepted as credit for the following courses:

  • 2017 Medicare Overview for Contracted Agents
  • 2017 Compliance Course for Contracted Agents
  • CMS Required Compliance and FWA Training

Note: 2017 Gorman certification is also accepted in lieu of AHIP.

How Can AHIP/Gorman Certificate Be Submitted for Compliance Credit?

What is Cost of AHIP?

The cost for this certification is $175. There is no discount for AHIP through SilverScript.

Does Carrier Reimburse for AHIP?

No

Certification Product Modules:

  • 2017 SilverScript Product and Processes Course for Agents
  • 2017 Certification for Agents

Certification Compliance Modules:

  • 2017 Medicare Overview for Contracted Agents (2017 AHIP/Gorman can cover this module)
  • 2017 Compliance Course for Contracted Agents (2017 AHIP/Gorman can cover this module)
  • CMS Required Compliance and FWA Training (2017 AHIP/Gorman can cover this module)

Is Face-to-Face Training Required?

No

Will Certifying for 2017 Allow Agents to Sell 2016 Products?

No, however if a new agent takes the 2017 AHIP, SilverScript will credit the courses for both 2016 and 2017. If the new agent would like to sell 2016 products for the remainder of the year, they would just need to complete the 2016 SilverScript Product and Processes Course for Agents and the 2016 Certification for Agents (in addition to those same courses for the 2017 plan year.)

Are Additional Steps Required for Those Certifying for the First Time Versus Those Who Are Recertifying?

No

How Do Agents Retrieve Their Username and Password?

Your Login ID will be your Agent ID. If you don’t know your Agent ID, please contact Ritter.

For help with password retrieval on the login page, click the “Forgot your Password?” link, enter your user name, and click “Send Email.”

Who Do Agents Contact to Confirm Certification?

By logging into the SilverScript Agent Portal, on the home page you will see green or red lights for “Good Standing” details: Training, State License, Appointment, Background Check. If all lights are green, you are ready to sell. If any lights are red, that step still needs to be completed.

You can also email Producer.SalesResource@CVSCaremark.com or contact Kendra Chubaat 800-769-1847 ext. 388.

Certification Web Link:

1) Go to www.silverscriptagentportal.com.

2) Click on “Training and Certification” from the main menu.

3) Read the instructions on how to submit proof of completion for the required training courses OR take the free SilverScript courses.


 

UnitedHealthcare 2017 Certification

UnitedHealthcare Podcast: 2017 Certification Brings Perks, Benefits, and Changes!

Hear all the important information you need to know about UnitedHealthcare 2017 Certification, including changes to their certification process and the benefits to certifying with this carrier early! Listen to it now.

Products:

UnitedHealthcare Medicare Advantage products, Medicare Supplements, and prescription drug plans, which may include plans branded as the following:

  • UnitedHealthcare
  • AARP
  • Care Improvement Plus
  • Medica HealthCare Plans
  • Preferred Care Partners
  • Sierra

Certification Start Date:

Live (June 27, 2016)

Is AHIP Required?

No, AHIP is not required.

What Is Cost of AHIP?

The cost of AHIP is $125 if you first access the AHIP courses by going through the Learning Center on www.unitedhealthproducers.com. This amount reflects a $50 discount off the standard $175 AHIP certification fee.

Can AHIP Be Used for Compliance Credit?

Yes, UnitedHealthcare will once again be accepting new AHIP certifications and re-certifications. Starting on June 20, agents can complete their AHIP certification courses directly on AHIP’s website. However, starting on June 27, agents can take AHIP courses through the Learning Center on the UnitedHealthcare Distribution Portal to receive a $50 discount on these courses. Agents who take their AHIP courses directly on the AHIP website will not receive this discount.

Does Carrier Reimburse for AHIP?

You can get a $50 discount if you first access the AHIP courses by going through the Learning Center in UnitedHealthcare’s Distribution Portal.

Certification Product Modules:

Prerequisite Modules:

  • Medicare Basics
  • Ethics and Compliance
  • AARP Course (select one of the following
    • AARP Refresher (Traditional course for returning producers)
    • AARP Membership Benefits
    • AARP Good Works
    • AARP Communicating with Today’s 50+ Consumer
    • AARP Being Relevant and AARP Multicultural Engagements

Product Modules:

Agents must complete the product modules for the products they desire to sell.

  • Medicare Advantage Plans (HMO, POS, PPO, PFFS)
  • AARP Medicare Supplement Plans
  • Medicare Prescription Drug Plans
  • Chronic Condition and Dual Special Needs Plans
  • AARP PDP
  • Institutional and Institutional-Equivalent Special Needs Plans (available by invitation only)
  • Senior Care Options (available by invitation only)

Note: Agents will have six attempts to complete the assessment with a passing score of 85% or higher. Each time an agent launches the assessment, it counts as attempt, even if an agent doesn’t complete the assessment. Agents will also receive immediate feedback whether or not they answer a question correctly.

Certification Compliance Modules:

CMS now requires agents take FWA training on their website. View UnitedHealthcare’s Instructions to Access CMS FWA Training.

Is Face-to-Face Training Required?

No

Will Certifying for 2017 Allow Agents to Sell 2016 Products?

Yes

Does First-Time Certification Differ From Recertification?

Not at this time.

How Do I Retrieve My Username and Password?

If you forgot your username or password, you can call UnitedHealthcare’s Producer Help Desk (PHD) at 888-381-8581 or email phd@uhc.com for assistance. Representatives can be reached Monday through Friday from 7 a.m. to 8 p.m. CST.

Who Do I Contact at Carrier to Confirm Certification?

Agents can call UnitedHealthcare’s Producer Help Desk (PHD) at 888-381-8581 or emailphd@uhc.com. Representatives can be reached Monday through Friday from 7 a.m. to 8 p.m. CST.

Certification Web Link:

www.unitedhealthproducers.com

Resources for Additional Information:

2017 UnitedHealthcare Certification User Guide

UnitedHealthcare Instructions to Access CMS FWA Training

 

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