, M E D I C A R E R E C E RT I F I C AT I O N • Q U I C K- R E F E R E N C E E D I T I O N
2027 AHIP
Study Guide
A condensed, plain-English recertification companion covering Medicare
basics, Medicare Advantage, Part D, marketing rules, enrollment periods,
compliance, and fraud/waste/abuse — with quick-fact boxes and
practice questions in every section.
How this guide was built: every section below is written in original language for
fast review and active recall. It is not a copy of any certification vendor's
materials, and it is not a substitute for your official AHIP/CMS coursework —
use it to reinforce what you've already studied.
CareNavigator Health | Licensed Medicare Broker
© CareNavigator Health. All content in this guide is original and independently written. This is not an official AHIP,
America's Health Insurance Plans, or CMS product, and it is not endorsed by, affiliated with, or produced in partnership with
those organizations. It is a supplemental study aid only and does not guarantee certification, exam results, or accuracy of
current-year figures — always verify official requirements and Medicare dollar amounts directly with AHIP/CMS.
,Contents
01 Module 1 — Medicare Overview
02 Module 2 — Medicare Health Plans
03 Module 3 — Part D Prescription Drug Coverage
04 Module 4 — Marketing MA & Part D Plans
05 Module 5 — Enrollment Guidance
06 Compliance — Compliance Training
07 FWA — Fraud, Waste & Abuse Training
08 Exam Focus — What the Final Exam Tests
How to use this guide: read a section's notes once, then close the book and try its practice
questions cold. Check the answer key, revisit any bullet you missed, and move to the next
section. Repeat once more the day before your exam, focusing only on the Quick Facts
boxes.
, ⚠
Before You Start: 2026 vs. 2027 Dollar Figures
CMS releases Medicare dollar amounts on two different schedules, and this
guide follows the same year-labeling as the official AHIP/CMS training materials
it was built from:
Medicare Advantage and Part D figures (deductible, out-of-pocket threshold,
MOOP, insulin cap, and similar) for the 2027 plan year were already finalized
when this guide was prepared, so those are the numbers used throughout.
Original Medicare Part A and Part B figures (premiums, deductibles,
coinsurance) for 2027 are announced by CMS later in the year — typically in
October or November — and had not yet been released as of this guide's
preparation.
Wherever a Part A or Part B dollar figure appears in this guide, it is the most
recently confirmed amount — 2026 — and is always marked "(2026)" right next to
the number, so you always know exactly which year it reflects.
Before your exam or before advising a client, confirm the current Part A/B figures
at Medicare.gov or CMS.gov in case CMS has since published the official 2027
amounts.
2027 AHIP
Study Guide
A condensed, plain-English recertification companion covering Medicare
basics, Medicare Advantage, Part D, marketing rules, enrollment periods,
compliance, and fraud/waste/abuse — with quick-fact boxes and
practice questions in every section.
How this guide was built: every section below is written in original language for
fast review and active recall. It is not a copy of any certification vendor's
materials, and it is not a substitute for your official AHIP/CMS coursework —
use it to reinforce what you've already studied.
CareNavigator Health | Licensed Medicare Broker
© CareNavigator Health. All content in this guide is original and independently written. This is not an official AHIP,
America's Health Insurance Plans, or CMS product, and it is not endorsed by, affiliated with, or produced in partnership with
those organizations. It is a supplemental study aid only and does not guarantee certification, exam results, or accuracy of
current-year figures — always verify official requirements and Medicare dollar amounts directly with AHIP/CMS.
,Contents
01 Module 1 — Medicare Overview
02 Module 2 — Medicare Health Plans
03 Module 3 — Part D Prescription Drug Coverage
04 Module 4 — Marketing MA & Part D Plans
05 Module 5 — Enrollment Guidance
06 Compliance — Compliance Training
07 FWA — Fraud, Waste & Abuse Training
08 Exam Focus — What the Final Exam Tests
How to use this guide: read a section's notes once, then close the book and try its practice
questions cold. Check the answer key, revisit any bullet you missed, and move to the next
section. Repeat once more the day before your exam, focusing only on the Quick Facts
boxes.
, ⚠
Before You Start: 2026 vs. 2027 Dollar Figures
CMS releases Medicare dollar amounts on two different schedules, and this
guide follows the same year-labeling as the official AHIP/CMS training materials
it was built from:
Medicare Advantage and Part D figures (deductible, out-of-pocket threshold,
MOOP, insulin cap, and similar) for the 2027 plan year were already finalized
when this guide was prepared, so those are the numbers used throughout.
Original Medicare Part A and Part B figures (premiums, deductibles,
coinsurance) for 2027 are announced by CMS later in the year — typically in
October or November — and had not yet been released as of this guide's
preparation.
Wherever a Part A or Part B dollar figure appears in this guide, it is the most
recently confirmed amount — 2026 — and is always marked "(2026)" right next to
the number, so you always know exactly which year it reflects.
Before your exam or before advising a client, confirm the current Part A/B figures
at Medicare.gov or CMS.gov in case CMS has since published the official 2027
amounts.
