NABIP Medicare study guide
NABIP Medicare · Work through your exam, one topic at a time.
The NABIP Medicare Advantage Certification - marketed by NABIP as the "2027 Medicare, Medicare Products & FWA Certification" - is a professional development credential offered through NABIP's Professional Development and Medicare Portal resources. NABIP states the program is designed to help agents "stay compliant, earn CE credits, and prepare for a successful Medicare selling season" and to "confidently serve Medicare beneficiaries and meet compliance requirements." It is aimed at licensed health insurance agents and brokers who sell or service Medicare products, particularly Medicare Advantage, and who need to demonstrate current knowledge of Medicare rules, product structures, and fraud, waste and abuse (FWA) standards. The NABIP Medicare study guide has 4 sections and about 1,812 words.
01Medicare: Eligibility, the Four Parts, and Enrollment Windows
Domain 1 tests the machinery behind every sale: what Medicare is, who qualifies, how the parts fit together, and when a beneficiary is allowed to enroll. Expect scenario items that turn on a date, a penalty, or which part pays for a given service.
456 words, about 2 min02Medicare Products: Advantage, Part D, and Medigap
Domain 2 asks you to match a beneficiary's health needs, budget, and travel patterns to the right product - and to know what each product legally can and cannot do. Plans must cover everything Original Medicare covers, and may add dental, vision, hearing, and fitness benefits.
449 words, about 2 min03Fraud, Waste, and Abuse (FWA): Definitions, Statutes, and Agent Risk
Domain 3 tests whether you can distinguish the three categories and recognize the federal statutes that turn a bad sales practice into a civil or criminal exposure. Fraud is intentional deception or misrepresentation that the person knows could result in unauthorized benefit.
438 words, about 2 min04Medicare Compliance and Selling Season Readiness
Domain 4 covers the calendar you sell against and the CMS marketing rules you sell under. Exam items here tend to be practical: which election period applies, what effective date results, and whether a marketing tactic is permitted.
469 words, about 2 min