NABIP Medicare study plan
NABIP Medicare · Give each week a clear focus.
8 weeks · About 6 hours per week
Medicare
Map the four Parts of Medicare (A, B, C, D) to the coverage each provides, writing a one-line definition for each from memory by week's end
Trace the enrollment timeline from Initial Enrollment Period through General Enrollment Period and Annual Enrollment Period, listing the start and end dates of each window
Explain how late enrollment penalties are calculated for Part B and Part D, including how the penalty duration works
Distinguish Original Medicare from Medicare Advantage in terms of network rules, referrals, and out-of-pocket structure
Answer 25 practice questions on Medicare eligibility and enrollment and log every miss with the reason it was missed
Your checkpoint
A one-page enrollment-timeline table plus a scored 25-question practice set with a written error log
Medicare & Medicare Products
Describe the benefit categories required in every Medicare Advantage plan and identify the optional supplemental benefits a plan may add
Compare HMO, PPO, PFFS, and SNP plan types on network flexibility, referral requirements, and cost-sharing
Explain how Part D formularies and tiers work, including exceptions and appeals a beneficiary can request
Identify who is eligible for a Special Needs Plan and how D-SNP coordination with Medicaid works
Complete 30 practice questions spanning Medicare basics and Medicare Advantage plan types, then re-read the explanations for every incorrect answer
Your checkpoint
A comparison chart of the four MA plan types with at least three differentiating features per row, plus a 30-question practice score
Medicare Products
Differentiate Medigap plan letter benefits and explain how guaranteed-issue rights and medical underwriting apply outside the Medigap open enrollment window
Explain the difference between Medicare SELECT and standard Medigap policies
Describe how Medicare Advantage and Medigap interact, including why a beneficiary generally cannot use both to pay the same cost
Calculate a sample beneficiary's annual out-of-pocket exposure under Original Medicare plus Medigap versus a Medicare Advantage plan using stated premium and cost-sharing figures
Answer 25 scenario-based questions on plan selection and justify each answer in one sentence
Your checkpoint
A worked cost-comparison example with arithmetic shown, plus a 25-question scenario set with a one-sentence rationale per answer
Medicare & Medicare Products
Review all missed questions from weeks 1 through 3 and reclassify each error as a knowledge gap or a misread question
Recite the key dates and penalty rules for Parts A, B, and D without notes
Explain the difference between Medicare and Medicaid and how dual-eligible beneficiaries are served
Complete a timed 50-question mixed assessment covering Domains 1 and 2
Your checkpoint
A timed 50-question mixed assessment with a score of at least 80 percent and a revised error log
Fraud, Waste and Abuse (FWA)
Define fraud, waste, and abuse and give a distinct example of each that a Medicare beneficiary or agent might encounter
Identify the most common FWA schemes in Medicare Advantage marketing, including unsolicited contact, false plan comparisons, and enrollment without consent
Explain the role of the compliance program and how an agent reports suspected FWA to a plan sponsor or CMS
Describe the consequences of FWA violations for agents, including contract termination, civil monetary penalties, and exclusion from federal programs
Answer 25 FWA practice questions and note which scheme category each question tested
Your checkpoint
A one-page FWA quick-reference sheet covering definitions, red flags, and reporting channels, plus a 25-question practice score
Fraud, Waste and Abuse (FWA) & Medicare Compliance and Selling Season Readiness
State the marketing rules that govern agent conduct, including permitted and prohibited contact methods and required disclosures
Explain the requirements around the Scope of Appointment and when it must be documented
Describe the rules for beneficiary contact during the Medicare Advantage and Part D annual enrollment period, including call-recording and consent expectations
Identify the required elements of compliant marketing materials and the approval process before use
Complete 30 practice questions on FWA and marketing compliance and re-read every explanation
Your checkpoint
A compliance checklist of at least 10 marketing do's and don'ts with the rule behind each, plus a 30-question practice score
Medicare Compliance and Selling Season Readiness
Walk through the annual enrollment period timeline from plan preview through the start of the new plan year and list the key agent action at each stage
Explain the difference between the Annual Enrollment Period and the Medicare Advantage Open Enrollment Period, including who can use each
Describe the requirements for completing and submitting an enrollment application accurately and the beneficiary's right to cancel
Explain how to handle a beneficiary complaint or a request to disenroll
Answer 25 questions on selling-season readiness and compliance, logging any rule you had to guess
Your checkpoint
A selling-season readiness timeline with agent actions per stage, plus a 25-question practice score
Medicare & Medicare Products & Fraud, Waste and Abuse (FWA) & Medicare Compliance and Selling Season Readiness
Take a full-length timed practice exam covering all four domains and record the score
Review every missed question and map each to its domain and sub-topic
Re-drill weak areas identified in the review until each is answered correctly twice in a row
Recite the key dates, penalty formulas, and FWA definitions from memory in a final self-check
Your checkpoint
A full-length timed practice exam score of at least 85 percent with a written remediation log for every missed question
Milestones
Week 2: Score at least 75 percent on a 30-question set covering Domains 1 and 2, and explain the difference between Original Medicare and Medicare Advantage in under two minutes without notes
Week 4: Score at least 80 percent on a timed 50-question mixed assessment for Domains 1 and 2, with a complete error log distinguishing knowledge gaps from misreads
Week 6: Score at least 80 percent on a 30-question FWA and compliance set and correctly state the Scope of Appointment rule and at least five marketing prohibitions from memory
Week 8: Score at least 85 percent on a full-length timed practice exam across all four domains, with no domain below 75 percent and every missed question remediated in writing