NABIP Medicare study materials
NABIP Medicare study resources

NABIP Medicare study plan

NABIP Medicare · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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