Health Insurance 101: An Orientation

Course Overview

This cornerstone course is more than an introduction to our fast-changing industry. It’s a jumping off point that helps you get up-to-speed or up-to-date, to help you do your job even better. Created by AHIP insurance experts, the Health Insurance 101: An Orientation online course provides a comprehensive overview of how health insurance works while preparing you for opportunities to come.

Learning Objectives

What You’ll Learn

  • Gain a wide understanding of how today’s health insurance industry works
  • Learn the operational side: how the industry is organized, as well as such key areas as enrollment, claims, and customer service
  • Dig deeper as you encounter such specialized areas as clinical quality, utilization management, and pharmacy benefit management
  • Take a closer look at the regulatory side, including federal and state regulations, compliance, and ethics
  • Examine how health insurance products are priced, marketing, and sold
  • Explore how the culture of wellness and bending the cost curve are transforming health care
  • Focus on the end user as you learn more about the customer experience

Who Should Take This Course

  • Agents and brokers
  • Employees new to the health insurance industry
  • Individuals who wish to review health insurance fundamentals
  • Underwriters
  • Claims

Module 1: Overview of the Health Insurance Industry

Module 2: Basics of Insurance

Module 3: Health Plan Structure and Functions I (Medical)

Module 4: Health Plan Structure and Functions II (Backbone)

Module 5: Health Plan Structure and Functions III (Pricing and Sales)

Module 6: Insurance Regulation

Module 7: Wellness and Bending the Cost Curve

Module 8: Products

Module 9: Customer Experience

Price: $275

This Course includes:

   Text-based content

   5 weeks