4 HRs Medicare Advantage and Part D Update – Virginia

✅ 4 HRs Medicare Advantage and Part D Update – Virginia

✅ Approved by Virginia Insurance Continuing Education Board | Provider #164929 | Course #230314 | Only $22.99 | Instant Emailed Certificate | 100% Online & Self-Paced

Earn 4 approved hours toward your Virginia insurance agent renewal with a course approved by the Virginia Insurance Continuing Education Board for only $22.99. A single-category agent needs 16 hours each biennium, so these 4 hours cover a quarter of the requirement, and the course is approved in the Life & Health category.

The course is 100% online and self-paced. Log in and out as often as you need without losing progress. Your certificate is emailed to you the moment you finish. 1st Choice CE reports your completion to Virginia.

✅ Course Details

• Course name: 4 HRs Medicare Advantage and Part D Update
• Approved by: Virginia Insurance Continuing Education Board
• Provider number: 164929
• Course number: 230314
• Course length: 4 hours
• Course category: Life & Health
• Course format: 100% online, self-paced
• Price: $22.99
• Certificate: emailed immediately after completion
• Reporting: 1st Choice CE reports your completion
• Approval active through: 07-31-2028
• Virginia requirement: the September 2024 Course Introduction Statement is presented at the beginning of the course, as Virginia requires for every approved CE course
• Page URL: https://1stchoice-ce.com/courses/checkout/virginia/4-hrs-medicare-advantage-virginia/
• Support: call or text 1-800-698-2770

✅ Who Should Take This Course?

• Licensed health and life agents who sell Medicare products
• Agents appointed to write Medicare Advantage plans
• Producers who handle Part D and prescription drug plan enrollments
• Agents working with dual-eligible and Special Needs Plan populations
• Producers who need to stay current with CMS marketing and compliance standards
• Agents who need general CE credit toward the state renewal total

✅ Does This Course Satisfy the State Requirement?

This course provides 4 approved hours toward the 16 hours Virginia licensed resident insurance agents must complete. It does not satisfy the full requirement on its own, and it does not satisfy the separate 3-hour ethics requirement. You will need additional approved hours, including an approved ethics course, to complete your renewal.

If you hold more than one license category, your requirement is 24 hours rather than 16, with a minimum of eight hours in each category you hold. These 4 hours apply to the Life & Health category.

✅ Virginia Continuing Education Requirements

Under Virginia Code § 38.2-1866, an agent licensed in a single license category completes 16 hours of continuing education each biennium. An agent holding licenses in more than one category completes 24 hours, with a minimum of eight credit hours in each category held. Of the total required credits for each biennium, three credit hours must be in insurance ethics, which may include insurance law and regulations applicable in the Commonwealth.

• 16 hours per biennium for a single license category
• 24 hours per biennium for multiple categories, with at least 8 hours in each category held
• 3 of the total credits must be in insurance ethics, which may include Virginia insurance law and regulations
• No more than 75 percent of required credits may come from courses provided by insurance companies or agencies
• Single categories include life and annuities, health, property and casualty, personal lines, and title

Virginia exempts agents licensed during the final 13 months of a two-year period from the requirement for that biennium, under § 38.2-1871. Nonresident agents who meet their home state's requirements and consultants who satisfy the requirement for each license category held are also addressed there. Check your own license record rather than assuming an exemption applies.

How this course helps: This 4-hour course contributes 4 of the 16 credit hours a single-category Virginia agent must complete each biennium, or 4 of the 24 hours required when you hold more than one category. It is approved in the Life & Health category, so those hours apply to a Life & Health license. It does not satisfy the separate 3-hour ethics requirement, and it does not complete the renewal by itself — the remaining hours and the ethics credits must be completed separately.

✅ When Do Licensees Renew?

Virginia agents renew on a two-year biennium. Confirm your own biennium end date on your license record or renewal notice rather than assuming a statewide calendar deadline. Because the requirement differs depending on how many license categories you hold, the first thing to establish is whether you are a 16-hour or a 24-hour agent — and if you hold more than one category, whether you have the eight-hour minimum in each. An agent who holds two categories and completes 24 hours all in one category has not met the requirement.

✅ How to Renew Your License

1. Confirm how many license categories you hold — This determines whether you owe 16 hours or 24. If you hold more than one category, you also owe at least 8 hours in each.
2. Check your biennium end date — Confirm it on your license record or renewal notice. Do not assume a statewide calendar deadline.
3. Complete the required hours, including 3 in ethics — Ethics may include Virginia insurance law and regulations. Verify the ethics credits specifically.
4. Watch the 75 percent sponsorship cap — No more than 75 percent of your required credits may come from courses provided by insurance companies or agencies. Independent provider courses are not subject to that cap.
5. Allow provider reporting time — Finish coursework early enough for your completions to post before the biennium closes.
6. Renew and confirm — Follow the renewal instructions in your notice, submit the renewal, and verify afterward that your record shows an active status and an updated expiration date.

✅ What You Will Learn

• Compare Medicare Advantage plan types — HMO, PPO, PFFS, MSA, and SNP — on network rules and referrals
• Explain benefit design drivers including MOOP, supplemental benefits, and utilization management
• Use Star Ratings and quality measures to frame plan quality accurately for a client
• Work through Part D formularies, tiers, prior authorization, step therapy, and exceptions
• Apply enrollment periods, eligibility nuances, and coordination with employer, retiree, and Medicaid coverage
• Follow CMS marketing and compliance standards that govern how Medicare products may be sold

✅ Course Content Overview

Hour 1: Medicare Advantage Plan Landscape, Benefits, and Current Market Realities

• Review Medicare eligibility and coverage structure to clarify how Parts A/B connect to Medicare Advantage and why that foundation matters for accurate plan discussions.
• Compare core Medicare Advantage plan types (HMO, PPO, PFFS, MSA, SNP) so agents can explain network rules, referrals, and member cost-sharing in plain language.
• Analyze benefit design and value drivers (MOOP, supplemental benefits, cost-sharing, network breadth, utilization management) to support practical plan comparisons that avoid oversimplification.
• Explain Star Ratings, quality measures, and member experience factors to help agents frame quality and service considerations without making misleading performance claims.

Hour 2: Medicare Part D Updates, Formularies, and Pharmacy-Focused Decision Points

• Review the Part D benefit structure (phases, member cost responsibilities, and plan design basics) so agents can accurately set expectations about out-of-pocket costs.
• Cover formularies, tiers, utilization controls (prior authorization, step therapy, quantity limits), and exceptions to reduce preventable enrollment surprises tied to medications.
• Discuss pharmacy networks, preferred cost-sharing, mail order, and medication access logistics to improve counseling for members with routine or high-cost prescriptions.
• Explain coverage determinations, redeterminations, appeals, grievances, and customer service pathways so agents can guide members appropriately without acting outside their role.

Hour 3: Enrollment Rules, Special Circumstances, and Coordination with Other Coverage

• Review enrollment periods (IEP, AEP, OEP, SEP) and effective date rules to prevent timing errors that commonly lead to complaints and coverage gaps.
• Cover eligibility nuances (residency/service area, ESRD considerations as applicable, dual eligibility basics, and LIS/Extra Help overview) to support correct screening and documentation.
• Discuss coordination of benefits with employer/group coverage, retiree plans, Medicaid, and other payer scenarios to reduce incorrect plan movement and unintended loss of coverage.
• Explain Special Needs Plans (C-SNP, D-SNP, I-SNP) and care coordination expectations so agents can match SNP eligibility and benefits to member circumstances responsibly.

Hour 4: Compliance, Marketing Standards, and Ethical Sales Practices for Medicare Products

• Review CMS compliance concepts (scope of appointment principles, required disclaimers, documentation expectations, and permitted vs. prohibited conduct) to reduce regulatory exposure.
• Address marketing and communication rules including avoiding misleading statements, handling comparisons carefully, and using approved materials to ensure consumer-protection alignment.
• Cover enrollment integrity and application accuracy focusing on common error points (attestations, plan selection verification, submission timing) and how to prevent corrective actions.
• Present operational risk control (complaint prevention, record retention habits, privacy and safeguarding expectations, and escalation pathways) to support a repeatable, audit-ready workflow.

✅ Other Related Courses

• 3 Hour Ethics for Insurance Agents – $22.99
• 3-Hour Flood Insurance (NFIP) – $22.99
• 4-Hour Annuity Best Interest/Suitability – $22.99
• 4 Hrs Ongoing Long-Term Care Insurance Partnership Training – $22.99
• 5 HRs Life Insurance Products and Retirement Planning – $22.99
• 4 HRs Health Insurance and Affordable Care Act Updates – $22.99

✅ Why Choose 1st Choice CE?

• Approved provider and approved course in Virginia
• Affordable at $22.99 with no additional or hidden fees
• 100% online and self-paced
• Log in and out anytime without losing progress
• Instant emailed certificate
• Completions reported to the state
• Money-back guarantee
• Over 10 years of continuing education experience
• Support by phone or text at 1-800-698-2770

✅ Enroll Now

Get your 4 approved hours done today for $22.99.

Enroll in 4 HRs Medicare Advantage and Part D Update – Virginia

Questions first? Call or text 1-800-698-2770.