Medicare Advantage commission 2020

Medicare Advantage commission 2020

By Ed Crowe | Agent blog | 0 comment | 3 June, 2019 | 0

Medicare Advantage Commission 2020

This information has been updated; click here to view commissions 2022

Medicare Advantage commission 2020 show the maximum commission amounts that agents can receive on an MA, MAPD or PDP plan for 2020. These levels are set by CMS. Keep in mind, insurance carriers are not able to pay an individual agent over the levels. However, some companies may pay less than the max allowable however. But, commission for products can pay out higher compensation levels for agencies that have either a GA or higher contract status.

There are different types of Medicare Advantage commissions. As a result, they are paid in two payments (initial payment and true-up) and at times can also be pro-rated. To clarify, you can watch our webinar here CLICK FOR RECORDED WEBINAR

Medicare Advantage commission 2020 – Medicare part D drug plans

Commission has increased from $74 per member per year to $78 per member per year: As a result, it is a 5.4% rate increase

Commission has increased from $37 per member per year to $39 per member per year: As a result, it is a 5.40% rate increase

Medicare Advantage commission 2020 – MA and MAPD plans

Compensation is by states and regions. However, most states are in the “national comp” category. Some state have their own comp category. For instance, CA and NJ pay a higher comp and are listed in their own category.

CA and NJ, Initial MA commission increased from $601 a member a year to $636 a member a year: Therefore it is a 5.82% rate increase. Renewal commission went from $301 to $318 which is an increase of 5.64%

CT, PA and DC, Initial MA commission increased from $542 a member a year to $574 a member a year: As a result, it is a 5.90% increase. Renewal commission went from $271 to $287 which is a 5.90% increase

Puerto Rico and the US Virgin Islands, will increase from $331 to $350. As a result, it is a 5.74% increase. Renewal compensation went from $166 to $175 a year which is a 5.42% increase

National comp (all other states), initial MA commissions increase from $482 to $510. As a result, it is a 5.80% increase. Renewal commissions increased from $241 to $255 for a 5.80% increase.

Medicare Advantage commission 2020 – short version

MA and Section 1876 Cost plans
- National comp is $510 initial and $255 renewal
- CT, PA and DC is $574 and $287
- CA and NJ is $636 and $318
- Puerto Rico, US Virgin Islands is $350 and $175
- PDP’s are $78 and $39
- Referral/Finder’s Fees..*
  - MA Plans $100
  - PDP plans $25
*To clarify, info on referral and finders fees is in the Medicare Marketing Guidelines in section 110.6.3