Medicare Connecture Comparison
Medicare Connecture Comparison: Sunfire vs Connecture vs MyMedicarebot
There are many different quote and enrollment programs that agents and agencies can use to assist their perspectives and beneficiaries find plans, compare plans, enroll in coverage, and even find doctors and hospitals in-network. Three of the most commonly used are SunFire Matrix, Connecture, and MyMedicarebot.
What they have in common
All three of these online programs are free to use for agents with Crowe and Associates and can be accessed through connect4medicare.com. Additionally, all three platforms work in a similar manner. They allow agents to quote and compare plans and enroll clients without the need for a face-to-face meeting. Here are some of the features they have in common:
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Basic CRM functions that can save client information, applications, scope of appointment documents, drug lists, and plan history
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Ability to text or email plan comparisons to prospective clients
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To run doctor and drug lists against plans to see which has the most comprehensive coverage
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Record all phone calls in compliance with the CMS regulations (updated for 2024)
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Enroll prospects over the phone with text or email
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Ability to see and compare all plans even if the agent is not contracted with that carrier
Much of what these programs do is interchangeable, but they are different programs and thus have some individual features.
Medicare Connecture Comparison – Sunfire, Connecture, MyMedicareBot
SunFire Matrix
SunFire Matrix’s press says that they provide transformative and proven technology solutions to support the Medicare landscape. Their software has been used to secure coverage for over 50 million senior citizens. Due to their size, they can collect and distill data from more than 80 insurance carriers, offering a total of more than 1300 Medicare Advantage and Prescription Drug insurance plans. Like the other programs on this list, SunFire can save the prospective’s personal information in order to identify the ideal plan with the lowest annual cost for an agent to enroll them in.
Connecture (Medicare Connecture Comparison)
Connecture is advertised as the most personalized software for quotes and enrollment for agents and agencies. It is also referred to as Connect4Medicare. The idea behind this level of personalization is that it helps not only drive enrollment, but helps protect against dissatisfaction and plan disenrollment as well. Connecture is a commonly-used platform for small to mid-sized agencies. They are also the largest Health plan-FMO-Agent distribution network in Medicare and thus can provide access to more information than some of the smaller software companies.
MyMedicareBot
MyMedicarebot is yet another software program that can quote and enroll prospective clients. However, they are unique on this list in that they have the ability to record both sales and enrollment calls in compliance with the CMS regulations for AEP 2024 and have integrated call analytics for agent and agency usage. MyMedicarebot also offers a Portfolio Analytics and Consulting feature that can distill data from CMS, competitive marketing intelligence, and the unique user membership and identify the best markets and prospects. This level of personalization is meant to optimize sales and retention.
While all three of these commonly used software programs have the ability to do the basics of quotes and enrollment for agents and agencies, they all have certain individual features that may make one a better choice than another, depending on the agency’s needs.
Licensed Agents – Medicare Connecture Comparison
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Medicare Savings Programs FAQ
Connecticut is one of the states in the nation that offers access to financial assistance programs for eligible Medicare beneficiaries. Some of the services that the Medicare Savings Program (MSP) can help pay for are Medicare part B premiums, deductibles, and co-insurance. Depending on the beneficiary’s income, if they qualify for one of the three Medicare Savings Programs, the Department of Social Services will offer financial assistance for the Medicare Part B premium each month. Some seniors may also be eligible for financial assistance for Medicare deductibles and coinsurance. Connecticut’s Medicare Savings Program is funded by Medicaid. The following are some frequently asked questions about MSPs.
Can I have both MSP and Medicaid?
Yes, you can. Medicare Savings Programs and Medicaid are two separate programs and the medical coverage is different for both of them.
Can I see the provider of my choosing?
If you have traditional Medicare, then you can see any healthcare provider that is a participating provider in Medicare. Seniors on a Medicare Advantage plan are limited to a network of providers chosen by the insurance carrier. However, the MSP works with both of these plans.
Do I have to apply for MSP?
Yes, you must file an application in order to receive the assistance from a Medicare Savings Program. Enrollment in an MSP is voluntary, meaning you can stop at any time even if you still qualify financially for the assistance.
How do I apply for an MSP?
There is a short application form that must be sent to the Department of Social Services. There is no supporting documentation needed unless the DSS requests it from you. The application form is #W-1QMB or W-1QMBS (Spanish version).
Mail the application form to:
DSS ConneCT Scanning CenterPO Box 1320Manchester, CT 06045-1320
You can also enroll online through https://www.connect.ct.gov.
It may take the DSS up to 45 days to review your application. However, if eligible, benefits are backdated to the day the office received your application.
How often does the DSS review my eligibility?
Yearly. A month or so before the expiration date, beneficiaries receive a notice explaining that they are due for a review of coverage and a renewal form, which must be sent to the DSS scanning center.
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Selling Medicare Advantage plans from home
Selling Medicare Advantage plans from home is both a viable and rewarding career option for those passionate about helping beneficiaries find the right healthcare coverage. Because of the growing demand for comprehensive plans, Medicare advantage carriers are offering more and more benefits. this gives agents a fantastic amount of options to fit their client’s needs.
If you stay up-to-date with industry trends as well as your education of plan options and compliance standards, you can build a thriving home-based business. You can also make a positive impact on the lives of Medicare beneficiaries.
The healthcare industry is constantly evolving, and with an aging population, the demand for Medicare Advantage plans is on the rise. For individuals who want a flexible and rewarding career, selling Medicare Advantage plans from home is an attractive option. We will discuss the benefits of selling Medicare Advantage plans remotely.
What are Medicare Advantage Plans:
Medicare Advantage (Medicare Part C), is a private health insurance option offered to Medicare beneficiaries. The insurance companies must have their plans approved by CMS. This is an alternative way for beneficiaries to receive Medicare benefits. Plans often include additional coverage for services not covered by Original Medicare. The additional benefits include things such as; dental, vision, prescription drug coverage, OTC coverage.
Growing Medicare Advantage Plan Market:
The popularity of Medicare Advantage plans has been growing steadily in recent years. Because beneficiaries are looking for comprehensive coverage and additional benefits, the demand for these plans has increased greatly. As a result, selling Medicare Advantage plans is a great opportunity for anyone who wants to start a home-based business.
Reasons to Sell Medicare Advantage Plans from Home:
1. The ability to set your own hours
One important advantage of selling Medicare Advantage plans from home is the flexibility it offers. As an independent agent, you can create your own schedule. This will allow you to balance your work and personal life as needed.
2. Reasonable start-up costs
Starting a home-based business selling Medicare Advantage plans requires a much lower initial investment compared to a traditional store front. You’ll need a computer, phone, internet connection, and the necessary licenses in place to start.
3. Freedom to work from different locations
Because you are working from your computer, you are not bound by a physical location. In other words, you can reach clients wherever you go. This can expand your market reach.
Getting Started as a Medicare Advantage Plan Agent:
1. Licensing and Certification
Before you start selling Medicare Advantage plans, you need to obtain the required licenses aa well as complete the necessary certifications. This usually involves passing state-specific exams and completing relevant carrier training programs.
2. Partner with Insurance Carriers
It is very helpful to create good relationships with your local insurance carrier reps. Carrier reps can offer you important services such as help with applications, marketing money and opportunities to represent their product. It is a good idea to run quotes for the area you plan to sell in and find the most competitive carrier choices to add to your offerings.
3. Building a Book of Business
Both networking and marketing play a crucial role in building a book of business. Online platforms, social media, and community events are all good ways to reach potential clients. Building trust and rapport with people is key. If you prove to be approachable, helpful and informative, you can expect clients to recommend your services to others.
Learn more about how to become a Medicare agent
Compliance and Regulations:
In order to sell Medicare plans, you must adhere to all rules and regulations set by the Centers for Medicare & Medicaid Services (CMS). It is very important to stay up-to-date with changes in the industry, as non-compliance can lead to severe penalties.
Ongoing Support and Training:
Continuing education and training are essential to stay relevant in the ever-changing healthcare landscape. Many insurance carriers and organizations offer ongoing support and resources to help you succeed in your role. This is one of the many reasons independent insurance agents may want to consider an upline.
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Medicare Call Recording
Online platforms where agents can get potential customers quotes, information about different carriers and insurance plans, and even enroll beneficiaries play a huge role in the Medicare business today. They are a vital tool for any agent. Three of the most commonly used quote and enrollment programs are Connecture, Sunfire, and MyMedicarebot. They are often used to enroll customers without the need for a face to face meeting. In order to be in compliance with the regulations from the Center for Medicare and Medicaid Services (CMS), all marketing calls between the agent and the potentials must be recorded.
Agents who work with Crowe and Associates have access to all three of these major enrollment tools for free and can watch a webinar on their use here.
Features in Common
Although the platforms are different in some ways, they have significant similarities:
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Basic CRM function that saves client information, applications, scope of appointment documents, drug lists, doctor lists, and plan histories.
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The ability to compare insurance plans and text or email them to prospective clients.
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Agents can run prescription and practitioner lists against plans to see which would include the prospective client’s preferred healthcare management
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Record all phone calls in compliance with CMS guidelines. Save calls for up to ten years if necessary.
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The ability to see and compare all plans even if an agent is not in contract with the company.
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Access to PURL links that allow clients to compare and ultimately enroll in their preferred plans. The PURL link is specific to the agent and has their contact information; it can be added to a website or sent as a link via email.
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Enroll perspectives over the phone using these Medicare call recording functions.
Medicare Call Recording Demonstrations
Watch the video instructions on how to record calls using Connecture.
For Sunfire, click for parts one and two of the instructions on how to record calls.
For MyMedicarebot, follow this link to learn how to record calls.
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Marketing Medicare Advantage Plans
Effectively marketing Medicare Advantage plans requires a multifaceted approach that combines an understanding of your audience, educational content, digital marketing, community involvement, and strong partnerships. If you use the strategies outlined below, you can reach and connect with your target audience and provide the best individualized healthcare coverage through Medicare Advantage plans.
It is important to adapt to industry trends as well as regulatory changes. This will help you maintain a competitive edge in the Medicare market. If you are both dedicated and current with your approach, you can provide Medicare clients the best plan options as well as build a successful business.
Understand your audience:
Before diving into marketing strategies, it’s crucial to understand your target audience. The beneficiaries of Medicare Advantage plans are either Seniors aged 65 and over or other individuals with qualifying disabilities. It is important to remember, within this demographic, there are distinct segments with varying healthcare needs and preferences. It is extremely important to tailor your marketing efforts to resonate with each segment. This applies whether you are selling to either active seniors seeking fitness benefits or those with specific chronic conditions.
Client education is key for a successful agent:
Keep in mind, Medicare can be complex and overwhelming for many clients. Agents should create educational content that simplifies the process of choosing a Medicare Advantage plan. There are several ways you can explain the MA plan benefits to potential clients. Make use of any tool you have including; blog posts, infographics, and videos (YouTube) or side by side comparisons of plans. It is important that clients understand; coverage options, enrollment periods, and any recent changes to their plans.
Click here for Best Medicare Sales Meeting Questions
Digital marketing is important:
In the digital age, a strong online presence is vital for marketing success. It is a good idea to use various digital marketing channels to engage with your audience:
- Social Media: People of all ages use online platforms such as; Facebook, Twitter, and LinkedIn. These platforms are very useful to share many things including, educational content, updated plan offerings and so much more.
- Email marketing is another good choice for some agents. Personalized emails about plan updates, AEP reminders or whatever you think will engage either existing clients and/or prospects
- You may wan to invest in paid online advertising on place like YouTube, Facebook or other various pay-per click opportunities.
- If you have a website, be sure to use SEO optimization to drive visitors to your website and increase visibility with organic search results.
Partner with carrier representatives and healthcare providers:
We cannot stress enough how important it is to create a good relation ship with your local carrier reps. These people offer a wealth of information as well as access to applications and marketing tools that may include marketing dollars.
If possible, form partnerships with local healthcare providers and medical facilities. This is a great way to increase brand awareness and referral opportunities.
Community involvement:
Any opportunity to be at a public event will help to establish your brand and let people know you are happy to provide guidance. Places to help out include; soup kitchens, local health fairs hosting educational events at your local senior center or church group. The opportunities are endless once you look around. You may also want to host seminars or webinars to educate seniors about the importance of Medicare Advantage and how it can fit their specific needs.
Happy clients can be very helpful:
Positive feedback from satisfied customers can make a big impact on potential clients. Encourage your clients to share their experiences with your business with their friends, family and co-workers or through online reviews. These referrals can bring in clients for years to come and truly expand you Medicare book. If possible, have clients go to your social media page and write a review. This helps build trust and credibility.
Keep in mind; The Medicare Annual Enrollment Period (October 15 – December 7) is a critical time for marketing MA plans. Be sure to reach out to your clients and check for plan updates to be sure they are happy with their coverage. It is imperative to maintain your book of business and keep clients happy by letting them know you will make sure their healthcare needs are met.
What are MA commissions for 2024
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Medicare Open Enrollment Period
Because there is some confusion as to what the Medicare Open Enrollment Period actually is, we will take a few minutes to explain it.
Many people confuse the term Medicare open enrollment period or OEP and the term Medicare Annual Enrollment or AEP. It important to understand the differences between these two enrollment periods.
The Medicare OEP, Open Enrollment Period:
This enrollment period takes place each year from January 1 to March 31. Anyone who is enrolled in a Medicare Advantage plan (Part C) can use this enrollment period to go over their current MA plan and make changes if they are necessary.
What can enrollees do during this time:
- Change from one MA or MAPD (Part C) plan to a different MA or MAPD plan.
- Drop your MA/MAPD plan and go back to Original Medicare (Parts A & B).
- If you go back to original Medicare, you can Enroll in a Medicare PDP prescription drug plan (Part D).
The new plan starts on the first day of the month following the submission of the member’s application.
Please note; the Medicare Advantage Open Enrollment Period is for Medicare Advantage plan members only.
Beneficiaries on Original Medicare cannot switch to a Medicare Advantage plan at this time. If that is what they want to do, they must wait for the Medicare Annual Enrollment Period.
The Medicare AEP, Annual Enrollment Period:
During this enrollment period, it is wise to review your client’s Medicare coverage and make any changes they decide on. The AEP runs from October 15th through December 7th each year.
What can beneficiaries do during AEP:
Switch from Original Medicare to Medicare Advantage (or vice versa).
If you’re enrolled in Original Medicare (Part A and Part B) and want to add benefits such as; prescription drug coverage, dental, vision, OTC and more, you may wan to try a Medicare Advantage plan. On the other hand, if you’re on a Medicare Advantage plan and want the flexibility of Original Medicare, you can return to it.
- Change Medicare Advantage Plans: If you’re already enrolled in a Medicare Advantage plan that doesn’t fully meet your needs, you can explore different plan options in your area.
- Enroll in a prescription drug plan (Part D): If you don’t have credible prescription drug coverage through your current plan or are in Original Medicare, you can join a standalone Medicare Prescription Drug Plan to help manage medication costs.
- Enrollees can either switch or drop prescription drug plans: Beneficiaries already enrolled in a Part D plan should compare prescription drug plans each year to ensure they have the most suitable coverage for their needs.
- Review Medicare Supplement Insurance (Medigap) Policies: Although Medicare Supplement plans are not part of the Annual Enrollment Period, it is a good idea to review these plans annually to assess whether they offer the best coverage for your needs.
Why are the Medicare Open Enrollment Period & Annual Enrollment periods important:
The significance of these enrollment periods is that they allow beneficiaries an opportunity to reassess their healthcare needs as their circumstances change. This gives them a chance to potentially save money on premiums, deductibles, and copayments or purchase additional coverage.
Anyone who fails to take advantage of this window may be stuck in an ineffective or expensive plan for another year. This can result in less coverage than they need and higher medical costs.
Tips to Help Clients Make Informed Choices:
- Assess Current Coverage: Review your client’s current plan to identify any gaps in coverage or services they require. Consider their healthcare expenses over the past year and anticipate any potential changes in healthcare needs for the upcoming year.
- Compare Plans: Use your resources through connecture or sunfire to compare the various plans available in the area. Look for plans that cover your specific medical needs, including prescription drugs, doctors, and hospitals.
- Check for Plan Changes: Insurance providers can make changes to their plans each year. This includes adjustments to premiums, drug formularies, and networks. Be sure you understand how these changes impact coverage and costs.
- Consider Future Needs: While it’s essential to address current healthcare needs, try to anticipate possible medical events or changes that may require different coverage choices in the future.
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Cigna PDP Commissionable 2024
Original Medicare covers many healthcare necessities, with both medical and hospital insurance being included automatically. However, one of the missing pieces of original Medicare is prescription drug coverage. In the past, Cigna did not pay commission on part d plans. Now, Cigna PDP commissionable 2024.
To remedy this, many carriers offer Medicare Part D, or prescription drug plans (also known as PDP). Cigna is one of these carriers. They have a large network of healthcare providers and their plans are available in most areas of the country. Even more exciting, for the 2024 Annual Enrollment Period (or AEP), Cigna has made their prescription drug plan commissionable in all 50 states. Cigna is expanding to make their PDPs commissionable for all their contracted brokers and distribution partners, which they hope will support their “No Wrong Door” portfolio selling strategy. A “No Wrong Door” approach means that, whichever way potentials and beneficiaries approach the carrier’s plans, brokers are able to support them through the system in a way that ends with them getting the plan they most benefit from. There is no wrong way to enter, so to speak.
For some time, brokers were giving Cigna feedback that they were ready to earn commission on Cigna’s products just like their competitors’ products. Cigna is ready to capitalize on their positive sales momentum. Three Cigna PDP drug plans are commissionable in the upcoming AEP. With this new ability, brokers can meet their customer’s individual needs and wants by presenting any combination of Cigna Medicare Advantage, Cigna prescription drug plans, Cigna Medicare Supplement, and other Cigna Supplemental Health and Life products. Maximum broker commissions for prescription drug plans have increased for the coming AEP from $92 per member per year to $100 per member per year, and are the same for all states, which is different than other commission rates that are different depending on location. The ability to earn commission on all of these plans will bring value to both the brokers and the beneficiaries.
Medicare agents
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Maximize Your Facebook Business Page
A Facebook business page can be a very useful tool for agents and brokers to give people easy and quick access to a snapshot of their business. They are easy to use, free to create, and simple to maintain. However, once an agent or broker has one, there are two vital steps to maximize its usefulness and reach as many potential clientele as possible. Maximize your Facebook business page.
Post new social media content daily
While this may seem excessive for the uninitiated, posting often and consistently is one of the easiest ways to move search traffic to that page. An active page is a visible page. Agents can post things like information about educational and marketing events that are coming up, updates on the business, promotions that they know about and have access to, and other valuable content related to their business and the insurance field in general. Even articles such as “How does Medicare Advantage Work?” can generate web traffic through keywords and consistent posting.
Use paid ads
Paid ads are a surefire way to reach a wider audience with a business page and drive even more web traffic to the business page. Here is a brief explanation of how to use paid ads on Facebook
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On the business page, click the top right corner “create” button and select “create an ad”
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The objectives to choose from will be “boost your posts,” “promote your page,” and “send people to your website.” The agent will have to choose the option they think is most beneficial at the time.
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Select the target social media audience. Age, location, interests, and other demographics are very important to think about because they will determine who will see the ad. If the ad is to get into the right hands, it has to reach the right people. An obvious choice would be to choose people over the age of 65, and, in particular, people who are six to eight months away from turning 65. Most seniors start researching Medicare up to eight months before they are eligible.
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Choose the budget and schedule for the ad campaign. Most ads can be affordable with a reasonable start and end date.
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Create the ad by choosing a compelling video or picture, and create a title that uses meaningful keywords.
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Review and submit the ad for approval. Facebook will review the ad before publishing it to make sure it meets their advertising requirements. Once it is approved, the ad will run, driving much needed web traffic to the agent’s chosen location.
Social media is a powerful tool. By utilizing these two steps, an agent or broker can make sure that their information is reaching as many potential clients as possible. Posting valuable content and using Facebook’s built-in paid ads feature will create a more visible business page.
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Create a Facebook Business Page
Now more than ever, if a business does not have an online presence, it may as well not exist. Prospective clients and customers in all fields need to have immediate and easy access to information about a business or service via the internet or they will quickly move on to a different source. Not only is basic information necessary to have online for customers to find, but it is also important for a small business to be able to interact appropriately online. For many brokers and agents, this takes the form of a Facebook page for their business. This post includes the instructions to create a Facebook business page for selling insurance:
One of the reasons that Facebook business pages can be so useful for agents and brokers is that they can increase their contacts and even gain new clients through natural interaction and promotion of their services.
How to Start – Create a Facebook business page
From a personal Facebook page, click on the three lines on the top left corner of the page and select “create.” From the “create” tab, select “page.”
Choose the type of page. Some options are “local business or place,” “company, organization, or institution,” and “brand or product.”
Then, simply enter the required information for the business. This usually includes things like the name and address of the business and how to contact them, as well as what services they provide.
Click “continue”
Optimize the page for maximum visibility
In order for the business page to actually generate business, people have to see it. Here are some tips to maximize the visibility of the page:
Fill in the “about” section with as much clear information as possible about how an independent Medicare agent does business. Most clients will be over 65 and may not know how any of this field works, particularly with newer technology.
Use keywords in the page’s description – things like Medicare, agent, insurance, etc. This will make it more likely that people will find your page during their searches.
A call-to-action is vital. This can be a “call now” button or a “contact us,” or even a “shop here.” Any way that the prospective client can be driven towards the registration page or even attendance at the next educational or marketing event.
A business page on Facebook can be a very useful tool for publicizing an agent or broker’s business and giving people access to quick information about what services they can provide.
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Maximum Medicare Advantage Commissions 2024
Being a Medicare Advantage insurance broker can be a rewarding and lucrative career. Rewarding because a broker is able to help their clients access the healthcare that is right for them and their families, thus helping to increase their quality of life, and lucrative because there are commissions for doing so. Commissions are always paid on top of salary, as they are in return for services rendered or products sold. In the case of Medicare Advantage, the insurance carriers are the source of the commissions. The Center for Medicare and Medicaid Services (CMS) sets the maximums for commissions each year, and released the following information for the coming insurance year, 2024.
CMS has increased their maximum commissions for the ninth year in a row for Medicare Advantage plans and Medicare Part D plans, also known as prescription drug plans or rx plans. It is important to remember that insurance carriers are not required to pay the maximum commissions to their brokers, but will release their commissions rates individually.
For Medicare Part D, the maximum broker commissions increased from $92 per member per year to $100 per member per year. This is an 8.7% increase from the previous maximum.
For Medicare Advantage, the maximum broker commissions are broken down by state, because they consider cost of living in that region.
Other States
In California and New Jersey, initial Medicare Advantage maximum commissions increased from $750/member/year to $762/member/year. For renewals, the commissions increased from $375/member/year to $381/member/year.
In Connecticut, Pennsylvania, and DC, initial Medicare Advantage maximum commissions increased from $678/member/year to $689/member/year. Renewals in these states increased from $339/member/year to $345/member/year.
In all other states, initial Medicare Advantage commissions increased from $601 to $611/member/year. Additionally, renewal commissions went up from $301 to $306/member/year.
The territories of Puerto Rico and the U.S. Virgin Islands have their own rates, which increased for initial enrollments from $411 to $418/member/year. Their renewal commissions also increased, from $206 to $209/member/year.
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