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Home Posts tagged "Medicare sales career"
Medicare licensed agents

Medicare licensed agents

By Ed Crowe | General Articles | 0 comment | 19 January, 2024 | 0

Medicare licensed agents

Medicare licensed agents provide a valuable service to beneficiaries.  If they stay up-to-date on product offerings and CMS rules, they can provide clients with a number of plan choices that will suite their needs. This is a great career if you are interested in becoming a valued member of your community and providing an important service to it’s members.

Where to start

The first thing you need to do is go onto the state insurance department website for your state.  From there, you can lookup the requirements to earn your health or health and life license.

There are several companies that offer the courses you need to study for your test.  Your states insurance department website will give you the available options. While you are studying for you resident state license, you will start to learn the rules for selling Medicare & other health plans.  Studying also provides valuable information about the different components of Medicare and how they work together.

Each state has different requirements for exam-prep. Some require in-person training while others allow self-study at your own pace.  There are also online options and options to order books if you are more comfortable with that.  There is a test at the end of the course that you must pass before you can take your actual licensing exam.  It is important to note; some states require agents to take a course on life as well as health while other states do not require agents to do both. If you think you may want to offer life products later, you can add the life course and do the testing at once.

Once you pass the exam, CMS reports your results to the National Insurance Producer Registry (NIPR).   Be sure you print and download a copy of your license.  You will find your  National Producer Number (NPN)on your license.  You need your license and NPN to contract with carriers.

Contract with an FMO

An FMO (field marketing organization) is an invaluable tool.  A good FMO not only provides it’s downline agents training, tools and contracting.  They provide continuous, back office support, they will answer your calls and make sure you get answers to your questions. Some of the things FMOs help; they get contracting requests processed, train downline agents on new CMS regulations and carrier products.  Agents need to take time and ask as many questions as you need to to feel comfortable before they choose an FMO.

 Watch a YouTube video on the programs Crowe has to offer

Having an FMO behind you , makes contracting with multiple carriers and products a much smoother process.  They should also provide guidance to new agents to put a plan of action in place and get up and running.  There may also be opportunities for leads, marketing money and other useful tools.

Join the team at Crowe – click here for online contracting

Purchase E&O insurance

In order to do business, carriers require all agents to have E&O insurance.  This insurance protects you in the event you make a mistake when you enroll a client an they take legal action against you to cover any financial loss your misinformation may have caused them.  Your FMO may provide a discounted plan to it’s downline agents.  If they don’t you can purchase a policy through an agent who provides property and casualty insurance.

Click here to learn about our discounted E&O

Complete AHIP

After you get our license, you should take the AHIP.  AHIP stands for America’s Health Insurance Plans.  Most carriers who offer PDP or MA/MAPD plans require agents to take this training and certification course.  Agents must take this test each year and get a 90% to pass.  The cost to take the AHIP course is $175, although many carriers offer a $50 discount if you take it through their portal when you do your carrier certifications(more on those below).

Click here to watch a YouTube video on AHIP test tips for 2024

Get contracted & appointed

Agents must complete carrier contracting before they are appointed to sell their products. In most cases, agents need a copy of their current state health insurance license for each state they plan to sell in.   A copy of their E&O certificate is also necessary.  Your FMO will will help with this process by providing other important information to the carriers.  Once the carrier has all the pertinent information, you must complete the carrier specific training for PDP and MA/MAPD plans.

It is a good idea to request only 4-5 good carriers in your area and get RTS (ready to sell).  With a good FMO, it is easy to add more in as you need them.  You do not want to be overwhelmed from the start. This can discourage anyone.

Find out about how Medicare commissions pay 

Moving forward

It is important to make sure you keep your license active.  This sounds like a no brainer but, some agents forget to renew and that can cause a number of problems with your carrier contracts. up to date.  In order to do this you will need to complete a specific number of CE credits before you can renew your license.  The amount of CE hours you need vary by your resident state.  You can choose any accredited CE course provider you like, again this is based on state specific requirements.

If there are updates with CMS requirements, both your FMO and the carriers you are appointed with should provide them to you.  It is essential that you follow all guidelines when making sales to avoid termination of your contracts.

If you want a career where you provide a valuable service to individuals and truly enjoy helping people, this could be a good fit for you.  In this business, we cannot stress enough how important it is to be organized and well informed to provide the best service to your clients.

Do you need a scope of appointment, click here and learn about the rules

If you want to view more images by this artist, click here
How to become a Medicare agent

How to become a Medicare agent

By Ed Crowe | General Articles | 0 comment | 21 February, 2023 | 0

How to become a Medicare agent

If you’re interested in how to become a Medicare agent, the information below will give you a good idea.  With the aging population and increasing demand for advice on Medicare plans, there is a huge need for knowledgeable Medicare agents.  Good Medicare producers have a strong knowledge of the options available to seniors, know the rules and most importantly can explain them to seniors in a concise and understandable manner. Is having a career as a Medicare producer easy?  Tricky question, it can be once an agent has built up a large book of business that produces recurring revenue.  The trick however is building up a book in the first place.   Here’s a step-by-step guide on how to become a Medicare agent:

Step 1: Understand the Role of a Medicare Agent

When learning how to become a Medicare agent, it’s important to understand what the role entails. Medicare agents are licensed professionals who help seniors enroll in Medicare, choose a Medicare plan, and make informed decisions. They are also responsible for educating clients on Medicare rules and helping them understand their coverage options.  A successful Medicare agent is able to explain the following to prospects:

  • Basics of Medicare A and B and options for enrollment into them
  • Rules regarding plan changes and election periods
  • Differences between Medicare supplements, Part D plans and Medicare Advantage plans
  • Helping the Medicare beneficiary figure out which plan type might best fit their specific situation
  • Keeping them up to date with new plans and plan changes going forward

Step 2: How to become a Medicare agent: Insurance license

In order to become a Medicare agent, you must first meet the education requirements set by the Centers for Medicare and Medicaid Services (CMS). There are multiple requirements.  First, a Medicare producer must have a valid State health insurance license in the state they plan to sell in.  If they are goign to sell in multiple states, they need to have a license in each of those states.

Step 3: Contracting

After receiving the insurance license, the next step in how to become a Medicare agent is to contract with the desired carriers.  How many companies the agent contracts with is up to them but it is usually wise to have the most competitive carriers in the areas you plan to sell in.  This might be 2 companies or 6 to 8 depending on the area.

CLICK HERE FOR CARRIER CONTRACTING (Filling out this link one time allows contracting requests to be sent to multiple carriers)

Step 4:How to become a Medicare agent: Certifications

There are two types of certifications when it comes to Medicare Advantage and Stand alone Medicare Part D plans.  Medicare supplements do not require certifications with the exception of one carrier.   The two types of certifications are AHIP and the individual carrier certifications.

  • AHIP:  AHIP is a national Medicare designation that agents need to pass annually in order to be able to offer Medicare Advantage and Part D plans.  AHIP costs $175 per year.  Agents can access AHIP for the discounted cost of $125 through our sponsored link:
  • CLICK HERE FOR AHIP DISCOUNTED LINK
  • Carrier certifications:  All carriers require a certification be completed in order to offer their MA or PDP plans.   The certifications must be completed ever year.

Step 5: Agent education on plan types, Original Medicare and election periods

Agents must understand the rules for all aspects of Medicare applicable to consumers.  This includes knowing the rules to sign up for Original Medicare and the benefits.  A full knowledge of Medicare Advantage plans, Part D plans and Medicare supplements is also needed. In addtion, agents need to know the Medicare election periods including AEP, OEP and SEP elections.

Watch a video on Medicare Advantage vs. Medicare supplements

Step 6: How to become a Medicare agent: Enrollment and technology

How will you be enrolling the members you work with?  Will you be using paper applications in a face to face setting?  Maybe you will be working face to face but enrolling members electronically or through voice signature.  Either way, agents will need to understand how to enroll members.  There are 3 platforms that give agent the ability to quote, compare and enroll.  All three have basic CRM functions and quote and compare all carriers available in a given state.

Learn about Connecture, Sunfire and MyMedicareBot

Step 6: Marketing and more marketing

All of the information above is important but the most important part for a Medicare agent is the ability to market.  Lack of prospects and opportunity is the number one reason agents do not make it in the Medicare business.  Prospects will not just start showing up once an agent is licensed, contracted and ready to sell.  If you are not getting in front of people face to face, online or over the phone, you are not going to sell and will not make money.

Learn about marketing for Medicare agents

Watch a video on Medicare marketing

 

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Online Enrollment- Enroll prospects online without the need for a face to face appointment. Access to all major carriers with the ability to compare plan benefits and prescription drug costs. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033

All agents receive a personalized enrollment website. Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. Agents are credited for all enrollments. Click Here

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