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Getting Started with Medicare

Getting Started with Medicare

Getting Started with Medicare
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So, you are thinking of getting started with Medicare sales. Like any business, the first steps are always the most challenging.  Where to start? Who to call?  Am I going to do individual sales or have an agency?  In this article, we will take a 30,000-foot view of some critically important items to consider.

Starting a Medicare Business.

As with any business, building a Medicare Business can be difficult. Understand that it is possible to grow a successful Medicare business without Medicare sales experience but there will be a longer learning curve. If you are currently selling annuities, life insurance, or even P&C your sales background will translate over to the Medicare market. The opportunities in Medicare are endless once you make the decision to begin to offer Medicare as the primary or part of your overall practice. Let’s talk about Medicare in general.

The Parts of Medicare

Medicare can be difficult for beneficiaries to understand Consulting with a knowledgeable expert in navigating the Medicare Maze is of utmost importance for clients. If you are going to make Medicare a part of your practice knowing the benefits associated with Medicare is a must.

  • Medicare Part A, Hospital Insurance, helps cover inpatient care in hospitals as well as skilled nursing facilities, hospice, and home health care.
  • Medicare Part B, Medical Insurance, helps cover doctors’ services, outpatient care, and many preventative services such as vaccinations.
  • Medicare Part C, aka Medicare Advantage Plans, are health plan options run by private insurance companies that contract with Medicare covering Medicare Parts A and B and additional benefits such as prescription drugs and possibly dental, vision, and hearing benefits for example.
  • Medicare Part D, prescription drug coverage, is run by private insurance companies approved and under contract with Medicare. Helps cover the cost of prescriptions and may help lower drug costs.
  • Medicare Supplements are standardized by Medicare and cover all or part of the gaps in original Medicare Parts A and B. Clients can choose to purchase a Medigap plan from a private insurance company.

Building a Medicare Agency

If your goal is to build an agency deciding on the payment structure for your Medicare Insurance Agents who are in the field selling is a big decision. In Medicare, there are direct pay agents and what are known as licensed only agents or, loa. So will you have the insurance carriers pay your Medicare agents or do you want all commissions paid to your agency and then you pay the agents?  Some things to consider in making this decision is what other value adds are you providing your agents. Are you giving or co-oping a Medicare Lead Program? Are you allowing them to use your office space for doing business?  Do you want more flexibility in what you are paying your agents? Are you equipped to handle the accounting if you are wanting to pay your agents?

Medicare Agent Training

Training for Medicare agents whether new or seasoned is a key feature of a successful Medicare Agency.  The Medicare industry is ever-changing.  New CMS rules are the norm.  New Medicare carriers are always entering the market.  New technology can be daunting for those without the support and training to stay at the forefront of the Medicare sales industry.

  • Technology in general is something that as a Medicare agency you will need. Keeping your team efficient and successful take dedication and investment in the future. If you are not moving forward you are moving backward.  Technology is a must to grow a successful Medicare business.

A critical decision you need to make is what FMO, field marketing organization, you choose to partner with. Let’s talk about what an FMO can do for your agency’s success.

Medicare FMO

The Medicare market has grown by leaps and bounds over the past several years. Independent insurance agents have plenty of options when searching for the Best Medicare FMO to help them grow their Medicare business.  When searching for your FMO partner you will hear plenty of claims such as, “The Best Medicare FMO”, or “Best IMO” you can find. But what does it take to truly be considered “The Best FMO”?  And what factors do you need to consider when making this decision for your Medicare agency?

Does your FMO provide at no charge all the tools and technology you will ever need?

The decisions you make in steering your Medicare business will make all the difference.  Having key partners can be the difference between living and dying in the early years.

Pinnacle Financial Services prides itself on assisting new and established Medicare agencies take the next step in their business.  Our team of Medicare experts can give you the support and guidance you need to make it in an ever-changing business. 

Contact a Medicare expert at Pinnacle Financial Services today to take the next step in growing your Medicare practice. 1-800-772-6881 or Sales@pfsinsurance.com

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Bob Brzyski

Bob Brzyski

Vice President, Marketing

x7742 | bbrzyski@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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CMS Final Rule 2023

CMS Final Rule 2023

CMS Final Rule 2023
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As of now, you have probably heard of the  CMS Final Rule 2023 that was announced May 2022. The rule is set to go into effect on October 1, 2022, and will require all Medicare and Medicaid marketing calls to be recorded and stored.  Many believe this is CMS’s response to the many TV ads showing celebrities that at the very least have been viewed as misleading.  It looks as though CMS decided to throw an all-encompassing net around all agents whether field agents or others requiring all calls to be recorded.

CMS Final Rule 2023- NAHU Looks for Clarification

NAHU spoke with CMS officials for clarification into the scope of the final rule’s requirements for recording beneficiary phone calls. The recording requirement applies to all agents who enroll beneficiaries into new plans, whether they are current or new clients. The wording of the rule references “marketing” calls, but NAHU confirmed that CMS interprets “enrollment” as “marketing.” Online applications that agents walk through with their clients are also subject to recording. SHIPS are exempt from the rule.

Our friends at NAHU, are continually working towards a resolution and clarification from CMS as the current state of the rule is quite cumbersome to agents, to say the least.  For a copy of the CMS Final Rule, you can go directly to the article.

CMS Final Rule 2023- Summary of Marketing Changes

The following is a summary of the changes published.  Keep in mind that there could be changes and/or additional clarification on the rule from CMS.

  • All field agents must begin recording all phone calls with beneficiaries
  • The disclaimer “I/We do not offer every plan available in your area. Please contact medicare.gov or 1-800-MEDICARE to get information on all your options” must be conveyed as follows:
    1. Verbally conveyed within the first minute of a sales phone call.
    2. Electronically conveyed when communicating with a beneficiary through email, online chat, or other electronic means of communication.
    3. Prominently displayed on third-party marketing organization websites
    4. Included in any third-party marketing organization marketing materials, including print materials and television advertisements.

CMS Final Rule 2023- Solutions for Agents

The team at Pinnacle Financial Services has several solutions so that agents are able to meet these ongoing changes.  We will continue to have the latest technology needed so that all of our agent partners will be able to continue selling in a compliant way.

As the guidance updates the Pinnacle team will keep you informed of the changes.

“When I make a joke it’s a joke, when government makes a joke it’s the law” Will Rogers.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Bob Brzyski

Bob Brzyski

Vice President | Marketing

x7742 | bbrzyski@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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2023 Medicare Advantage Commissions

2023 Medicare Advantage Commissions

2023 Medicare Advantage Commissions
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2023 Medicare Advantage Commissions have been announced. Commission increases will take place for 2023 Medicare Advantage and Medicare Part D sales per the announcement by the Center for Medicare and Medicaid Services, (CMS). Click Here for announcement.

 

FOR CA AND NJ

  • Initial MA commissions increased from $715/member/year to $750/member/year.
  • Renewal commissions increased from $358/member/year to $375/member/year.

FOR CT, DC, AND PA

  • Initial MA commissions increased from $646/member/year to $678/member/year.
  • Renewal commissions increased from $323/member/year to $339/member/year.

FOR PUERTO RICO AND THE U.S. VIRGIN ISLANDS

  • Initial MA commissions increased from $394/member/year to $411/member/year.
  • Renewal commissions increased from $197/member/year to $206/member/year.

In all other states, initial MA commissions increased from $573/member/year to $601/member/year. Renewal commissions increased from $287/member/year to $301/member/year.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Bob Brzyski

Bob Brzyski

Vice President of Marketing

x7742 | bbrzyski@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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2022 Pinnacle Financial Services Sales Summit

2022 Pinnacle Financial Services Sales Summit

2022 Pinnacle Financial Services Sales Summit
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The Pinnacle Financial Services 2022 Sales Summit is the best insurance sales convention for agents looking for content geared toward growing sales.

This year’s summit went off in grand fashion with an inspiration live rendition of the

Star-Spangled Banner which had the crowd standing, cheering, and ready for the day!

The Summit was held on March 24th, 2022 at the Sheraton Valley Forge in King of Prussia Pennsylvania, and included a jam-packed agenda of diverse speakers with content focused on things insurance agents do to grow their business.

Summit Content:

Topics discussed included Multi-Cultural Marketing, SEO, Facebook Marketing, Seminar programs for Medicare and Annuities as well as an amazing keynote presentation from Vince Papale.

Summit Keynote:

In 2006 Walt Disney Pictures continued their triumphant tradition of motivating sports stories with the release of INVINCIBLE. It’s a stirring football drama starring Mark Wahlberg as Vince Papale, an ordinary guy who, against all odds takes his shot at every fan’s fantasy of going from the grandstands to the gridiron and becomes a beloved member of the Philadelphia Eagles football team. Vince’s presentation had everyone inspired by his never say quit attitude.

Summit Carrier Sponsors:

We also had in attendance the most influential insurance companies in the Medicare, annuity, life insurance, and healthcare industry. Representatives were in attendance from carriers such as UnitedHealthcare, CIGNA, Aetna, Nationwide, Brookstone Capital, Humana, Independence Blue Cross, Anthem, and more!

Summit Wrap Up:

As a leading FMO in the senior market, Pinnacle Financial Services is happy to be able to bring together all the top industry experts to you for a one-day event that is 100% geared to growing your sales.

The Pinnacle Sales Summit is always 100% free to attend for all insurance professionals looking for content that is second to none.  Don’t get fooled into paying hundreds or thousands at other events.  At Pinnacle we invest in your success!

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Bob Brzyski

Bob Brzyski

Vice President Marketing

x7742 | bbrzyski@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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2022 Pinnacle Financial Services Sales Summit

2022 Sales Summit

2022 Sales Summit
Comments

Pinnacle is excited to announce our 2022 Sales Summit. Join us on March 24th at the Sheraton Valley Forge in King of Prussia Pennsylvania, for a full day of interaction with some of the top insurance carriers, lead carriers, and technology companies in the senior market. Hear about the latest in marketing trends, legislative updates, sales concepts, state-of-the-art technology, and more.

We are excited to have our keynote speaker Vince Papale joining us. In 2006 Walt Disney Pictures continued their triumphant tradition of motivating sports stories with the release of INVINCIBLE. It’s a stirring football drama starring Mark Wahlberg as Vince Papale, an ordinary guy who, against all odds takes his shot at every fan’s fantasy of going from the grandstands to the gridiron

This year’s summit will include presentations that are geared towards growing your business.  Presentations on Facebook Marketing, SEO training, Multicultural Marketing, Seminar selling, and more.

We also have some of the most influential insurance companies in the Medicare, annuity, life insurance, and healthcare industry. Representatives will be in attendance from carriers such as United Healthcare, CIGNA, Aetna, Nationwide, Lincoln Financial, Humana, Independence Blue Cross, Anthem, and more!

As a leading FMO in the senior market, Pinnacle Financial Services is happy to be able to bring together all the top industry experts to you for a one-day event you cannot afford to miss.

Registration is free and required to attend. Space is limited, so don’t delay in securing your spot at the one insurance sales meeting you need to attend in 2022.

For more information or to register, visit www.pfssummit.com or call us today at 1 (800) 772-6881 x7731.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Bob Brzyski

Bob Brzyski

Vice President | Marketing & Business Development

x7742 | bbrzyski@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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