Getting Started with Medicare

Getting Started with Medicare

Getting Started with Medicare
Comments

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.

CallEmail

CMS Final Rule 2023

CMS Final Rule 2023

CMS Final Rule 2023
Comments

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.

CallEmail

2023 Medicare Advantage Commissions

2023 Medicare Advantage Commissions

2023 Medicare Advantage Commissions
Comments

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.

CallEmail

2022 Medicare Premiums and Deductibles

2022 Medicare Premiums and Deductibles

2022 Medicare Premiums and Deductibles
Comments

CMS has announced the Medicare 2022 Parts A & B premiums and deductible changes. Medicare Part B premiums for 2022 are increasing from $148.50 to $170.10 a month. For those higher-income earners, the amounts are also going up across the board. 

See the announcement by visiting CMS.gov. Some other changes include the Part B deductible increasing from $203 in 2021 to the new $233 for 2022. 

For all your Medicare questions reach out to the Pinnacle Financial team today at 800-772-6881 x-7731 or email Healthsales@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 & 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.

CallEmail

What is the SECURE Act?

What is the SECURE Act?

What is the SECURE Act?
Comments

 The SECURE Act, which was officially enacted on Jan. 1, 2020, is now the largest retirement reform to impact the economy since the Pension Protection Act of 2006.

The SECURE Act has brought significant change to the beneficiary payout options of IRAs and other qualified accounts. Secure Act did not change the payout rules for beneficiaries of nonqualified annuities (both deferred and immediate).

For the beneficiaries of nonqualified annuities, the potential wealth transfer effectiveness of life expectancy-based payments is still a tool that we can use to meet inheritance planning goals.

In regard to Non-Spousal Inherited IRAs (Qualified Money), Nationwide Peak 10 could be a solution for these cases. Please note, for most individual non-spouse beneficiaries the payout requirement is 10 years when the owner dies in 2020 or thereafter. There are several exceptions that still allow a life expectancy-based payout:

  • Spouses
  • Minors
  • Individual with disabilities
  • Chronic Illness
  • Individuals that are less than 10 years younger

A great solution for retirement planning to fit these needs is the Nationwide Peak 10 fixed index annuity. Several things to keep in mind when positioning Nationwide as a solution:

  • With Peak 10 being a 10-year contract, the purchase of the new annuity needs to happen in the same year of death. From a Suitability perspective, Nationwide would be unable to accept this business if the death occurs in the prior year (10-year rule and Peak 10 being a 10-year contract).
  • Account must be liquidated by 12/31 of the 10th year after the owner’s death.
  • Life expectancy payouts may continue where the owner died prior to 2020
  • The 10 Year Rule does not require annual or periodic distributions
  • Spousal Protection Feature is available on these contracts
  • Living Benefits are not available

The annuity team at Pinnacle Financial Services is here to assist with all your case design solutions.

Reach out to a team member at 800-772-6881 x-6003 or email annuity@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 & 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.

CallEmail