fbpx
Why Use A Medicare Insurance Agent

Why Use A Medicare Insurance Agent

Why Use A Medicare Insurance Agent
Comments

When you think about Medicare coverage and all the options it can be daunting for anyone. This is where trained insurance agents are crucial because they provide clients with clarity, individualized care, and knowledgeable advice.

They help people navigate the confusing Medicare system and locate the best plan for their specific health and financial needs.

The first crucial function that insurance agents perform is that of a teacher. The four Medicare components, Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage), are explained to people in this way. They make clear how each component functions, what it covers, the expenses involved, and how these components can cooperate to offer comprehensive coverage. People can use this information to make well-informed decisions about their healthcare.

Insurance agents are also skilled at doing a comprehensive needs analysis for clients. They consider the clients’ present health issues, prescription requirements, chosen medical facilities and physicians, way of life, and financial capacity. They use this data to suggest a strategy that fits the particular requirements of each of their clients.

Annual plan reviews are a crucial area where insurance brokers help. Plans for Medicare Advantage and Part D prescription drugs are subject to annual revision. As a result, a plan that worked well one year could not work as well the following. Insurance agents analyze the modifications during the yearly Medicare Annual Enrollment Period and assist clients in determining whether to switch plans.

Agents also help with enrollment as well, making sure it goes smoothly and without mistakes. They assist clients as they navigate the complexities of the application, ensuring that all deadlines are reached and paperwork is correctly filled out. This aids clients in avoiding potential problems that can result in penalties or coverage gaps.

Lastly, they provide ongoing customer service, acting as an advocate for clients in dealing with Medicare or insurance companies. If there are issues with claims, coverage, or other concerns, agents are there to help resolve them. Their ongoing support creates a hassle-free experience, allowing clients to focus on their health rather than navigating bureaucratic complexities.

A critical component for insurance agents in this process is having a reliable and expert Medicare team behind them, and this is where Pinnacle Financial Services comes into play. Pinnacle Financial Services offers a dedicated team of Medicare experts who support insurance agents at each step of the process.

From providing up-to-date information about Medicare changes, offering marketing support, assisting with product comparisons and enrollment processes, to solving complex client queries, their knowledgeable team is there to help. They empower agents with the right tools, comprehensive training, and unwavering support, which allows agents to deliver the best possible outcomes for their clients.  For more information reach out to the Pinnacle team today.

For more information, contact a Pinnacle Financial Services representative today

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

Jessica Strauss

Jessica Strauss

Director of sales | Health

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 a Medicare SEP?

What is a Medicare SEP?

What is a Medicare SEP?
Comments

Those 65 and over, as well as those with specific disabilities and medical conditions, are covered by the federal health insurance program known as Medicare. The Annual Enrollment Period (AEP) and Special Enrollment Periods are two of the enrollment periods that Medicare allows for people to enroll in or modify their coverage (SEPs). This blog post will concentrate on SEPs and how they operate.

What is a Medicare SEP?

An individual who is already enrolled in Medicare may modify their coverage outside of the Annual Enrollment Period (AEP) during a Special Enrollment Period (SEP). A move to a new state or a declared local emergency is just two examples of the types of life events that SEPs are made to accommodate. SEPs come in a variety of forms, each with its own set of guidelines and qualifying standards.

How Do SEPs Function?

Depending on the particular type of SEP, different restrictions apply to that SEP. While some SEPs are triggered by life events, others are accessible to everyone who meets certain requirements.

Special Enrollment Period for Dual Eligible Individuals

If you are eligible for both Medicare and Medicaid, you may be eligible for a Special Enrollment Period. This SEP allows you to enroll in a Medicare Advantage plan or make changes to your existing coverage once per quarter during the first nine months of the year.

Special Enrollment Period for Losing Employer Coverage

If you lose your employer-sponsored health insurance, you may be eligible for a SEP. You have a SEP to enroll in Medicare Part B and/or a Medicare Advantage plan after losing your employer coverage.

Options Available

Pinnacle Financial Services is a full-service “FMO” that offers you the best technology in the business while giving you options as well. We are the only FMO in the country that offers both electronic enrollment platforms: Connecture and Sunfire. When you are contracted, certified, and ready to sell; both platforms are free of charge for our agents. You will be then able to utilize our tools to check out and then enroll your Medicare beneficiary. You will be able to narrow it down to the best Medicare advantage plan for your client with the extra benefits that fit their needs for them. There are no sales quotas or commitments that you need to make to us as we just want to help you grow your business.

Pinnacle has some of the best opportunities to help agents grow as well as receive individualized attention. The Pinnacle Medicare team is always available to assist should you give us a call.  If you’re interested in additional information, don’t hesitate in contacting your sales director for more.

For more information, contact a Pinnacle Financial Services representative today

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

Jessica Strauss

Jessica Strauss

Director of Sales - Health

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

Medicare Advantage Extra Benefits

Medicare Advantage Extra Benefits

Medicare Advantage Extra Benefits
Comments

Medicare Advantage Plans are offered by private insurance companies and must cover the same benefits as Original Medicare. This includes hospital stays, doctor’s visits, and preventive care. Medicare Advantage Extra Benefits come in addition to the standard benefits included in the Medicare Advantage Plans. Some of the extra benefits will include gym memberships or gym discounts. There are some vision, hearing, and dental services. The extra benefits are a big win for clients.  Knowing each plan’s extra benefits can make the agent a hero when it comes to helping clients with their Medicare.

The Extra Benefits from each of the carriers in the plans may have some similarities between them, as well as some, which could have major differences. One of the extra benefits that could be included is called an over-the-counter card or OTC Card. The member of the Medicare Advantage plan has a specific amount of money they can spend on non-prescription drugs in addition to other health-related items. Another extra benefit in regards to the Medicare Advantage plans is a set number of trips of transportation to any of the policyholders’ medical appointments.

Further instances of those extra benefits go in more depth where the policyholder needs more assistance throughout the day or may need some more hands-on help. In this case, the extra benefits would include adult day care services or caregivers can come to the policy’s holders’ home for support there. In some scenarios, some policyholders of the Medicare Advantage plans have no idea what type of services are actually offered to them or what resources are available locally in their community. Other examples of the extra benefits would include Social work teleservices, caregiver support services, and expanding telehealth services for the policyholder. These extra services and benefits can help the beneficiaries utilize and maximize their plans and be able to use them to their full advantage.

Pinnacle Financial Services is a full-service “FMO” that offers you the best technology in the business while giving you options as well. We are the only FMO in the country that offers both electronic enrollment platforms: Connecture and Sunfire. When you are contracted, certified, and ready to sell; both platforms are free of charge for our agents. You will be then able to utilize our tools to check out and then enroll your Medicare beneficiary. You will be able to narrow it down to the best Medicare Advantage Plan for your client with the extra benefits that fit their needs for them. There are no sales quotas or commitments that you need to make to us as we just want to help you grow your business. We have some of the best opportunities to help agents grow as well as receive individualized attention. The Pinnacle Medicare team is always available to assist so give us a call!  If you are interested in more information, please do not hesitate to give your sales director a call here. Join us at the top!

 

For more information, contact a Pinnacle Financial Services representative today

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

Jessica Strauss

Jessica Strauss

Director of sales | Health

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

Medicare PDP Commissions

Medicare PDP Commissions

Medicare PDP Commissions
Comments

Medicare PDP commissions are regulated by CMS and typically change each year. Medicare PDP is also called a Part D prescription-drug-plan or stand-alone prescription drug plan. It is one of the ways Medicare beneficiaries can sign up for Medicare coverage for their prescription drugs. A Prescription drug plan can be purchased on top of the Original Medicare coverage as well alongside a Medicare Supplement Plan. Some beneficiaries who have MAPD (Medicare Advantage) plans include part d that covers their prescriptions. In those cases, a stand PDP plan would not need to be purchased.

What are the 2023 PDP COMMISSIONS?

The Centers for Medicare and Medicaid which is also known as CMS has come out and announced the new maximum commissions for 2023 for Medicare Part D plans. With a constant streak of commissions going up year after year, Medicare agents are continuing to see rewards for their work and retaining their beneficiary clients. The 2023 commissions have significantly jumped over five percent year after year in the initial enrollment. CMS has also increased the renewal commissions year after year toward 4.55% annually. In other words, commissions will increase from $87 annually per member to $92 per member annually and the renewals will arrange from $44 per member to $46 per member.

How Can we help you?

Pinnacle Financial Services is a full-service “FMO” that offers you the best technology in the business while giving you options as well. We are the only FMO in the country that offers both electronic enrollment platforms: Connecture and Sunfire. When you are contracted, certified, and ready to sell; both platforms are free of charge for our agents. You will be then able to utilize our tools to check out and then enroll your Medicare beneficiary. You will be able to narrow it down to the best PDP for your client. There are no sales quotas or commitments that you need to make to us as we just want to help you grow your business. We have some of the best opportunities to help agents grow as well as receive individualized attention.

The Pinnacle Medicare team is always available to assist so give us a call!  If you are interested in more information, please do not hesitate to give your sales director a call here. Join us at the top!

For more information, contact a Pinnacle Financial Services representative today

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

Jessica Strauss

Jessica Strauss

Director of Sales | Health

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

Prescription Discount Drug Card

Prescription Discount Drug Card

Prescription Discount Drug Card
Comments

Prescription discount drug cards were established and created to help patients with being able to afford their medications. Many patients get themselves enrolled in the prescription discount drug card when the co-pay for the prescriptions is high.

Not an Insurance Plan

Prescription Discount drug card are not insurance plans. Prescription discount drug programs are completely different than prescription drug insurance, which is very similar to medical insurance. Prescription discount drug programs will give the client a card that they present to the pharmacist for the discount. Most discount cards are available at no cost and offer savings to patients who may lack insurance for their brand or generic medication costs. When you go to the pharmacy to fill your prescription you present the discount card to the pharmacist. With that card, the pharmacy gives you a certain discount on the cost of the drug. That discount may vary from drug to drug, and brand verse generic medications.

Prescription Discount Drug Card and Part D

If you already have Medicare Part D you may qualify for some extra help like a discount card from the manufacturer of the prescription as an example to help cover some of the extra costs. There are so many different discount prescription drug programs out there, how do you choose which one to use?

Access to a discount drug card

With all the Discount Prescription drug programs out there what are the useful ones to use? Last summer we came across the best program hands down. With this program specifically, we have seen the most beneficial savings on prescriptions for clients. This discount prescription program specifically has a great opportunity for insurance agents to make an extra commission too. Agents can now offer a competitive alternative to GoodRx, SingleCare, Optum Perks, ScriptSave WellRx through GlicRx.

Glicrx prescription drug savings card

GlicRx provides online access to compare the discounts on prescriptions from all the major stores all at once in the same place.  For example; you can take one medication and compare the discount between Walmart, CVS, Walgreens, Rite Aid and see which ones come in the cheapest out-of-pocket cost with the discount.

Get Authorized to offer GLICRx today

Contact your marketer for more details on GLICRx and how to become authorized to offer to your clients!

For more information, contact a Pinnacle Financial Services representative today

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

Jessica Strauss

Jessica Strauss

Director of Sales | Health

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