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2021 Medicare Advantage Commissions

2021 Medicare Advantage Commissions

2021 Medicare Advantage Commissions
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Raises are coming to agents for 2021 Medicare Advantage. Commission increase was announced by the Center for Medicare and Medicaid Services, (CMS).

For CA and NJ

  • Initial MA commissions increased from $636/member/year to $672/member/year.

  • Renewal commissions increased from $318/member/year to $336/member/year.

For CT, DC, and PA

  • Initial MA commissions increased from $574/member/year to $607/member/year.
  • Renewal commissions increased from $287/member/year to $304/member/year.

For Puerto Rico and the U.S. Virgin Islands

  • Initial MA commissions increased from $350/member/year to $370/member/year.
  • Renewal commissions increased from $175/member/year to $185/member/year.

In all other states, initial MA commissions increased from $510/member/year to $539/member/year.

 Renewal commissions increased from $255/member/year to $270/member/year.

2021 Medicare Advantage Commissions

Initial Renewal
Product Region 2020 2021 2020 2021
MAPD National $510 $539 $255 $270
CT, PA, & DC $574 $607 $287 $304
CA & NJ $636 $672 $318 $336
Puerto Rico & U.S. Virgin Islands $350 $370 $175 $185
PDP National $78 $81 $39 $41
For more information, contact a Pinnacle Financial Services representative today

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

Nick Palo

Nick Palo

Senior Sales Director - Health

x7728 | npalo@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

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

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Contact a Pinnacle Financial Service representative today for assistance.

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Medicare Now Covers COVID-19 Testing

Medicare Now Covers COVID-19 Testing

Medicare Now Covers COVID-19 Testing
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Lately, you’re probably hearing about the Coronavirus (COVID-19) in the news. While there isn’t a vaccine or immediate cure yet, Medicare is still here to help. Medicare Part B now covers a test to see if clients will be positive for the Coronavirus. This test is covered when their doctor or other health care provider orders it if they got the test on or after February 4, 2020.

Typically, clients pay nothing for a Medicare-covered clinical diagnostic laboratory test.

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NOTE

Providers will need to wait until after April 1, 2020, to be able to submit a claim to Medicare for the Coronavirus (COVID-19) test.

To help prevent the spread of this illness or other illnesses including the flu, here are some tips to follow:

  • Wash your hands often with soap and water
  • Cover your mouth and nose when you cough or sneeze
  • Stay home when you’re sick
  • See your doctor if you think you’re ill

How to Stay Up-to-Date

  • Coronavirus.gov is the source for the latest information about COVID-19 prevention, symptoms, and answers to common questions.
  • Whitehouse.gov contains the current administration’s Coronavirus Guidelines for America — 15 Days to Slow the Spread of Coronavirus (COVID-19).
  • USA.gov is a United States government website that has the latest information about what the government is doing in response to COVID-19.

Medicare wants to help protect clients from COVID-19. To assist, here are some additional helpful resources:

How does Pinnacle Financial Services Fit in?

Pinnacle Financial Services is a full-service FMO in the senior market. We offer a variety of technological tools that should help agents maintain their businesses during the social distancing strategy encouraged by experts. Connect4Medicare, Pinnacle’s proprietary online enrollment platform, allows agents to remotely enroll their clients into Medicare Advantage, Medicare Supplement, and Prescription Drug Plans (PDP). There’s even an electronic scope of appointment feature that would allow you to send a scope to be signed via email by the client.

Pinnacle Financial Services wants to help you come out on top during these difficult times!

For more information, contact a Pinnacle Financial Services representative today

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

Nick Palo

Nick Palo

Senior Sales Director - Health

x7728 | npalo@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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Medicare Advantage and Medicare Supplement Leads

Medicare Advantage and Medicare Supplement Leads

Medicare Advantage and Medicare Supplement Leads

Pinnacle Financial Services offers a wide range of Medicare lead programs ranging from your standard direct mail programs through numerous vendors, all the way to Internet and Facebook leads and everything in between.   This includes Medicare Advantage and Medicare supplement lead options.

Our most popular lead program currently is our “Per Piece” lead program. Unlike other direct mail, you do not simply shell out hundreds of dollars to mail 1,000 pieces and hope for a good return. This program offers 2 types of leads, Turning 65 as well as 66+. The 66+ leads range from ages 66-74. Both types of leads are available in two-income brackets, $0-30,000 per year and $30-75,000 per year.

In the last few years, agents have found this to be one of our most consistent programs with average closing ratios ranging from 20-30%. We have many agents utilizing these leads as part of their monthly lead co-op program that Pinnacle offers. The nicest part of this lead program is you know exactly what type of return you are going to get on your investment from the time you order. The minimum order quantity is 20 leads, if by chance they only get 18 leads back, then that is what you pay for.

The same would go if you got 23 leads back. Essentially you are guaranteeing yourself a 2% return rate rather than rolling the dice on a mailer and hoping on a decent response. One of our direct mail vendors is guaranteeing their returns on their mailers. This has been a huge opportunity for us as it gives our agents a big piece of mind when placing orders. The direct mail market has been extremely up and down especially the last few years, so having a vendor who is willing to put a guarantee behind what they do goes a long way.

Pinnacle Financial has many different programs along all of their product lines and are constantly adding new lead programs and incentives. Make sure to reach out to your marketer to take advantage of the opportunities available to you.

For more information, contact a Pinnacle Representative today at 1-(800)-772-6881 x7731 or email sales@pfsinsurance.com.

Nick Palo

Nick Palo

Senior Sales Director - Health

1 (800) 772-6881 x7728
npalo@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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Medicare Certification 2020

Medicare Certification 2020

Medicare Certification 2020

Pinnacle Financial Services would like to welcome Medicare Certification Season 2020.

Yes, It’s that time of year again!

AHIP is open, carrier certifications are open, and we’re here to help make it as easy as possible on you. Let’s start with when to expect carrier certifications:

AHIP 6/17

Humana 6/25

Anthem 6/26

UnitedHealthcare 7/1

Mutual of Omaha 7/1

BCBS IL 7/8

Allwell Centene 7/9

WellCare 7/9

Aetna 7/10

SilverScript 7/10

Select Health 7/15

The following haven’t released exact dates yet, but we expect them sometime between July and August:

Envision, Emblem, IBC, VIP, Health Partners, Geisinger, and Freedom Health

For your convenience, we’ve put together some questions we’re often asked, that should make the process smoother.

FAQ's

Q: What is AHIP?
A:

AHIP stands for America’s Health Insurance Plans. In order to sell Medicare Advantage plans during the Annual Enrollment Period (AEP), most insurers require completion of AHIP’s Medicare training courses. Insurers generally require AHIP to assure that agents selling their plans are compliant with the latest CMS guidelines and regulations.

Q: How Much Does AHIP Cost?
A:

The original cost of AHIP is $175; however, there are currently 7 carriers we are contracted with that offer an AHIP discount of $50 making the total cost $125. Those carriers are Aetna, Anthem, Humana, UHC, WellCare, Mutual of Omaha, and Cigna Healthspring.

Q: I Passed AHIP Last Year. Do I need to Complete all of the Modules again?
A:

If this is your second or more time taking AHIP you will be exempt from having to complete modules 1-3.

Q: I Reside in “_____”, however I would like to sell in other states as well. Are other certs/training needed to be completed?
A:

There is nothing mandatory about being “Ready to Sell” in additional states except the completion of the current year certifications. No additional certification is required, but carriers do offer face to face training for agents who are interested.

Q: What is the Passing Score for AHIP?
A:

You are given 3 attempts to get a 90% or higher on the final exam. You are given a 2-hour window to answer 50 questions on the final exam. Each click that opens the test is counted as an attempt. Please make sure you have time allotted to sit down and finish the test before beginning.

Q: If I don’t pass within the 3 attempts, can I take the test again?
A:

You can take the test again however, Humana will not accept an AHIP transfer if an agent has not passed AHIP within 3 attempts. Other carriers will, but you won’t get the discount if you pay for another 3 attempts. It’ll cost $175 each time you have to repurchase the test.

For more information on Medicare Advantage Certifications, contact a Pinnacle Financial Services sales director.

Nick Palo

Nick Palo

Director of Sales - Health

x7728 | npalo@pfsinsurance.com

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Contact a Pinnacle Financial Service representative today for assistance.

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Medicare Advantage Online Enrollment

Medicare Advantage Online Enrollment

Medicare Advantage Online Enrollment

Over the past few years more and more carriers have been rolling out their own versions of online platforms allowing agents to enroll their Medicare clients online. This has changed the game in the Medicare AdvantageMedicare Supplement, and Part D world.

Up until more recently, an agent would have to do their standard fact finding and determine what the correct plan would be for the client, then login to that carrier’s website and go to complete the app. Should you prefer to utilize the carrier’s websites directly there are some excellent tools Pinnacle has available to assist in your consultation prior to enrolling, such as our Medicare Quote Engine.

The Quote engine will allow you to run side by side comparisons of Medicare Supplement, Medicare Advantage, Part D, Hospital Indemnity, Final Expense and Dental Plans. It will automatically calculate household discounts, provide underwriting information by carrier and show rate increase history for Medicare Supplements. On the Medicare Advantage Plans in addition to doing a side by side comparison you can also build a Hospital Indemnity plan around the current Medicare Advantage Plan you are considering for your client. If you are interested in a demo on this software, please reach out to your marketer.

The latest and most convenient method of enrolling your clients online has been Pinnacle Financial Service’s Connect4Medicare Online Enrollment Platform specifically focused on Medicare Advantage, Medicare Supplement & Part D. This tool, which was created by the same company that created and maintains Medicare.gov, has been designed to combine all of the top carrier’s online tools in one easy and convenient place. One of the most popular features on this site is the Physician, Pharmacy & Drug lookup tool. This tool combines all the carrier’s provider directories, formularies and pharmacy lookups in one place. Gone are the days of logging in to various carriers’ websites or checking through pages and pages of provider directories to check to see if a doctor may be in network. Simply type in the zip code and every plan available will populate along with a link to check the Physician, drug or pharmacy saving you a substantial amount of time. The main function of the platform is to allow you to sell in 3 different ways.

  1. Face to Face
    • In this scenario you would be in front of the client and enroll the client online while on a computer or tablet while having the convenience of all the products and carriers in one place.
  2. Over the Phone
    • Should you be selling over the phone, you have the availability of sending an electronic SOA, completing the consultation, then sending the client the application to complete online.
  3. Personalized Client Facing Website
    • Every agent gets a personalized website that is customized with every carrier and plan they are certified to sell that works very similar to Medicare.gov Clients can enter their information, shop and compare plans and even enroll in a plan on their own without any agent assistance. See a sample of a consumer facing website HERE.

Connect4Medicare has become a complete game changer for agents in the senior market. This has allowed agents not only to assist clients outside of their typical area, but also expand into additional states. We have also begun to see a lot of our Medicare Supplement agents utilizing the tool to allow their clients to enroll in their Part D plans on their own after the Medicare Supplement sale.

For more information on Connect4Medicare , contact a Pinnacle Financial Services sales director.

Nick Palo

Nick Palo

Position

x7728 | npalo@pfsinsurance.com

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Contact a Pinnacle Financial Service representative today for assistance.

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