2025 Medicare Advantage Commissions- Take Two

Update to the 2025 FMV.  Commissions are reverting to the typical yearly adjustment.

A recent court decision in Texas has put a pause on certain updates in the 2025 CMS Final Rule that affect Medicare Advantage (MA) and Part D commissions. This directly impacts how agents and brokers get paid. The decision came after trade associations filed lawsuits claiming that these changes were outside of CMS’s legal powers and weren’t properly introduced. So, for now, those changes are on hold. Stay tuned for more updates as this develops!

 For Part D, for example, we’re looking at an increase from $100 to $109 per member per year for initial enrollments, and renewals are going up from $50 to $55. As for Medicare Advantage, the commission bumps will vary depending on the state but expect to see a slight increase pretty much everywhere. See the chart below for the details.