Each year CMS changes the Medicare Advantage Commissions. Fortunately for Medicare agents, this amount has increased every year it has been in existence. Not only does this apply to Medicare Advantage (MA/MAPD) commissions but also to Prescription Drug plan (PDP) payouts.
How Medicare Advantage Commissions are paying out in 2021
If you were selling Medicare advantage plans or PDP’s this past year then you know $510 was paid out on “new to Medicare” cases. $255 was paid out on renewal or plan to plan change basis. These amounts apply to the majority of states excluding PA, CT, DC, CA, NJ, Puerto Rico, and the Virgin Islands. For 2021, those amounts have gone up to $539 and $270. The same structure applies to PDP’s except the amounts are a lot lower. $81 for new PDPs and $41 for renewals or plan changes for 2021.
What if you sell in PA, CT, DC, CA, NJ, PR, or the Virgin Islands?
Good news. If you sell in any of the states listed above your commissions are higher than listed in the previous paragraph. See the chart below for the full breakdown.
| Initial | Renewal | ||||
| Product | Region | 2020 | 2021 | 2020 | 2021 |
| MAPD | National | $510 | $539 | $255 | $270 |
| CT, PA, and DC | $574 | $607 | $287 | $304 | |
| CA and NJ | $636 | $672 | $318 | $336 | |
| Puerto Rico and U.S. Virgin Islands | $350 | $370 | $175 | $185 | |
| PDP | National | $78 | $81 | $39 | $41 |
Want to learn how to increase your Medicare Advantage Commissions?
Reach out to our sales team to learn about a few of the new and most successful lead programs that we offer. We can tailor certain programs to your needs whether you are new to the insurance industry or trying to cross-sell to a current book of business. We can get you trained up and ready to sell in no time with our library of recorded training webinars. If you would like to register for future webinars check our schedule here.
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
James Norton
Director of Sales - Health
Contact a Pinnacle Representative if you have any questions.
1 (800) 772-6881
support@pfsinsurance.com
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