2023 Medicare Advantage Commissions

2023 Medicare Advantage Commissions

2023 Medicare Advantage Commissions
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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

Vice President of Marketing

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

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2024 Medicare Final Rule

2024 Medicare Final Rule

2024 Medicare Final Rule
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The 2024 Medicare Final Rule was preliminarily released on April 5th ,2023, and has left insurance agents seeking clarity on its implications for their roles and their clients. As professionals dedicated to helping beneficiaries make informed decisions about their Medicare coverage, it’s crucial for insurance agents to stay up-to-date on the latest changes and understand how these new regulations will affect their day-to-day operations.

2024 Medicare Final Rule Updates

The Medicare Final Rule 2024 introduces a series of significant changes that will directly affect insurance agents, their marketing strategies, and their interactions with beneficiaries. To help insurance agents adapt to these new regulations, we’ve compiled a detailed overview of some of the major changes:

  1. Requiring 48 hours between a Scope of Appointment and an agent meeting with a beneficiary, with exceptions for beneficiary-initiated walk-ins and the end of a valid enrollment period.
  2. Modifying the TPMO disclaimer to add SHIPs as an option for beneficiaries to obtain additional help; modifying the TPMO disclaimer to state the number of organizations represented by the TPMO as well as the number of plans.
  3. Prohibiting marketing of benefits in a service area where those benefits are not available, unless unavoidable because of use of local or regional media that covers the service area(s).
  4. Requiring agents to explain the effect of an enrollee’s enrollment choice on their current coverage whenever the enrollee makes an enrollment decision.
  5. Limiting the time that a sales agent can call a potential enrollee to no more than 12 months following the date that the enrollee first asked for information. New permission to contact will be required to call the beneficiary after the 12-month window has ended.
  6. Limiting the requirement to record calls between third-party marketing organizations (TPMOs) and beneficiaries to marketing (sales) and enrollment calls.
  7. Prohibiting a marketing event from occurring within 12 hours of an educational event at the same location.
  8. Prohibiting the collection of Scope of Appointment cards at educational events.
  9. Placing discrete limits around the use of the Medicare name, logo, and Medicare card; this includes specifically prohibiting the misleading use of the Medicare name, CMS logo, and products or information issued by the Federal Government, as well as prohibiting the use of the Medicare card unless previously approved by CMS.
  10. Clarifying the requirement to record calls between TPMOs and beneficiaries, such that it is clear that the requirement includes virtual connections such as video conferencing and other virtual telepresence methods.

Where does Pinnacle Financial Services come in?

While the Medicare Final Rule 2024 was implemented to protect beneficiaries and promote transparency, it is undeniable that these new regulations impose additional burdens on Medicare agents. The heightened requirements and restrictions may result in more extensive administrative work, increased oversight, and the need for constant vigilance to ensure compliance with ever-evolving CMS guidelines. Pinnacle Financial Services is a full-service “FMO” that is dedicated to helping agents navigate through the ever-changing rules and regulations imposed by CMS. Give us a call today for more information on key regulatory changes that could affect your business!

For more information, contact a Pinnacle Financial Services representative today

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

National director of Agent Training

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

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Why Use A Medicare Insurance Agent

Why Use A Medicare Insurance Agent

Why Use A Medicare Insurance Agent
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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

Director of sales | Health

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

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Why you should sell Medicare Supplements?

Why you should sell Medicare Supplements?

Why you should sell Medicare Supplements?
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Medicare Supplements Plans are a great option for some clients. Every agent that sells Medicare should offer supplements along with other products they offer. Some clients don’t want to have to worry about Networks and referrals. Medicare Advantage bundles Original Medicare Parts A and B into one plan and usually includes Medicare Part D prescription drug coverage. Some Medicare Advantage plans may also offer extra benefits, such as routine dental, vision, and hearing services.

What is Medicare Supplement Insurance?

A Medicare Supplement plan, also called Medigap, isn’t bundled with anything—it’s extra coverage you can buy to help pay the out-of-pocket expenses Original Medicare doesn’t pay.

Medicare supplement plans work with Original Medicare (Parts A & B) to help with out-of-pocket costs not covered by Parts A and B. Some of the other features are.

  • Predictable costs help you stay ahead of unexpected out-of-pocket expenses.
  • No network restrictions mean you can see any doctor who accepts Medicare patients.
  • You don’t need a referral to see a specialist.
  • Coverage goes with you anywhere you travel in the U.S.
  • There is a range of plans available to fit your health needs and budget goals.
  • Purchasing a Medigap plan and a Medicare Part D prescription drug plan could give you more complete coverage.
  • Guaranteed coverage for life means your plan can’t be canceled. 

At Pinnacle Financial Services we offer all the top Medicare supplement carriers in the industry. We teach our agents to cross-sell Medicare Supplements with Prescription Drug Plans along with Stand alone Dental Vision and Hearing products.

Quoting Medicare Supplements Plans

Quoting Medicare supplement plans is easy with all the free tools Pinnacle Financial Services offers.  We have Mobile and desktop quoting with CSG software, the top in the industry. Give us a call today to add some of the newest supplements Pinnacle offers like Aflac, Allstate, Prosperity, and more. 

For more information, contact a Pinnacle Financial Services representative today

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

Director of sales | Health

Contact a Pinnacle Representative if you have any questions.

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

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Six Figure Income with Medicare

Six Figure Income with Medicare

Six Figure Income with Medicare
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In today’s blog, we delve into the world of Medicare sales and how it can pave the way to a six-figure income. If you’re an insurance agent or aspiring to become one, you’ve come to the right place. In this blog, we’ll provide you with valuable insights, tips, and strategies to help you transform your career by selling Medicare insurance products.

Demography studies the human population and is used to help form budgets around federal programs and forecast projections. The size of the population ages 25-54 affects the number of people employed but did you know the growth of the population aged 65 or older outpaces the growth of younger age groups?   BY 2023 ALL BABY BOOMERS WILL BE AGE 65 OR OLDER The number of Americans ages 65 and older is projected to nearly double from 52 million in 2018 to 95 million by 2060! What better industry to be in than Medicare? Talk about supply and demand!

Medicare selling can be both a rewarding business and one that keeps you financially stable.  Whether you are selling Medicare Supplements, Medicare Advantage, Medicare Part D, or all the above there is an immense need for our senior population to get guidance on the complexity of their Medicare options.  Commissions on advantage plans and part d plans are standardized by the government.  Commissions on the supplement side can vary slightly by the carrier.

Below is a chart to show you the current Medicare Advantage commission amounts which can vary slightly by state.

The number of potential enrollees is increasing, and the commission pays well so of course you can be making a 6-figure income! Below are some guidelines of best practices to maximize your new sales and retention.

  1. Everyone you talk to is a prospect, always save their information. They may not want to change plans now but keep in touch as they may in the future!
  2. Build and maintain an active website. Did you know that Pinnacle will build a website for our agents at no charge!? Keeping this active and making sure your SEO game is strong will mean you come up in their Google searches.
  3. Social Media Presence, Facebook is huge in the 65 and old demographic, are you on there?
  4. Networking is very important in building your exposure. The more people who know you in the community the more likely they may be an actual sale if not refer you to someone in need. Join your local chamber, volunteer at your local senior center, or sponsor a bingo, these are just a few ways to branch out.
  5. When closing a meeting even if no sale occurs make sure you ask for referrals, “Thank you for meeting with me today I appreciate your time and if in passing you can mention me to friends & family in need please do.”
  6. Do you know your local broker managers? If not get to know them well. They often have events that may need staffing or lead opportunities, again networking!
  7. Before AEP make sure you are reaching out to all your current clients and any prospects you have saved. Whether you host a breakfast reviewing all the plan changes, send out a mailing, or call you to want to touch base. Offer to review their current plan and the changes coming. Also, make sure after 1/1 you are calling them again as a service call. You are calling to make sure they have their ID card and understand their new plan year benefits. Retention is huge, you want to make new sales and keep them on the books.
  8. Consider lead Depending on your style and preference you may want to think about doing a mailing, buying phone leads, retail marketing, or conducting a turning 65 dinner seminar. Pinnacle can support all these avenues as your FMO.

TODAY IS ALWAYS THE MOST PRODUCTIVE DAY OF YOUR WEEK.

This is quite a bit to review and understand so why not reach out to us to help you?

See why so many agents are choosing to partner with Pinnacle Financial Services to grow their Medicare Business. Click here to get started

For more information, contact a Pinnacle Financial Services representative today

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

Regional Vice President

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

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Fixed Annuity vs Bond: Understanding the Differences for Seniors

Fixed Annuity vs Bond: Understanding the Differences for Seniors

Fixed Annuity vs Bond: Understanding the Differences for Seniors
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Fixed annuities and bonds are both options that can be attractive to seniors seeking income and stability in retirement. While they share some similarities, there are differences between the two. Here’s what you need to know.

What is a Fixed Annuity?

A guaranteed fixed annuity ,also known as a MYGA, is a contract between an individual and an insurance company that guarantees a fixed rate of return over a set period of time. An annuity is essentially a type of insurance policy that provides a steady stream of income in exchange for a lump sum payment. Fixed annuities offer a fixed interest rate for the duration of the contract, which can range typically from two to ten years.

Positives of a Fixed Annuity for Seniors:

  1. Predictable Income: A fixed annuity provides a predictable stream of income that can help seniors meet their monthly expenses.
  2. Tax-deferred Growth: Earnings on a fixed annuity grow tax-deferred until withdrawal, which can result in significant savings for seniors in high tax brackets.
  3. Guaranteed Principal: The insurance company guarantees the principal amount, which means that seniors can rest assured that their investment is secure.

Negatives of a Fixed Annuity for Seniors:

  1. Limited Liquidity: Fixed annuities typically come with early withdrawal penalties and surrender charges, making them less flexible than other investment options.
  2. Limited Growth Potential: Fixed annuities offer a fixed rate of return, which means that there is limited growth potential compared to other investment options like stocks.

What is a Bond?

A bond is a debt security issued by a corporation or government entity to raise capital. When an investor buys a bond, they are essentially loaning money to the issuer for a set period of time. In return, the investor receives interest payments at a fixed or variable rate for the duration of the bond.

Positives of a Bond for Seniors:

  1. Stable Income: Bonds provide a stable source of income that can help seniors meet their expenses.
  2. Diversification: Bonds can provide diversification to a portfolio, which can help reduce overall risk.
  3. Relative Safety: High-quality bonds, such as U.S. Treasury bonds, are considered relatively safe investments with a low risk of default.

Negatives of a Bond for Seniors:

  1. Interest Rate Risk: The value of a bond can be negatively affected by changes in interest rates. When interest rates rise, the value of existing bonds decreases, and vice versa.
  2. Inflation Risk: The fixed interest rate of a bond may not keep pace with inflation, which can erode the purchasing power of the investor’s income over time.
  3. Default Risk: Bonds issued by corporations or less creditworthy entities may carry a higher risk of default, which can result in significant losses for investors.

Fixed annuities and bonds can both be attractive options for seniors seeking income and stability in retirement. Fixed annuities offer a predictable stream of income and guaranteed principal, but with limited liquidity and growth potential. Bonds provide stable income and diversification, but with interest rates, inflation, and default risks. Ultimately, the choice between the two will depend on an individual’s financial goals, risk tolerance, and overall financial situation.

Pinnacle Financial Services can provide you with valuable assistance. Our team of annuity experts specializes in fixed annuity cases, offering a range of tools and services to help you with all of your client’s needs.  Contact us today for a free case analysis on your next fixed annuity case.

For more information, contact a Pinnacle Financial Services representative today

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

Senior Sales Director | Life, Annuity, & LTC

Contact a Pinnacle Representative if you have any questions.

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

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