What are Medicare SEP’s?

April 1, 2021

To start off you may wonder what are Medicare SEP’s and what does SEP even stands for. According to Medicare.gov  “when certain events happen in your life, like if you move or you lose other insurance coverage. These opportunities to make changes are called Special Enrollment Periods (SEPs). Rules about when you can make changes and the type of changes you can make are different for each SEP.”

Medicare enrollment form

Can You Market SEP’s?

Certain Special Election Periods you will be able to market. The most common is to go after DSNP, Dual Special Needs, Clients. Dual special needs refer to the Medicare and Medicaid coverage that these clients are eligible for.  Obviously, because they must be Medicaid eligible this means these clients are low income. This makes it extremely easy to target leads because most programs can filter clients by income.

When is the SEP for DSNP Clients?

The reason we bring up marketing Dual Special Needs clients is because they can make a change to their plan once every quarter. This is a presents ample opportunity for agents to have year-round Medicare sales. I believe that sometimes this can be a better alternative than marketing specifically to turning 65 agents. T65 clients are often over-marketed, and you make just as many commissions as you would a regular Medicare Advantage sale.

Are there other SEP’s I can Market?

There are other reasons your clients may have a SEP, a lot actually, but not as many that you could potentially market in bulk. Some examples are loss of credible coverage, change of address, or change to their Medicaid status. I would say the most popular SEP agents would run into if not marketing DSNP is loss of credible coverage. An example could be a client on group coverage retiring, losing that coverage, and enrolling into Medicare.

The team at Pinnacle Financial Services is here to help.  Not sure if your client qualifies for a SEP? Need some additional one on one training? For any other questions please feel free to reach out to a sales director today.   We can be reached at 1-800-772-6881 x-7731 or healthsales@pfsinsurance.com.

For more information, contact a Pinnacle Financial Services representative today

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

James Norton

James Norton

Director of sales | Heatlh

x7797 | jnorton@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881


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