Medicare Blog

what are the california agent requirements to sell medicare supplements

by Norbert Schultz Published 2 years ago Updated 1 year ago

Licensed Medicare agents and brokers in California need to display their license number on their business cards and any marketing materials they give to people regarding the insurance products they sell.

Full Answer

How do I start selling Medicare supplements?

Just like with selling any health insurance, Medicare comes with rules and regulations. The first step to selling Medicare supplements is obtaining a license to sell Medicare in your state. The second step is to get AHIP certification.

What certifications do I need to sell Medicare supplement products?

Medicare supplement products however, do not require any additional certifications beyond your state’s licensing requirements. You can complete AHIP training directly through AHIP or through a Medicare Advantage or Part D carrier.

Do you need AHIP to sell Medicare supplements?

Just like with selling any health insurance, Medicare comes with rules and regulations. The first step to selling Medicare supplements is obtaining a license to sell Medicare in your state. The second step is to get AHIP certification. While you don’t need AHIP certification to sell Medigap plans, it’s a great idea to obtain certification.

How to become a licensed Medicare agent?

In order to sell Life and Health insurance, you must become licensed. Becoming a licensed Medicare agent is not difficult but there is a process. We list a step-by-step walk-through of the process as you can see below. 1. Becoming a licensed Medicare Agent – Complete a pre-licensing course.

What is needed to sell Medicare supplements?

Just as with selling other types of insurance, you'll generally need a health insurance license to sell Medicare plans. Specific requirements for licensure vary by state, but you'll need a resident license for your own state and non-resident licenses for any other states in which you plan to sell.

How do I become a Medicare agent in California?

7 Steps to Become a Medicare Insurance AgentGet Your Health Insurance License.Complete AHIP Certification.Get Errors & Omissions Insurance (E&O Insurance)Contract with a Medicare Wholesaler (FMO)Getting Contracted and Appointed with Multiple Medicare Companies.Complete Your Annual Carrier Medicare Certifications.More items...•

Can I sell Medicare Supplement plans?

Medicare Supplements are the perfect product for senior health insurance agents to sell. Most don't require an annual certification and can be sold year-round.

Is selling Medicare Advantage lucrative?

Selling Medicare can be very lucrative, but just like any other self-starter type of job, the more effort you put in, the bigger the payoff. When it comes to making money selling Medicare, there are two main ways you can earn income which include commissions and residual income.

How do I get Medicare clients?

⍟ 14 Ways to Generate Medicare Supplement LeadsBuild & Maintain a Website. ... Social Media Presence. ... Video Marketing. ... Blogging, Writing Articles. ... Email. ... Online Events: Live webinars, podcasts. ... Direct Requests / Client Referrals. ... Lead Swapping Partnerships (Asking other professionals for referrals)More items...

Is selling Medicare insurance a good career?

Medicare agents have significant earning potential and a promising future of stable career growth – but it's not just about the money. Medicare agents also get to help others while taking control of their own careers. For the right person, Medicare sales can be a very rewarding and lucrative career.

How much do Medicare leads cost?

As mentioned previously, new Medicare Advantage pay $25 for each direct mail lead.

Is Medicare Supplement regulated by CMS?

The California Department of Insurance (CDI) regulates Medicare Supplement policies underwritten by licensed insurance companies.

Who is the largest Medicare Supplement provider?

UnitedHealthCareAARP/United Health Group has the largest number of Medicare Supplement customers in the country, covering 43 million people in all 50 states and most U.S. territories. AARP licenses its name to insurer UnitedHealthCare, which helps make these policies so popular.

Is selling Medicare easy?

Over the past 50 years, there have been many advances in the market. As a result, selling Medicare is easier than ever before, especially with the help of Field Marketing Organizations (FMOs). These organizations support agents by connecting them with the prospects and tools they need to improve their book of business.

What is an FMO in Medicare?

FMO stands for field marketing organization, which is very similar to an independent marketing organization (IMO). FMOs provide independent agents with perks and resources and help them get contracted with carriers to sell plans.

How do I get my health insurance license in California?

How to Get Your California Insurance LicenseComplete an Insurance Prelicensing Course. ... Pass Your California Licensing Exam. ... Get Fingerprinted. ... Apply for California Insurance License. ... Plan to Complete Required Insurance Continuing Education (CE) Credits.

Overview of Medicare Supplements (Medigap)

Medicare is the public health insurance program created in 1965 allowing retirees to have health insurance even after leaving their employer’s group plan. Anyone aged 65 and older, people diagnosed with ALS or ESRD, and people who’ve received SSDI benefits for at least 25 months are eligible to enroll in Medicare coverage.

Is Selling Medicare Lucrative?

Selling Medicare supplements is a great opportunity to serve the underserved senior population and to make money. The Medigap market is two-thirds bigger than the Medicare Advantage market, and the plans are best-suited for people who travel and are financially stable.

The Best Way to Sell Medicare Supplements

Just like with selling any health insurance, Medicare comes with rules and regulations. The first step to selling Medicare supplements is obtaining a license to sell Medicare in your state. The second step is to get AHIP certification. While you don’t need AHIP certification to sell Medigap plans, it’s a great idea to obtain certification.

Medicare Basics

In order to effectively sell Medicare supplements, you should understand how the plans tie into Medicare as a whole. Here’s a general breakdown of Medicare:

Medicare Supplements Leads for Agents

Use more than one approach to reach potential leads. Email and social media are effective ways to reach your audience if you use the right tactics. Direct mail is still a great way to raise awareness even with the senior population using smartphones now more than ever before.

Start Making Money Selling Medicare Supplements

At Senior Market Advisors, our mission is to serve the underserved. The baby boomer market is all-too-often overlooked, and we want to help seniors live their best lives. When you partner with Senior Market Advisors, not only do you get to make a difference, you get an experienced marketing team, a sales support team and a free CRM to track sales.

Start Earning 6-Figures

Connect with a dedicated specialist in your market to learn how you can become a TRUE Senior Market Advisor.

Why do people get into the Medicare supplement market?

In sum, there are three great reasons to get into the Medicare Supplement market: There are lots of prospects. Medicare is standardized. There's a built-in need for a secondary insurance with Medicare. Back to top.

How much does Medicare cover?

Medicare Supplements are standardized. No networks. Medicare covers about 80% , and the supplement covers about 20%. Here are the two plans I'd recommend for you, and here's how they work.

What is the Medicare Part B deductible for 2021?

When you have a Plan G, everything is covered except the Medicare Part B deductible, which is $203 in 2021. There are no other costs – it’s 100% coverage from there.

Does Medicare Supplements include prescription drug insurance?

Medicare Supplements helps with doctor and hospital costs only – it does not include prescription drug insurance. CMS puts out a publication each year called the Medicare & You Handbook. In the 2019 version, you can refer to pages 69-72 while explaining Medicare Supplements to clients and prospects.

Is Medicare the primary insurance?

Medicare is always going to be the primary insurance. As a general rule of thumb, Medicare is roughly 80% coverage, and the supplement is roughly 20% coverage. Every insurance company has to provide the exact same benefits for each plan.

How many Medicare Supplement Plans are there?

There are six Medicare Supplement plan options: F, N, G, L, K, High F. In most states, the plan option offer standard benefits, meaning that benefits can not vary from one plan to the next. For instance, if a company offers a plan F, then they must offer the same benefits as the other carriers also offering plan F. Ultimately, the only difference between carriers offering Medicare Supplements is the monthly premium, as well as added benefits like Silver Sneakers.

Is Medicare Supplement the same for all clients?

Underwriting for Medicare Supplements is not the same for all clients; it depends on their situation and their residing state. For instance, those turning 65 or those with a qualifying event have guaranteed issue. In some states, all plans are guaranteed issue whereas other states only offer guaranteed issue during certain periods.

Why is Medicare supplement good?

One reason that it's good to be a Medicare supplement agent is that you can work on behalf of multiple insurance companies. This helps provide a steady stream of clients and boosts your overall profits.

Do you need errors and omissions insurance?

Most insurance companies will require that you have Errors & Omissions insurance. This insurance helps protect you if you should give a client misleading or incorrect information and they decide to take some form of legal action against you.

How to become a Medicare agent?

1. Becoming a licensed Medicare Agent – Complete a pre-licensing course. Courses tend to be similar in price and content. Depending on your own specific learning/studying style, you can choose to take the course in a traditional classroom, online or via self-study.

What to bring to Medicare exam?

What to Bring to the exam: Becoming a licensed Medicare Agent. An original copy of the Certificate of Completion from a completed pre-licensing course of study. A current, signed form of identification.

What happens to a broker if they don't comply with Medicare?

Agents/brokers are subject to rigorous oversight by their contracted health or drug plans and face the risk of loss of licensure with their State and termination with their contracted health or drug plans if they don't comply with strict rules related to selling to and enrolling Medicare beneficiar ies in Medicare plans.

What is agent broker compensation?

Below is a link to a file containing the amounts that companies pay independent agents/brokers to sell their Medicare drug and health plans. Companies that contract with Medicare to provide health care coverage or prescription drugs typically use agents/brokers to sell their Medicare plans to Medicare beneficiaries.

When do brokers receive initial payment?

Generally, agents/brokers receive an initial payment in the first year of the policy (or when there is an “unlike plan type” enrollment change) and half as much for years two (2) and beyond if the member remains enrolled in the plan or make a “like plan type” enrollment change.

Do brokers have to be licensed in the state they do business in?

Agents/brokers must be licensed in the State in which they do business, annually complete training and pass a test on their knowledge of Medicare and health and prescription drug plans, and follow all Medicare marketing rules.

Why Sell Medicare Advantage Plans?

Typically, insurance carriers offer higher commissions for MA plans than Medicare Supplements or Part D plans.

How to Sell Medicare Advantage Plans

Before you can start selling Medicare Advantage plans, you must receive the proper training, licensing, and certifications. Check with your state’s department of insurance to learn about state-specific requirements. After you’re licensed, the next step is marketing your services.

When Can I Sell Medicare Advantage?

Many Medicare-eligibles have restrictions on when they can enroll in new plans. You need to know the specifics of each enrollment period and how they apply to your clients.

Selling Medicare Advantage Over the Phone

You may have heard that you can sell Medicare Supplements over the phone, but you want to know how to sell Medicare Advantage plans over the phone.

How Much Can I Make Selling Medicare Advantage Plans?

The Centers for Medicare and Medicaid (CMS) sets maximum compensation amounts that carriers can pay agents for sales. Click here to read more about agent compensation.

Important Terms to Know When Selling Medicare Advantage Plans

You want to answer clients’ questions with confidence, so it’s important to know the terms they’ll ask about. Here are some common terms beneficiaries will ask about:

Start Selling Medicare Advantage Insurance Today

Selling Medicare Advantage plans can be a lucrative career. At Senior Market Advisors, we give our agents tools for success such as extensive training so you can answer questions with confidence.

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