Medicare Blog

why do i need an agent for my medicare?

by Merlin Ratke Published 1 year ago Updated 1 year ago
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A Medicare agent or broker can help you narrow down your options and pick the best one. To do this, they’ll learn about your health goals and budget. They’ll present you with options to meet your goals within your budget. They can help you enroll in the plan you choose.

A Medicare agent or broker can help you narrow down your options and pick the best one. To do this, they'll learn about your health goals and budget. They'll present you with options to meet your goals within your budget. They can help you enroll in the plan you choose.

Full Answer

Do I need an agent or broker to buy Medicare?

Although there is no requirement to work with an agent or broker, you may choose to do so for the following reasons. Medicare can be complex. There are numerous plans, plan combinations, benefits, rules, and exceptions — all of which can be confusing. Buying health insurance is a huge investment, so you want to find a plan that meets your needs.

Why work with a Medicare insurance agent?

Medicare insurance agents can provide information about all your Medicare options near you. What most new beneficiaries don’t realize is working with an agent is free, so it can save you money, time, and frustration. An agent knows different carrier guidelines, rate increases, and limitations that you won’t easily find online.

Why choose a Medicare supplement insurance agent?

A Medicare Supplement insurance agent can help you make sense of your options in relation to how Medicare functions. When you work together, you can use this information and their expertise to pick the best combination of coverage for you.

Why use a health insurance agent or broker?

Using a knowledgeable and ethical agent or broker can make your search for a health plan significantly easier and faster. Since their services are free, you have nothing to lose by trying an agent or broker near you. What is Medicare?

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What is the difference between a Medicare agent and a Medicare broker?

Medicare agents and brokers work differently, but both can help you cut through the confusion to find the best Medicare coverage at the best cost for your needs. Agents work for insurance companies selling Medicare plans, while brokers connect you with the company or agent that best fits your needs.

Are Medicare brokers legit?

Legitimate firms and licensed brokers are not scammers. They sell real Medicare policies, but be aware that they may only offer a limited number of plans from certain carriers, they may charge fees and they receive commissions for the sales they make.

What is the best insurance company for Medicare?

Best Medicare Advantage Providers RatingsProviderForbes Health RatingsCoverage areaBlue Cross Blue Shield5.0Offers plans in 48 statesCigna4.5Offers plans in 26 states and Washington, D.C.United Healthcare4.0Offers plans in all 50 statesAetna3.5Offers plans in 44 states1 more row•Jun 8, 2022

What is the Commission on a Medicare Advantage Plan?

The maximum commission for a Medicare Advantage (MA) sale in 2022 will be $573, a 6.3 percent increase over 2021. Some states have different levels. For example in California and New Jersey, the initial MA commissions increased from to $715-per-year, a 6.4% increase over 2021.

Where can I get unbiased information about Medicare?

Call 1-800-MEDICARE For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

What they dont tell you about Medicare?

'Medicare Part A covers hospital stays' What they don't tell you: There's either a deductible or daily copay. And if the hospital hoodwinks you into being “under observation,” rather than formally admitting you, your costs are going to be even higher. If you're in Original Medicare, Part A covers hospital stays.

What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What are the top 3 most popular Medicare Supplement plans in 2021?

Three Popular Medicare Supplement PlansBlue Cross Blue Shield. According to Blue Cross Blue Shield (BCBS), Plans F and N are available in most areas. ... AARP United Healthcare. The United Healthcare Medicare Supplement plan is also very popular. ... Humana.

What is the most popular Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.

How does Medicare commision work?

Medicare Advantage commissions are paid per application. Initial commissions and renewal commissions are how they get it. Typically, both Medicare Advantage commissions and Medicare Part D plan commission payments are paid one year in advance. In other words, the companies pay the full year's commission upfront.

How do you make money selling Medicare?

4:087:00How To Make $100,000 Selling Medicare Advantage - YouTubeYouTubeStart of suggested clipEnd of suggested clipProgram for our agents in our agency selling medicare advantage to reduce the cost of the leads. ToMoreProgram for our agents in our agency selling medicare advantage to reduce the cost of the leads. To make the cash flow a lot better and more conducive to short-term. Success. So for example if an

What is a FMO?

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.

What can an agent do for Medicare?

Agents can help keep you up to date and informed on any changes that happen annually. They can help you with Medicare claims. They will help you get a better price than you might be able to find on your own. Can provide a non-biased opinion on all your Medicare options.

What is a licensed insurance agent?

A licensed agent can quickly and efficiently search dozens of plans from different insurers, saving you time. Many enrollees don’t realize that different companies charge different premiums for the same policy. Agents can help you decide which level of coverage is best for you, based on your needs and budget.

Can a Medicare agent come to my home?

Agents representing Medicare plans can’t ask for your personal information over the phone unless it’s to verify membership, determine eligibility, or submit an enrollment application. An agent can’t come to your home uninvited. Further, an agent can’t offer you cash or gifts worth more than $15 to join their plan.

Do Medicare agents charge a fee?

Medicare agents receive payments from the carrier, so there is no cost to you for their services. Using an agent allows you to get information about many companies. If you speak to an agent or broker and they have a service fee, you may want to think twice.

Can an agent offer you cash?

Further, an agent can’t offer you cash or gifts worth more than $15 to join their plan. Also, an agent can’t enroll you in a plan during an educational event. One important thing to note is that an agent can never pressure you into a plan, or tell you about plans you didn’t agree to discuss.

Can Medicare agents work directly with carriers?

Benefits of Working with Medicare Agents vs. Directly with the Carrier. Unlike carrier agents receiving employment through one company, independent agents aren’t on one company’s payroll. That means they can focus on helping you get the policy that works best for YOU – no matter which company provides you the coverage.

Insurance brokers contract with multiple insurance carriers, which means your Medicare agent can help you find the best plan for you, not the insurance company

It’s common for people looking for a new health insurance plan to go through an insurance agent, but is this necessary when it comes to Medicare? The situation will vary depending on the type of Medicare you want. If you do choose to go with an agent, the details can still make the process differ widely.

Medicare Options That Can Use Insurance Agent Services

If you’re just planning to enroll in Original Medicare (Medicare Parts A and B), then you won’t need to use an insurance agent. In fact, you won’t be able to use an insurance agent -- this type of Medicare is only available from the federal government. Insurance agents will never come into the picture.

Part D Prescription Drug Coverage

If you have Original Medicare and are also enrolling in a prescription drug plan (PDP), then this plan may be available to purchase through an insurance agent. This is because Part D plans are sold by private insurance companies.

Part C: Medicare Advantage

Medicare Advantage is by far the most common type of Medicare insurance that is sold through insurance agents. Medicare Advantage plans, also known as Part C plans, are basically a way of getting your healthcare coverage through a private plan. Part C will cover the same things that Medicare Part A and Part B cover.

Medicare Supplement Insurance

Medicare Supplement plans, also known as Medigap plans, are plans that cover out-of-pocket costs under Medicare. Unlike health plans, these plans offer help paying things like your coinsurance fees and deductibles. These plans are also sold by private insurance companies, which means that insurance agents will be able to sell them to you.

Captive vs. Independent Medicare Insurance Agents: The Key Criteria

When it comes to Medicare insurance agents, there are generally two types: captive and independent. Both can be licensed to sell Medicare.

Sales Representatives vs. Brokers

The basic way that you can think of captive versus independent agents is that captive agents are sales representatives who are contracted to sell a specific insurance product. Independent agents, on the other hand, are more like insurance brokers, meaning that they can sell you any type of insurance product, and aren’t limited to one company.

Understanding the different types of agents

There are several different types of insurance agents you might consider to help you during AEP.

What to look for in an agent

Choosing the right plan can be an important element in maintaining your health. Choosing the right agent is important to helping you find the right plan. Think about the kind of customer service you prefer. Here are some questions to ask yourself when considering an agent:

How to find an insurance agent

Word of mouth is still a powerful research tool, even in the digital age. Ask your friends and family if they know of Medicare insurance agents and what their experiences were like. Ask for the agent’s contact information and give them a call or send an email to set up an initial appointment.

Benefits of working with an agent

Finding an affordable plan and weighing total costs An insurance agent will help you find the right plan for your healthcare needs at a price you can afford. They will help you see not just the monthly premium costs but also your copay, deductibles and maximum out-of-pocket costs per year.

A partner in your health

Most insurance agents care about helping you navigate the healthcare system. They want to help you live your healthiest, happiest life by getting you in the right plan for your specific needs. Because they help people like you day in and day out, they can be a great resource during AEP and all year long.

Reviewed and Updated by Anastasia Iliou,

How are you enrolling in Medicare? Have you considered using a licensed agent? Licensed agents are experts who can help you navigate the confusing world of health care and select the best Medicare options for your needs. There are no extra costs associated with them!

Are there Medicare Fees Associated with Licensed Agents?

There are no additional Medicare fees associated with licensed agents. Whether you enroll over the phone, online, or through a sales representative, you will pay the same price. Licensed agents do earn commission from their plan sales, but that does not impact your price.

How do I find a Licensed agent for Medicare near me?

We can send a sales agent in your area to your home (or another place that you select, like a public library) to go through your Medicare options and help you select the best plans for your needs. To begin, click here or call us at 1-844-431-1832.

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