2020 AHIP certification update

It’s our favorite time of the year, right behind AEP. That’s right, it’s time for AHIP TESTING and carrier certifications! You have probably seen the emails coming directly from AHIP telling you that AHIP has been released for 2020. Sure, you can go ahead and follow those links and pay the full retail price of $175 or…. You could follow your favorite FMO’s link and get the exact same course for a whopping $50 off. No strings attached. Well, there is one small one. You have to sign up for our blog in order to get the discount, but I promise we won’t SPAM you. Since you are reading this article, there is a good possibility you’re already signed up anyway. 

2020 AHIP has changed their ways this year too. Here’s what you need to know:

  • There is a timer on every slide. You can no longer just click-through the slide deck to the end
    • We have found that using Firefox instead of Chrome or Edge as your browser will allow you to move through the slides quicker
  • Quizzes have changed. You must answer every question until you get it correct.

For those of you new to Medicare Advantage, this really isn’t a deal breaker and the more time you spend on each slide, the better your chance of the information actually sinking in to the huge brain of yours.

We have partnered with AHIP for 2020 to offer our agents a generous, no-obligation $50 discount when you take the exam through RBI. You can always procrastinate and follow the carrier’s links (when they come out next week OR NEXT MONTH!) but go ahead and give us a try. Here’s the AHIP Discount link!

That’s not all!

Because we are so excited about this offer, we have decided to sweeten the deal. Let us pay for your AHIP certification!

  • Contract directly with RB Insurance Group with 3 Medicare Advantage carriers.
  • Make 5 Medicare Advantage enrollments with RB Insurance Group during AEP.
  • We will send you a check in the mail for $125 after the policy effective date.

You’re also invited to join us for a fun and informative webinar hosted by our National Sales Manager, Charlie Ferrell. He will offer useful advice for taking the 2020 AHIP certification so register today!

Register for “Ace the AHIP 2020”  Here’s what we’ll cover:

— Tips on how to study for the 2020 AHIP
— Practical advice for once you’re taking the test
— Pass the AHIP the first time!
— BIG changes this year to how to study for the exam

Register here now!

Want more reasons to sell Medicare Advantage plans?

How about we just got a raise! CMS just increased the Initial Compensation to $510 for a beneficiary just enrolling into Medicare and raised the renewal rate to $255. Most carriers pay lifetime commissions so if you enroll a client into a Medicare Advantage plan for the first time in 2020, that client is worth more than $2200 over 10 years. We make it easy to stay in front of and keep track of your clients with our proprietary Medicare Sales Engine CRM. We also make it easy to contract with our Fast-Track contracting process.

2020 Medicare Agent and Broker Compensation Announced | CMS | RBI

2020 Medicare Agent and Broker Compensation Announced

The Center for Medicare and Medicaid Services released a memo on May 29th, 2019. The CMS made the annual announcement detailing the compensation limits for 2020.

AHIP Certification 2020 discount training medicare

The Center for Medicare and Medicaid Services released a memo to Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Section 1876 Cost Plans, and Medicare-Medicaid Plans detailing Contract Year 2020 Agent and Broker Compensation Rate, Referral/Finder’s Fees, Submissions, and Training and Testing Requirements for 2020.

The CY 2020 FMV cut-off amounts for all organizations & referral/finder’s fees are as follows:

Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Section 1876 Cost Plans, and Medicare-Medicaid Plans 2020 Agent and Broker Compensation Rate, Referral/Finder’s Fees, Submissions, and Training and Testing Requirements 2020 compensation and referral/finder’s fee

Policies sold for a January 1st, 2020 effective date will be eligible for this new compensation as long as the selling carrier decides to pay the Maximum CMS Allowable Commission.

Needless to say, Medicare Advantage is more attractive than ever to sell as a Broker.  If you’ve ever thought about selling Medicare Advantage, now is a good time to consider getting into this market . The 2020 Medicare Broker Compensation is more robust than ever with this new announcement. Many beneficiaries (21 Million and counting) prefer a Medicare Advantage plan, and with the new broker compensation for 2020, the gains for brokers are obvious.

Give us a call at 1-800-997-3107 to find out which carriers pay Top Commission in your market! Click here to contract now!

See below for the memo in it’s entirety, titled “Contract Year 2020 Agent and Broker Compensation Rate Adjustments, Submissions, and Training and Testing Requirements.”

2020 Agent and Broker Compensation Rate, Referral, Submissions, and Training and Testing Requirements


2020 ahip discount certification



2020 ahip discount certification
OEP
Medicare cost-sharing

Medicare Broker Compensation Announced 2019

2019 Medicare Broker Compensation Announced

The Center for Medicare and Medicaid Services released a memo on May 28th, 2018 detailing the compensation limits for 2019.

The Center for Medicare and Medicaid Services released a memo on May 28th, 2018 detailing the compensation limits for 2019.

The CY 2019 FMV cut-off amounts for all organizations are as follows:

Policies sold for a January 1st, 2019 effective date will be eligible for this new compensation as long as the selling carrier decides to pay the Maximum CMS Allowable Commission.

Needless to say, Medicare Advantage is more attractive than ever to sell as a Broker.  If you’ve ever thought about selling Medicare Advantage, now is a good time to consider getting into this market . The 2019 Medicare Broker Compensation is more robust than ever with this new announcement. Many beneficiaries (21 Million and counting) prefer a Medicare Advantage plan, and with the new broker compensation for 2019, the gains for brokers are obvious.

Give us a call at 1-800-997-3107 to find out which carriers pay Top Commission in your market! Click here to contract now!

See below for the memo in it’s entirety, titled “Contract Year 2019 Agent and Broker Compensation Rate Adjustments, Submissions, and Training and Testing Requirements.”

2019_Writing_Agent_FMV_Compensation



2020 ahip discount certification
OEP
Medicare cost-sharing

Don’t Plan to Fail this AEP

Medicare SEP

About the Author: With his signature common sense, quiet good humor, and brilliant customer service, Jim is an integral part of the RBI team — we’d go so far as to say we’d be lost without him! An Arizona native, Jim manages agent relationships for the East Coast and specializes in the RBI agent tools, especially the Agent Market Edge. Jim has been a licensed health insurance agent for 2 years, and has worked at RBI for almost 3 years. An accomplished bassoonist, he is known around the office for his amazing musical skills. In addition to keeping busy around the office, Jim frequently contributes to our blog, bringing a new agent’s perspective to the RBI online presence.

Don’t plan to Fail this AEP

You may have heard the phrase, “If you fail to plan, then you plan to fail.” And you’ve also probably heard that “with great power comes great responsibility.” But I bet you haven’t heard the phrase, “with great planning and hard work comes great success.” That’s because I just made it up and it doesn’t flow as nicely. You can’t just expect to have a successful AEP without putting an ounce of thought into how you’re going to make that happen (much like the phrase I just came up with). Being a Medicare broker that offers a complete portfolio of products means having to comply with many regulations, including the Medicare Marketing Guidelines. Being in violation of these guidelines could cost you your Health Insurance License so it’s crucial that while you start putting together a plan, you remain compliant in marketing for Medicare Advantage and Prescription Drug Plans.

AEPBuild your Portfolio

Unless you are a super hero and always happen to luck your way into a successful Annual Enrollment Period, we mere mortals will have to stick to smart planning and hard work. This means having the products you’ll need in your portfolio that allows you to sell to at least 80% of the prospects you meet. Justin Bever, RBI Director of Marketing, gave a great workshop earlier in the year about the “Power of the Portfolio”. I would HIGHLY recommend giving it a look, especially if you intend to make a career in the Medicare market. Click here to watch the recording!

Medicare Advantage

As far as Medicare Advantage is concerned you want to make sure you have different carriers and plan types to offer beneficiaries. I always like to have a few competitive HMO’s, a good PPO option, a DSNP, plus any CSNP’s that are available. It’s your job to research the plans available in your market and determine which ones are likely to be competitive. Four things about all MA plans to consider are Network, Formulary, MOOP and cost sharing. If you need help deciding which carriers you need in your market, ask us, WE CAN HELP! Typically carriers will start to release ‘sneak peeks’ of their plan offerings for the new year towards the end of summer (July/August-ish).

Medicare Supplements

It seems like there’s as many Medicare Supplement carriers as there are stars in the sky. When looking at which Medicare Supplement carriers to add to your portfolio, rates aren’t the only thing you should be looking at. You’ll want to see what their outlook as a company is by using the market analytics in our quoting tool. You will want to look for companies that have been more stable with their rates and have a substantial number of lives insured in case the carrier has a bad year in claims. Click here to watch a demo of what RBI’s quoting software can do! 

Discounted AHIP and Carrier Certification

You will also need to take and pass the AHIP certification or an equivalent test. Just like the past two years RB Insurance will be offering all agents a $50 discount off your AHIP exam, all you need to do is subscribe to our blog and register for the AHIP with using the RBI link. Additionally, all RBI agents had the opportunity to be completely reimbursed. The AHIP exam is usually released the third week in June, so be sure to keep your eyes on the look out for our discount to be released in the coming weeks. Shortly after AHIP is released, carriers generally release their roll out schedule and let us know when we can begin the carrier certification process as well.

Goals – the Start of any Serious Plan

Like I said earlier, you can’t expect to have a great AEP without a plan in place. At RBI we develop marketing plans with our agents the M.A.P.S. way. Your plan should be Measurable, Actionable, Profitable, and Scalable. I’ll be doing a more in-depth article strictly about developing a marketing plan, but the basics of building a good plan starts with a goal. Long-term goals like, “I want to buy a Mercedes” are great, but I’m talking short term. Specifically, how many sales or how much money do you want to get out of the upcoming AEP. Who knows, maybe you’ll hit your long-term goal sooner than expected.

Brainstorming with agents on how they can grow their Medicare business is part of my job, so if you have any questions about how RBI can help you get started or grow your book of business, then give me a call directly at 1-800-997-3107!

2020 ahip discount certification
2019 AHIP
2019 Medicare Broker Compensation

New Agent: Getting Started

About the Author: With his signature common sense, quiet good humor, and brilliant customer service, Jim is an integral part of the RBI team — we’d go so far as to say we’d be lost without him! An Arizona native, Jim manages agent relationships for the East Coast and specializes in the RBI agent tools, especially the Agent Market Edge. Jim has been a licensed health insurance agent for 2 years, and has worked at RBI for almost 3 years. An accomplished bassoonist, he is known around the office for his amazing musical skills. In addition to keeping busy around the office, Jim frequently contributes to our blog, bringing a new agent’s perspective to the RBI online presence.

New Agent: How to Get Started

So you just got your Health Insurance License and now you’re wondering where you go from here.  Let RB Insurance Group help you avoid many of the pitfalls a new agent can fall into.

Prime the “Pump”

Zig Ziglar said it best, you have to think of your sales pipeline like an old water well. You’re going to have to work hard to prime that old well’s pump before anything starts coming out the other end. But once that water DOES start flowing, it doesn’t take much work to keep it going. The idea here is that acquiring new business is always the most difficult and typically the most expensive cost for an agent. Once you’ve built your Book of Business to a considerable size, you can use your existing clients to bring in new business!

If you’ve done your job right, your clients will trust you as their Senior Insurance Adviser and ultimately refer their friends and family to you. The key here is, you must be proactive. Agents across the US would all be starving if we just sat by our phones waiting for them to ring with a prospective client on the other end. In the famous words of (okay, maybe not so famous… YET) RBI National Sales Manager, Charlie Ferrell. “He who climbs the tree and hollers, is the one that gets the dollars.”

New Agent

Getting your First Clients

I can see it on your face, you’re thinking, “This sounds great and all, but where do I actually start?” Like I said above, when you’re first starting out as a new agent, you’re going to have to work for it. There’s a few different ways you can go about building that precious *Smeagle’s voice from LOTR* Book of Business.

Buying Leads

This is probably the first thing that goes through your head when I talk about getting started. There’s a reason why there are so many companies selling leads: it works. But there is a catch here that’s no secret, it’s expensive. There are a few different routes you can go when buying leads for Medicare Advantage: Direct Mail, Online, and more. Which avenue you choose is going to be largely determined by your target market.

Buying leads a fantastic way to “prime your sales pump”, especially if you have some extra cash to invest in your business. But your best bet is to combine a few different strategies to find new clients and not put all your eggs in one basket so to speak.

Educational Events

Educational events are a fantastic way to fill your sales pipeline with leads. The approach with educational events is more of a long term approach than simply just buying leads. The number one reason for that is, you can’t enroll or accept applications at a Medicare Educational event. So how effective are educational events you ask? Last year one of our agents made over 250 enrollments with leads from educational events. The goal is to put on an amazing event so that the attendees will look to you as a trusted adviser. It’s simple, people buy from people they trust. Now, you do have follow CMS regulations regarding educational events to remain compliant.

One of my favorite reasons for putting on educational events, especially for a new agent? They don’t break the bank!  Your local public library will typically have space available to hold seminars at very little to no cost.

So how do you get people to show up? I like to get permission and put up flyers at different businesses (that are close to your event) to advertise, think of places where seniors are more likely to be. Think of any groups you belong to, church, book clubs, golf buddies, etc. The trick is to let everyone know what you do! Even if they’re not Medicare eligible, I can guarantee you that they know someone that is. Word of mouth is hands down the cheapest way to get people to show up. Last but not least, cold calling. Just the words “cold calling” leave a bad taste in a lot of people’s mouths, but it is a great skill to have, especially if you plan on doing Medicare educational events. You have to be careful here though, as you cannot discuss Medicare Part C and D plan specifics with prospective beneficiaries, even if they ask you about it. If you called them and they bring up Medicare Advantage, you cannot talk about specific benefits. You are ONLY trying to get them to attend your educational event, DO NOT try to sell these people over the phone.

Upcoming Webinar on Thursday, March 21st, 2019!

Join RBI National Sales Manager, Charlie Ferrell, for our webinar: “Medicare Educational Events for Newbies!” Use the Button below or click HERE to RSVP!

Also be sure to check out my blog post about the “Power of Voice Inflection” for great tips to improve your phone skills!

Words of Wisdom

Here’s a story from Bob Bever, CEO at RBI. It was November of 2017. Bob was pumping gas, filling up before heading to an appointment across town when the guy next to him asked him about his “Medicare Compare” shirt. Bob spends 3 minutes with him telling him exactly what he does and how he helps people, then hands him a business card. A few days pass and the guy ends up calling Bob and enrolls in a plan that fit his needs. Not bad for a lead that only cost him 3 minutes of his time.

Agents tend to minimize their experience and ignore the people around them every day. People you know, people who you meet in your daily life, have no idea what you do. Spend 3 minutes with these people and tell them exactly what it is that you do and how you help people. Then hand them a business card. Being a new agent doesn’t have to be a struggle! RB Insurance Group has the tools and experience to help you! With a little hard work you’ll be on your way to what we all strive for, that six-figure residual income.

Are you a new agent that’s looking to get started in the Medicare industry? RB Insurance is here to “Make it Happen for You.” We love helping new agents succeed in the Medicare market. Give us a call today to see how you fit in the RBI family at 1-800-997-3107!



2020 AHIP certification update

It’s our favorite time of the year, right behind AEP. That’s…
2020 ahip discount certification

2020 Medicare Agent and Broker Compensation Announced | CMS | RBI

The Center for Medicare and Medicaid Services released a memo on May 25th, 2018, detailing the compensation limits for 2019. The CY 2019 FMV cut-off amounts for all organizations are as follows:

There are Just 24 months Between S.S.D.I. and Medicare Automatic Qualification

The Social Security Administration estimated in 2014 that 8.9 million Americans receive disability income or SSDI. To get a sense of who is covered by SSDI, check the administration's definition of disability and view its complete list of impairments for adults and children.
OEP

MA-OEP is back!

In January of 2019, Medicare beneficiaries will have another Enrollment Period, OEP. Learn what this means for you and how it will affect your business!

Annual Enrollment Period Checklist

RBI’s Senior Sales Coordinator: James Gramp

About the Author: With his signature common sense, quiet good humor, and brilliant customer service, Jim is an integral part of the RBI team — we’d go so far as to say we’d be lost without him! An Arizona native, Jim manages agent relationships for the East Coast and specializes in the RBI agent tools, especially the Agent Market Edge. Jim has been a licensed health insurance agent for 2 years, and has worked at RBI for almost 3 years. An accomplished bassoonist, he is known around the office for his amazing musical skills. In addition to keeping busy around the office, Jim frequently contributes to our blog, bringing a new agent’s perspective to the RBI online presence.

Annual Enrollment Period Checklist: Are you Ready to Sell?

Can you believe that it’s almost August already? It seems like every year the Annual Enrollment Period creeps up on us faster and faster.  Don’t be that agent that is scrambling to finish his AHIP and carrier certifications in September and then wants to know why he can’t pick up sales materials because he’s not showing up as “Ready to Sell.”  Without further ado I present to you, my personal AEP checklist.

AHIP

It’s that four letter word we all love to hate.  Unfortunately it’s just one of many requirements to sell Medicare Advantage and it’s also the first step you should be taking in order to prepare for the Annual Enrollment Period.  Now, if you’re one of those agents that doesn’t sell MA then I have news for you, you’re leaving money on the table.  In a previous blog post, I talk about why agents should consider adding Medicare Advantage products to their portfolio, just follow the link above to read more!

Haven’t taken your AHIP yet?  Look no further, follow this AHIP link to receive your $50 discount… But wait, there’s more!

100% AHIP Reimbursement

Annual Enrollment Period

  1. Use RBI’s AHIP link to take the 2018 certification
  2. Contract with 2 MA carriers through RBI
  3. Make 5 MA sales with RBI carriers
  4. After the plans become effective, receive a $125 check in the mail!

OR

  1. Use RBI’s AHIP link to take the 2018 certification
  2. Contract with Bright Health
  3. Make 1 Bright Health sale during the Annual Enrollment Period
  4. After the plan becomes effective, receive a $125 check in the mail!

Carrier Certifications

If you didn’t quite get your fill of online testing from the AHIP, there’s always carrier certifications as a nice dessert.  Not sure when the specific carriers are launching their certifications?  Follow this link to our 2018 Master Certification page where you will be able to see if and when the various Medicare Advantage carriers plan on releasing their certifications.

Be sure to knock out carrier certifications as they become available.  The reason for doing them right away is, if you’re not marked as “Ready to Sell” with a carrier, you will not be able to pick up any marketing materials or sales kits for the upcoming AEP.

Do I need to Add any Products to my Portfolio?

Now is the time when carriers are releasing benefit information for the 2018 plan year.  In fact, Aetna, Humana, and United Healthcare have already released first look benefits for the new plan year.  Curious to find out how these carriers are looking in your market?  We’re always one call away!

Is my FMO holding up their end of the Bargain?

Now is also the perfect time to evaluate whether your FMO is holding up their end of the bargain, they should work for you.  If your Field Marketing Organization doesn’t provide anything in the way of marketing support, it might be time to re-evaluate your relationship.  Check out this blog article from RBI Director of Marketing, Justin Bever, where he talks about how your FMO should be working for you.  These are things I consider when choosing who to put my Medicare business with:

  1. Sales Training + Coaching
  2. Marketing Support
  3. Compliance Support
  4. Accessibility

Develop a Marketing Plan for AEP

The most successful agents don’t go into the busiest time for Medicare brokers without a plan of attack.  At RBI, we routinely develop marketing plans with our agents the M.A.P.S. way.  We call it the M.A.P.S. method because we believe that your marketing plan should be Measurable, Actionable, Profitable, and Scalable.  Check out my blog post that I linked to above to learn all about the M.A.P.S. method for success.

A few things your plan might include:

  • Direct Mail campaign
  • Educational/Sales Events
  • Establishing Community Referral Networks

A lot of agents I speak with only look for referrals from their existing book of business but are totally ignoring a HUGE opportunity when it comes to getting referrals within your community.  The easiest place you can start is your very own doctor’s office.  If you’ve ever wondered how an agent is able to be successful in this industry without breaking the bank by purchasing leads, here’s your answer: Community Marketing.  Not sure how, or where to start?  Check out my blog post, “Building Your Referral Network” and download the free white paper where I demonstrate how to get started!

Annual Enrollment Period

Sing it with me now, “It’s the most wonderful time of the year.”  I know, I know, it’s way too early for Christmas songs.  In all seriousness, the most successful agents don’t go into the Annual Enrollment Period without a plan, and if you’ve done it right you’ll be singing along with Andy Williams after AEP is over.

Don’t let another AEP pass you by without meeting your sales goals!  RBI has the tools, marketing support, and most importantly, the expertise to turn you into a “Sales Champion.”  Give RBI a call today to learn all about how we do things differently than our competitors. 1-800-997-3107.



2020 ahip discount certification
OEP

M.A.P.S. Method for Success: AEP Planning

RBI’s Senior Sales Coordinator: James Gramp

About the Author: With his signature common sense, quiet good humor, and brilliant customer service, Jim is an integral part of the RBI team — we’d go so far as to say we’d be lost without him! An Arizona native, Jim manages agent relationships for the East Coast and specializes in the RBI agent tools, especially the Agent Market Edge. Jim has been a licensed health insurance agent for 2 years, and has worked at RBI for almost 3 years. An accomplished bassoonist, he is known around the office for his amazing musical skills. In addition to keeping busy around the office, Jim frequently contributes to our blog, bringing a new agent’s perspective to the RBI online presence.

M.A.P.S. Method for Success: AEP Planning

You’ve probably heard us folks at RBI talk about M.A.P.S before and are probably wondering what a map has to do with Medicare.  Look no further!  When we talk about M.A.P.S, we’re referring to how we build our agents marketing plans, particularly for AEP.  What does M.A.P.S. stand for you ask?  At RBI, we believe your marketing plan should be:

AEP

M – measurable

A – actionable

P – profitable

S – scalable

This is by no means a one size fits all approach.  We will sit down with you, analyze your business and what your goals are in regards to your Medicare business and will tailor it to your specific needs and goals.

But wait, there’s more!

Every 5 Sales Drive

In addition to helping you develop a successful marketing plan, RB Insurance Group will actually make your marketing dollars stretch further with our Every 5 Sales Drive.  Here’s how it works:

  • Must be contracted with at least 2 Medicare Advantage carriers with RBI to participate
  • Earn $125 marketing credit for every 5 MA sales you submit with RBI as your upline
  • Credits roll over from month to month and across calendar years; you will never lose your credits!
  • Program available for direct contracted agents only
  • Similar programs available for agencies.  Credit amounts will differ

You can keep track of your credits through the Agent Market Edge portal, which is RBI’s own marketing portal where agents keep track of their marketing credits and can purchase marketing collateral.  We produce all of our marketing collateral through our partner, Touchstone Marketing, and are able to offer these services at steep discounts and wholesale pricing to our agents!

Watch our “Medicare Marketing Madness” webinar where RBI Director of Marketing, Justin Bever, shows you exactly what a successful marketing campaign looks like.  Simply click the link above, register for the webinar, and the recording will start playing automatically!

Now is the time to develop your plan of attack for the upcoming Annual Enrollment Period!  Don’t get caught off guard, give us a call to ensure that you have the most competitive products in your senior portfolio! 1-800-997-3107



2020 ahip discount certification
OEP

Senior Insurance Acronyms for New Medicare Brokers

Senior Insurance Acronyms


RBI’s Senior Sales Coordinator: James Gramp

About the Author: With his signature common sense, quiet good humor, and brilliant customer service, Jim is an integral part of the RBI team — we’d go so far as to say we’d be lost without him! An Arizona native, Jim manages agent relationships for the East Coast and specializes in the RBI agent tools, especially the Agent Market Edge. Jim has been a licensed health insurance agent for 2 years, and has worked at RBI for almost 3 years. An accomplished bassoonist, he is known around the office for his amazing musical skills. In addition to keeping busy around the office, Jim frequently contributes to our blog, bringing a new agent’s perspective to the RBI online presence.

Senior Insurance Acronyms

for New Medicare Brokers

Compiled by RBI’s Senior Sales Coordinator: James Gramp


Are you a newly licensed Health producer?  Can’t wrap your head around the seemingly endless list of Senior Insurance Acronyms? Look no further!  This post is just for you, a new agent who’s looking to get started in the Senior Health Insurance (Medicare) market.

Consider your options: Best Contracting Partners

A few things before we jump in that you should be thinking about when choosing to work with an agency or contract directly with the insurance company:

  1. Do new agents receive training opportunities?
  2. Does marketing support come with the contract?
  3. Are the most competitive products in my area available with this partner?
  4. Does this partnership include CRM systems or other tools to keep track of your clients and potential clients?

The bottom line is, your FMO should work for you.  In the post I just linked to, Justin Bever, our Director of Marketing, highlights exactly how your FMO should work for you and ultimately help you reach and exceed your business goals!

Without further ado, I present you with the ultimate abbreviation cheat sheet!

Senior Insurance Acronyms for New Medicare Brokers:

MA – Medicare Advantage

MAPD – Medicare Advantage Prescription Drug plan

HI – Hospital Indemnity

FE – Final Expense

SOA – Scope of Appointment form: Permission slip to talk to beneficiaries who aren’t already your clients about specific benefits of MA plans.  The SOA should be signed by the beneficiary 48 hours prior to appointment.

HMO – Health Maintenance Organization: Type of Health plan, must use plan doctors for covered services.  Members are assigned a Primary Care Physicians and require referrals to see Specialists (dermatologists, cardiologists, etc.)

PPO – Preferred Provider Organization:  Type of Health plan where members can go out of network for care.  Going to in-network providers offers better co-pays/co-insurance

PFFS – Private Fee For Service: type of MA plan that may or may not cover prescriptions.  Only MA plan that you can buy a stand-alone PDP as long as the PFFS doesn’t already cover prescriptions.

SNP – Special Needs Plan: Medicare Health plans for people with special needs.  There are 3 different kinds of SNP’s; I-SNP, D-SNP, and C-SNP.

I-SNP – Institutional Special Needs Plan: plan for beneficiaries needing treatment from a LTC facility for more than 90 consecutive days.

D-SNP – Dual Special Needs Plan: Designed for people with Medicare and Medicaid

C-SNP – Chronic Special Needs Plan: Designed for people with chronic health conditions

Med-supp/Medigap – Medicare Supplement: offers plans A through N.  These plans are standardized and offer the same benefits regardless of carrier.

PDP – Prescription Drug Plan: Rx coverage, typically sold with Medicare Supplements.

LIS – Low Income Subsidy: Federal program to help with Rx costs.  Need to make under 150% of the Federal Poverty Level to qualify.

MSP – Medicare Savings Program: Federal program designed to help with premiums, co-pays, and co-insurance. Different levels of help are: QMB, SLMB, QI-1. Make under 135% of the FPL to qualify.

AHIP – America’s Health Insurance Plans: company that provides the core medicare certification required to sell Medicare Advantage plans.

AEP – Annual Enrollment Period: 10/7 through 12/7, period when Medicare beneficiaries can enroll in a MA/MAPD or a PDP.

SEP – Special Enrollment Period: period that you can enroll in an MA/PDP plan outside of AEP

IEP – Intial Enrollment Period: 3 months before, the month of, and 3 months after your 65th birthday.  Can enroll in any Medicare Health Plan during this time.

OEP – Open Enrollment Period for Medicare Supplement: 6 months after a Medicare beneficiary is enrolled in Medicare Part B and is 65 or older.


If you’re looking for a partner to grow your new business, look no further! We love helping agents get started — whether you’re a brand new agent, or you’re getting back into the market after being away: welcome! Call us today to learn about opportunities to work together: 1-800-997-3107



2020 ahip discount certification
Medicare cost-sharing
Aetna certification

The Latest: 2019 Medicare Advantage Certifications

 2020 Medicare Advantage Certifications

It’s that time of year again, folks! Time to dust off the keyboard, brew a strong pot of coffee, and plow through the annual Medicare Advantage Certification training! As dull and monotonous as it can be, certifications are critical part of keeping up to speed on the most recent plan and policy changes. (Also, you won’t get paid if you don’t complete them!)

Every MA carrier likes to do things a little bit differently, so in an effort to make your life a little easier, we’ve rounded up the most current information available to us. Check back frequently, we will continue to update as more plans release their 2020 certifications!

Medicare Advantage Certifications by Plan

Click on a Carrier or Scroll Down

Aetna  | AllWell | Amerigroup | AnthemBright Health |  Cigna Healthspring  |  Gateway  |  Humana | SilverScript | United Healthcare  |  WellCare


2020 Aetna Certification

Product Training:

July 10, 2019

 Aetna’s training site

Compliance Training:

Carrier Support:

1-866-714-9301


2020 AllWell Certification

Click here to access AllWell’s Certification portal


2020 Amerigroup Certification

Available in: NJ, NM, TN, TX, WA

Product Training: June 26, 2019

Click Here to access Amerigroup’s certification portal

Compliance Training:

Carrier Support:

1-800-633-4368


2020 Anthem Certification

Avialable in: CA, CO. CT, GA, IN, KY, ME, MO, NV, NH, NY, OH, VA, WI

Product Training: June 26, 2019

Click Here to access Anthem’s certification portal

Carrier Support:

1-800-633-4368


2020 Bright Health Certification

Available in: AZ, CO, AL

Product Training: 7/12/19

Click here for certification login

Compliance Training: 

Carrier Support: 

1-888-325-1747


2020 Cigna HealthSpring Certification

Cigna HealthSpring Medicare Advantage Certifications

Product Training:

July 8th, 2019

Cigna’s training site

Compliance Training:

Carrier Support:

1-800-973-9183 opt 2


2020 Gateway Certification

Product Training:

TBD

You should receive instructions from Gateway.

We will update all agents as soon as we receive the new contracting and certification information from Gateway.

Target Certification Release Date is August.

If you receive an error or do not receive the email, please contact agent support

Click here for instructions

Compliance Training:

Carrier Support:

1-888-871-0417


2020 Humana Certification

Product Training:

Agent certification:  June 26, 2019

 Humana Broker Portal

Compliance Training:

Carrier Support:

1-800-309-3163


2020 SilverScript Certification

Product Training

Now accessed through the Aetna Producer portal

Aetna Agent Portal

Compliance Training

Carrier Support

1-888-277-4174


2020 United Certification

Product Training:

July 1, 2019

 United Health Producer Portal

Compliance Training:

Carrier Support:

Producer Help Desk: 1-888–381–8581


2020 WellCare Certification

Product Training:

July 9th, 2019

All agents should have received an email with Username and password

Compliance Training:

 WellCare Certification Portal

Carrier Support:

Wellcare Producer Contacts

2018 Medicare Broker Compensation Limits Now Released!

AHIP Certification 2020 discount training medicare

2018 Medicare Broker Compensation Announced!


The Center for Medicare and Medicaid Services released a memo on May 30th, 2017, detailing the compensation limits for 2018.

The CY 2018 FMV cut-off amounts for all organizations are as follows:

2018 Medicare Broker Compensation

CMS’s 2018 Medicare Broker Compensation

Policies sold for a January 1st, 2018 effective date will be eligible for this new compensation as long as the selling carrier decides to pay the Maximum CMS Allowable Commission.

Needless to say, Medicare Advantage is more attractive than ever to sell as a Broker. If you’ve never thought about selling Medicare Advantage, it’s a good time to consider getting into this side of the business. The 2018 Medicare Broker Compensation is more robust than ever with this new memo. Many beneficiaries prefer a Medicare Advantage plan, and with the new broker compensation for 2018, the gains for brokers are obvious.

Give us a call at 1-800-997-3107 to find out which carriers pay Top Commission in your market! Click here to contract now!

See below for the entire actual memo entitled “Contract Year 2018 Agent and Broker Compensation Rate Adjustments, Submissions, and Training and Testing Requirements.”

CY 18 Agent Broker CompensationTraining Testing Requirements



2020 ahip discount certification
Medicare cost-sharing
Aetna certification