Posts

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

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 Marketing Madness!

Join Justin Bever, our Chief Strategy Officer and Marketing Guru, for Medicare Marketing Madness! This webinar will cover in broad strokes how successful Medicare Marketing is used by our top brokers. Learn the costs, methods, and secrets about how to turn your budget into leads you can sell!

This Webinar starts at 11:00 AM MST. Here are a few of the topics that will be covered!

    • Learn about New Rules and Regulations and how to leverage them
    • Find out Proven Methods for consistently generating Medicare leads in your market!
    • Discover and demystify how to use Direct Mail to fill your pipeline
    • Build a budget for your continued marketing success
    • Target the exact market you want to work!

To ask questions and participate, you’ll need the following:

  1. Access to an internet connection and computer (or mobile)
  2. A phone or microphone to call in with
  3. Questions you need answering!

What’s the big deal about MA-OEP?

Join us on Thursday, March 7th, to take part in RBI’s “What’s the big deal about MA-OEP?” webinar.

Back due to popular demand, we are hosting another LIVE webinar session of “What’s the big deal about MA-OEP?” We will start off this webinar with a presentation about the new Medicare Advantage Open Enrollment Period and will cover topics like:

    • Who can use this new enrollment period?
    • What are the marketing restrictions regarding MA-OEP?
    • Why this enrollment period is good for beneficiaries
  • How to take advantage of other agents poor follow-up work and how to grow your business during MA-OEP!

To ask questions and participate, you’ll need the following:

  1. Access to an internet connection and computer (or mobile)
  2. A phone or microphone to call in with
  3. Questions you need answering!

Finding Dual Eligibles

Our most popular webinar, “Finding Dual Eligibles,” is back for 2019!

On February 21st at 9:00 am (Arizona Time) you’ll have the chance to learn from someone who got their start in the Dual Eligible market and has since built their career off of it. RBI’s very own Charlie Ferrell will be covering the following:

  • Who is a Dual Eligible?
  • What are the different levels of extra help?
  • What are Medicare Sales Programs and what do they cover?
  • How to compliantly find and reach potential clients
  • How to market yourself to these potential members

What’s the big deal about MA-OEP?

Join us on Thursday, February 7th, to take part in RBI’s “What’s the big deal about MA-OEP?” webinar.

We will start off this webinar with a presentation about the new Medicare Advantage Open Enrollment Period and will cover topics like:

    • Who can use this new enrollment period?
    • What are the marketing restrictions regarding MA-OEP?
    • Why this enrollment period is good for beneficiaries
  • How to take advantage of other agents poor follow-up work and how to grow your business during MA-OEP!

To ask questions and participate, you’ll need the following:

  1. Access to an internet connection and computer (or mobile)
  2. A phone or microphone to call in with
  3. Questions you need answering!

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

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

What You Need to Know to Grow Your Book of Business.

The Social Security Administration estimated in December 2018 that 8.5 million Americans received Disability Income or S.S.D.I.. To get a sense of who is covered by S.S.D.I., check the Administration’s Definition of Disability and view its complete list of impairments for adults and children.

What does this mean for you the agent? S.S.D.I. and Medicare work together to support individuals with disabilities. Independent Medicare agents have a rewarding opportunity to serve these disadvantaged beneficiaries. Whether someone is physically disabled and needs assistance with mobility or those with intellectual disabilities or those suffering with mental illnesses, they all need assistance with finding the right health coverage for them. Many times, S.S.D.I. beneficiaries qualify for Medicaid due to lower earnings over their lifetime. This provides you with a unique opportunity to partner with others to assist these beneficiaries. Once they have Medicare, you have a client for life!


“Realizing the the implications that Medicare is not just for seniors 65 and older opens up your book of business to new streams of income.”


It’s fairly simple, once a person has been on S.S.D.I. for 24 months, he or she automatically qualifies for Medicare. You can read more about eligibility for S.S.D.I. here. Individuals with S.S.D.I. can receive Medicare benefits before 24 months if they are fully disabled & have no expectation to work because of their disability. This is not granted automatically; the beneficiary must apply for it. I have had some clients receive Medicare benefits within three months of applying once they began receiving S.S.D.I..


Independent Medicare Agents have a Rewarding Opportunity to serve these Disadvantaged Beneficiaries

Most states do not have Medicare Supplements available to individuals under age 65. If Medicare Supplement plans are available, they can be cost prohibitive because most companies are group or age rated. An individual on Medicare due to Disability is bound to have higher health costs, so they often go with a Medicare Advantage plan simply because that is their only choice. Many Medicare Advantage plans have different networks than your new S.S.D.I. clients may have used in the past, so make sure they are comfortable changing their doctors and specialists.


“It’s fairly simple: Once a person has been on S.S.D.I. for 24 months, he or she automatically qualifies for Medicare”


It’s often the case that many individuals with a disability & families with a disabled family member don’t know where to turn for help. Some have Medicaid, some have no insurance and some live off of their savings.  Tragically, we have bared witness to cases where disabled clients have been Bankrupt by medical bills and are now on Medicaid after burning through their entire life savings because they had no insurance. Most are in their Forties or Fifties and believed they had at least 10 to 20 years or more to work.

Knowledgeable and caring Medicare agents can really make a positive difference in the lives of Disabled prospects by helping these individuals understand S.S.D.I. & Medicare. Realizing the the implications that Medicare is not just for seniors 65 and older opens up your book of business to new streams of income.

Call RB Insurance at 800-997-3107 or email to learn more about Social Security Disability Income, Medicare for Disabled individuals and how to Market yourself to new prospects. RB Insurance Group, llc. A Field Marketing Organization (FMO) for Insurance Agents and Agencies, specializing in the Senior Insurance market. The Agent Advantage Blog is designed with your business agents in mind. Explore the information below & subscribe to our blog to get CMS and regulatory updates with the agent’s perspective. Then give us a Call:800-997-3107 or Email: Producer@rbi-group.com  to find out how RBI can help you expand your business!

Disability Evaluation Under Social Security*

Listing of Impairments –  Adult Listings (Part A)

The following sections contain medical criteria that apply to the evaluation of impairments in adults age 18 and over and that may apply to the evaluation of impairments in children under age 18 if the disease processes have a similar effect on adults and younger children.

1.00
Musculoskeletal System

2.00
Special Senses and Speech

3.00
Respiratory Disorders

4.00
Cardiovascular System

5.00
Digestive System

6.00
Genitourinary Disorders

7.00
Hematological Disorders

8.00
Skin Disorders


9.00
Endocrine Disorders


10.00
Congenital Disorders that Affect Multiple Body Systems

11.00
Neurological Disorders

12.00
Mental Disorders

13.00
Cancer (Malignant Neoplastic Diseases)

14.00
Immune System Disorders

Listing of Impairments – Childhood Listings (Part B)

The following sections contain medical criteria that apply only to the evaluation of impairments in children under age 18.

100.00
Low Birth Weight and Failure to Thrive

101.00
Musculoskeletal System

102.00
Special Senses and Speech

103.00
Respiratory Disorders

104.00
Cardiovascular System

105.00
Digestive System

106.00
Genitourinary Disorders

107.00
Hematological Disorders

 108.00
Skin Disorders


109.00
Endocrine Disorders


110.00
Congenital Disorders that Affect Multiple Body Systems

  111.00
Neurological Disorders

 112.00
Mental Disorders

113.00
Cancer (Malignant Neoplastic Diseases)

114.00
Immune System Disorders

*Information from Social Security Administration Website:
https://www.ssa.gov/disability/professionals/bluebook/ChildhoodListings.htm
https://www.ssa.gov/disability/professionals/bluebook/AdultListings.htm

MA-OEP is back!

Medicare cost-sharing

Charlie Ferrell, National Sales Manager

About the Author: Charlie started his senior insurance career after a brief 30-year stint in the restaurant industry. In the 12 years since then, he has been blazing trails and setting standards for excellence all over! A native of Utah, he has been a state manager for RBI as well as an MGA for UHC, Coventry, Molina and other carriers! Charlie came to RBI as the National Sales Manager in 2015, and has been dubbed the “Medicare Encyclopedia” our staff and agents alike. Charlie specializes in the Dual-Eligible market and is leading the charge behind many of RBI’s new training initiatives!

MA-OEP is Back!

Beginning this year the Centers for Medicare & Medicaid Services (CMS) have given Medicare Advantage (MA) beneficiaries an additional enrollment period called the Medicare Advantage Open Enrollment Period (MA-OEP.)

What this means for Beneficiaries

Each year, starting on January 1st, Medicare Advantage members will be able to make a one time plan change through March 31st of each year.

Agents that have been around for a while remember that the Open Enrollment Period (OEP) was critical for people who failed to change plans during the Annual Election Period or those who made the wrong choice and only realized it when they tried to use their plan in January. This new enrollment period helps protect beneficiaries who may only look at how their co-insurance and co-pays are changing, but may not realize that their doctor will no longer be accepting the Insurance/Plan they haveIt also gives us another three months of selling to increase our customer base.

It’s in your and your Client’s best interest

For new agents who have yet to experience an OEP, you might be scared that all your your new clients could leave and all of your commissions would be charged back and … you would be right! This puts more burden on you the agent to put them in the correct plan in the first place, which is a good thing if you ask me! Make sure you call your clients the first week in January and find out if their plan is working correctly for them. OEP gives you a chance to correct plans if you find out that your client’s doctors are no longer in network after the first of the year. It also allows YOU to market yourself and gain new clients from those agents that are not returning phone calls or following up on their clients needs.

How does OEP protect your business?

It never fails that I have someone call me after December 7th saying they want to sign up for the plan now and I have to tell them “It’s too late, you are locked into your current plan until the end of next year unless you move out of the county.” Even worse is the client that calls me in January looking for my help and another agent put them on a different plan just to make a commission. I have had it happen. An agent “stopped by” just to go over her Medicare even though she told them she had an agent and was already signed up. Next thing you know they are on a different plan and I can’t help them. OEP gives you the chance to keep that business and allows you inoculate your clients from agents that want to poach your business. It forces you to do your job… or someone else will do it for you!

21st Century Cures Act

The 21st Century Cures Act allows all Medicare beneficiaries one change during OEP. The law also prohibits carriers from advertising to consumers to utilize the OEP to change plans. It’s up to us to educate our clients and potential clients of the upcoming changes. If you have a penchant for reading ridiculously long and boring Congressional Statutes, then you can read about this new law in its entirety right here!

Keep up to date with the latest in Medicare news by subscribing to our blog on the right hand side of your screen! 



2020 ahip discount certification
Medicare cost-sharing
2019 Medicare Broker Compensation

AEP: What to do Now?

AEP: What to do Now! Q&A Webinar

Join us on Thursday, October 4th, to take part in our “AEP: What to do Now?” Q&A session!

This session is for any and all agents and that want some useful tips and tricks about generating new business, cross-selling, and more! During this Q&A, you’ll have the opportunity to ask our panel of experts the questions you REALLY need answered.

To ask questions and participate, you’ll need the following:

  1. Access to an internet connection and computer (or mobile)
  2. A phone or microphone to call in with
  3. Questions you need answering!

 

AEP Final Check-in

Join us on Thursday, September 20th, to take part in “AEP Final Check-in” Q&A session!

This session is for any and all agents and will be centered around last minute preparations before AEP is here! During this Q&A, you’ll have the opportunity to ask our panel of experts the questions you REALLY need answered.

To ask questions and participate, you’ll need the following:

  1. Access to an internet connection and computer (or mobile)
  2. A phone or microphone to call in with
  3. Questions you need answering!

 

Expansion Markets

Join us on Thursday, September 13th, to take part in our “Expansion Markets” Q&A webinar session!

This session is for any and all agents and will be centered around the increased funding for the Medicare Advantage program and the expansion markets for the major carriers. During this Q&A, you’ll have the opportunity to ask our panel of experts the questions you REALLY need answered.

To ask questions and participate, you’ll need the following:

  1. Access to an internet connection and computer (or mobile)
  2. A phone or microphone to call in with
  3. Questions you need answering!

 

Events

Nothing Found

Sorry, no posts matched your criteria