Selling Medicare Advantage

Medicare Advantage Prescription Drug (MAPD) Plans
Qualified prescription drug coverage comes included in these plans.

Low-to-No Premium Plans
Private insurers can save costs by establishing networks for their MA plans, and then, put those savings into making their plans have a low or no premium.

Dual Eligible Special Needs Plans (D-SNPS)
A type of MA Special Needs Plan, D-SNPs are available to individuals eligible for both Medicare and Medicaid.

Chronic Condition Special Needs Plans (C-SNPs)
C-SNPs can provide coverage for people who have a qualifying chronic condition.

Institutional Special Needs Plans (I-SNPs)
I-SNPs restrict enrollment to individuals who have or will likely need the level of care provided in certain facilities for an extended period of time.

What Beneficiaries Value Most in Medicare Advantage Plans

• Monthly Premiums vs. Provider Networks
• Star Ratings vs. Brand Names
• Convenience vs. Practicality

The Ideal Client for Medicare Advantage Plans

• Who Is Eligible for Medicare Advantage?
• Who Should Enroll in Part C?

Start Selling 5-Star Medicare Advantage Plans All Year

• What Is A 5-Star Medicare Advantage Plan?
• The 5-Star Plan Special Enrollment Period
• 5-Star Plan Marketing Guidelines

8 Strategies to Prevent Rapid Disenrollments from Medicare Plans

• What Are Rapid Disenrollments?
• How Do They Affect You and Your Commission?
• Strategies for Preventing Rapid Disenrollments

What CMS Requires Medicare Agents to Discuss Prior to Enrollments
Make sure you discuss:

• Medicare eligibility
• Premiums and cost-sharing
• Plan benefits and more!

Rules for Hosting a Compliant Medicare Educational Event
You don’t want to:

• Provide or collect SOAs and/or enrollment forms
• Discuss any carrier-specific plan or benefits
• Schedule future appointments and more!

Rules for Hosting a Compliant Medicare Sales Event
Follow these rules to stay compliant:

• Name all products and plan types you’ll cover before starting
• Let beneficiaries approach you first
• Use the necessary TPMO disclaimer and more!

Medicare Advantage Open Enrollment Do’s and Don’ts
Here are some rules to follow during the MA OEP:

• Don’t use this time as an excuse to reach more clients
• Only hold one-on-one meetings upon a beneficiary’s request
• Don’t send unsolicited communications to beneficiaries

Do’s and Don’ts of Medicare Compliance
Do:

• Wait until October 1 to begin marketing next year’s plans
• Identify and make a list of all vendors, contractors, and subcontractors you use

Don’t:

• Attempt to mislead your clients
• Share personal beneficiary data with other TPMOs