Download our helpful guide to deepen your understanding of selling Dual Special Needs Plans to seniors. This essential resource is tailored to help agents like you navigate the complexities of these plans, highlighting key strategies for effectively reaching and serving the senior demographic.

Whether you're new to this segment of Medicare or looking to refine your approach, our guide provides valuable insights and practical tips to enhance your sales techniques and improve client engagement. 

The Breakdown:

• What is a Dual Eligible Special Needs Plan?
• Who Qualifies for D-SNP?
• What are the Related Medicaid Eligibility Categories?
• D-SNP Type Definitions
• D-SNP Enrollment
• Where to Find D-SNP Prospects
• What is the D-SNP Disclaimer?
• Is the D-SNP Market Right for Me?

This resource is packed with actionable insights and proven strategies, covering everything from Cash flow, Cost per acquisition (CPA), Lifetime value (LTV) and more.

With PSM Brokerage's expert advice and support, agents are well-equipped to take their operations to the next level.

Join PSM Brokerage now to offer a robust portfolio of Medicare Plans, Life Insurance and Annuities and leverage the expanding market demand.

If your sales skills are top-notch and you have a focused, goal-driven mindset, you're precisely the partner we're seeking. We provide robust leadership, advanced sales tools, effective sales strategies, dedicated training, outstanding mentorship, and beyond.

Working with PSM Brokerage (PSM) offers a unique opportunity for insurance agents focusing on the senior market.

As a reputable FMO, we provide:

• Unparalleled access to a wide range of products, including Medicare Advantage, Medicare Supplements, and other senior-focused insurance plans from leading carriers.
• A comprehensive support system, which includes personalized training and mentoring that empowers agents to excel and grow in their careers.
• Direct commission payments from carriers, ensuring that agents are rewarded promptly for their hard work.
• Ownership of your book of business, allowing for long-term client relationships and sustained growth.
• Added perks such as exclusive access to cutting-edge quoting and enrollment tools, discounted leads, free marketing services, and website development.
• Agency building support as well as succession planning ideas, and exit strategies.

Joining forces with PSM Brokerage means becoming a vital part of a collaborative and thriving community of agents. This unique community is deeply committed to mutual support, sharing knowledge, and fostering an environment where everyone can excel.

Our Mission:

We nurture, educate, and assist our agents in every way possible. We are relentless in our dedication to bring value and go above and beyond expectations. We provide best-in-class service and do it with a smile. We conduct ourselves with integrity and honesty.

We develop a culture of success with team members and agents to inspire them to reach their full potential. We will create an environment that serves our goals using honesty, humor, and humility.

We are the home for high-producing agents and high-value agencies. The fruits of our hard work are visible daily as we continue to grow and attract higher production and lasting relationships.

If you're an agent interested in taking your career to the next level and eager to thrive, we want to hear from you. PSM Brokerage is committed to empowering agents with the tools, training, and community support needed to succeed. We offer a collaborative environment where your growth is our priority, backed by a suite of resources designed to maximize your potential.

Contact us today to explore how we can work together to achieve your goals and make a meaningful impact. Reach out to become part of a team where success is shared, and every agent is valued.

PSM Brokerage was founded in 2006, in Austin, Texas. In the intervening time with almost two decades of experience, PSM has grown to a nationwide footprint, with a mission to empower agents to honestly and ethically help people live longer, healthier and more financially secure lives.

PSM is proud to spotlight Devoted Health Medicare Advantage Plans

We are delighted to promote our partnership with Devoted Health, making their highly coveted Medicare Advantage plans available in newly expanded regions. This presents a prime opportunity for you to join a successful team and propel your career in the Medicare industry to new heights!

Ask us for details on what sets Devoted apart from the competition — and why you won’t want to sell others' products. You won’t regret it!

As Devoted Health broadens its reach to include Arkansas, Georgia, Indiana, Kentucky, Missouri, Mississippi, Washington, and Wisconsin, this is the perfect opportunity to expand your client base and enhance your earning possibilities like never before.

Background

On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that revises the Medicare Advantage Program, Medicare Prescription Drug Benefit Program (Medicare Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the Elderly (PACE), and Health Information Technology Standards and Implementation Specifications.

Additionally, this final rule addresses several key provisions that remain from the CY 2024 Medicare Advantage and Part D proposed rule, CMS-4201-P, published on December 14, 2022. Together, the changes in this final rule build on existing Biden-Harris Administration policies to strengthen protections and guardrails, promote healthy competition, and ensure Medicare Advantage and Part D plans best meet the needs of enrollees. In addition, these policies promote access to behavioral health care providers, promote equity in coverage, and improve supplemental benefits. 

This fact sheet discusses the major provisions of the 2025 final rule which can be downloaded here: https://www.federalregister.gov/public-inspection/2024-07105/medicare-program-medicare-advantage-and-the-medicare-prescription-drug-benefit-program-for-contract

Many individuals with Medicare rely on agents and brokers to help navigate complex Medicare choices as they comparison shop for coverage options. The Medicare statute requires that CMS must establish guidelines to ensure that the use of compensation creates incentives for agents and brokers to enroll individuals in the Medicare Advantage or Part D plan intended to best meet the prospective enrollee’s health care needs. However, excessive compensation, and other bonus arrangements, offered by plans to agents and brokers can result in individuals being steered to some Medicare Advantage and Part D plans over others based on the agent or broker’s financial interests, rather than the prospective enrollee’s health care needs. 

CMS is cracking down on that. Specifically, CMS is finalizing requirements that redefine “compensation” to set a clear, fixed amount that agents and brokers can be paid regardless of the plan the individual enrolls in, addressing loopholes that result in commissions above this amount that create anti-competitive and anti-consumer steering incentives. The provisions of this final rule, which are applicable beginning with the upcoming Annual Enrollment Period, ensure that agent and broker compensation reflect only the legitimate activities required of agents and brokers, by broadening the scope of the regulatory definition of “compensation,” so that it is inclusive of all activities associated with the sales to/enrollment of an individual into a Medicare Advantage or Part D plan.

In response to feedback from stakeholders, CMS is increasing the final national agent/broker fixed compensation amount for initial enrollments into a Medicare Advantage or Part D plan by $100, which is an amount higher than what was proposed ($31). CMS believes this increase will provide agents and brokers with sufficient funds to serve individuals with Medicare. This increase will eliminate variability in payments and improve the predictability of compensation for agents and brokers. This increase will be added to agent and broker compensation payments for the Annual Election Period in Fall 2024 and applied to all enrollments effective in CY2025 and future contract years. 

Additionally, the final rule generally prohibits contract terms between Medicare Advantage organizations/Part D sponsors and middleman Third Party Marketing Organizations (TPMOs), such as field marketing organizations, which may directly or indirectly create an incentive to inhibit an agent or broker’s ability to objectively assess and recommend the plan that is best suited to a potential enrollee’s needs. In the final rule, CMS provides several examples of contract terms that will be impermissible under this prohibition, including provisions offering volume-based bonuses for enrollment into certain plans.

These final policies advance the goals of President Biden’s historic Competition Council and Executive Order signed in July 2021, by helping to ensure a robust and competitive Medicare Advantage marketplace.

Medicare Supplement and Dental, Vision & Hearing (DVH) will be available starting April 10^th.  

The new platform gives you more flexibility to offer additional benefits and improve efficiency. We’ve built a strong foundation with key features and will continue to add carrier integrations and other enhancements.

Medicare Supplement

54 Carriers will be available for Medicare Supplement Quoting, 5 Carriers will be available for full integrated enrollment.

Features include:

• End-to-end enrollment integrations

Full enrollment form integration with Aetna, Cigna, Anthem, Fallon and IBX will be available to start, with MOO, Humana, and Aflac planned to release before AEP. Thirteen additional carrier enrollments are available via external links, with many more on the way!

• Underwriting eligibility alerts

Get alerts when an applicant is unlikely to pass underwriting using our Medicare Supplement needs assessment which captures drug and medical condition data.

• Easy transition to MA/MAPD

Quickly move from Medicare Supplement to MA/MAPD quoting and enrollment if underwriting logic suggests that Medicare Supplement may not be the best path. All client data is preserved between products.

• Post-enrollment bundling

Post-enrollment bundling experience creates significant efficiencies by passing captured drug and demographic data into DVH and PDP applications (displayed post sale).

Don't have a SunFire account? Learn more and request details here.

The Centers for Medicare & Medicaid Services (CMS) finalized the Calendar Year (CY) 2025 Rate Announcement for the Medicare Advantage (MA) and Medicare Part D Prescription Drug (Part D) Programs that updates payment policies for these programs and ensures payment accuracy.

The Rate Announcement complements policies in the CY 2025 MA and Part D proposed rule that would strengthen protections for the millions of people who rely on MA and Medicare Part D prescription drug coverage, which will be finalized in the coming days.  Under this CY 2025 Rate Announcement,  payments from the government to MA plans are expected to increase on average by 3.70 percent, or over $16 billion, from 2024 to 2025. The federal government is projected to pay between $500 and $600 billion in Medicare Advantage payments to private health plans in 2025.

This brief highlights 10 things to know about D-SNPs, including national and state enrollment trends, plan availability, insurer participation, benefits, and prior authorization rates and denials, based on data from various sources.

Cigna is officially exiting the Medicare business, agreeing to sell all of its Medicare insurance plans to Health Care Service Corp., a large Blue Cross Blue Shield insurer, for $3.3 billion. Read more here.

A message to brokers from Cigna can be found here.

Start selling AdvantageGuard today!

AdvantageGuard, the new Hospital Indemnity product underwritten by Golden Rule Insurance Company, a UnitedHealthcare company, launches in District of Columbia and 15 additional states: Alaska, Colorado, Delaware, Hawaii, Kentucky, Maine, Minnesota, Mississippi, North Dakota, New Hampshire, Ohio, Rhode Island, South Carolina, South Dakota, Wyoming.

In this comprehensive agent training session, we will conduct an in-depth exploration of benefits offered by the AdvantageGuard Hospital Indemnity plan, along with a detailed analysis of the eligibility criteria. 

Explore AdvantageGuard benefits

Clients can choose the benefits that best fit their needs and budget, all backed by a insurer with an "A+" AM Best rating². AdvantageGuard offers convenient cash benefits paid to the insured, making it a smart choice for clients who want help with covering out-of-pocket expenses, like their Medicare Advantage plan copays.

Request details today and start offering this new plan to your clients. Precision Senior Marketing is an independent broker agency offering plans underwritten by Golden Rule Insurance Company and other insurers.

¹Payable per day (limits apply) when Insured Person receives a prescription delivered by injection in an outpatient provider setting. State variations apply. Not available in all states. 

²Additional premium applies.

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Agents Only. Not Intended For Consumer Use