Medicare has specific timeframes when individuals can enroll in or make changes to their plans. Understanding these periods is crucial for agents to guide clients effectively:

• Annual Enrollment Period (AEP) – Oct 15 to Dec 7
  This is the main enrollment window when beneficiaries can switch Medicare Advantage (Part C) or Part D prescription drug plans.

• Initial Enrollment Period (IEP)
  A 7-month window for individuals turning 65 to sign up for Medicare (3 months before and after their birthday month).

• Special Enrollment Period (SEP)
  Allows individuals to enroll outside of standard windows due to specific life events, such as losing employer coverage, moving to a new service area, or qualifying for Medicaid.

Medicare beneficiaries can choose between two primary options for additional coverage:

• Medicare Supplement (Medigap):

  • Works alongside Original Medicare (Parts A & B).
  • Helps cover out-of-pocket costs like deductibles and copays.
  • No network restrictions—clients can see any doctor that accepts Medicare.
  • Monthly premiums apply, but fewer surprise costs.

• Medicare Advantage (Part C):

  • An all-in-one alternative to Original Medicare, often including drug coverage and extra benefits like vision and dental.
  • Operates through private insurers with network-based care (HMO or PPO plans).
  • May have lower monthly premiums but includes copays and coinsurance.

Agents should assess their clients’ needs to determine the best option.

Insurance agents can earn commissions by helping clients enroll in Medicare plans. Key revenue sources include:

• Medicare Advantage Plans (Part C)
  Agents receive an initial commission for new enrollees and renewal commissions for ongoing policyholders. Commission rates are set annually by CMS (Centers for Medicare & Medicaid Services).

• Medicare Supplement (Medigap) Plans
  Commissions vary based on the plan, with ongoing residual payments as long as the policy remains active.

• Prescription Drug Plans (Part D)
  Similar to Medicare Advantage, agents receive a set commission per enrollment and renewal.

• Cross-Selling Opportunities
  Agents can bundle additional products like dental, vision, life insurance, and hospital indemnity plans for increased earnings.

By building long-term client relationships, agents can create a steady stream of residual income.