CMS: Compensation Rates and Referral/Finder’s Fees for CY 2020

As provided in 42 C.F.R. §§422.2274(b)(1) and 423.2274(b), the compensation amount an organization pays to an independent agent or broker for an enrollment must be at or below the fair market value (FMV) cut-off amounts published yearly by the Center for Medicare and Medicaid Services (CMS). 42 C.F.R. §§422.2274(h) and ... Read More

2019 LIS Income/Resource Limits

What is the “Extra Help” Resource Limit? To get extra help in 2019, a member’s total resources must be no more than to $12,890* for an individual ($25,720* for a married couple living together). *These limits do not include the $1,500 per person burial exclusion. All beneficiaries are permitted a $1,500 per ... Read More

CMS Seeks Recommendations That Allow Americans to Purchase Health Insurance Across State Lines

CMS for Cross-State Health Insurance  Administration continues efforts to increase consumer choice, promote competition and drive down prices in the health insurance market The Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) today that solicits recommendations on how to eliminate regulatory, operational and financial barriers ... Read More

CORRECTED LINK – CMS Releases New Medicare Beneficiaries at a Glance Infographic

Connecting People with Data The Centers for Medicare & Medicaid Services (CMS) has published a new infographic with summarized information about beneficiaries in the Medicare program. The Medicare Beneficiaries at a Glance infographic includes information on types of Medicare coverage, utilization of healthcare services, the average cost for specific services, ... Read More

Federal Poverty Guidelines Announced

Updated Federal Poverty Guidelines Announced Each year, the Department of Health and Human Services (HHS) updates the federal poverty guidelines, which are then used to determine eligibility for programs including Medicaid, the Low-Income Subsidy for Part D (LIS), and Medicare Savings Programs. The 2019 guidelines for the 48 contiguous states and ... Read More

New Medicare Card Mailing Complete

Center for Medicare & Medicaid Services (CMS) Good news: CMS has finally finished mailing new Medicare cards across the country! Members should’ve received a new card by now. What to tell members: Carry and use the new Medicare card when care is needed. Protect the Medicare Number and card, as if to ... Read More

Provider Compliance Update

Supplies Sharing and Checking Full Credentials Agents are not permitted to share their supplies with anyone – even their down line. If you are uncertain about your credentials give us a call. If you do submit business for a carrier you’re not fully credentialed with – you will not be paid commissions ... Read More

For 2020 Dem Hopefuls, ‘Medicare-For-All’ Is A Defining Issue, However They Define It

‘Medicare-For-All’ – The  Defining Issue for 2020 Dems Democrats with 2020 presidential aspirations are courting the party’s increasingly influential progressive wing and staking out ambitious policy platforms. Front and center are three words: Medicare. For. All. That simple phrase is loaded with political baggage, and often accompanied by vague promises ... Read More

Opportunities in Special Enrollment Periods

Are Your Clients Eligible for SEP? When certain events happen, your Medicare-eligible clients may qualify to change their plan outside of the Annual Election Period. These are Special Enrollment Periods (SEPs). The Centers for Medicare & Medicaid Services (CMS) determines what events and criteria qualify for an SEP. Each one ... Read More