Agent Survival Guide Podcast

What CMS Requires Agents to Discuss Prior to Medicare Enrollments


Listen Later

In this episode we review key CMS regulations agents must follow to stay compliant during Medicare sales. Bonus? These steps also help educate and inform your clients!

 

Read the text version

 

Contact the Agent Survival Guide Podcast! Email us [email protected] or call 1-717-562-7211 and leave a voicemail.

 

Resources:

Fact vs. Fiction: Examining the Medicare Part B Premium Giveback

Formularies & Covered Drugs – Knight School Training

How to Check Medicare Extra Help Eligibility for Your Client

How to Help Clients Avoid Medicare Late Enrollment Penalties

How to Help Your Clients Get the Most Out of Their Medicare Advantage Plans

Insurance Agents as TPMOs: What CMS Compliance Regulations Mean for You

Medicare Grievances & How Insurance Agents Can (Try To) Prevent Them

MA & PDP Compliant Sales Checklist PDF Download

SNPs: The Secret to Surviving Lock-in

The 2026 Medicare Part D Redesign Updates Agents Should Know

The Beginner’s Guide to C-SNPs

The Beginner’s Guide to D-SNPs

The Difference Between Medicare & Medicaid: What That Means for Insurance Agents

What Agents Can’t Say During Medicare Sales Appointments

What to Know About SOAs in Medicare Health and Prescription Drug Plan Sales

 

References:

“Agent and Broker Training & Testing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services,

https://www.cms.gov/files/document/cy2025-agent-broker-training-testing-guidelines.pdf. Accessed 14 Oct 2025.

“Agent and Broker Training & Testing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/cy2026agentbrokertrainingtestingguidelinespdf.pdf. Accessed 15 Oct. 2025.

“Costs.” Medicare, www.medicare.gov/basics/costs/medicare-costs. Accessed 14 Oct. 2025.

“Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2025-medicare-advantage-and-part-d-final-rule-cms-4205-f. Accessed 14 Oct. 2025.

“Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. Accessed 15 Oct. 2025.

“Emergency Department Services.” Medicare.Gov, Medicare, www.medicare.gov/coverage/emergency-department-services. Accessed 14 Oct. 2025.

“Medicare Communications and Marketing Guidelines (MCMG) Date: 02/09/2022.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/medicare-communications-marketing-guidelines-2-9-2022.pdf. Accessed 14 Oct. 2025.

Seladi-Schulman, Jill. “Medicare IRMAA: What Is It and When Does It Apply?” Healthline, Healthline Media, 22 Apr. 2025, www.healthline.com/health/medicare/what-is-irmaa.

“Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other. Accessed 14 Oct. 2025.

“Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” FederalRegister.Gov, Federal Register, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 15 Oct. 2025.

“Out-of-Pocket Maximum/Limit.” HealthCare.Gov, www.healthcare.gov/glossary/out-of-pocket-maximum-limit/. Accessed 14 Oct. 2025.

 

Follow Us on Social!

Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance    

Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel 

Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/

Not affiliated with or endorsed by Medicare or any government agency.

...more
View all episodesView all episodes
Download on the App Store

Agent Survival Guide PodcastBy Sarah J. Rueppel | Ritter Insurance Marketing

  • 4.6
  • 4.6
  • 4.6
  • 4.6
  • 4.6

4.6

41 ratings


More shows like Agent Survival Guide Podcast

View all
Daily Radio Program with Charles Stanley - In Touch Ministries by Dr. Charles Stanley

Daily Radio Program with Charles Stanley - In Touch Ministries

8,833 Listeners

The Official BNI Podcast by Dr. Ivan Misner

The Official BNI Podcast

359 Listeners

The Clark Howard Podcast by Clark Howard

The Clark Howard Podcast

5,468 Listeners

The Game w/ Alex Hormozi by Alex Hormozi

The Game w/ Alex Hormozi

4,426 Listeners

Retire With Purpose - The Retirement Podcast by Casey Weade

Retire With Purpose - The Retirement Podcast

577 Listeners

The Everything Medicare Podcast! by Christian Brindle

The Everything Medicare Podcast!

107 Listeners

My First Million by Hubspot Media

My First Million

2,642 Listeners

Morning Brew Daily by Morning Brew

Morning Brew Daily

3,002 Listeners

All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

All-In with Chamath, Jason, Sacks & Friedberg

9,822 Listeners

Medicare Marketing & Sales Podcast by Mike Gattorna

Medicare Marketing & Sales Podcast

10 Listeners

The Seven Figures Or Bust Podcast! by Christian Brindle

The Seven Figures Or Bust Podcast!

38 Listeners

Insurance Business Babes by Kathe Kline

Insurance Business Babes

38 Listeners

The Broker Link by The Brokerage Inc.

The Broker Link

11 Listeners

The Jefferson Fisher Podcast by Civility Media

The Jefferson Fisher Podcast

8,393 Listeners

Medicare Sales Playbook by Medicare Sales Playbook

Medicare Sales Playbook

0 Listeners