Industry News

2025 Maximum Broker Compensation for Medicare Advantage & Medicare Part D

Written by Sarah Gilleran | Jul 22, 2024 6:43:25 PM

We've got fantastic news for agents planning on selling 2025 Medicare products. The maximum broker compensation for Medicare Advantage and Part D PDP plans has increased for the tenth year in a row!

Below is a chart comparing the Medicare Maximum Broker Compensation for 2024 vs. 2025.

Maximum Broker Compensation for 2025

Referral Fees

NOTE: CMS rounded the FMV amounts for CY 2025 up to the nearest dollar. The Initial Year amount is the maximum allowable amount that organizations may pay for enrollments during compensation cycle-year 1. The renewal amount is the maximum allowable amount that organizations may pay for enrollments during compensation cycle-years 2 and beyond, for a like plan type. Insurance providers are not required to pay the maximum Medicare commission rate. We’ll let you know when insurance companies release their 2024 filings.

Medicare Part D Maximum Broker Commissions

Initial compensation increased from $100/member/year to $109/member/year.

Renewal compensation increased from $50/member/year to $55/member/year.

Medicare Advantage Maximum Broker Compensation

These numbers are broken out by state/region.

For CA and NJ, initial MA compensation increased from $762/member/year to $780/member/year. Renewal compensation increased from $381/member/year to $390/member/year.

For CT, PA and DC, initial MA compensation increased from $689/member/year to $705/member/year. Renewal compensation increased from $345/member/year to $353/member/year.

For Puerto Rico and the U.S. Virgin Islands, initial MA compensation increased from $418/member/year to $428/member/year. Renewal compensation increased from $209/member/year to $214/member/year.

In all other states, initial MA compensation increased from $611/member/year to $626/member/year. Renewal compensation increased from $306/member/year to $313/member/year.

 

If you are not already selling Medicare Advantage Plans and Medicare Part D Plans with Eldercare, let us explain the benefits of doing that business with us and help you get contracted with carriers.
Schedule a meeting here!

Call 800-777-9322 or email info@eisgroup.net to learn more.

 

Source: CMS Contract Year 2025 Agent and Broker Compensation Rates, Referral/Finder's Fees, Submissions, and Training and Testing Requirements