
To become a licensed Medicare insurance agent, you'll need to complete an online training program that meets the requirements of the Centers for Medicare and Medicaid Services (CMS).
The training program typically takes around 6-8 hours to complete, covering topics such as Medicare Parts A and B, Medicare Advantage, and Medicare Supplement Insurance.
You'll also need to pass a certification exam to demonstrate your understanding of the material. This exam is usually proctored online and requires a passing score of 80% or higher.
By the end of the training program, you'll be equipped with the knowledge and skills necessary to help Medicare beneficiaries navigate the complex healthcare system and make informed decisions about their insurance coverage.
Licensing Requirements
To become a licensed Medicare insurance agent, you'll need to complete a training program that prepares you for the exam. This can take around a week to complete in a classroom setting, where you'll have access to a seasoned licensed agent who can answer your questions.
The length of time it takes to complete the training will depend on the number of carriers you intend to broker for your clients.
What Is Licensed?
A licensed Medicare insurance agent is an expert with the qualifications and knowledge to inform clients about Medicare plans.
They have the ability to represent several different insurance carriers, giving them a broad range of options to choose from.
Their role is to assist clients in choosing the Medicare plan that suits them best.
A licensed Medicare insurance agent makes an objective and truthful assessment of available plans.
Obtaining Sales License
To become a licensed Medicare insurance agent, you'll need to obtain a health insurance license in the state where you reside. This license is a requirement for selling Medicare products.
You can prepare for the exam by studying with a vendor like WebCE, which offers study materials and courses to help you understand health insurance concepts, regulations, and sales ethics. Some states require classroom training with a licensed instructor, while others allow self-study.
The exam will test your knowledge on topics such as health insurance concepts, health insurance regulations, and sales ethics. You'll also need to understand how health insurance plans work, including original Medicare, Part C, Medicare supplement plans, and Part D plans.

Here are some key areas of study to focus on:
- Deductibles
- Co-insurance
- Claims adjudication and how it affects health plan members' access to care
- Networks such as PPO, HMO, and Fee-for-Service
- Healthcare laws
- Professional ethics and compliance
After passing the exam, you'll earn your resident state health insurance producer license, which allows you to represent insurance firms in your state.
Benefits and Essentials
As a licensed Medicare insurance agent, you'll have the opportunity to develop long-term, meaningful connections with your customers.
Becoming an independent Medicare agent requires specialized training, which differs from traditional insurance agent training. The Medicare program has its own job description, training, and best practices.
You'll learn how to navigate the unique aspects of the Medicare program, allowing you to better serve your clients and build trust in your relationships.
Why Is Essential
Staying updated with any changes in Medicare products or rules is crucial for Medicare insurance agents. This ensures you remain a competent and reliable source of information about Medicare.
You'll need to stay on top of these changes to deliver exceptional service to your senior clients. This is especially important for building trust with your clients.

To do this effectively, consider the following key areas:
- Staying updated with any changes in Medicare products or rules
- Ensuring you remain a competent and reliable source of information about Medicare
- Delivering exceptional service to your senior clients
Getting licensed Medicare insurance agent training is only one part of the process, and it's essential for your success.
Is Worth It?
A career as a Medicare insurance agent requires hard work and discipline, but it can be a long and rewarding career both financially and personally.
The demand for Medicare insurance agents is expected to grow significantly, with Medicare enrollment projected to reach 93.6 million by 2031.
This growth presents an opportunity for aspiring agents to build a successful career in the field.
A career as a Medicare insurance agent can be a stable and secure choice, with a growing demand for professionals in this field.
The Basics of
Becoming a Medicare insurance agent requires a specific process and training. To succeed in this field, you need to stay updated with changes in Medicare products or rules.
As a Medicare insurance agent, your target market will be individuals turning 65 and becoming eligible for Medicare health benefits, as well as those disabled, under 65, and eligible for Medicare.

To become a Medicare insurance agent, you'll need to follow a 7-step process, which will ensure a consistent closing percentage and help you build a sustainable practice.
A key aspect of being a successful Medicare insurance agent is delivering exceptional service to your senior clients. This includes matching them with the most suitable Medicare plan options and ensuring you remain a competent and reliable source of information about Medicare.
Medicare training programs do more than teach you about Medicare products - they also provide sales training to help you connect with senior clients on a personal level and convince them of your concern for their well-being.
The Medicare program has its own job description, training, and best practices, which differ from those of traditional insurance agents. To succeed, you need to understand these unique aspects of the Medicare program.
Here are the 7 steps you need to follow to become a Medicare insurance agent:
- Step 1: Get licensed
- Step 2: Complete Medicare training
- Step 3: Pass the licensing exam
- Step 4: Get appointed with insurance carriers
- Step 5: Complete sales training
- Step 6: Build your network
- Step 7: Continuously update your knowledge
Many Medicare agents claim to have developed long-term, meaningful connections with their customers, which is a key aspect of a successful Medicare insurance agent career.
Eligibility and Preparation
To become a licensed Medicare insurance agent, you must meet the basic eligibility requirements. You must be at least 18 years old and have a high school diploma or equivalent.
The training program you choose should be approved by the Centers for Medicare and Medicaid Services (CMS). This ensures that the program meets the necessary standards and will prepare you for the licensing exam.
To prepare for the licensing exam, you'll need to complete a training program that covers the required topics, including Medicare basics, eligibility, and enrollment.
Eligibility
To become a Medicare insurance agent, you'll need to meet the eligibility requirements, which vary by state but generally include being at least 18 years old.
You'll also need to have a high school diploma or have passed the General Educational Development Test, which is a widely recognized alternative to a high school diploma.
In most states, you'll have to pass a background check to ensure you don't have a prior criminal record.

To get started, you'll need to pay the requisite licensing and processing fees, which will vary depending on your state.
You can check the National Insurance Producer Registry (NIPR) to find out the exact prerequisites for your state, including any pre-licensing education requirements.
Here are the basic eligibility requirements:
- At least 18 years old
- High school diploma or passed the General Educational Development Test
- No prior criminal record; pass a background check
- Pay the requisite licensing and processing fees
Did You Know?
It only takes 330 Medicare clients to earn a six-figure residual income! That's a game-changer for those who are serious about building a successful career in Medicare sales.
You can get a Medicare license through self-study, which allows you to learn at your own pace with access to licensed individuals via phone or web chat.
Many health insurance exam vendors offer a life insurance certification simultaneously, which can be a great asset in providing comprehensive services to clients.
Scheduling your exam first can help you stay motivated and focused, increasing your chances of passing on your first or second try. I've seen this approach work for many people!
Certification and Training
As a licensed Medicare insurance agent, you'll need to complete annual certification through America's Health Insurance Plans (AHIP) to sell Medicare products. You'll need to pass the exam with 90% or better, and the cost is $175 per year, although some carriers offer a $50 discount.
AHIP certification typically begins in late June or early July for the following Medicare plan year, and it's essential to understand that selling certain Medicare products requires special certification determined by the Center for Medicare and Medicaid Services (CMS).
To become appointed with insurance carriers, you'll need to ask the right questions, such as what kind of Medicare sales training they provide, which carriers they're appointed with, and how they can help you with Medicare leads and getting in front of interested prospects.
Here's a summary of the common certifications required for Medicare products:
- Medicare Advantage: Requires certification
- Prescription Drug Plans: Requires certification
- Medicare Supplements: Does not require certification (UHC requires certification to sell their Medicare Supplements)
- Final Expense Insurance: Does not require certification
What Will I Learn?
To become a licensed Medicare Supplement/Long-Term Care insurance agent, you'll need to demonstrate entry-level knowledge of the industry by passing a state licensing exam. This requires a basic understanding of the federal Medicare program and Medicaid, which is administered by the state.

You'll need to complete pre-licensing education, which will deliver the content needed to successfully complete the education and examination requirements. This education will cover essential areas of study, including deductibles, co-insurance, claims adjudication, and healthcare laws.
A licensed Medicare Supplement/Long-Term Care insurance agent must also have a basic understanding of Medicare Supplement and Long-Term Care insurance policies offered by private insurers. You'll need to evaluate and provide coverage to individuals through these policies.
The licensing exam will test your knowledge on health and life insurance concepts, health insurance regulations, and sales ethics. Most licensure exams require paying a fee and presenting a pre-education certificate of completion.
Here are some key areas of study you'll need to focus on:
- Deductibles
- Co-insurance
- Claims adjudication
- Networks (PPO, HMO, and Fee-for-Service)
- Healthcare laws
- Professional ethics and compliance
These areas will be covered in your pre-licensing education and will help you prepare for the licensing exam.
Strongly Recommended
Medicare Agent training is strongly recommended to succeed in this field. It's not just about learning about Medicare, but also about how to connect with clients on a human level.

You'll learn how to approach and talk to clients, which is crucial for building trust and rapport. This is essential for understanding their needs and concerns.
Obtaining a health insurance license doesn't guarantee success as an insurance agent. There are no assurances of making a certain income, especially with commission jobs.
However, you can estimate your revenue and expenses to set achievable sales targets. This will help you navigate the ups and downs of commission-based work.
Medicare agents can earn an average of $250 per member each year in renewal fees. This can add up to a significant income over time.
Commissions vary depending on the items and plans you offer, as well as the carrier. Working with different carriers opens up more possibilities and gives you access to more potential clients.
You can earn anywhere from $300 to $500 for signing up a new client, depending on the state you live in. This is a significant incentive to work hard and build a strong client base.
Career and Sales

As a licensed Medicare insurance agent, you'll have the opportunity to help people navigate the complex world of healthcare and insurance. You'll be able to work with clients to understand their needs and find the best plan for them.
With online training, you can complete the required 20 hours of training from the comfort of your own home. This flexibility is perfect for those with busy schedules or who prefer to work independently.
You can earn a good income as a Medicare insurance agent, with median annual salaries ranging from $40,000 to over $60,000.
How They Earn
Independent Medicare agents typically earn their money from commissions on the plans they sell. Their income depends on the types of plans they sell.
Whenever a client buys one of their plans, the insurance company pays the agent's commission via check or direct deposit.
Medicare Advantage sales are handled by the CMS, which means agents get paid through this organization.
Working as a Medicare agent has a great benefit: when a client stays in their book of business, the agent can get their renewals forever.
Medicare agents also get a commission, which is a percentage of a premium, when they sell Medicare Supplement plans.
Get Contracted and Appointed
To get contracted and appointed to sell Medicare plans, you'll need to complete a contract with each insurance company. This is a crucial step in becoming a successful Medicare agent.
You'll need a few essential items to get started, including a current copy of your health insurance license, a copy of your current E&O policy, and a completed legal questionnaire provided by the insurance company. Your FMO can assist you with this process.
You'll also need to pass an annual certification exam specific to each carrier, which can be time-consuming. Be patient during this process, as it can take some time to get your approvals from each company.
Here's a checklist of what most insurance companies will require to become ready to sell:
- Copy of your current resident and non-resident state health insurance license
- Copy of your current E&O policy
- Completed legal questionnaire provided by the insurance company
- Consenting to a background check
- Passing annual certification exam specific to that carrier
Most insurance carriers require their certifications to be passed annually prior to the upcoming Medicare annual election period (AEP).
Steps to Success
To become a successful Medicare insurance agent, you need to follow a series of steps. First, you must get your health insurance license, which can be done by getting certified through AHIP.
To stay licensed, you'll need to complete your annual carrier Medicare certifications. This ensures you're up-to-date on the latest policies and procedures.
Here are the key steps to success:
By following these steps, you'll be well on your way to becoming a successful Medicare insurance agent.
8 Steps to Success
To achieve success as a Medicare insurance agent, you need to follow a clear and structured approach. Getting your health insurance license is the first step, which will open doors to various opportunities.
You'll need to complete AHIP certification, which is a crucial requirement for working with Medicare clients. This certification will give you the knowledge and skills to effectively sell Medicare plans.
Having Errors & Omissions Insurance (E&O Insurance) is also essential, as it protects you from potential lawsuits and financial losses. This type of insurance is a must-have for any insurance agent.
To start selling Medicare plans, you'll need to contract with a Medicare wholesaler (FMO) and get contracted and appointed with multiple Medicare companies. This will give you access to a wide range of plans and clients.
Completing your annual carrier Medicare certifications is also a must, as it ensures you're up-to-date with the latest plans and regulations. This will help you stay competitive in the market and provide the best service to your clients.
To generate a consistent flow of leads, you'll need to buy leads and start selling. This will help you reach your target of 400 clients, which is necessary to generate a six-figure annual income.
Retaining your Medicare customers is also crucial, as it will help you build a loyal client base and increase your chances of success. You can achieve this by providing excellent customer service and staying in touch with your clients.
To maintain your health insurance license, you'll need to complete continuing education requirements. This will ensure you stay updated with the latest industry developments and regulations.
Here's a summary of the key steps to success:
Contracting Process Basics
To start the contracting process for selling Medicare plans, you'll need a few key pieces of information. You'll need a copy of your current resident and non-resident state health insurance license.
Having a health and life insurance license for any state where you plan to sell products is a must. This license will be required by most insurance companies to become contracted and appointed.
You'll also need Errors and Omissions (E&O) coverage, which can be obtained through a carrier like NAPA. This coverage is essential for protecting yourself and your business.
A voided check is also required for the contracting process. This is a common request from insurance companies, so make sure you have this ready.
You'll need a username and password for any website where you've taken a certification, such as Limra if you've taken AML.
Here's a checklist of what most insurance companies will require to become contracted and appointed:
- Copy of your current resident and non-resident state health insurance license
- Copy of your current E&O policy
- Completed legal questionnaire provided by the insurance company
- Consenting to a background check
- Passing annual certification exam specific to that carrier
Once you have all these basics together, you can start the contracting process. There are two main ways to submit contracts: through a link sent to your email address or through an online contracting platform like SureLC.
Frequently Asked Questions
How much does it cost to become a licensed Medicare agent?
To become a licensed Medicare agent, you'll need to pay a fee of $175 for AHIP certification, which covers the cost of training and staying updated on CMS regulations. This fee is required for insurance carriers to verify your expertise and knowledge in Medicare insurance.
What's the difference between a Medicare agent and a Medicare broker?
Medicare agents work directly for one insurance company, while Medicare brokers work with multiple companies and are paid on commission. Understanding the difference can help you make informed decisions about your Medicare coverage.
Sources
- https://www.adbanker.com/pre-licensing/insurance/medicare/
- https://www.insurancebusinessmag.com/us/guides/how-to-get-licensed-medicare-insurance-agent-training-506218.aspx
- https://redbirdagents.com/become-a-medicare-insurance-agent/
- https://nccagent.com/licensing-and-contracting-medicare-agent-training-guide/
- https://agentboost.com/blogs/medicare-agent-training-what-does-a-medicare-agent-do/
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