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The difference is no other type of insurance has a contract with the federal government, so carriers decide. With MA and PDP, CMS decides. We can wish for it to be different, but when we sign on for the most regulated line of insurance we just live with the regs...or leave.I dont see why the agent can't decide the level of risk he wants to take, like any other insurance product out there. Being forced to take 12 month advance is rediculous, but so is being forced to be paid as earned. What about having the option for a 3 month, or 6 month advance like you have with any other product out there? There is not justifable reason to have it set up this way.