Medicare Advantage Referrals Joint Venture

jolivertexas

Expert
66
What are referral rules from 1 joint venture partner to another joint venture partner for Medicare Advantage?

Can a joint venture partner, that is not an insurance agency or insurance licensed, call its existing book of clients who are Medicare eligible to suggest that Medicare be discussed and then to offer to transfer the call to the other joint venture partner who is an insurance agency that is insurance licensed?
 
i'm guessing there are privacy issues being violated on that one.
 
No.

Medicare Advantage sales can not be performed by cold calling. Saying you are offering to do a free Medicare or insurance review with the intent of selling a MA plan is also against Medicare guidelines. Even if you are not making the calls, they are being transferred to you. If the prospect were to call you direct and started asking questions that would be allowed by Medicare, but I doubt having someone calling a book of business to get them to call another number would be very effective.
 
The calls would be made by the other company who owns that book of business. That company will then offer to do a transfer. Is that not okay?
 
Not if the intention is to sell a MA plan. If they are cold calling for Medicare supplements or final expense, that would be fine. However, the Medicare regs clearly state that if the intention is to sell a MA plan, that is a no-no.
 
why don't you mail them a letter that would be compliant, then they can call you directly.
 
"options"
thats a no go. You cannot solicit ma, no matter how you spin this that is exactly what you are trying to do and its a no
 
But you can solicit Medicare Supplement Plans door to door and if the beneficiary asks about Medicare Advantage plans"wink wink" then you can talk to him or her about your advantage plan soliciting Medicare Supplement Plans are not regulated by CMS. So if you're going to be selling Medicare Advantage plans, it's best to be able to offer a Medicare supplement plan too!!
 
But you can solicit Medicare Supplement Plans door to door and if the beneficiary asks about Medicare Advantage plans"wink wink" then you can talk to him or her about your advantage plan soliciting Medicare Supplement Plans are not regulated by CMS. So if you're going to be selling Medicare Advantage plans, it's best to be able to offer a Medicare supplement plan too!!

Have you read the Original post? Has nothing to do with what he is trying to do
 
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