CMS Regulations True or False

May 13, 2016

  1. kstein
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    kstein Guru

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    True or false an independent insurance broker can provide referral fees to a center of influence on Medicare Advantage Sales. If so, what are the maximum allowed per sale and /or or per year
     
    kstein, May 13, 2016
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  2. yogooglethis
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    yogooglethis Guru

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  3. goillini52
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    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

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    Didn't you study that when getting certified?:err:
     
  4. HoosierLife
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    HoosierLife Want to write $20,000+ Guaranteed? bit.ly/learnfe

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    I'm taking the AHIP as we speak. You can offer referral fees as long as it is not contingent on a sale. Meaning you have to offer for every referral, sale or no sale and it can't be more than $15 gift. And if you buy something in bulk, the MSRP can't be more than $15 even if you paid less than $15.

    And I seem to remember that it can't be cash or easily converted into cash.

    But I was half a sleep as I was going thru that stuff. ^^^ That could all be wrong.
     
  5. kstein
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    kstein Guru

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    I'm sure I did but the answer escapes me right now. Then I call my upline who says that you go directly to jail for doing this which directly contradicts the local uhc liaison's answer. I assume you don't know either, thus the info less response.

    These are the guidelines I believe to be correct which reference a $100 fee for MAPD referrals but don't specifically mention non licensed referrals or the total amount per year. For example a CPA referees me 10 clients, can I pay him $1000 over the year?

    If anyone has any thoughts or other specifics I'd love to hear.

    Medicare Marketing Guidelines
    For Medicare Advantage Plans1
    , Medicare Advantage Prescription
    Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored
    Group Health Plans, Medicare-Medicaid Plans, and Section 1876
    Cost Plans
    Table of Contents
    (Issued: 07/02/2015)
     
    kstein, May 13, 2016
    #5
  6. ICACharleston
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    ICACharleston Super Genius

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    So who loses his license or gets fined if a semi-anonymous guy on the forum bum dopes you? As Dirty Harry asked "feeling lucky?"
     
  7. goillini52
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    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

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    I just started certifying with Silver Scripts, and haven't done MAPD's for years. Off the top of my head I'll say that I think HoosierLife's pretty close, but I think there's an annual maximum($59?).
     
  8. kstein
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    kstein Guru

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    I thought this was for the actual client/MB and couldn't be used as an "inducement to enroll" and cant exceed $15, can't be converted easily to cash, etc. Basically you could offer all potential clients a coffee cup, but couldn't then say sorry you have to sign up to get it.
     
    kstein, May 13, 2016
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  9. bornahero
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    bornahero New Member

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    I would suggest contacting your upline FMO's compliance person. It's my understanding that each FMO is required to have that person on staff.
     
  10. Newby
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    Newby Guru

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    Pretty sure the annual cap per person is $15.
     
    Newby, May 14, 2016
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