How Much Can Brokers Earn From Referral and Finder’s Fees?

Infographic about the Medicare Marketing Guidelines for Referral and Finder's Fees

Here’s what brokers need to know about the Centers for Medicare & Medicaid Services’ (CMS) guidelines on referral and finder’s fees (Medicare Marketing Guidelines, Section 110.6.3).

What Is the Maximum Paid for Referral and Finder’s Fees?

Carriers can pay brokers up to $100 for referral or finder’s fees. That payment decreased to $25 for prescription drug plans. These fee compensation amounts are kept relatively low by CMS to prevent any financial incentive for brokers to enroll beneficiaries in unsuitable plans.

Fees and Fair Market Value (FMV)

Referral and finder’s fees paid to brokers are counted toward total compensation. The amount paid for referral fees, finder’s fees, and compensation cannot exceed Fair Market Value (FMV) for that contract year. For 2018, the FMVs for initial enrollment for the following products are as follows.

Product National Connecticut, Pennsylvania, DC California, New Jersey Puerto Rico, US Virgin Islands
Medicare Advantage and Section 1876 Cost Plans $455 $511 $567 $312
Prescription Drug Plans $72 $72 $72 $72

Other Ways to Increase Revenue

How else can you increase your income? By learning how to compliantly cross-sell through Excelsior, which could double or triple your revenue. You can learn more about the Excelsior team and how we can help you by contacting us today.

Note: For the most current information, see the CMS Medicare Marketing Guidelines.


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