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This guide is for training purposes only and should be used in conjunction with current CMS guidelines and carrier-specific compliance requirements. All agents must stay up-to-date with the latest Medicare regulations and compliance standards. The examples provided are for illustrative purposes and should be adapted according to specific situations and requirements.

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Consumer Experience

Category: Compliant Medicare Sales Calls

Last Updated: March 12, 2025


Overview

Providing an exceptional consumer experience during a Medicare sales call is essential for building trust, ensuring compliance, and helping beneficiaries make informed decisions. Agents must take a consultative approach—engaging beneficiaries in meaningful conversations to understand their needs and present the best solution.

A high-quality consumer experience includes:

Building rapport and trust with the beneficiary.

Focusing on their specific needs, not just selling a plan.

Presenting a plan in a way that demonstrates value beyond cost.

Providing a clear call to action at the end of the call.

Addressing beneficiary concerns and hesitations.

Maintaining focus on the conversation and minimizing distractions.


Key Elements of a Positive Consumer Experience

1️⃣ Consultative Selling – Lead with the Consumer’s Needs

What This Means: