Medicare Advantage commission rates (2024)
Published per-enrollment fair market value for Medicare Advantage in 2024, with what a rate gap is worth once it repeats across a book.
New enrollment
$611.00
per enrollment
Renewal
$306.00
per enrollment
These are CMS maximums, a cap and not a floor. A carrier may pay up to these amounts per enrollment. A payment below them is not automatically an error, but a payment above them usually is.
What it is worth
What a Medicare Advantage rate gap costs across your book
New business pays $611.00 and renewal pays $306.00. Business written this year but paid at the renewal rate is about $305.00 short per enrollment. One line is easy to shrug off; a book is not. Nothing here leaves your browser.
What fair market value means
Fair market value (FMV) is the maximum per-enrollment commission CMS allows a carrier to pay for a Medicare Advantage enrollment. It is published each plan year and varies by state group. Because it is a maximum, a carrier may pay up to this amount, and many pay exactly it. That is why comparing every commission line against the published figure is how underpayments and clawbacks surface.
The renewal figure shown here is the published CMS renewal amount, which runs roughly half of the initial-year amount. When you reconcile a statement, do not halve it again. The renewal value is already the renewal rate. For a full walkthrough, see how to reconcile an insurance commission statement or how Pineapple Split works.
Other rate pages
Questions, answered
Is the Medicare Advantage fair market value the amount my carrier must pay me?
No. The published figure is the maximum CMS allows a carrier to pay per enrollment, not a required minimum. Many carriers pay the full amount, but your carrier contract governs what you actually receive.
Why is the renewal amount lower than the new amount?
Renewal enrollments pay roughly half of initial-year enrollments. The renewal figure here is the published renewal value, already at the renewal rate. Do not halve it again when you reconcile a statement.
Do Medicare Advantage commission rates vary by state?
Yes. Most states use the national figure shown here, but CMS sets higher maximums for certain high-cost states and territories.
Where do these numbers come from, and are they official?
They are transcribed from public CMS notices and provided as a reference only. They are unverified placeholders pending CMS HPMS verification, so confirm them against the current CMS notice and your own carrier contract before relying on them.
This is general information, not legal, tax, or accounting advice. The figures here are unverified placeholders. Verify rates and rules against your own carrier contracts and the current CMS notice before acting on them.