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Medicare Marketing Agency

Updated October 2026 · Written and maintained by the Progression Agency strategy team

A Medicare marketing agency plans, writes and runs the marketing that Medicare agents, brokerages, field marketing organizations, third-party marketing organizations and Medicare Advantage and Part D plans use to reach people on Medicare, inside the CMS rules that govern every piece. It covers Medicare agent marketing and plan marketing alike: brand, website, search, content, events, mail, email and paid media, with a review workflow so your compliance officer or carrier signs off before anything runs. Progression Agency is based in New York City and works with clients across the United States and worldwide.

On this page · 17 sections
  1. What does a Medicare marketing agency do?
  2. CMS compliant Medicare marketing: the rules at topic level
  3. Medicare marketing materials: what every piece must have
  4. A Medicare marketing strategy built on the calendar
  5. Medicare marketing events and seminars
  6. Medicare agent marketing: building a brand people call
  7. Medicare digital marketing: website, search, email and paid media
  8. How to market Medicare Advantage plans
  9. Medicare marketing ideas for agents and FMOs
  10. Writing for people on Medicare
  11. Where prospect sourcing fits
  12. How AI assistants answer Medicare marketing questions
  13. How much does Medicare marketing cost?
  14. How to choose among Medicare marketing companies
  15. Measuring Medicare marketing
  16. How Progression works as a Medicare marketing agency
  17. Related services for Medicare and insurance businesses

The short answerMedicare marketing is regulated by CMS through 42 CFR Parts 422 and 423, Subpart V, plus carrier rules, state insurance law and telemarketing law. We build campaigns inside those rules: a claims and disclaimer library, a channel checklist, a review log and a calendar built around October 1, fall open enrollment from October 15 to December 7 and the January to March Medicare Advantage window. Results are measured in appointments, applications and retention, never promised. We are a marketing agency, not a compliance or legal firm, so every item is confirmed against current CMS guidelines and your carriers.

Medicare rules are described at topic level from 42 CFR Parts 422 and 423, Subpart V, as published on eCFR on October 20, 2026, with Medicare.gov, HHS OIG and Census Bureau figures. Rules change; confirm every item against current CMS guidelines, your carriers and counsel. Nothing here is legal advice. Prices are Progression’s published prices.

What does a Medicare marketing agency do?

It gives the businesses that sell Medicare products a brand people trust, the materials and channels to reach eligible people, and a way to get every piece reviewed before it runs. The buyer is the agency, FMO or plan, never the person choosing coverage.

Agents: Independent Medicare agents. Local brand, website, reviews, seminars.
Brokerages: Multi-agent agencies. Shared brand, agent pages, events.
FMOs: Field marketing organizations. Agent recruiting and co-op materials.
TPMOs: Call centers and marketing firms. Disclaimers, recording, disclosures.
Plans: Medicare Advantage and Part D. Plan-year materials and submission.
Medigap: Medicare Supplement carriers. State rules and carrier review.
Who buys Medicare marketing and what each needs
BuyerMain goalWhat the marketing must handle
Independent agentA local name people call during enrollmentAgent website, reviews, seminars, mail, carrier approvals
BrokerageSteady appointments for several agentsShared brand, agent profile pages, event calendar, review routing
Field marketing organizationRecruit, equip and keep agentsRecruiting campaigns, co-branded materials, training content
TPMO or call centerCompliant inbound demandRequired disclaimers, recorded calls, consent and transfer disclosures
Medicare Advantage or Part D planEnrollment and retention by service areaPlan-year materials, CMS submission, Star Ratings use
Medicare Supplement carrierPolicy sales through agentsState insurance rules, carrier review, separation from MA content

What is Medicare marketing?

Under CMS rules, marketing is a subset of communications: material or activity intended to draw a beneficiary’s attention to a plan or influence a choice, that also addresses benefits, premiums, cost sharing, Star Ratings or rewards. Everything else a plan sends is communications, with lighter rules.

Medicare marketing companies and general insurance agencies

A general insurance agency page sells auto, home, life and commercial cover. Medicare marketing companies work inside a federal rulebook that dictates timing, wording, contact methods and review. Our marketing for insurance agencies page covers the wider agency side; this page is the Medicare-specific layer.

Medicare advantage marketing agency work for plans

Plans need materials that match the bid, carry the right identifiers and pass CMS review, plus retention marketing that respects the open enrollment limits. That is plan-side work with its own calendar.

Medicare marketing for insurance agents

Agents need a personal brand that survives carrier changes, a site that shows license and appointments, events that follow the event rules, and a reputation built on reviews and referrals.

CMS compliant Medicare marketing: the rules at topic level

The rules live in 42 CFR Part 422, Subpart V for Medicare Advantage and Part 423, Subpart V for Part D, with carrier, state and telemarketing rules on top. We name the topics here; confirm every item against current CMS guidelines and your carriers before anything runs.

The regulation text is on eCFR for Medicare Advantage and Part D. CMS’s Medicare marketing guidelines page describes the guidelines as CMS’s interpretation of those marketing requirements for MA plans, MA-PD plans, prescription drug plans and cost plans. Progression is not a compliance or legal firm: we build the libraries, checklists and logs that let your compliance officer approve faster.

What the Medicare rules cover and what we build for each topic
TopicWhere it sitsWhat we build
Marketing versus communications422.2260 definitionsA tag on every piece so the right review path applies
Submission and review422.2261A submission log with material ID, version and approval date
Misleading claims, names and logos422.2262A claims library with the source behind each claim
Timing, gifts, comparisons, Star Ratings422.2263A plan-year calendar and a Star Ratings display checklist
Contact, events and appointments422.2264Event templates and a contact-rule checklist per channel
Websites422.2265A site checklist and page-level disclaimers
Healthcare settings422.2266Rules for pharmacies, clinics and waiting rooms
Required materials and disclaimers422.2267A disclaimer library mapped to each channel
Agents, brokers and TPMOs422.2274Recording, disclosure and reporting steps in the workflow
Process map in six steps: brief, draft from libraries, self-check, submit for review, log the decision, watch for changes.Process map in six steps: brief, draft from libraries, self-check, submit for review, log the decision, watch for changes.
Editorial workflow, not legal advice.

CMS Medicare marketing guidelines and the regulations behind them

Since 2021, most of what used to sit only in the CMS Medicare marketing guidelines has been set out in Subpart V itself. The page still lists the Medicare Communications and Marketing Guidelines dated March 16, 2022, but the regulation text is the place to check first, because it has been amended since.

Medicare marketing and communications guidelines: two categories

Communications is the broad category; marketing is the subset that tries to influence a plan choice and addresses benefits, costs, ratings or rewards. The category decides whether a piece needs CMS review before use, so tag it at the brief stage.

Medicare advantage marketing guidelines for review and submission

Under 42 CFR 422.2261, plans submit marketing materials through the HPMS Marketing Module. A piece may run once CMS approves it, once 45 days pass without a decision (10 days for CMS model materials), or five days after submission for material types CMS allows under File and Use, with the plan certifying compliance.

Medicare marketing guidelines 2026: what changed

A final rule published April 6, 2026 (91 FR 17582) amended Subpart V, with the new text in force from June 1, 2026. Among the changes in the eCFR text: the separate restriction on superlatives was removed, the 12-hour gap between educational and marketing events gave way to a notice and a chance to leave, Scope of Appointment forms may be collected at educational events, the 48-hour wait before appointments ended, the language-assistance notice requirement was reserved, and call recording rules now set a six-year retention. Checked against eCFR on October 21, 2026.

How often the rules change

Subpart V has been amended by rules published in 2023, 2024, 2025 and 2026, usually in the spring before the next plan year. Build a yearly review into the calendar, and subscribe to CMS and carrier updates so changes reach the claims library quickly.

Medicare marketing rules for agents and TPMOs

Agents and brokers paid for marketing, sales or enrollment count as third-party marketing organizations. Plans must hold them to the plan rules, including required disclaimers, recorded calls and monthly reporting of violations. The detail that affects lead sourcing is set out on our insurance lead generation page.

Medicare marketing materials: what every piece must have

Every piece needs accurate claims, the right organization and plan names, the disclaimers its channel requires, and a record of who approved it. The fastest way to get there is a library of approved wording instead of a blank page.

A checklist for a Medicare marketing piece
CheckWhat it meansWhere to confirm
CategoryMarketing or communications, decided before drafting42 CFR 422.2260
Organization and plan namesNamed in the piece; in print at 12-point size, not as fine print422.2263(b)(9)
Plan type in the plan nameFor example, the plan type at the end of the name422.2262(a)(1)(viii)
No implied government endorsementNo claim that CMS, Medicare or HHS recommends the plan422.2262(a)(1)(ix)
Careful use of freeNot for a $0 premium or reduced cost sharing422.2262(a)(1)(xi)
Phone numbers with hoursCustomer service hours and a TTY number in the same font size422.2262(c)
Material IDThe standardized ID on pieces that require one422.2262(d)
Required disclaimersThe TPMO disclaimer and others the channel needs422.2267(e)
Approval on fileCarrier, plan or compliance sign-off loggedYour carrier and compliance lead

Medicare marketing disclaimers

A TPMO that sells for more than one MA organization must use the TPMO disclaimer: spoken on sales calls before benefits are discussed, sent in emails and chats, shown prominently on its website and included in its marketing materials, print and TV included. The exact wording is in 42 CFR 422.2267; copy it from there, not from memory.

Names, logos and the Medicare card

The rules bar using the Medicare name, the CMS logo or federal products in a misleading way, and the Medicare card image needs CMS authorization. Plans may say they are approved to take part in Medicare or contracted to administer Medicare benefits.

Words to handle with care

Free, seniors only, supplement and anything implying a plan suits only people with both Medicare and Medicaid each carry their own limits under 42 CFR 422.2262. The safest route is approved phrasing in the library.

Star Ratings in marketing

Show the overall rating alongside any single measure, make clear the rating is out of five stars, name the contract year and use it only where it applies, as 42 CFR 422.2263 requires. Low-performing contracts carry their own icon rules.

Testimonials and endorsements

A beneficiary endorsing a plan must have been enrolled when the endorsement was made, paid endorsements must say so, and an actor must be labeled as an actor portrayal. Social media reposts count as endorsements too.

Medicare marketing flyers and postcards

Flyers and postcards can be sent without a prior request, since the contact rules allow unsolicited mail and print. Each still needs approved claims, names, disclaimers and, where required, a material ID. Our direct mail team handles print and mailing.

Agents asking why your flyers keep coming back from compliance?Send two pieces that were rejected and the carrier notes. You get a free proposal with a review workflow, a written scope and a same-business-day reply.

Get a free proposal

A Medicare marketing strategy built on the calendar

A Medicare marketing strategy is mostly timing: materials approved before October, a fall push during open enrollment, a quieter and stricter January to March, and age-in and referral work for the rest of the year.

Timeline of the Medicare marketing year: next-year marketing from October 1, fall open enrollment from October 15 to December 7, and the Medicare Advantage open enrollment period from January 1 to March 31.Timeline of the Medicare marketing year: next-year marketing from October 1, fall open enrollment from October 15 to December 7, and the Medicare Advantage open enrollment period from January 1 to March 31.
The initial enrollment period runs for seven months around each person’s 65th birthday, so age-in marketing runs all year.

Medicare.gov’s enrollment page lists the fall open enrollment period as October 15 to December 7, the Medicare Advantage open enrollment period as January 1 to March 31 for people already in a plan, and an initial enrollment period of seven months, starting three months before the 65th birthday month.

Twelve months of Medicare marketing
WhenFocusWhat to have ready
April to JulyRule changes reviewed, claims library updatedUpdated checklists; event venues booked
August to SeptemberMaterials drafted and submittedApprovals logged; landing pages built and tested
October 1 to 14Next-year marketing may beginMail drops, educational events, content live
October 15 to December 7Fall open enrollmentAppointments, marketing events, fast follow-up
January 1 to March 31Medicare Advantage open enrollmentService to new clients; no unsolicited OEP pitches
All yearAge-ins and special enrollment periodsTurning-65 content, referral partners, retention

Medicare AEP marketing

The fall period is when most agents earn the year. Have every piece approved by late September, book events early, staff phones for evenings and weekends, and send prompt confirmations for every appointment request.

What to stop during the January to March window

During the Medicare Advantage open enrollment period, plans may not send unsolicited materials about making another change or target people who just chose a plan in the fall. Age-in marketing and responses to requests can continue.

Turning 65 and the initial enrollment period

Each person’s seven-month window means age-in demand never stops. Educational content, workshops on Medicare basics and referral partners such as financial advisors keep it steady.

Special enrollment periods and retention

Moves and other life changes open special periods all year. Retention work, such as annual reviews and plain explanations of plan changes, keeps clients through each fall.

Medicare marketing events and seminars

Educational events teach Medicare in general; marketing events present specific plans. They have different rules, so decide which you are holding, say so in the invitation and run it accordingly.

Check grid of five activities, marked by whether each is allowed at an educational event and at a marketing event.Check grid of five activities, marked by whether each is allowed at an educational event and at a marketing event.
Editorial summary of the regulation text.

What is a Medicare marketing event?

Under 42 CFR 422.2264, a marketing or sales event is a public meeting that meets the definition of marketing: plans and benefits are presented, applications can be taken and Scope of Appointment forms collected for later appointments.

Educational events

They must be advertised as educational and inform people about Medicare generally. Specific plans may not be marketed and applications may not be taken, though business cards, reply cards and Scope of Appointment forms may be handed out.

When an educational event is followed by a marketing event

Since the 2026 changes, attendees must be told the educational part is ending and a marketing event will follow, and be given a real chance to leave first. Script that moment into the run sheet.

Sign-in sheets, raffles and screenings

Marketing events may not require a sign-in or contact details to attend, may not use health screenings or surveys to single people out, and may use raffle entries only for the raffle.

Meals, gifts and nominal value

The rules bar providing meals to potential enrollees in marketing, whatever their value, and allow gifts only of nominal value. HHS OIG’s policy statement interprets nominal value as no more than $15 per item or $75 a year in total, and never cash.

Events in pharmacies, clinics and senior living

Under 42 CFR 422.2266, marketing may not happen where care is given, such as exam rooms or pharmacy counters, but is allowed in common areas such as waiting rooms and community rooms. Residents of long-term care facilities are visited only on request.

Personal marketing appointments

One-to-one meetings need a recorded Scope of Appointment beforehand, in writing when in person. How appointments are sourced and documented is set out on our insurance lead generation page.

Medicare agent marketing: building a brand people call

Agents win on trust and familiarity. A personal brand, a clear website, steady reviews, local visibility and educational events do more over time than any single campaign.

How do I market myself as a Medicare agent?

Pick the people you serve best, such as a county or a language, publish plain educational content for them, hold educational events, ask every client for a review and a referral, and stay visible all year, not only in the fall.

Your name, license and carriers

Show your name, the states you are licensed in and how to check your license, and whether you represent every plan in the area or some of them. Plain disclosure earns more calls than vague claims.

Medicare agent websites

Medicare agent websites need a fast mobile layout, a booking path that respects the contact rules, the TPMO disclaimer where it applies and educational pages kept apart from plan pages. Our website design and development team builds them on fixed prices.

Local search for agents

A complete Business Profile, a page for each county you serve and reviews from real clients help people nearby find you. Our insurance agency SEO page covers search for agencies in depth, and local SEO services the shared local method.

Social media without direct messages

Post educational content and event notices, reply to comments, and leave the first private message to the person: unsolicited direct messages from social platforms are among the contact methods the rules prohibit. Our social media marketing team runs accounts that way.

Referrals and reviews

Referral partners and past clients drive the steadiest growth. Payments for referrals are capped by CMS, and review requests should follow each platform’s rules, so keep both inside the workflow.

Medicare digital marketing: website, search, email and paid media

Medicare digital marketing works when each channel carries the rules for that channel: disclaimers on the site, opt-outs in every email, platform insurance policies in ads and the contact rules everywhere.

Channels and the rules attached to each
ChannelRules to plan aroundWhat we build
Plan or TPMO websiteRequired content, disclaimers, current information within 30 days, MA kept apart from MedigapSite, page checklist, update log
Search and contentEducational versus marketing content, accurate plan factsEducational hubs, county pages, AI-ready answers
EmailUnsolicited email allowed only with an opt-out in every message; CAN-SPAMOpt-in forms, nurture series, suppression lists
Paid search and social adsPlatform insurance and financial-services policies, CMS naming rulesCampaigns, landing pages, disclaimers
Direct mail and printAllowed unsolicited; names, disclaimers and material IDsFlyers, postcards, reply cards
TV, radio and videoOrganization names read or shown at the pace of the phone numberScripts, supers, approval files
EventsEducational versus marketing rulesInvitations, run sheets, sign-up pages

Websites run by plans and TPMOs

Under 42 CFR 422.2265, plan websites must tell users when they leave the Medicare site, reflect material changes within 30 days, keep Medicare Advantage content separate from Medicare Supplement content and ask for no more than ZIP code, county or state to show general content.

Search and content for Medicare questions

Educational pages on enrollment periods, plan types and how to compare options earn search traffic all year. Keep them clearly educational, link to Medicare.gov for official tools and send people who want help to a booking page. AEO for insurance agencies covers AI search for agencies.

Email that carries an opt-out

The contact rules allow unsolicited email only when every message has an opt-out, and federal email law adds sender details and fast unsubscribes. Our email marketing service builds the nurture and suppression lists.

Ad platforms apply their own insurance and financial-services policies on top of CMS rules, and some limit targeting. Plan ads with those policies in mind and keep every landing page approved like any other piece.

TV, radio and video

For television, online and social ads, the organization or marketing name is read at the same pace as the phone number or shown throughout at the same size. Radio reads it at the pace of the phone number.

How to market Medicare Advantage plans

Medicare Advantage marketing succeeds when every benefit claim matches the plan’s bid, every ad runs only where the benefit is offered and retention work respects the open enrollment limits.

Benefit claims that match the bid

CMS reviews materials to check that benefit and cost information reflects the bid. Build claims from the plan’s approved documents and keep a source for each one in the library.

Service-area accuracy

Do not advertise benefits that are not available where the ad appears, unless the ad runs in local media covering the area and reaching people elsewhere is unavoidable. Geographic targeting and county landing pages help.

Comparisons and co-branding

Comparisons with other plans must be accurate and supportable. Provider co-branding on marketing needs a statement that other providers are available in the network.

Marketing Medicare Advantage plans to people with disabilities

The Medicare population includes people with disabilities, and plans must show CMS that marketing resources reach the disabled Medicare population as well as people 65 and over. Plain language and accessible formats serve both.

Medicare advantage marketing ideas that stay inside the rules

Ideas that tend to work for plans and their agents:

  • A plain explainer of the plan’s extra benefits, built from approved wording
  • County landing pages that state which plans are offered there
  • Educational webinars on plan types, advertised as educational
  • A Star Ratings page that follows the display rules
  • Large-print and accessible versions of key materials
  • Member stories from enrollees, labeled as required
  • An annual review invitation for existing members before the fall

Building an FMO brand that recruits agents and keeps them?Tell us how many agents you support, the states and the carriers. You get a free proposal with a written scope and a same-business-day reply.

Get a free proposal

Medicare marketing ideas for agents and FMOs

The ideas that last build familiarity before the fall and trust after it. Each one below runs through the same review workflow as any other piece.

Oct 1: Plans may start next-year marketing. 42 CFR 422.2263(a).
12 pt: Font for required materials. Times New Roman or equivalent.
5%: Language threshold for translation. Of a plan's service area.
45 days: CMS review before deemed approval. 10 days for model materials.
6 years: Retention for recorded sales calls. TPMO contracts with plans.
$15: Nominal-value gift per item. HHS OIG, $75 a year in total.
  • Monthly educational workshops at a library or community center
  • A turning-65 guide offered through a reply card or web form
  • A county-by-county page for each area you serve
  • Partnerships with financial advisors and tax preparers for referrals
  • A short video series answering one Medicare question each
  • Postcards before the fall period announcing educational events
  • Annual review reminders for existing clients
  • Recruiting content for FMOs: training calendars, carrier lists, support
  • A newsletter for clients with plan-year reminders and opt-out in every issue
  • Bilingual materials where clients speak another language

Medicare field marketing organization campaigns

FMOs market twice: to agents they want to recruit and, through co-branded materials, to the people those agents serve. Build agent-facing and consumer-facing libraries separately, with the plan’s or carrier’s approvals attached.

Medicare TPMO operations

Call centers and marketing firms need scripts with the disclaimer before benefits, recorded calls, transfer and data-sharing disclosures, and monthly reporting to plans. We write the scripts and pages; your compliance team signs them off.

Writing for people on Medicare

Write in plain words, large type and a calm tone. Most readers are 65 or older, some have disabilities and many prefer another language, so readability and accessibility are part of compliance and part of conversion.

Bar chart: 40.3 million Americans aged 65 and over in 2010 and 55.8 million in 2020.Bar chart: 40.3 million Americans aged 65 and over in 2010 and 55.8 million in 2020.
Census Bureau figures.

The Census Bureau’s 2020 census report on the older population counted 55.8 million people aged 65 and over, 16.8 percent of the population, up from 40.3 million in 2010. Marketing to Medicare beneficiaries means writing for a large, varied audience, not a stereotype.

Type size and layout

Required materials must be set in 12-point Times New Roman or an equivalent. Many plans and agents use larger type for marketing too, with high contrast and generous spacing.

Accessible websites

The W3C’s WCAG 2.2 asks at level AA for text that can be resized to 200 percent without loss of content and a contrast ratio of at least 4.5 to 1 for normal text. Our ADA-compliant website design work meets that standard.

Languages

Plans must translate required materials into any language that is the primary language of at least 5 percent of people in a plan benefit package service area. Agents serving those communities do well to match it in marketing.

Tone without pressure

No countdown clocks, no fear, no implied deadlines that do not exist. Clear dates, clear choices and an easy way to ask a question convert better with this audience and keep reviewers happy.

Marketing to Medicare patients as a provider

Practices and pharmacies that promote plans face the healthcare-setting rules. Providers marketing their own services to patients have other rules; see medical marketing agency and healthcare SEO agency.

Where prospect sourcing fits

Some agencies buy prospects from vendors; others generate their own through events, search and referrals. Either way, consent and disclosure rules govern the handoff, and those rules sit on a dedicated page.

Medicare lead generation marketing, from consent wording to call transfers and Scope of Appointment records, is covered on our insurance lead generation page. This page handles the brand, materials and channels that make people call you first.

How AI assistants answer Medicare marketing questions

Agents and FMO staff now ask ChatGPT, Claude, Perplexity, Gemini, Microsoft Copilot and Google AI Overviews how to market Medicare, what the 2026 rule changes mean and which agencies understand the rules. The answers lean on primary sources and clear pages.

What the assistants tend to cite

eCFR and CMS pages, Medicare.gov, carrier compliance pages, trade publications and agency pages that state the rules accurately and date them. A page that cites the section number and the date checked is easier to repeat.

What an agency or FMO should publish

Dated explainers of rule changes, plain pages on who you serve and in which states, your review process and proof of licensing. Keep them current; an assistant quoting last year’s rule helps nobody.

Let the search crawlers in

OpenAI recommends allowing OAI-SearchBot in robots.txt for sites that want to appear in ChatGPT search. Check that your site does not block it.

How much does Medicare marketing cost?

It depends on channels, states, the number of agents or plans and how much material needs review. We price each service from our published lists, and every quote follows a written scope.

Progression’s published prices applied to Medicare marketing
ServicePriceTypical Medicare use
SEO retainerFrom $1,500 a monthAgency site, county pages, educational content
Single landing pageFrom $1,400One event or turning-65 sign-up page with tracking
Brochure site, 5 to 8 pagesFrom $9,500An independent agent’s website
Business site, 10 to 16 pagesFrom $18,000A brokerage or FMO site with agent pages
Bilingual site, 12 to 20 pagesFrom $26,000Agencies serving English and Spanish speakers
Accessibility remediationFrom $4,000An existing site brought to WCAG 2.2 AA
Social media, Presence$850 a monthOne platform, educational posts
Social media, Growth$1,850 a monthTwo platforms with community management
Social media, Program$3,400 a monthTwo to three platforms, video and paid management

What drives the cost up

Many states, many carriers, plan-year material volume, translations, video and events. Review cycles also add time, so we plan them into the schedule instead of the budget surprises.

Where to start on a small budget

An approved claims and disclaimer library, a clear website and an educational event calendar. Search and email follow once those are in place. Wider rates are on marketing agency pricing.

How to choose among Medicare marketing companies

Choose a firm that knows the rule topics, shows you its review workflow, keeps your approvals organized, measures appointments and applications, and never promises enrollment numbers.

Requirements for a Medicare marketing company
RequirementHow to check it
Knows Subpart V by topicAsk how it handles events, Star Ratings and the TPMO disclaimer
Has a review workflowAsk to see the checklist and approval log
Uses approved wordingAsk where claims and disclaimers come from
Tracks rule changesAsk what changed in 2026 and how materials were updated
Respects the contact rulesAsk how it handles social messages, calls and email opt-outs
Measures the right thingsAsk for a sample report on appointments and applications
Keeps accounts in your nameConfirm ownership of sites, ad accounts and lists
Is honest about its roleIt should say it is not your compliance officer

What Medicare marketing experts ask first

Which states, which carriers, which plan types, who approves materials and how long approval takes. If a firm skips those, it will produce pieces that stall in review.

Red flags among Medicare marketing agencies

Promises of enrollment counts, templates with outdated disclaimers, cold outreach plans, look-alike government designs and no approval log.

Is a specialist Medicare marketing company worth it?

For agencies and plans that produce many pieces each year, a specialist saves review cycles and lost weeks. For a single agent, a smaller scope around the website and events is often enough.

Measuring Medicare marketing

Measure appointments, show rates, applications and retention by channel and season. Report them honestly; never promise them.

Numbers to track each month and each season
NumberWhat it tells youWhere it comes from
Inquiries by channelWhich channels reach peopleForms, calls and reply cards
Appointments bookedWhether inquiries turn into conversationsCalendar or CRM
Show rateWhether reminders and timing workCRM
Applications submittedWhether conversations end in a decisionAgency management system
Retention after the fallWhether clients stayBook of business
Review cycle timeHow long approval takesThe approval log

Cost per appointment

Divide channel spend by appointments held, not booked. It is the fairest single number for comparing events, mail and digital.

Season-over-season comparison

Compare this fall with last fall, not with the summer. Medicare demand is seasonal by design.

How Progression works as a Medicare marketing agency

We build the brand, the materials and the channels, run a compliance-first workflow and report what each channel produces.

  • A claims and disclaimer library built from approved sources
  • A channel checklist for web, email, mail, events, ads, TV, radio and social
  • An approval log with material IDs, versions and expiry dates
  • A calendar built around October 1, fall open enrollment and the January to March window
  • Agent, brokerage and FMO websites on fixed prices
  • Educational content and county pages for search and AI answers
  • Plain-language, large-type and accessible materials
  • Monthly reporting on inquiries, appointments and applications
  • No enrollment guarantees, and no legal advice: your compliance team signs off

For wider insurance work, see insurance branding, and for older audiences beyond Medicare, senior living marketing.

These pages cover the channels and markets around Medicare marketing.

Want Medicare marketing that clears review the first time?

Send your states, carriers and the pieces you plan for the next season. You get a free proposal with a written scope and a same-business-day reply.

Get a free proposal

Frequently asked questions

What does a Medicare marketing agency do for agents and FMOs?
It builds the brand, website, educational content, events, mail, email and ads that agents and FMOs use to reach people on Medicare, and runs a review workflow with approved claims and disclaimers so a compliance officer or carrier can sign off quickly. It does not give legal advice or promise enrollments.
What counts as Medicare marketing under CMS rules?
In CMS terms, marketing is the part of plan communications intended to draw attention to a plan or influence a choice, which also addresses benefits, premiums, cost sharing, Star Ratings or rewards. It carries stricter rules than other communications, including CMS review of many materials before use.
What is a Medicare marketing event?
A public meeting where specific plans and benefits are presented. Applications can be accepted and Scope of Appointment forms collected. It differs from an educational event, which teaches Medicare generally and may not market specific plans. If one follows the other, attendees must be told and given a chance to leave.
How do I market myself as a Medicare agent?
Choose who you serve best, publish plain educational content for them, hold educational events, keep a clear website with your license and carriers, ask every client for a review and a referral, and stay visible outside the fall. Keep every piece inside carrier and CMS rules.
How to market Medicare Advantage plans without breaking CMS rules?
Build every claim from the plan’s approved documents, name the organization and plan type, follow the Star Ratings display rules, advertise benefits only where they are offered, avoid misleading uses of free and the Medicare name, and log approval before use. Confirm details against current CMS guidance.
How should a medical practice market to Medicare patients?
A practice promoting its own services follows healthcare advertising and privacy rules. A practice taking part in plan marketing follows the healthcare-setting rules, which bar marketing where care is given but allow approved materials in common areas such as waiting rooms.
How often are Medicare communications and marketing guidelines updated?
The underlying rules in 42 CFR Subpart V have been amended by rules published in 2023, 2024, 2025 and 2026. CMS’s guidelines page still lists a guidelines document dated March 16, 2022, so check the current eCFR text and carrier notices each spring.
What changed in the Medicare marketing rules in 2026?
A rule published April 6, 2026 changed Subpart V from June 1, 2026. It removed the separate superlatives restriction and the 48-hour appointment wait, replaced the 12-hour event gap with a notice, allowed Scope of Appointment forms at educational events and set six-year call retention. Confirm against current CMS guidance.
Where are the CMS Medicare marketing guidelines published?
The regulations are on eCFR at 42 CFR Part 422, Subpart V for Medicare Advantage and Part 423, Subpart V for Part D. CMS keeps a managed care marketing page listing its guidelines documents and models. Carriers add their own requirements on top.
Do Medicare marketing materials need CMS approval before use?
Plan marketing materials are submitted through CMS’s HPMS Marketing Module and can be used once approved, once 45 days pass without a decision (10 days for model materials), or five days after submission for File and Use types. Agents and TPMOs should confirm with each carrier how their pieces are reviewed.
Can Medicare marketing use testimonials?
Yes, within the rules. A beneficiary giving a testimonial must have been enrolled when it was made, paid testimonials must say so, and actors must be labeled as an actor portrayal. Reposting someone’s social media post counts as an endorsement too.
Can a Medicare Advantage ad say free?
Not to describe a $0 premium, a premium or cost-sharing reduction, or low-income subsidies. The rules allow free for mandatory, supplemental and preventive benefits with zero cost sharing for all enrollees. Use approved phrasing and confirm with the carrier.
Can Medicare marketing use the Medicare logo or card?
The rules bar using the Medicare name, the CMS logo or federal products in a misleading way, and the Medicare card image needs CMS authorization. Avoid designs that look like a government notice. Plans may state that they are approved to take part in Medicare.
Can we serve food at a Medicare seminar?
The marketing rules bar providing meals to potential enrollees, regardless of value. Light refreshments at an educational event raise their own questions, so check current CMS guidance and your carrier’s rules before offering anything to eat.
Can agents give gifts at Medicare events?
Only gifts of nominal value offered to everyone whether or not they enroll, and never cash. HHS OIG interprets nominal value as no more than $15 per item or $75 a year in total. Confirm current figures before ordering promotional items.
Can Medicare agents mail flyers without a request?
Yes. The contact rules allow unsolicited mail and other print, and email when every message carries an opt-out. Each piece still needs approved claims, organization names, disclaimers and, where required, a material ID.
Can Medicare agents message people on social media?
Not unsolicited. Direct messages from social media platforms are among the contact methods the rules prohibit without a prior request. Public posts, event notices and replies to comments are fine, and a person can always message the agent first.
When can plans start marketing next year’s benefits?
On October 1 of each year, for the following contract year. Plans may market the current and next year at once if materials make clear which year is discussed. Fall open enrollment then runs from October 15 to December 7.
How should Star Ratings appear in Medicare Advantage marketing?
Show the overall rating with any single measure, make clear the rating is out of five stars, state the contract year and use it only where it applies. Low-performing contracts must carry the low-performing icon and may not play the status down.
Do Medicare Supplement ads follow the same CMS rules?
Subpart V is written for Medicare Advantage and Part D. Medigap policies must follow federal and state laws, so Medicare supplement marketing guidelines come mainly from state insurance rules and carriers. Plan websites must keep MA and Medigap content separate.
Is Progression a Medicare compliance firm?
No. Progression is a marketing agency. We build approved-claims and disclaimer libraries, channel checklists and approval logs, and your compliance officer, carrier or plan decides what runs. Nothing on this page is legal advice.
What budget should an agency or FMO set for Medicare marketing with Progression?
SEO retainers start at $1,500 a month, a single landing page at $1,400, an agent brochure site at $9,500 and a brokerage or FMO site of 10 to 16 pages at $18,000. Social media packages run $850, $1,850 or $3,400 a month. Each quote follows a written scope.
Can a New York agency handle Medicare marketing in other states?
Yes. Progression Agency is based in New York City and works with agents, FMOs and plans across the United States and worldwide. State rules and carrier requirements are built into each scope from the start.

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