Referral Partner Agreement
  • Referral Partner Agreement 2025 For Agent Use

    Agents, please use this form to register your Referral Partner. Provide the info and Referral Number if known. If you do not know the Referral Number, we will give you one.
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  • As our Referral Partner, MedicarePrepare will pay you a flat fee of up to $50 for each Medicare Advantage Plan enrollment as a direct result of referrals you send to us.


    You will earn $50 for each "New to Medicare" enrollment or $50 for each "Plan to Plan" enrollment that we make that is a result of a referral that you give to us through this program.

    An experienced, licensed Agent will work with your Referral customers to guide them through the process of selecting and enrolling into a plan.


    MedicarePrepare will provide you with Referral Cards to pass out with your unique Referral Code.

    Referral Checks are issued on a periodic basis throughout the year.


    This form must be completed at least 7 days prior to sending your first referral prospect to us.


    The Referral Fees are based on the following products:


    Medicare Advantage Plans:

    $50 New To Medicare AND plan changes

    Long-term-care:

    $50

    Life Insurance Plans:

    $25


    This is a one-time Referral Fee - per enrollment.


    Note: We are NOT able to compensate a Healthcare Provider ex: Pharmacies, Physicians, Medical Specialists, Clinics, Hospitals, Vision Care Providers, Dentists, Assisted Living Facilities, Chiropractor etc.

    We cannot pay a referral fee for any person for their own enrollment.


    By submitting this form, it is understood that that the Referral Partner is not a Healthcare Provider as noted above.

    We do not have a set time to make Referral Payments although we strive to make payments once or twice a year.


    Program terms may change from time to time. This is the latest term agreement as of January 1st, 2024. I understand and accept the terms of the agreement.

    Thank you.

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