Thompson Medicare Brokerage

💼 Understanding How Medicare Brokers Get Paid — And Why It Matters to You

When choosing a Medicare plan, it’s important to feel confident not only in your coverage, but also in the person helping you make that decision. At Thompson Medicare Brokerage, transparency is one of my core values.

One topic I’m often asked about is how brokers like me get paid — and whether it influences my recommendations.

Let’s break it down clearly, so you know exactly what to expect when working with a Medicare broker. 👇

How are Medicare Brokers paid
How are Medicare Brokers paid

🧭 Medicare Broker vs. Medicare Agent — What’s the Difference?

These terms are often used interchangeably, but they carry distinct meanings:

  • ✅ A Medicare broker (like Thompson Medicare Brokerage) works on behalf of Medicare beneficiaries — meaning I represent you, the client. My goal is to help you understand your options and choose the plan that best fits your needs.
  • 🏢 A Medicare agent, in contrast, typically refers to someone who represents a specific insurance company or plan. Their loyalty is to the carrier they work for, and they may be limited in the plans they can offer or recommend.

💡 As a broker, I am licensed to represent multiple carriers and plans. That means I’m not tied to any one company — I’m tied to you. Learn more about Agents vs Brokers here.


💰 How Are Medicare Brokers Paid?

I am paid by the insurance companies — not by you. Here’s how compensation typically works:

🏥 Medicare Advantage Plans (Part C):

All Medicare Advantage plans pay brokers the same standardized commission, set annually by CMS (Centers for Medicare & Medicaid Services). This means:

  • 📦 I receive the same payment no matter which carrier or plan you choose.
  • ⚖️ There is no financial incentive for me to recommend one Medicare Advantage plan over another.

My recommendations are based entirely on what fits your needs — not on who pays more.

➕ Medicare Supplement (Medigap) Plans:

Medigap plans operate differently. Instead of a flat rate, they pay brokers a percentage of your monthly premium. That means:

  • 💳 Higher premium plans may result in slightly higher broker compensation.
  • 📉 However, Medigap commissions are usually lower overall than those of Medicare Advantage, especially in the first year.

🔍 Why Medicare Advantage May Pay More — But Also Demands More

Yes, Medicare Advantage plans can pay more over the course of a year, but they also require far more hands-on support. That includes:

  • 📞 Ongoing customer service
  • 📝 Annual plan reviews and renewals
  • 🧑‍⚕️ Helping with provider network or access issues
  • 🧾 Navigating billing, appeals, or prior authorizations
  • 🙋‍♂️ Advocacy when problems arise

Medigap plans tend to be simpler once in place — especially when paired with a standalone Part D drug plan — and usually don’t require as much follow-up.

👉 In the end, the extra service Medicare Advantage plans require balances out the higher compensation.


🎯 The Bottom Line: You Come First

At Thompson Medicare Brokerage, I believe the best plan is the one that best meets your needs — regardless of how I’m compensated.

My mission is to:

  • ✅ Educate you clearly
  • ✅ Match you with the right coverage
  • ✅ Support you throughout the year — not just at enrollment

If you ever have questions about how we’re paid or how we make our recommendations, just ask. We’ll always answer with honesty and transparency. 🤝


👋 Have Questions?

📲 Contact me today to schedule your free Medicare review — no cost, no pressure, just honest help

🤝 Why It All Comes Back to Trust

Navigating Medicare isn’t just about comparing plan details — it’s about understanding who’s helping you make those decisions and how they’re getting paid. At Thompson Medicare Brokerage, I believe transparency builds trust. Whether it’s Medicare Advantage or Medigap, my job is to guide you based on what’s best for you — not based on who pays me more.

From checking your doctors and prescriptions to coordinating VA or Medicaid benefits, I’m here to provide honest, year-round support — no matter how simple or complex your needs are.

If you’re still researching, I invite you to browse more of my Medicare articles or visit the Broker Services page to see how I advocate for my clients beyond enrollment.

And when you’re ready to talk, let’s connect. We’ll go beyond coverage basics and have a real conversation about your health, lifestyle, and budget — so you can feel 100% confident in the plan you choose.

¹ClearSpring, HealthAlliance, Molina & BCBS IL plan options are listed separately.