Essential PDFs Every Medicare Broker Needs!
As a Medicare broker, time is everything. Whether you’re helping a client qualify for Extra Help, confirming Medicaid eligibility, or ensuring your marketing stays compliant, having the right documents at your fingertips can save hours and prevent costly mistakes.
Here’s a checklist of essential PDF resources every Medicare broker should download, organize, and keep handy for quick reference and efficient client service.
1. Medicaid Eligibility Income Levels (Arizona & State-Specific)
Why it matters: Quickly verify if a client qualifies for Medicaid or Medicare Savings Programs based on income.
Arizona Resource: Arizona AHCCCS Medicaid Eligibility Requirements (PDF)
Other States: Visit your state’s Medicaid website or Medicaid.gov to access the latest income charts.
2. Special Enrollment Periods (SEPs) for Medicare Advantage & Part D
Why it matters: Identify when clients can enroll outside AEP or OEP.
Resource: Medicare.gov SEP Guide
3. SSA LIS (Low Income Subsidy) Reference Guide
Why it matters: Understand and explain the “Extra Help” program for prescription drug cost assistance.
Resource: SSA.gov LIS/Extra Help Guide
4. Understanding “Extra Help” with Prescription Drug Plans
Why it matters: Walk clients through the process to apply for prescription cost assistance.
Resources:
SSA Extra Help Info
Medicare.gov Extra Help
5. Medicare Managed Care Manual (Chronic & SSBCCI Conditions)
Why it matters: Reference chronic conditions recognized by Medicare and review qualifying criteria for SSBCCI benefits.
6. CMS Forms (L564 and 40B)
Why it matters: These forms are essential for special enrollment into Medicare Part B, especially for clients leaving employer coverage.
Resources:
CMS L564 (Request for Employment Information)
CMS 40B (Application for Enrollment in Medicare Part B)
7. SSA Office Locator
Why it matters: Quickly find the nearest Social Security office for your clients.
Resource: SSA Office Locator
8. Medicare & You Handbook (2025 Edition)
Why it matters: The official CMS handbook is perfect for client education and plan comparison.
Resource: Medicare & You 2025 Handbook (PDF)
9. Medicare Communications and Marketing Guidelines
Why it matters: Ensure your marketing and client communications are 100% compliant—especially during AEP or if you’re a new agent.
Wrap-Up
Having these PDFs saved and organized (ideally by category: Client Eligibility, Compliance, and Enrollment) will make your workflow smoother and your client interactions more professional.
For more tools, training, and downloadable resources, visit:
👉 SeniorHealthAgentHub.com
👉 AxiaSeniorInsuranceAdvisors.com
Stay organized, stay compliant, and keep empowering your clients!
