🎙️ Episode Description

Episode 13 explores one of the biggest Medicare shifts heading into 2026: fewer standalone Part D plans and continued growth in prescription coverage inside Medicare Advantage plans.

We break down what agents need to know about formulary fit, pharmacy networks, premium trade-offs, and total annual exposure, and why these conversations matter more than ever.

The episode also covers the CMS backdrop behind these changes and shares an annual review approach designed to improve retention, build trust, and uncover compliant opportunities.

🔑 Key Topics Covered

• 2026 Part D changes and fewer standalone plan options
• Medicare Advantage prescription coverage trends
• Formulary, pharmacy, and annual cost exposure reviews
• Annual review strategies for retention and referrals

🎯 What This Means for Agents

• Drug-plan reviews become more important as choices narrow
• Cost conversations extend beyond premiums
• Better reviews can improve retention and referrals
• Compliance-first reviews may uncover additional needs

Infographic: https://www.psmbrokerage.com/hubfs/The%20Insurance%20Producers%20Guild/IPG_EP13_Infographic.png

Slides: https://www.psmbrokerage.com/hubfs/The%20Insurance%20Producers%20Guild/IPG_EP13_Slides.pdf

🔗 Sources

CMS Medicare Part D Program Information:
https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovgenin

Medicare Plan Finder:
https://www.medicare.gov/plan-compare/

CMS Medicare Advantage & Part D Information:
https://www.cms.gov/medicare/health-drug-plans

PSM Brokerage:
https://psmbrokerage.com

The Insurance Producers Guild Podcast delivers intelligence for insurance agents looking to stay ahead of industry trends.

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