Agility has discussed year-round Medicare SEP opportunities for healthcare access, including how Medicare-rated 5-star health plans can enroll people every month. To demonstrate the scale of this opportunity, Agility has researched 5-star Medicare plans and presents the key facts below.
Types of Plans Available
Five types of health plans are rated 5-star by Medicare:
- Cost
- Medicare Advantage (MA)
- Medicare Advantage Prescription Drug (MA-PD)
- Prescription Drug Plan (PDP)
- Special Needs Plan (SNP)
Number of 5-Star Contracts Available Nationwide
- Cost – 53
- MA – 719
- MAPD – 2,287
- PDP – 19
- SNP – 1,922
That’s 5,000 plans that any Medicare beneficiary can enroll in nationwide each month, a significant number of products to market to Medicare beneficiaries. These 5,000 plan contracts are managed by 288 health plans and are available for agents to offer in the states listed below.
Number of 5-Star Carriers by State
|
State
|
# of 5-Star Insurance Carriers
|
|
California
|
52
|
|
Texas
|
50
|
|
Pennsylvania
|
43
|
|
Florida
|
41
|
|
Ohio
|
40
|
|
New York
|
38
|
|
Illinois
|
37
|
|
Michigan
|
32
|
|
Washington
|
31
|
|
Missouri, North Carolina
|
30
|
|
Oregon
|
29
|
|
Iowa, Kentucky, Wisconsin
|
28
|
|
Georgia, New Jersey, Virginia
|
27
|
|
Colorado, Indiana, Massachusetts, South Carolina
|
26
|
|
Nevada, Tennessee
|
25
|
|
Arkansas
|
24
|
|
Kansas, Mississippi, Nebraska, Oklahoma
|
22
|
|
Louisiana, Maryland, New Mexico, West Virginia
|
21
|
|
Alabama, Minnesota
|
20
|
|
Connecticut, Utah
|
19
|
|
Delaware, Idaho, Maine
|
18
|
|
Arizona
|
17
|
|
Hawaii
|
15
|
|
District of Columbia, Montana, New Hampshire, Rhode Island
|
14
|
|
North Dakota
|
13
|
|
South Dakota
|
12
|
|
Wyoming
|
11
|
|
Vermont
|
8
|
|
Alaska, Puerto Rico
|
5
|
|
American Samoa, Guam, Northern Mariana Islands, Virgin Islands
|
1
|
These plans are available in the states and territories listed above and can be sold year-round by agents. This enables Medicare agents to grow their sales year-round.
Agility has additional information on this opportunity, including a list of all 5-star plans available nationwide, in our MyAdmin system, so agents can see which 5-star plans and products are available in their markets of interest. This opportunity is one any insurance agent should strongly consider, as it’s available nationwide and serves a still-growing Medicare beneficiary population.
The Agility Advantage
Agility delivers insights and training to help agents understand how to successfully sell these 5-star plans and how Medicare programs and systems work. We do this to keep you ahead in the evolving Medicare market, offering regional market support and dedicated compliance, training, and marketing resources that agents and new agents can use instantly to succeed.
- Dedicated Producer Support at (866) 590-9771 or support@enrollinsurance.com to answer any insurance questions and direct you to our Medicare, ACA, and ancillary experts. They can also add you to our weekly email list for tips and updates.
Partner with Agility to grow your sales throughout 2026 by leveraging the 5-star SEP and other Medicare opportunities year-round.
