Medicare Choice Group
Medicare Choice Group is a Philadelphia-based Medicare advisory brokerage that provides free education, plan comparison, and enrollment assistance to Medicare-eligible individuals, employers, and brokers via licensed advisors compensated by carrier commissions.
- Company typePrivate
- Founded2002
- HeadquartersPhiladelphia, United States
- Headcount11–50
- GTM typeB2B and B2C
- OfferingServices
What Medicare Choice Group does
Medicare Choice Group is a Philadelphia-based, privately held Medicare advisory brokerage founded in 2002 (approximately 20 years of operating history per the firm's About page, although a separate firmographic record lists 2018). The company provides free Medicare education, plan comparison, and enrollment assistance to Medicare-eligible individuals, employer HR departments, and insurance brokers through licensed and certified Medicare advisors approved by nationally recognized Medicare health plans. Its underlying offering is a multi-carrier enrollment platform that matches beneficiaries to Medicare Advantage, Medicare Supplement (Medigap), and Part D plans from multiple local and national carriers based on healthcare needs, budget, and geography, with advisors conducting the matching and submitting enrollment directly to carriers. The firm also operates a broker-facing platform providing anonymized enrollment and renewal analytics, plus employer-facing Medicare education programs including webinars and one-on-one consultations, with explicit positioning around Individual Coverage HRA (ICHRA) reimbursement scenarios.
Medicare Choice Group generates revenue exclusively through commissions paid by the Medicare health plans into which beneficiaries enroll; services are provided at no cost to consumers, employers, or brokers, and advisor compensation is described as not varying by product selected. Pricing for plans is government-regulated and identical whether the beneficiary enrolls directly or through Medicare Choice Group, embedding the firm's compensation in built-in consulting fees. The company holds the National Council on Aging's Standards of Excellence for Medicare Brokerage Services (2021) and is a strategic partner of NCOA, with secondary affiliations including the American Heart Association. The firm discloses no venture or private equity backing beyond a single $625,000 funding round in October 2021, has no public revenue disclosure, and operates with a headcount in the 11–50 range.
Medicare Choice Group firmographics
Firmographics- Name
- Medicare Choice Group
- Legal name
- Medicare Choice Group
- Website
- https://medicarechoicegroup.com
- Company type
- Private
- Founded year
- 2002
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Medicare Choice Group is a Philadelphia-based Medicare advisory brokerage that provides free education, plan comparison, and enrollment assistance to Medicare-eligible individuals, employers, and brokers via licensed advisors compensated by carrier commissions.
- Ownership category
- akta.pro rank
Medicare Choice Group industry classification
Industry- Product category
- Medicare Insurance Brokerage
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medigap Member Support & Care Navigation (Advocacy/Concierge) (HLAEADAH)
- akta.pro secondary industries
- Medicare Advantage (MA) Plans (FSAIAGAA), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG), Medicare Part D Prescription Drug Plans (PDP) (FSAIAGAC), Medicare Supplement (Medigap) (FSAIAEAG)
Keywords
Where Medicare Choice Group is headquartered
LocationHeadquarters
- HQ city
- Philadelphia
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medicare Choice Group business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Marketing or Sales, Operations, Technology or R&D, Others
Revenue model
- Medicare Health Plan Commissions: Medicare Choice Group is compensated by the Medicare health plan selected by the beneficiary once they transition. Their certified Medicare advisors are not compensated more or less based on the product selected, providing unbiased matching. Health care plans are government-regulated with built-in consulting fees that flow to the organization through which the beneficiary enrolls.
- Broker/Employer Services: Services for brokers and employers are provided at no cost. Medicare Choice Group is compensated through Medicare health plan commissions when employees or clients enroll in a Medicare plan.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Monthly | Free Medicare Advisory Services |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels6 records
Medicare Choice Group product offering
Product offeringCore offering
Medicare Choice Group is a licensed Medicare advisory brokerage that connects Medicare-eligible individuals with appropriate Medicare health plans. Certified Medicare advisors provide free, step-by-step education, plan comparison, and enrollment assistance, submitting enrollment requests directly to carriers. The company represents multiple Medicare health plan brands and matches beneficiaries to plans based on healthcare needs, budget, and geographic location.
Product overview
Medicare Choice Group offers Medicare advisory and enrollment services through licensed, certified Medicare advisors. The core offering consists of Medicare enrollment guidance and plan selection assistance, where advisors provide step-by-step education and help beneficiaries match to optimal Medicare health plans based on their specific healthcare needs, budget, and location. The company represents multiple Medicare health plan carriers and provides unbiased guidance through the entire Medicare transition process. Additional services include annual Medicare plan reviews, one-on-one consultations, and employer education programs. The company operates a multi-carrier Medicare enrollment platform for broker partners and maintains an extensive Medicare resources library. Medicare plans referenced include Original Medicare (Parts A and B), Medicare Advantage (Part C), Medicare Part D Prescription Drug Plans, and Medicare Supplement (Medigap) plans.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicare Enrollment Guidance Services Step-by-step education, guidance, and decision support through the entire Medicare transition and enrollment process for Medicare-eligible individuals, including submission of enrollment requests directly to Medicare health plans.
- Medicare Plan Selection and Comparison Advisors analyze plan costs and review carriers and coverage to find optimal Medicare plan options based on individual healthcare needs, budget, and geographic location across multiple carriers.
- Annual Medicare Plan Review Continued support service where advisors evaluate plans annually to identify changes and ensure beneficiaries maintain optimal coverage year over year.
- Medicare Education Programs for Employers Comprehensive Medicare learning opportunities for employees of employer clients, including Medicare Basics webinars, on-demand Medicare resources, and decision-support plan selection and enrollment services.
- One-on-One Medicare Consultation Individual advisor meetings for employees and their loved ones to discuss Medicare options and enrollment decisions as part of employer-sponsored programs.
- Multi-Carrier Medicare Enrollment Platform (Broker Solution) Back-office resource and comprehensive education strategy platform for insurance brokers, providing a multi-carrier Medicare enrollment platform along with anonymized follow-up data on conversations, enrollment, and renewals to support their employer clients.
Quantifiable outcome
- Services provided at no cost to Medicare beneficiaries - government-regulated plan pricing ensures same cost whether enrolling directly or through Medicare Choice Group
Companies that use Medicare Choice Group
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Medicare Choice Group technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Medicare Choice Group partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- National Council on Aging (NCOA)coreMedicare Choice Group is a Strategic Partner of the National Council on Aging. Together they provide comprehensive Medicare education and services to support Medicare-related decisions. Medicare Choice Group meets NCOA's 'Standards of Excellence for Medicare Brokerage Services.'
- American Heart AssociationminorMedicare Choice Group is a supporter for the American Heart Association, the nation's oldest and largest voluntary health organization dedicated to fighting heart disease and stroke. The partnership aims to inspire consumers to honor their reasons to live healthier, longer lives.
- Medicare Health Plans (Carrier Partners)coreMedicare Choice Group represents the most respected local and national Medicare health plans. They are contracted and certified to represent these Medicare plan brands. Advisors are approved by the most respected and nationally recognized Medicare health plans. The company has a network of health plan partners shown via logos on their website (4 partner logos visible).
Scale indicators2 records
Recent moves6 records
Expansion highlights5 records
Medicare Choice Group competitors and assessment
Company assessmentDirect peers
- GoHealth: GoHealth is a large technology-enabled health insurance marketplace with a major Medicare brokerage business. It is comparable because it uses licensed agents and digital tools to match Medicare beneficiaries with carrier plans.
- Connie Health: Connie Health offers Medicare plan advice and enrollment support through licensed local agents and a multi-carrier approach. It overlaps directly with Medicare Choice Group's advisor-led Medicare education, comparison, and enrollment model.
- Boomer Benefits: Boomer Benefits is a Medicare insurance agency focused on Medicare Supplement, Medicare Advantage, and Part D education and enrollment support. It is comparable because it sells Medicare products through advisory guidance and ongoing client service.
- eHealth: eHealth operates an online health insurance marketplace that includes Medicare Advantage, Medicare Supplement, and Part D plan comparison and enrollment. It is comparable as a multi-carrier Medicare brokerage marketplace serving consumers directly.
- Chapter: Chapter provides independent Medicare advisors who help consumers compare and enroll in Medicare plans. It is highly comparable because it uses a free advisory model and licensed Medicare experts to guide beneficiaries through plan selection.
- SelectQuote: SelectQuote operates a senior insurance brokerage segment that helps consumers compare and purchase Medicare Advantage, Medicare Supplement, and Part D plans. It competes for similar Medicare-eligible consumers through licensed-agent distribution.
Broad incumbents
- Via Benefits: Via Benefits operates a private Medicare marketplace and retiree health exchange for employers and retirees. It is a broader incumbent comparable to Medicare Choice Group's employer Medicare education and enrollment channel, but at larger enterprise scale.
- Alight: Alight provides benefits administration and retiree health solutions, including support for employer-sponsored retiree and Medicare transitions. It is comparable on the employer benefits and retiree healthcare navigation use case, though Medicare advisory is part of a broader platform.
Emerging players
- Healthpilot: Healthpilot provides a digital Medicare shopping and enrollment experience designed to match consumers with suitable Medicare plans. It is comparable as a technology-led Medicare plan selection platform, though it is more digital-first than Medicare Choice Group's advisor-led model.
Regional players
- RetireMed: RetireMed provides Medicare guidance, enrollment support, and employer-focused Medicare transition services, primarily in regional U.S. markets. It is comparable because it serves both individuals and employer groups navigating Medicare decisions.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Medicare Choice Group social profiles
Digital presenceMedicare Choice Group compliance and trust
Trust signalCompliance1 record
Medicare Choice Group financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medicare Choice Group leadership team
Management profileNumber of profiles
Medicare Choice Group funding detail
Funding detailFunding overview
Funding rounds1 record
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medicare Choice Group M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medicare Choice Group
What does Medicare Choice Group do?
Medicare Choice Group is a licensed Medicare advisory brokerage that connects Medicare-eligible individuals with appropriate Medicare health plans. Certified Medicare advisors provide free, step-by-step education, plan comparison, and enrollment assistance, submitting enrollment requests directly to carriers. The company represents multiple Medicare health plan brands and matches beneficiaries to plans based on healthcare needs, budget, and geographic location.
Is Medicare Choice Group a public or private company?
Medicare Choice Group is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Medicare Choice Group founded?
Medicare Choice Group was founded in 2002. It employs 11 to 50 people.
Where is Medicare Choice Group based?
Medicare Choice Group is headquartered in Philadelphia, United States, in the North America region.
How does Medicare Choice Group make money?
Two revenue lines are on record. Medicare Health Plan Commissions are the primary driver. The others are broker/Employer Services.
Who are Medicare Choice Group's main competitors?
Direct peers on record are GoHealth, Connie Health, Boomer Benefits, eHealth, Chapter and SelectQuote. Broad incumbents are Via Benefits and Alight. Healthpilot is listed as an emerging player. RetireMed is listed as a regional player.
Does Medicare Choice Group have an API?
No public API is recorded for Medicare Choice Group.
What industry is Medicare Choice Group in?
Medicare Choice Group's product category is Medicare Insurance Brokerage. Its primary akta.pro industry code is HLAEADAH, Medigap Member Support & Care Navigation (Advocacy/Concierge), with a secondary code of FSAIAGAA, Medicare Advantage (MA) Plans. Its NAICS code is 524292 and its SIC code is 6411.