Medicare Health Benefits
Medicare Health Benefits is a multi-carrier licensed insurance agency founded in 1996 that helps Medicare-eligible seniors, Native Americans, and dual-eligible individuals enroll in Medicare Advantage, Supplement, and Part D plans across 50 states.
- Company typePrivate
- Founded1996
- HeadquartersTucson, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
What Medicare Health Benefits does
Medicare Health Benefits is a licensed health insurance agency founded in 1996 in Tucson, Arizona, that facilitates Medicare plan enrollments for seniors, Native Americans, dual-eligible beneficiaries, and other underserved populations across all 50 states. The company operates as a multi-carrier brokerage representing Mutual of Omaha, WellCare, Aetna, Humana, SCAN Health Plan, Amerigroup, Blue Cross Blue Shield of Tennessee, Allwell, and Blue Cross Blue Shield of Arizona. Core product offerings include Medicare Advantage Plans (Part C), Medicare Supplement Plans (Medigap), Medicare Part D prescription drug plans, ACA-compliant marketplace plans, New Mexico Medicaid (Centennial Care) coordination, and ancillary products such as hospital indemnity and final expense policies. The firm maintains three physical offices (Tucson headquarters, Albuquerque regional office, and Nashville operations support office) and runs a dedicated Native American health insurance program serving 23 tribes across Arizona and New Mexico with IHS coordination.
The company earns revenue exclusively through commissions paid by insurance carriers on successful enrollments; customers are not charged for advisory or enrollment services, consistent with federal Medicare regulations. Its go-to-market is sales-led, relying on licensed agents who conduct free in-home consultations, office visits, and phone-based consultations across regional and national phone lines. Differentiation rests on multi-carrier product access (enabling ostensibly unbiased recommendations), specialized tribal/IHS expertise, Spanish-speaking agent capacity, and dual-eligible coordination capabilities. The technology stack consists of standard industry tools — Salesforce for CRM (with hidden lead-tracking fields), Google Analytics for web tracking, and Google AdSense for remarketing — with no proprietary platform, mobile app, or API surface disclosed.
Medicare Health Benefits, LLC is a privately held LLC domiciled in Tennessee, with founder Jane Wall (1996) and partner Anna Rothhaar (joined 2005). No venture capital, private equity, or institutional investment is disclosed. The company is not a technology company; it is a relationship-driven insurance distribution business whose principal assets are agent licenses across 50 states, carrier appointments, and community relationships built over 28 years.
Medicare Health Benefits firmographics
Firmographics- Name
- Medicare Health Benefits
- Legal name
- Medicare Health Benefits, LLC
- Website
- https://medicarehealthbenefits.com
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Medicare Health Benefits is a multi-carrier licensed insurance agency founded in 1996 that helps Medicare-eligible seniors, Native Americans, and dual-eligible individuals enroll in Medicare Advantage, Supplement, and Part D plans across 50 states.
- Ownership category
- akta.pro rank
Medicare Health Benefits industry classification
Industry- Product category
- Medicare Insurance Brokerage Services
- 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
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- Medicare Supplement (Medigap) Plans (FSAIAGAB), Medigap Member Support & Care Navigation (Advocacy/Concierge) (HLAEADAH), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)
Keywords
Where Medicare Health Benefits is headquartered
LocationHeadquarters
- HQ city
- Tucson
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Medicare Health Benefits business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Infrastructure, Technology or R&D
Revenue model
- Insurance Commission Revenue: The company earns commissions from insurance companies (Mutual of Omaha, WellCare, Aetna, Humana, SCAN Health Plan, Amerigroup, BCBS TN, Allwell, BCBS AZ) for each Medicare plan enrollment they facilitate. Agents are licensed to sell products from multiple insurance companies, allowing them to match customers with appropriate plans and earn commissions on successful enrollments.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Pay-as-you-go | Free Advisory Services - No direct customer charge |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
Medicare Health Benefits product offering
Product offeringCore offering
Medicare Health Benefits is a licensed health insurance agency that helps Medicare-eligible individuals compare and enroll in Medicare Advantage (Part C), Medicare Supplement (Medigap), and Medicare Part D prescription drug plans offered by multiple insurance carriers. Licensed agents provide free in-home, office, and phone-based consultations across 50 states, including specialized support for Native American communities and dual-eligible (Medicare/Medicaid) beneficiaries, earning commissions from carriers rather than charging customers fees.
Product overview
Medicare Health Benefits is a licensed health insurance agency offering a comprehensive portfolio of Medicare-related insurance products and enrollment services. The core offerings include Medicare Advantage Plans (Part C), Medicare Supplement Insurance (Medigap), Medicare Part D Prescription Drug Plans, along with Original Medicare education for Parts A and B. As a multi-carrier agency, they represent multiple insurance companies including Mutual of Omaha, WellCare, Aetna, Humana, SCAN Health Plan, Amerigroup, Blue Cross Blue Shield, and Allwell. The company provides specialized services for Native American communities with IHS coordination, ACA-compliant marketplace plans, and New Mexico Medicaid (Centennial Care). Additional offerings include Medicare Savings Programs, extra insurance benefits like hospital indemnity and final expense policies, and annual Medicare benefits review consultations to help beneficiaries optimize their coverage.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicare Advantage Plans (Part C) Private insurance plans from multiple carriers (WellCare, Aetna, Humana, SCAN, Amerigroup, BCBS TN, BCBS AZ, Allwell) that combine Original Medicare Parts A and B coverage with additional benefits like prescription drugs, dental, vision, hearing, and fitness programs into a single comprehensive plan, sold to Medicare-eligible individuals.
- Medicare Supplement Plans (Medigap) Insurance policies (Plans A, B, C, D, G, K, L, M, N) that help cover out-of-pocket costs not covered by Original Medicare, such as deductibles, copayments, and coinsurance, sourced primarily through Mutual of Omaha.
- Medicare Part D (Prescription Drug Plans) Standalone prescription drug coverage plans offered by private insurers to help cover the cost of medications, with each plan having a formulary of covered drugs organized into tiers, sold to Medicare beneficiaries.
- Medicare Part B (Medical Insurance) Guidance and enrollment assistance for Medicare Part B coverage of medically necessary doctor services, outpatient care, preventive services, laboratory tests, x-rays, durable medical equipment, and mental health services.
- Medicare Benefits Review Annual review service where licensed agents evaluate a customer's current Medicare coverage, medications, and healthcare providers, and recommend plan changes to optimize benefits and minimize costs, provided free of charge annually.
- ACA-Compliant Health Insurance Plans Health insurance plans that meet Affordable Care Act requirements, available through the health insurance marketplace with potential eligibility for subsidies and tax credits, offered to individuals and families.
- Centennial Care (New Mexico Medicaid) New Mexico's Medicaid program providing health coverage for low-income individuals and families, with integration support for dual-eligible beneficiaries combining Medicaid and Medicare coverage.
- Native American Health Insurance Services Specialized insurance services for Native Americans and Alaska Natives, including enrollment in Medicaid, Medicare, and marketplace plans with tribal protections and IHS coordination, delivered by a dedicated specialist supporting 23 tribes across Arizona and New Mexico.
- Extra Insurance Benefits Additional coverage options including short-term health insurance, hospital indemnity plans, heart attack/stroke/cancer policies, dental, vision, hearing, life insurance, and final expense policies, offered to Medicare beneficiaries as complementary products.
Quantifiable outcome
- Serving Medicare-eligible population since 1996 with commitment to underserved communities
- +1 more outcomes
Companies that use Medicare Health Benefits
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Medicare Health Benefits technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
Medicare Health Benefits partnerships and signals
Strategic signalPartnerships
Eleven partnerships are on record, tiered core.
- Mutual of OmahacoreMedicare Health Benefits is an authorized broker to sell Mutual of Omaha Medicare Supplement Plans. As an authorized agent, the company earns commissions on Medicare Supplement (Medigap) plan enrollments facilitated through their services.
- WellCarecoreMedicare Health Benefits is an authorized broker to sell WellCare Medicare Advantage Plans. The company facilitates enrollment in WellCare's Medicare Advantage products and earns commissions on successful enrollments.
- AetnacoreMedicare Health Benefits is an authorized broker to sell Aetna Medicare Advantage plans. The company assists customers in enrolling in Aetna's Medicare products and receives commissions for enrollments.
- HumanacoreMedicare Health Benefits is an authorized broker to sell Humana Medicare Advantage plans. Agents facilitate enrollment in Humana's Medicare products and earn commissions on successful enrollments.
- SCAN Health PlancoreMedicare Health Benefits is an authorized broker to sell SCAN Health Plan Medicare products. The company facilitates enrollment in SCAN's Medicare Advantage and related plans.
- AmerigroupcoreMedicare Health Benefits is an authorized broker to sell Amerigroup Medicare Advantage plans. The company assists with enrollment in Amerigroup's Medicare products including dual eligible Special Needs Plans (DSNPs).
- Blue Cross BlueShield of Tennessee (BCBS TN)coreMedicare Health Benefits is an authorized broker to sell BCBS Tennessee Medicare Advantage plans. The company facilitates enrollment in BCBS TN's Medicare products.
- AllwellcoreMedicare Health Benefits is an authorized broker to sell Allwell Medicare Advantage plans. The company assists customers in enrolling in Allwell's Medicare products.
- Blue Cross BlueShield of Arizona (BCBS AZ)coreMedicare Health Benefits is an authorized broker to sell Blue Cross BlueShield of Arizona Medicare Advantage plans. The company facilitates enrollment in BCBS AZ's Medicare products for Arizona residents.
- Senior Market AdvisorscoreMedicare Health Benefits is partnered with Senior Market Advisors in Nashville, TN. This partnership supports the company's operations and enables them to serve Medicare beneficiaries across 50 states with administrative and support infrastructure.
- Indian Health Service (IHS)coreThe company integrates IHS benefits with private health insurance to offer comprehensive health coverage for Native American communities. Medicare Health Benefits helps tribal members coordinate between IHS, Medicaid, Medicare, and private insurance options. The company has a dedicated specialist supporting 23 tribes across Arizona and New Mexico.
Scale indicators4 records
Recent moves1 record
Expansion highlights5 records
Medicare Health Benefits competitors and assessment
Company assessmentDirect peers
- Senior Market Advisors: Multi-carrier Medicare insurance agency based in Nashville, TN and strategic partner of Medicare Health Benefits. Offers nearly identical services (Medicare Advantage, Supplements, Part D) across multiple states with field-agent-led sales model.
- SelectQuote: Public Medicare-focused insurance brokerage (NYSE: SLQT) with multi-carrier comparison across MA, Medigap, and Part D. Comparable business model with telesales-led approach serving seniors nationwide.
- GoHealth: Medicare-focused insurance marketplace (NASDAQ: GOCO) connecting beneficiaries with carriers through digital and agent-assisted channels. Directly comparable multi-carrier brokerage model with technology-enabled platform.
- eHealth: Online Medicare and health insurance marketplace (NASDAQ: EHTH) with proprietary comparison platform. Competes for the same multi-carrier Medicare broker customer segment with technology-led approach.
- HealthMarkets: Multi-carrier health insurance agency distributing Medicare, ACA, and individual/family plans through a national agent network. Closely comparable in serving seniors across all 50 states with multi-product advisory model.
- MedicarePlans.com: Online Medicare plan comparison and brokerage platform offering Medicare Advantage, Supplement, and Part D plans from multiple carriers. Competes for the same Medicare beneficiary audience with digital-first comparison tools.
Broad incumbents
- Mutual of Omaha: Major Medicare Supplement and Medicare Advantage carrier. Not a direct competitor to Medicare Health Benefits but operates in the same space as one of their key carrier partners, with captive agents also selling direct.
- Humana: One of the largest Medicare Advantage carriers and a key carrier partner of Medicare Health Benefits. Operates as both carrier and competitor via captive agents and direct-to-consumer enrollment channels.
- Aetna: Major Medicare Advantage carrier (CVS Health subsidiary) and one of Medicare Health Benefits' authorized carrier partners. Sells Medicare plans both through brokers like MHB and via captive agent and direct channels.
- Blue Cross Blue Shield Association: Federation of health insurance carriers including BCBS AZ and BCBS TN, both partners of Medicare Health Benefits. Operates parallel Medicare brokerage and direct enrollment channels competing for the same seniors.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Medicare Health Benefits social profiles
Digital presenceMedicare Health Benefits financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medicare Health Benefits leadership team
Management profileNumber of profiles
Profiles3 records
Medicare Health Benefits funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medicare Health Benefits 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 Health Benefits
What does Medicare Health Benefits do?
Medicare Health Benefits is a licensed health insurance agency that helps Medicare-eligible individuals compare and enroll in Medicare Advantage (Part C), Medicare Supplement (Medigap), and Medicare Part D prescription drug plans offered by multiple insurance carriers. Licensed agents provide free in-home, office, and phone-based consultations across 50 states, including specialized support for Native American communities and dual-eligible (Medicare/Medicaid) beneficiaries, earning commissions from carriers rather than charging customers fees.
Is Medicare Health Benefits a public or private company?
Medicare Health Benefits is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Medicare Health Benefits founded?
Medicare Health Benefits was founded in 1996. It employs 11 to 50 people.
Where is Medicare Health Benefits based?
Medicare Health Benefits is headquartered in Tucson, United States, in the North America region.
How does Medicare Health Benefits make money?
One revenue line is on record: insurance Commission Revenue.
Who are Medicare Health Benefits's main competitors?
Direct peers on record are Senior Market Advisors, SelectQuote, GoHealth, eHealth, HealthMarkets and MedicarePlans.com. Broad incumbents are Mutual of Omaha, Humana, Aetna and Blue Cross Blue Shield Association.
Does Medicare Health Benefits have an API?
No public API is recorded for Medicare Health Benefits.
What industry is Medicare Health Benefits in?
Medicare Health Benefits's product category is Medicare Insurance Brokerage Services. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of FSAIAGAB, Medicare Supplement (Medigap) Plans. Its NAICS code is 524292 and its SIC code is 6411.