The short answer
This is the talk track for a Medigap agent calling a person who submitted a quote request. It opens by citing the request, confirms the eligibility date and current coverage, asks the specific question behind the quote, and books an appointment to walk the standardized plan comparison. Timing questions stay factual, because the six-month open enrollment window under 42 U.S.C. 1395ss drives everything.
The script
Sample talk track. Fictional names. Adapt it to your offer and your rules.- Rep
Good morning, is this Mr. Whitfield? This is Karen, a licensed agent with Lakeland Insurance. You requested a Medigap quote on our site over the weekend, and I am calling to ask a couple of questions so the comparison you get actually fits you.
- Prospect
Yes, I did that. I turn 65 in March and I am trying to figure this out before I retire.
- Rep
That is exactly the right time to be asking. Two quick questions. When does your Medicare Part B start, or have you set that up yet?
- Prospect
Not yet. I was going to do it at the end of February, when my work coverage ends.
- Rep
Good, that timing matters and I will explain why at the appointment. Generally, the law gives you a six-month window that starts when you are both 65 and enrolled in Part B, and during that window companies cannot turn you down or charge you more for health reasons. If your Part B starts in March, your window runs from March.
- Prospect
So I have time. That is a relief.
- Rep
You do, and it is better to decide without a deadline pressing. Last question: you and anyone else who helps with this paperwork, would they join the appointment? Decisions like this go better with everyone hearing the same explanation.
- Prospect
My daughter handles my paperwork. She would want to be on it.
- Rep
Perfect. I have Tuesday at four or Thursday at eleven, and I will send the standardized plan comparison beforehand so neither of you is seeing the letters for the first time on the call. Which works better?
What the quote call is for
A Medigap quote request is a person with a date on the calendar: a 65th birthday, a retirement, an employer plan ending. The call exists to convert that request into an appointment where the standardized plan comparison gets walked through properly, and to capture the three facts that shape everything: the eligibility date, the current coverage and the specific question behind the form.
The call is also where timing myths get corrected gently. People arrive believing they have one week to decide or that they will be turned down for a prescription. The agent’s job on the phone is to state the timing rules accurately, calm the deadline panic, and let the appointment do the deciding.
Before you dial: list and requests
Load the lead list as a CSV with name, phone, the request language, the submission date and the consent date where you have one. Fresh requests first. Every row keeps its request basis, because the scope of the call is the scope of what the person asked for.
Consumer calls run under the general rules: 16 CFR 310.4(c) and 47 CFR 64.1200(c)(1) hold solicitation calls to 8 a.m. through 9 p.m. local time at the called party’s location, and a revocation made by any reasonable means must be honored within a reasonable time not to exceed ten business days. Refresh National Do Not Call Registry scrubbing at least every 31 days.
The opening: the request and the date behind it
“You requested a Medigap quote on our site over the weekend, and I am calling to ask a couple of questions so the comparison you get actually fits you.”
The opener cites the request and promises a better comparison, not a pitch. People who fill out Medigap forms are usually anxious about timing, so the first real move of the call is the Part B question, which surfaces the date that everything else hangs on.
The talk track, in order
The script runs request, eligibility, coverage, decision makers, appointment. Three habits make it work.
First, get the Part B start date early. The six-month window under 42 U.S.C. 1395ss begins with the first month an individual is both 65 or older and enrolled in Part B, during which an issuer may not deny or condition coverage or discriminate in pricing based on health status. A person with months of window decides calmly; a person who thinks the window closes Friday decides badly and cancels later.
Second, explain timing factually and briefly, then defer the rest. One sentence on the window on the call, the full explanation at the appointment. Turning the callback into a rules seminar loses the booking.
Third, invite the paperwork person. Adult children manage this process constantly, and an appointment the daughter missed is an appointment that gets repeated.
Objections you will hear
“I already have coverage through work.” Ask when it ends and whether that end date is firm. The bridge from employer coverage to Part B is exactly what the appointment is for, and guessing at it on the phone helps nobody.
“Is this a government call?” State plainly who you are, a licensed agent with a named agency, and that Medicare does not call to sell policies. The confusion is common and the direct answer builds trust.
“My plan covers everything, why would I need this?” That may be true, and the appointment is where the person finds out whether it is. Do not argue with a summary of a plan you have not seen.
“Just mail me the quotes.” Send the standardized comparison for the plans they asked about, and disposition a dated callback. Materials plus a callback convert; materials alone sit in a drawer.
“I had a supplement years ago and it was expensive.” Ask whether the premium went up with age or with claims. The answer changes the conversation, and only the appointment can address it properly.
Dispositions in agent terms
- Appointment set with day, time and attendees.
- Send comparison for the plans discussed.
- Callback with the date and reason.
- Not eligible yet with the follow-up month.
- Already covered with what they hold.
- Not interested with the reason.
- Left voicemail and Do not call.
What the AI summary captures
DialBreeze records and transcribes connected calls, then writes structured fields. For Medigap calls the useful ones are the eligibility and Part B dates, current coverage, the specific question, the decision makers involved and the booked time. The appointment should start where this call ended, so verify birth years, dates and coverage details against the recording before the comparison is prepared. These calls produce health questions, which means recordings and transcripts contain sensitive details, so keep them inside authorized systems and treat access as a firm decision. The summary is a preparation note; it is not consent evidence and it is not a compliance record.
Compliance lines that matter
The federal Medigap standards at 42 U.S.C. 1395ss shape the timing conversation: the six-month open enrollment window and the rule that a replacement policy may not impose a new pre-existing condition period when the replaced policy has been in effect six months or longer. The calling layer applies too: hours under 16 CFR 310.4(c) and 47 CFR 64.1200(c)(1), prompt honoring of revocations, and 31-day registry scrubbing. Recording requires all-party consent in several states, including Washington under RCW 9.73.030 and California under Penal Code 632. Your state insurance department and carriers set the licensing and solicitation rules you actually follow. DialBreeze applies your internal DNC list, quiet hours and attempt caps. It does not decide whether a lead may be called. This page is not legal advice.
FAQ
What is the Medigap open enrollment window?
Can I call a lead who filled out a quote request?
How do I explain plan letters without advising?
What if the person already has a Medigap policy?
Sources
- law.cornell.edu /uscode/text/42/1395ss
- ecfr.gov /current/title-16/chapter-I/subchapter-C/part-310/section-310.4
- law.cornell.edu /cfr/text/47/64.1200
Operational guidance, not legal advice. Rules vary by state and by campaign.