06/05/2026
Is it legal for call centers and insurance agents to call Medicare beneficiaries without permission.
In most cases, no. Medicare marketing rules are quite strict.
For Medicare Advantage and Part D plans, agents, brokers, and call centers generally cannot make unsolicited marketing calls to Medicare beneficiaries unless they have permission or an existing business relationship that allows a follow-up under the rules.
Examples of calls that are generally not permitted:
Cold-calling Medicare beneficiaries to market plans.
Calling someone who filled out no permission form and did not request contact.
Calling leads purchased from third parties when the beneficiary did not clearly agree to be contacted about Medicare plans.
Robocalls or automated marketing calls without proper consent.
Calling people on the National Do Not Call Registry without a valid exemption.
Examples that are generally allowed:
Returning a call or inquiry initiated by the beneficiary.
Following up after a beneficiary completed a business reply card, online form, seminar sign-in sheet, or other permission-to-contact form.
Calls to existing clients regarding current coverage and service issues (but not necessarily to market unrelated products).
The problem is that many overseas or loosely regulated call centers ignore the rules. Beneficiaries often receive calls claiming:
"You qualify for extra Medicare benefits."
"We're calling about your Medicare card."
"You may be missing benefits."
"You can get money back on your Part B premium."
Many of these calls are generated by lead vendors and call centers operating in a gray area or outright violating federal telemarketing rules.
For your clients, I would recommend:
Never give their Medicare number over the phone to an unsolicited caller.
Hang up on unexpected Medicare sales calls.
Register at the National Do Not Call Registry.
Report suspicious calls to:
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donotcall.gov
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reportfraud.ftc.gov
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medicare.gov
As a Medicare agent, I know the frustrating part: legitimate agents follow the rules while many lead-generation companies simply keep dialing. Enforcement has improved in recent years, but abusive Medicare telemarketing remains a major complaint among seniors.
Register your phone number to report stop or block unwanted, annoying,telemarketing, spam calls, robocalls to the FTC