Now seeing patients in Quincy, Lynn, Dorchester and Brockton! Learn More

Partnering with Gather Health

We value our relationships with agents and brokers who share our
"patient-first" approach to community-based Medicare care.

Core Broker Compliance Requirements

Brokers must meet these baseline standards to represent Gather Health or refer clients to our centers.

Licensing & Appointment

  • Brokers must be actively licensed in the state of practice and officially appointed by insurance carriers accepted by Gather Health.

Annual Certification

  • Completion of annual Medicare compliance training (typically AHIP) with a passing score is required.

Product-Specific Training

  • Brokers must complete "Plan-specific" training for every carrier they represent partnered with Gather Health.

Locational Awareness

  • Conversations involving PHI/PII must occur in compliant settings. Prohibited Areas like examination rooms must be avoided.

E&O Insurance

  • Active Errors & Omissions coverage is required to protect against liability during the enrollment process.

Ethical Standards

  • We document Scope of Appointment (SOA) 48 hours prior to meetings and maintain records for 10 years.

Code of Conduct & Ethical Standards

Gather Health emphasizes a "patient-first" approach. Brokers are expected to follow these behavioral guidelines:

Marketing Restrictions

To maintain our patient-first culture, we enforce strict marketing guidelines:

  • No Unsolicited Contact: Cold calling or door-to-door solicitation is strictly prohibited.
  • Approved Materials: Only CMS-approved marketing materials can be used when discussing Medicare Advantage plans in relation to Gather Health’s services.
  • Non-Co-Branding: Brokers are generally restricted from using the Gather Health’slogos on their own marketing materials without explicit, written approval fromGather’s corporate marketing team.

Anti-Steering & Diversity

Anti-Steering: Brokers are prohibited from "steering" patients toward a specific plan based solely on the broker's commission. The choice must be based on the patient’s clinical and financial needs.

Non-Discrimination: Brokers must adhere to Gather Health’s Nondiscrimination Notice, ensuring no patient is discriminated against based on race, color, national origin, age, disability, or sex.

Cultural Sensitivity: Given Gather Health’s focus on underserved urban populations, we place a high premium on linguistic and cultural competency during the sales process

Professional Expectations & Duties

Gather Health provides specific resources for brokers, such as the Patient Benefit Partner and Field Sales Management relationships, where our partner standards discourage "cold" referrals. We prefer brokers who participate in on-site social and wellness activities to build trust with the community alongside the Gather Health team.

The above cooperation and on-site access implies the following requirements and duties:

RequirementDescription
ProfessionalismFor all clients and Gather employees, professionalism is expected in every and all interaction.
ComplianceBrokers must adhere to all above expectations for compliance.
Referral AccuracyWhen referring a client to a Gather center, brokers must ensure the client's current plan is accepted by the center.
Data PrivacyBrokers must treat all Protected Health Information (PHI) according to HIPAA standards.
TransparencyBrokers must clearly disclose that they are a licensed insurance agent and not an employee of Gather Health during the enrollment process.
START A CONVERSATION

Ready to Partner
with Us?

Maximize your benefits with a Patient Benefit Partner. Contact us to learn about on-site wellness activities.

For questions, please reach out to: info@gather-health.com

Call Us Today: 617-256-0241

start a CONVERSATION

Ready to Partner
with Us?

Maximize your benefits with a Patient Benefit Partner. Contact us to learn about on-site wellness activities.

For questions, please reach out to:
info@gather-health.com

Call Us Today