What is a Medicare Authorized Representative?

Medicare beneficiaries have the right to choose someone to help make decisions about Medicare coverage, called an authorized representative.

This person is only authorized to help with Medicare — joining a plan, quitting a plan, finding out information about insurance and handling claims and payments. An authorized representative cannot make decisions about medical care.

These individuals are already authorized representatives:

  • A guardian

  • A durable power of attorney for healthcare (where allowed by state law)

  • A durable power of attorney

A form can be signed to make someone else an authorized representative.

Does a person need to be an authorized representative to help join a plan?

It depends on the situation. If the helper is with the Medicare beneficiary, they do not need to be an authorized representative. When speaking with the representative from Medicare or the plan notify them there is someone else on the phone to assist.

If the helper is not with the Medicare beneficiary, they may need to be an authorized representative. It possible to get a letter signed that allows the plan to give information to the helper and send it to the company. Start by asking the company if they would take that kind of letter. If not, an official form needs to be signed to make the helper an authorized representative.

In Any Case, when it comes to Medicare it’s important to protect personal information.

Related Content

Protection from Medicare Scams
Medicare numbers should be protected as you would a credit card, debit card or bank account information because Medicare fraud is sadly a common occurrence.
Enrolled in the Wrong Medicare Plan
If enrolled in the wrong plan due to someone else negligence contact Medicare (or have someone help) to explain the situation. Medicare staff will assist.
Understanding Your Medicare Card
Once enrolled in Medicare, Social Security sends red, white and blue Medicare card in the mail. It will look like the card below.