Medicare · CMS plan data built in
Built for
Medicare buyers
Bid by county using CMS plan data. Check your floor before every bid. Pay only for calls that last. TapQuality was built first for agencies that sell Medicare plans by phone.
CY2026 + CY2027 plan data
The problem
A Medicare call is worth what the county offers
Plans differ county by county. So do carriers, star ratings, and the benefits callers ask about. Most call platforms bid by state and treat every caller the same. They also sell you calls when your floor is full, and bill you for the caller who already spoke to three other agencies this week.
A state bid pays the same for a county with a dozen rich MA plans as for one with two. You overpay in one and lose the auction in the other.
In AEP the floor fills fast. A call that waits in the queue or rolls to voicemail still costs you.
The same caller dials in again, or shops the same call to several buyers. Without checks, you pay each time.
CMS plan data
The plan files, loaded and joined
TapQuality loads CMS public files: plans, benefits, star ratings, carriers, monthly enrollment, and the crosswalk that shows what each plan becomes next year. You read it in the app, through the API, or from your own AI tools.
8,000+
CY2026 plans with benefit detail
9,800+
Benefit fields per plan year from the CMS plan files
40+
County-ranking strategies
2027
Next year’s plans served beside this year’s
- Dental, vision and hearing allowances
- OTC, grocery and flex card amounts
- Part D cost by tier
- Prior authorization and out-of-network costs
- Star ratings by contract
- SNP type: D-SNP, C-SNP, I-SNP
- Monthly enrollment by county
- Plan crosswalk, CY2024 to CY2027
- Plans leaving a county next year
Plan data gives facts and comparisons, not plan recommendations. It holds no drug formularies or provider networks. A null value means CMS did not report it.
Market segments
Bid on the counties your plans win
Build a set of counties from the plan data, then attach it to a campaign or ad group. Your bids follow the market, not the state line.
Counties by carrier and plan
Pick counties where a carrier sells, where plans have a star rating you want, or where a benefit like dental or grocery is offered.
Ranked by strategy
Rank counties with more than 40 strategies, such as where plans leave next year and members must choose again. Use the ranking to set bids.
County profiles
Join each county to public data on income, health and age from sources like the Census ACS, USDA, CDC PLACES and IRS.
Separate campaigns by product
Run MA, D-SNP and other product lines as separate campaigns or ad groups, each with its own bids, budgets and schedule.
Carrier footprints
See where each carrier sells
CMS publishes enrollment every month. TapQuality loads it by county, so you can see where a carrier is strong and bid there.
Illustrative map — not live enrollment data
The selling calendar
Controls for each season
Budgets, pacing, 15-minute dayparting and bid boosts let you plan each window. You set the rules; the bidder follows them on every ping.
AEP
Oct 15 – Dec 7
Annual Enrollment Period
Anyone with Medicare can change plans. Volume, competition and prices peak together.
Set daily budgets and pacing for the season. Add short bid boosts for the hours your floor is staffed. Check floor capacity before each bid.
OEP
Jan 1 – Mar 31
Medicare Advantage Open Enrollment
People already in a Medicare Advantage plan can switch once or return to Original Medicare. Less volume, narrower audience.
Lower budgets, tighter county sets, and screening questions that ask about current coverage.
SEP
Year-round, with a qualifying event
Special Enrollment Periods
Moving, losing coverage, or dual eligibility can open a window outside AEP.
Ask about qualifying events in the voice screen, and bid on the ping fields your partners send. Answers are in the call log.
Before and after the bid
Buy only what your floor can close
Every ping goes through the same checks before TapQuality bids for you. Every call is measured against your rules before you pay.
Floor check
For EnrollHere queues, TapQuality asks whether an agent is free before it bids. No free agent, no bid.
ping → queue availability → bid or passRepeat and shopped calls
Calls from the same source within 30 days do not bill twice. Callers sent by more than one partner in the last 24 hours are flagged, and you can bid down on callers you have already paid for.
DNC → reping flag → auction → 30-day duplicate billingBillable or not
You set the billable duration per campaign. A call bills only when it crosses that line, and every call that does not bill shows why.
call answered → billable threshold → ledgerVoice screening
Your questions, before the transfer
Our voice agent can answer the call, confirm what the caller typed on your page, ask your questions, and pass the caller to your floor. You write the script and have it reviewed by your own compliance team. How voice screening works.
“Thanks for calling. I’m a virtual assistant, and I’ll ask a few quick questions so I can connect you with a licensed insurance agent. Is that all right?”
Says it is an AI and why it is asking. Your team writes the opening.
“Sure.”
“I see you entered 33601 on our site. Is that still your ZIP code?”
The web form reached the agent before it spoke, marked unverified, so it confirms instead of re-asking
“Yes, that’s right.”
“Thank you. Do you have Original Medicare today, or a Medicare Advantage plan?”
Current coverage, asked as a question you configure
“Original Medicare with a supplement.”
“Thanks. I’m connecting you with a licensed agent now. One moment.”
Transfer to your queue. Answers and transcript land on the call detail page.
CMS marketing rules apply to your calls. TapQuality runs the script you approve; it does not make a script compliant. Calls are not recorded.
Use it anywhere
Plan data in your own tools
Your analysts can query the plan data from any MCP-compatible AI client, call it from code, or ask Q inside TapQuality.
Plan data MCP server
31 tools for any MCP-compatible AI client: search plans, read allowances, check star ratings, see what a plan becomes next year. Sign in with OAuth or a token.
api.tapquality.com/v1/mcpMarket API
The same plan, county and enrollment data over REST, for your own dashboards and landing pages.
GET /v1/market/*Q in the app
Ask Q which counties lost plans, how a carrier’s footprint changed, or how your calls did in those counties. It answers from the data.
question → report engine + plan data → answerSet up your counties before the next window
Tell us your carriers, your states and your floor. We’ll show you the counties, the checks, and what a billable call costs.