Medicare leads cost: per lead, per enrollment, and which leads you may phone in AEP
The pages that answer this sell leads, calls or mailers, and each prices its own format. None says which leads a Medicare agent is allowed to phone, and none adds the calling. This page does both, mid-AEP.
The consent question in full is on Medicare permission to contact, and recording on Medicare call recording requirements. For the CRM that holds the book, see the best CRM for Medicare agents; for ACA leads in Open Enrollment, health insurance leads cost. For the category: the best power dialer software and the cheapest power dialers.
Medicare lead prices by format
| Lead format | Per lead or call | Source |
|---|---|---|
| Aged Medicare leads | $0.50–$5.00 | Aged Lead Store, March 13, 2026 |
| Direct mail reply cards | $600 per 1,000 mailed | Applied General Agency, before its discount |
| Fresh shared lead | $15–$40 | Aged Lead Store, March 13, 2026 |
| Real-time form lead | $20–$60 | The Leads Warehouse, May 5, 2026 |
| Pay-per-call | from $24.85 | ResultCalls |
| Exclusive lead | $45 | Parasol Leads |
| Live transfer | $40–$75 | Aged Lead Store, March 13, 2026 |
| Fresh exclusive lead | $40–$100 | Aged Lead Store, March 13, 2026 |
| Inbound call | $40–$120 | The Leads Warehouse, May 5, 2026 |
Each seller's published figure as its page states it, read November 7, 2026. Aged Lead Store writes its upper figures as "$100+" and "$75+". ResultCalls says the exact price depends on category, services and coverage area. Applied General Agency quotes $480 with its discount and $240 after its 50% co-op for its own agents. Ranges are the sellers', not ours.
Which Medicare leads you may phone
- No cold calls. MA organizations and their agents may not use “telephone solicitation (that is, cold calling)”, robocalls, texts or voicemail if unsolicited, including calls based on referrals (42 CFR 422.2264(a)(2)(iv)).
- Consent or a first move makes it solicited. “Calls are not considered unsolicited if the beneficiary provides consent or initiates contact”; returning a call, or calling someone who sent back a business reply card asking to be contacted, is the regulation’s own example (422.2264(a)(3)).
- Bought data needs consent that names you. Beginning October 1, 2024, personal beneficiary data collected by a TPMO may be shared with another TPMO only with prior express written consent, given through a disclosure that lists each entity receiving it (422.2274(g)(4)).
The cheapest formats in the table are the ones least likely to carry consent that covers you. An aged Medicare file is worth calling only if the permission record behind each name covers you; without it, it is a cold-call list. Reply cards from your own mailing and inbound calls are the formats where the beneficiary moved first. Your carrier or FMO can set stricter rules, and the National Do Not Call Registry and state calling hours apply on top.
Cost per enrollment, with the calling in
| Enrollments from 150 exclusive leads (your input) | Month spent | Cost per enrollment |
|---|---|---|
| 8 | $6,792 | $849 |
| 12 | $6,792 | $566 |
| 15 | $6,792 | $453 |
| 20 | $6,792 | $340 |
| 25 | $6,792 | $272 |
Month spent: 150 exclusive leads at Parasol's $45 ($6,750) plus one DialSheet agent calling each up to 6 times on single-line Power Dial ($42: the $29 seat and their own Twilio from perRepTelephony(), about 43 dials a working day over 21 days, both call legs and a number; call mix an example: 25% voicemail, 10% a person for three minutes). Enrollment counts are examples for you to replace, not a forecast. Your time and a CRM you already pay for are left out.
On Medicare leads the dialing is a rounding error next to the lead; it is 1% of this month. What moves the cost per enrollment is the lead’s price and how fast you call it, which is why a single line that dials the next lead the moment you hang up matters more here than the number of lines.
Formats side by side, per enrollment
| Format | Per lead or call | Leads per enrollment (example) | Lead cost per enrollment | Calling on DialSheet |
|---|---|---|---|---|
| Inbound call, low end (The Leads Warehouse) | $40 | 4 | $160 | Nothing to dial |
| Pay-per-call, from (ResultCalls) | $25 | 4 | $99 | Nothing to dial |
| Exclusive form lead (Parasol Leads) | $45 | 10 | $450 | $2.80 |
| Real-time form lead, low end (The Leads Warehouse) | $20 | 15 | $300 | $4.20 |
The "leads per enrollment" column is an example for you to replace with your own, not an industry rate. Calling: the worked month's $0.28 a lead times the leads it took. Reply cards: 5 returned per 1,000 mailed is $120 a card; 10 returned per 1,000 mailed is $60 a card; 15 returned per 1,000 mailed is $40 a card; 20 returned per 1,000 mailed is $30 a card, at Applied General Agency's undiscounted $600; calling a card up to six times is part of the same seat, about $0.28 a lead at the worked month's volume.
A cheaper lead wins only while the extra leads it takes per enrollment cost less than the price gap. Your own CRM has those counts; put them in.
Load your reply cards or lead file and call them
- Export. Download leads from the seller or your FMO as a CSV with name, phone, ZIP, the date of the request and the consent record. Type returned reply cards into a sheet with the date received.
- Import. Upload it and map the columns; the request date comes in as a field you see while you call. Walkthrough: how to call a list of leads from a spreadsheet.
- Get a line. Connect your own Twilio account, or buy a DialSheet-managed line with a local number.
- Call. Power Dial on one line, local-time skip on, recording on. The free plan covers 500 calls a month.
What we do not have
Who runs on it
An insurance agency runs 1,000 calls a month, retained month over month. Also: a solo funding desk, and a customer's own story on its own site.
- dialsheet.ioindependent insurance agencyAn insurance agency runs 1,000 calls a month, retained month over month
- dialsheet.iosolo business-funding deskA solo funding broker dials every single week — 1,335 calls last month
- goodroofing.caHow we book estimatesA Calgary roofer on how a storm-season team calls every homeowner in order, with local numbers and no missed follow-ups. “Our calling runs on DialSheet.”
Medicare lead cost questions
How much do Medicare leads cost?
By format, as sellers publish them: inbound Medicare calls $40–$120 and real-time form leads $20–$60 (The Leads Warehouse, May 5, 2026); an exclusive Medicare lead $45 (Parasol Leads); pay-per-call "as low as $24.85" (ResultCalls); fresh exclusive $40–$100 and aged $0.50–$5.00 (Aged Lead Store, March 13, 2026). Direct mail reply cards cost about $600 per 1,000 pieces before discounts (Applied General Agency). Calling the leads is separate: on DialSheet, about $0.28 a lead for six dials, seat and minutes included.
Do Medicare leads cost more during AEP?
Fresh ones do, by the sellers' own account: Aged Lead Store says fresh Medicare lead prices rise 40 to 60% during the Annual Enrollment Period (October 15 to December 7) and that its aged prices stay the same all year. That is a seller's statement, not a measured index. The cost of calling does not change with the season.
Can I cold call Medicare leads?
Not for Medicare Advantage or Part D marketing. 42 CFR 422.2264(a)(2)(iv) bars unsolicited telephone contact, "cold calling", by MA organizations and their agents. A call is not unsolicited when the beneficiary consented or reached out first, for example by returning a business reply card (422.2264(a)(3)). Since October 1, 2024, a third-party marketing organization may pass a beneficiary's data to another only with prior express written consent naming each one (422.2274(g)(4)). So a bought lead is callable when its consent covers you. Read on eCFR, current to October 30, 2026; not legal advice.
What does a Medicare enrollment cost in leads?
Divide the month by the enrollments it produced. 150 exclusive leads at $45 are $6,750; calling each up to six times on one line is about $42 on DialSheet, $6,792 in all. That is $566 an enrollment if they produce 12 and $340 at 20. Those counts are examples, not a forecast; use your own.
Medicare leads cost on Reddit: what are agents paying?
On r/InsuranceAgent, one agent paying for online marketing reports a cost per lead averaging "$13" locally and "$8" across their states. Insurance Forums threads cite budgets of $500 a week and up for new Medicare agents. Spread is wide because format and consent matter more than the sticker: a $40 inbound call can cost less per enrollment than a stack of $5 leads you are not allowed to phone.
Do I need a dialer to call Medicare leads?
For reply cards and fresh exclusive leads, one line is enough: call each one quickly and in order. DialSheet's Power Dial does that on $29/month per seat, free for one person, with a list of up to 500 leads and 500 calls a month, at about $42 a month for 43 dials a working day with your own Twilio. We would not point a multi-line dialer at Medicare-age people: when two pick up at once, one of them hears silence. Inbound-call buyers need no dialer at all.
Lead prices are each seller’s published figures: The Leads Warehouse (dated May 5, 2026), Aged Lead Store (dated March 13, 2026), Parasol Leads, ResultCalls and Applied General Agency, all read November 7, 2026. Regulation quoted from eCFR, current to October 30, 2026. We do not sell leads and have no arrangement with any seller. We build DialSheet, so weigh the dialing figures accordingly.