A mailer being sent by health insurers to seniors, and obtained by TPMmuckraker, seeks to exploit fears about Congressional changes to the health care system to sell supplemental insurance. And it contains false claims about "new" reductions in Medicare benefits imposed by Congress.
Yesterday, 66-year-old Donna Price of Battle Ground, Washington, received this official-looking mailer in a pull-apart envelope from direct mail firm Target Leads (aka TL Service Center).
It announces: "IMPORTANT: NEW MEDICARE CHANGES." And continues:
"Your Medicare benefits have been reduced by Congress due to increases in your Deductibles and 'Part A' Co-Insurance payment. Now, Medicare pays less of your health care cost and you are responsible for the unpaid balance."
At the bottom, the mailer notes "Tim Manry, licensed insurance agent" may get in touch if you return the card with your contact information. Manry is the Seattle branch manager for Connecticut-based insurance company Futurity First. The Web site of the direct mail firm, Target Leads, advertises the mailer as a way to sell supplementary insurance for seniors on Medicare.
But Price, who is on Medicare Advantage, tells TPMmuckraker there have been no reductions in her coverage. And we hadn't heard of any Congressional action cutting Medicare benefits either.
Target Leads Vice President Richard Bufkin declined to comment. And Futurity First hasn't returned our calls. So we asked several health care experts: had they heard of any "new" Congressional reduction in benefits like the one referenced in the mailer?
None of three experts we asked knew of any action. Because Medicare deductibles and co-payments are indexed to keep pace with medical costs, they do go up modestly every year. But that's not new. It's been enshrined in law for years.
So the mailer is very narrowly correct that there have been "increases in your deductibles," but appears highly misleading, if not out and out false, when it refers to "new Medicare changes." And the tone of the whole thing seems designed to drum up business by scaring seniors about a drastic change, right when the health care debate -- and GOP claims that Medicare is at risk -- are dominating the news.
And it's not just in Washington state: Another senior in Pennsylvania complained in August to a local newspaper about the same mailer. Because Target Leads appears to be selling this same mailer to any takers, it's not clear if Futurity First or a different insurer was behind the Pennsylvania mailing.
It's not a new strategy to peg a misleading solicitation to the health care policy news of the moment. A California senior reported a similar mailer from TL Service Center in October 2006, except this one was pegged to President Bush's push for Medicare reform. The senior wrote to the San Jose Mercury News (via Nexis):
The card noted that the president has announced guidelines for Medicare reform and asked that you provide several answers to general questions regarding your particular areas of concern.Among these choices are fixed annuities, long-term care protection, supplemental protection and other frequent scam-type options.
The catch here is that the card also asks for your and your spouse's names, dates of birth and phone number.
Have you gotten this same mailer? If you have, let us know in the comments section.

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traitorjoe
September 29, 2009 4:24 PM
Seniors are gullible and drive by fear? No way!
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tpmreader
September 29, 2009 5:16 PM
Is it correct that your question and request to some extent ignores (at best) Michael Moore's, Award Winning Documentaries, including 'Farienheit 911' (health care) and his recent Documentary Movie, 'Capitalism, a love story'?
Let us talk the truth and bigger problems, issues and the resolves thereof that are continuing to be neglected, at best.
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Matt Jones
September 29, 2009 5:30 PM
I'd call these direct marketers scum, but it reflects negatively on all the honest scum out there (pond scum, soap scum, etc.)
This is right up with the "domain registration notices" I get every year, which are really cleverly disguised attempts to get a transfer to a semi-bogus (and expensive) registrar.
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condew
September 29, 2009 5:35 PM
Are there no consumer protection laws left? Is lieing now accepted standard business practice?
While some seniors are savey, I'm also sure there are some paying thru the nose for an insurance policy, and their kids will never know. Seniors are proud to handle their own problems and shield their adult children from worry, but they are also smarter on some days than others. It would not surprise me if my parents were scammed in Pennsylvania; I know they are very concerned about health care reform but will not discuss it with me. I also suspect they will vote Republican next year.
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FDRdog
September 29, 2009 5:39 PM
Ms. Price's medicare benefits have not been cut and none of the proposed bills currently under consideration advocates cutting medicare benefits that go directly to enrollees. The billions in savings the pols are claiming come from cutting payments to Medicare Advantage providers.
Medicare Advantage insurers are paid more than their costs and pass on at least some of the extra to medicare beneficiaries in the form of lower deductibles and copays. In addition Obama has proposed cutting payments to doctors and hospitals. The eventual outcome for seniors who are enrolled in Advantage plans will be increased costs as copayments and deductibles increase and everyone will experience less accessibility as more and more doctors refuse to treat medicare patients.
The one place they will maintain and maybe increase payments will be for prevention. By the time people are eligible for medicare, they have already set the course their bodies will take. They can lose weight and get more exercise, but that is free in any case. If someone has found a treatment to prevent organs, joints and muscles from aging, I'd like to get in line. But last I heard, you simply cannot prevent the aging process and the illnesses and disabilities that accompany it.
This article in TPM is disappointing because there has been virtually no investigation into how seniors will be affected if and when any of the current bills are passed. The TPM staff is young and callow, perhaps, but it should be clear to the blog principals that there are a good percentage of older readers and commenters who frequent the site.
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kmellis
September 30, 2009 1:34 AM in reply to FDRdog
Do they? This may be true of those MA plans which have very low (or non-existent!) premiums, but one might notice that those plans have higher co-pays and deductibles than the others.
Also, obviously the MA insurers don't pass along to the insured the entire extra amount the government pays them because, if they did, they'd lose money providing this coverage.
Let's put aside for the moment the very real benefits of Medicare Advantage which left-of-center blogs rarely mention: providing under a single insurer all Medicare coverage, plus coverage of Medicare's relatively high deductibles that would otherwise require a separate supplementary plan (such as is the subject of this post), plus a Part D prescription medication plan.
If MA plans didn't have the virtues mentioned in the previous paragraph, then what's the point of them? If they were simply a substitute for Medicare—covering exactly what Medicare covered and had the same premiums—then what possible civic benefit could they have...especially considering that they'd either have to pay providers less than Medicare to make a profit from Medicare's regular payment schedule, or would have to be paid extra by the government to do what the government normally does itself (which is the case)? Answer: there is no benefit. Such a program is two things: it's a giveaway to the insurance companies (because the government pays insurers more to do what it could do itself); and it's a partial privatization of Medicare, a political wedge into dismantling Medicare. Which is why it was created and supported by Republicans.
Even so, MA does have the virtues I mentioned earlier. If you're on Medicare and a large consumer of health care, as I am, then insurance above-and-beyond Medicare is mandatory. MA serves that purpose as an all-in-one Medicare insurer for me nicely. And, considering that my MA premium is more than $100 a month above-and-beyond the regular Medicare premiums, it's not as if the government's overpayment is subsidizing my coverage. No, what the overpayment is, is making MA profitable for insurers, especially those who don't offer coverage much superior to regular Medicare and charge low or nonexistent premiums.
Insurers can and should be making their profits in MA from their premiums for the extra coverage they provide. The overpayments should stop, but otherwise the program should continue.
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Bruce Webb
September 29, 2009 5:44 PM
Yes they are scum.
But the letter may not be totally hooey. Last year's Social Security COLA was set too high in expectation of fuel and food prices staying up in a way they didn't, which translated into no COLA for 2009. Under current law no COLA also means that the normal Medicare inflation adjustment for Part B is automatically blocked for about 75% of recipients. So those people won't see even the normal boost. On the other hand the difference has to be made up by the remaining 25% who are made up of higher income recipients and new recipients. There are talks of addressing this via Congressional action but I don't think the trigger has been pullled yet.
I no longer have the e-mail chain that discussed this at our Social Security group but you could probably get informed detail from Dean Baker or Hank Aaron at Brookings or Joni Lavery at NASI, as I recall the former two chimed in on this one.
There is also a separate $1 a month Medicare Part D boost that will hit everyone.
The amounts involved wouldn't justify this letter even for the minority to whom any such increase would apply, but I don't think this was just made up out of thin air. Deceptive, boy howdy. Outright lie, well maybe not.
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zooguitar
September 29, 2009 6:28 PM
Here's what we should all do. Contact the state of Washington's Office of Insurance Commissioner and report this blatantly misleading ad. I've worked in healthcare marketing. Government agencies should be reviewing this and issuing heavy fines for misleading advertising like this.
Contact Mike Kreidler, the Insurance Commissioner of Washington state. Here's the link:
http://www.insurance.wa.gov/fraud/report-fraud.shtml
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witty1
September 29, 2009 6:29 PM
My Dad got this, (and he's convinced it's real) here in Alaska.
As sad as it is I WISH I was being screwed or overcharged by Medicare...
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Justin Elliott
September 29, 2009 6:37 PM in reply to witty1
interesting. mind emailing me? justin /at/ talkingpointsmemo.com
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witty1
September 29, 2009 6:56 PM in reply to Justin Elliott
he told me about it this morning, something about the VA paying first then Medicare then his Blue Cross - I feel dizzy just recalling the convo.
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DaveW
September 29, 2009 6:50 PM
This needs to be forwarded to the attorney general of each state it's found in with a demand for a criminal investigation. And of course a copy to the FBI. There's still such a thing as mail fraud.
More generally, there's no reason to allow scammers to send "official notices" of any kind, whether it's about insurance, taxes, investments or anything else. They are clearly created with the purpose of deceiving, and especially aimed at vulnerable elders. We don't have to allow the US Post Office to enable scammers.
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DaveW
September 29, 2009 6:51 PM
PS -- why would you phrase the headline as a question? Nothing could be more obvious.
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sully18
September 30, 2009 1:15 AM
I`ve received so many "official notices,"that I don`t even open them anymore.The same with credit card offers, but I have to shred them before I recycle them.
It`s disgusting what America has become in the last thirty years since Reagan made "greed"a virtue.
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sully18
September 30, 2009 1:32 AM
I`ve received so many "official notices,"that I don`t even open them anymore.The same with credit card offers, but I have to shred them before I recycle them.
It`s disgusting what America has become in the last thirty years since Reagan made "greed"a virtue.
The thing that really bothers me is that we have lowered our baseline tolerance for violence so much that people bring assault rifles to presidential addresses, and talk hate and violence as if it`s their right.Well,I `m here to tell you it`s no one`s right to threaten the president.The next time I hear this horse shit,I`ll make them regret they talked hate or brought their gun any where near me.
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slowdoc
September 30, 2009 1:45 AM
Ok... a few corrections to what I've seen above.
First, Medicare is not indexed to inflation. Annual changes in total outlays are currently linked (using a complex formula) to the total national budget divided by the total medicare population in a way that is supposed to be budget neutral. As a result, most years Medicare outlays would be cut unless there is a Congressional reset. Most of the current bills in Congress would do away with this silly formula as the driver for Medicare "solvency."
For VA patients who are not "100% service connected" payment goes like this - Medicare, private insurance, then the VA, plus a copay that is set depending on type of service. For those who are 100% connected Medicare or private insurers may be billed, but that depends upon the type of service provided (eg cardiac transplantation will get billed, but a wart removal won't, because it costs more to bill then they will get back).
Most seniors coverage won't be affected by the removal of Medicare Advantage, except that it will be less stupid. Medicare Advantage has been the bane of many seniors lives; while there are options for more services, most seniors can't parce out what is covered and what is not, as the coverage rules are not written in English (ok, legalize is English, but you should not need to hire a lawyer to get insurance). Many drugs that were covered under plain old Medicare part D are now not covered; as private insurers flip formularies I'm left trying to figure out which drugs are or are not covered in the outpatient setting. Going to a single provider will be simpler for patients and providers... and frankly, everything gets covered with a little effort (ie. paperwork and phone time).
The above piece was a little thin on the ground re: what is actually going on with Medicare now and what might happen in the near future, but it certainly isn't "callow." Just typical reporting focused on scandal (easy to report on) and not substance (hard to report on).
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elle a
September 30, 2009 3:14 AM
lol. this is almost too funny. the decline of america in slow motion.
and for those in congress,what are they thinking??
things will get to a point where the numbers of people dying because they cannot afford healthcare will become an epidemic.
maybe then they will sit up and take notice.
is this how to run a country?
47 million uninsured..and you still have people who say, meh, they have access to the emergency room!
and this is supposed to be the most developed country in the world.
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elle a
September 30, 2009 3:16 AM
also, is that headline a trick question?
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An Outhouse
September 30, 2009 2:02 PM in reply to elle a
Does a bear shit in the woods?
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Docb
September 30, 2009 9:21 AM
Scum --legitimized by the right wingnuts and their corporate donors...Call them all or email them like CPRights.org..scare tactics and lies...call your senatrs/reps...1.800.828.0498!
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GreenDreams
September 30, 2009 11:48 AM
And while you're at it, let the FTC know about it. FTC standard remedy for false advertising is a devastatingly effective thing called "disgorgement" (yes, really). Basically, if false advertising generates sales, the FTC says "how much did you make (gross, not net? Now, give it all back, or give it to us." It's a 100% fine and even declaring bankruptcy won't save the company's principals.
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Clavis
September 30, 2009 12:48 PM
There used to be regulations and enforcement and standards and accountability and restitution to keep stuff like this from happening too much.
But all that stuff gets in the way of freedom. So it's gone now.
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mishanti2
September 30, 2009 6:03 PM
My 78 year old Mom has chronic emphysemia and has been in a wheel chair for 10 years. Her oxygen machine wasn't outright purchased but is rented for her and once a year the machine is swapped for a new one so they can continue to rent it to her. She has to have special breathing treatments several times a day and has been for at least 6 years but the machine is rented to her rather than outright purchase or purchase after a couple months. The cost of these monthly rentals quickly add up in one year to more than the outright purchase costs of the machines. Until recently she outright purchased her own wheelchair but when she recently needed a new one she went through Medicare. That will be a monthly rental like all the rest until Medicare has paid out much more than an outright purchase.
This is where a HUGE portion of the Medicare money is going to..it is a waste of money. If after a reasonable time the rental was switched to an outright purchase then Medicare would save a great deal of money but until then we are paying for these medical devices monthly. IT is a big rip off.
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bchollis
October 2, 2009 3:20 PM
I received similar mailer from TL service Center which immediately made me suspicious, and which I will be shredding. It says:
YOU MUST PROVIDE YOUR OWN LONG-TERM CARE!
It mentions "new legislation has recently signed into law providing tax advantages for purchasing Long-Term Care protection" and that "based on your age you may be entited to as much as $3980.00 per year tax deduction" and "for FREE information about the federal and state standars, and how the new legislation wil benefit you, fill out and return this no obligation POSTAGE-PAID inquiry card TODAY!". It asks for name and date of birth, spouse, their date of birth and phone #
Card is addressed to TL SERVICE CENTER
PO BOX 2018 ROCKWALL, TX 75087-9985
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