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Joe Theismann EasyMedicare Commercial Review [Scam Or Legit?]

Perhaps you saw a commercial from EasyMedicare TV Commercial featuring spokesman Joe Theismann, and now you’re wondering, “Is this legitimate?

Lately, there have been so very many commercials about Medicare and Medicare Advantage Plans (M.A. plans). A Trekkie well-known actor and also lately, is it a coincidence that we see a couple of former professional football stars also trying to promote M.A. plans during this time of year?

There are many commercials concerning M.A. Plans with paid endorsement actors that make you feel like you aren’t getting everything you deserve or missing out on coverages. These missing benefits are shown in large letters repeatedly and imply free and just call this number. 

We all know that seeing the disclaimer fine print it’s so obvious of the holes and indeed brings to mind, if it’s too good to be true, then. First and foremost, Federal law states explicitly that in advertisements, all that we see and hear must not be misleading and must be the truth!

For straight facts about how Medicare Coverage Helpline works and how you can be helped legitimately, then you’re certainly at the right place.

We’ll also take a good, hard look at the fine print—it might surprise you!

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Review and Closer Look

This article will explain everything to know about the Medicare Coverage program.

First of all, I feel we should take another look at the commercial and take a closer look.

We can go through the commercial together, and I will Timestamp the section so you can have time to look closer and refer to it easier again if you wish.

We can look at some important details together to investigate to help you determine which insurance is best so then you can make the right choice for yourself and your family.

Then in the different sections of the article, we will talk about the various elements of what is in the fine print, what they are talking about, and how it really works.

Alright, so, let’s start and break down the different parts of this commercial:

Fine Print – Timestamp: 00:05 seconds

The amount of information that the U.S. government has for you to understand is actually phenomenal and can’t be understood fully over a phone call to a call center a Medicare call center, that just has generally 1 company that they hurriedly trained the 100-200 agents for the call center to get money from this massive commercial especially during this time of year Oct 15-Dec 7th enrollment period.

Sit down with a caring, trained insurance agent to have the proper time to compare and ultimately decide what plan is best for you and your family. To save money, not rushing into a decision over the phone with you and your family’s best interests will help safeguard over time.

Especially since the amount of information that the U.S. government has for you to understand is actually phenomenal and can’t be understood fully over a phone call to a call center.

Official Government Rules

Have a look and read, if you wish, at The official U.S. government Medicare handbook 2022 pdf.

https://www.medicare.gov/Pubs/pdf/10050-medicare-and-you.pdf

Official Medicare Advantage Plan (MAP) Part C

This type of plan is an additional way to get Part A and B cover but additional benefits. 

These additional coverage plans are many times called Part C or Medicare Advantage (M.A.) Plans and are offered by separate private companies that have been approved by and must follow rules that are governed by Medicare.

Description of Medicare Advantage Plans

Page 61 of the U.S. government Medicare handbook 

These MA plans Part D drug coverage, normally and in many cases to get this coverage, you will need to use the health care provider in that private companies plan network. 

The benefit is that the private companies set a limit on the total amount of out-of-pocket money you spend each year for the specified covered services.

Remember you will still have Medicare; however, you will get most of your original Parts A and B coverages from your new Medicare Advantage (M.A.) Plan, not your original Medicare.

You will receive an additional specific card that you will now use for your new Medicare Advantage Pan to get your new Medicare-covered services officially.

(Always keep your original red, white, and blue card from Medicare in case you ever drop your M.A. plan and wish to once again return to only your original Medicare benefit plan.)

Some of these M.A. plans also offer other non-emergency coverages at a higher cost out of this private network.

Description of Some Medicare Advantage Plan Coverages

See Page 61-62 of the U.S. government Medicare handbook 

The Medicare Advantage (M.A.) (Part C) Plans will cover all of your Part A and B benefits except any hospice services or clinical trials and temporarily the new benefits that happen because of national coverages or legislation has determined.

If you transition to an M.A. Part C plan, the Original Medicare will still cover the cost involved for hospice care, some clinical research studies, and some of the new Medicare benefits.

The MA Part C does and must cover all urgent care, emergency care, and nearly all the necessary medical services that the Original Medicare covers.

Description of The Different Types of Medicare Advantage Plans

See Page 66-70 of the U.S. government Medicare handbook

• Health Maintenance Organization (HMO) plan: See page 66.

• HMO Point-of-Service (HMOPOS) plan: This HMO plan may allow you to get some services out of network for a higher copayment or coinsurance. Also on page 66.

• Medical Savings Account (MSA) plans: On page 67.

• Preferred Provider Organization (PPO) plan: At page 68.

• Private Fee-for-Service (PFFS) plan: See page 69.

• Special Needs Plan (SNP): See page 70.

Medicare Advantage Plan Enrollment means

• That most Medicare services are covered through the plan

• Most of your Medicare services aren’t paid for by your Original Medicare Plan

• Additionally, most of the Medicare Advantage Plans offer prescription drug coverage.

Medicare Advantage Plan Enrollment Extra Benefits means coverage for

  • Fitness Programs (like gym memberships or discounts)
  • Some Vision, Hearing, and Dental services

And More Benefits depending on what is chosen, for example

  • Transportation to doctor visits
  • Over-the-counter drugs
  • Services that promote your health and wellness
  • Tailored benefit packages for certain chronically ill enrollees
  • what benefits does each plan specifically offer
  • if you might qualify
  • if there are any limitations

Paid Endorsement – Timestamp: 00:35 seconds

I appreciate Joe Theismann, still, the fact is that this is a paid endorsement, and it’s somebody who is getting paid to make these comments.

It’s not somebody who actually bought the medicare coverage plan from the 800 number but instead an actor who got paid money to talk, so you should know this and always be aware that just because Joe says it, doesn’t mean it will happen. This is because there are many rules and regulations by the Government.

What I’m stressing is that it’s done over the phone, and there is no guarantee that you are going to get this insurance. Maybe you can’t even qualify because you don’t have access to the better plans in your area defined by zip code and the more requirements that are assumed since these criteria for qualifying for some of the benefits are low-income criteria (LIS).

Dental Vision Hearing – Timestamp: 00:54 seconds

Reports say that Medicare Advantage enrollees have access to dental coverage; however, not many have Medicare Advantage.

Congress is battling whether or not to add more benefits, as you can read more about this here.

Important to know about Medicare Advantage Plans

(also known as Medicare Part C) is a healthcare option that basically replaces your original coverage from Medicare. The Part C plans can be purchased from private insurance companies to then cover your medical and hospital benefits.

If you are a senior with Original Medicare, you will most likely need to purchase additional dental insurance coverage. This is due to Medicares Part A, which is hospital insurance, and Part B is medical insurance, possibly covering dental expenses only if it’s part of an emergency or surgery.

The Medicare Advantage Plan (M.A.)( also known as Part C) is separate insurance that can include dental benefits, depending on the company you choose.

Choosing Correctly

When choosing the best Medicare Advantage plans, you should consider something that includes coverage with dental, vision, and hearing and, of course, with the services that are most important to you. 

An example of services could include fillings, dentures, routine dental exams, x-rays, or even gum disease treatment. 

Depending on your area and needs, United Healthcare, Kaiser Permanente, Cigna, WellCare, Aetna, and Humana are some examples of good private companies to choose your Medicare Advantage Plans.

Is the plan available in your area and nationwide at competitive prices? Many top companies to choose from have premiums ranging from $0 to over $100 each month, depending on your needs.

Choosing Plans To Benefit You The Most

Many Decisions to make for Expanded Coverage in your Medicare Advantage Plan. Recommend that you consider talking to a broker or consultant to go through every detail with you before you commit to enabling the best coverage for the money and peace of mind for you and your family.

Important Considerations

Find a list of Medicare Advantage Plans that are in your coverage area.

Choosing the Best Type of Plan

  • Special Needs Plans (SNP)
  • Preferred Provider Organization (PPO)
  • Private Fee-For-Service (PFFS)
  • Health Maintenance Organization-point of service (HMO-POS)
  • Health Maintenance Organization (HMO)

Knowing the Plans Details

  • Comprehensive Dental

(extraction, periodontics, and restorative services)

  • Preventative Dental

(cleaning, X-rays, and exams)

Knowing in advance, the Costs involved

  • Monthly premiums
  • Yearly Maximum you pay for the health costs
  • Out-Of-Pocket costs
  • Copayments or Coinsurance costs

You Decide 

Because many plans are different between plans and providers and even differences in plans that the same providers offer can be, for example, 50% coinsurance or a $50 copayment for a Dental Plan.

Many prefer a Medicare Advantage Plan because coverages include a prescription drug program, dental, vision, and hearing care bundled together under one plan. These plans often have lower monthly premiums (even $0) depending on the coverage of the plan. 

Medicare Advantage Plan monthly premiums typically range from $0 to over $100 depending on the coverage.

Some Enrollment Rules

  • You can then enroll in a separate Medicare Advantage plan
  • When you are eligible to enroll for your Original Medicare
  • When you have officially reached the age of 65 or younger, if you have a qualifying disability
  • October 15 to December 7 enrollment periods

(during this time, you can change from your Original Medicare Plan and then to a Medicare Advantage Plan or even change from one Medicare Advantage Plan to another when circumstances you see the benefit you to make a change.)

  • Special Enrollment Period (SEP) you may be able to qualify for this if you have a life event happening, such as a move, or experience loss of income.

 Some plans even offer meals delivery. Plans are based on your location with different eligibility and costs.

$0 Copays $0 Deductibles $0 Premiums – Timestamp: 01:12seconds

Again, you may qualify for this; however, it’s all dependent upon you qualifying for the (LIS) low-income subsidy. Only eligible people can get some assistance that lowers your monthly premium, possibly adding up to yearly savings. 

When you see the Free preventive screenings, in the commercials, know that Medicare covers this.

Again, the commercial leads us to believe that we get a huge discount on prescription medications. The normal is that beneficiaries have a 25% responsibility for the cost of medicines. Anyone with Part D drug coverage qualifies automatically after the total drug cost is $4,080, for example. 

The latest and best plan for you should weigh out with an independent broker before rushing into any decision. 

The Fine Print Disclaimer that says zero-premium doesn’t mean it’s zero costs. Most of any service has an out-of-pocket cost. These out-of-pocket shares of costs will be paid until the Plan member reaches the plan’s out-of-pocket maximum limit. Another example here.

Most Important when calling the Call Center

Disclaimer fine print says 

  • Not affiliated with or endorsed or approved by any government agency or federal Medicare Programs. 
  • Medicare hasn’t reviewed or endorsed this information.
  • Only if they meet certain criteria, then can members enroll.
  • Medicare may not offer all plans available in your area. 
  • The agent may not offer Medicare Advantage Plans.

The fine print means that a misleading question becomes an intention or makes us believe something that is not true or incorrect.

In fall 2019, the American Medical Association (AMA) passed a resolution

These Medicare Commercials are offered by companies/corporations to make a profit. The purpose of these tv commercials is to get you to act fast.

  • Do your research
  • Be informed
  • Get all the truth

Calling a call center with limited options that might not have this or even know to suggest it and definitely, you can’t shop around for the best private company since they don’t represent many companies like the independent brokerage agency like us at Direct Express Support can and will help you and prove to you so you can make the proper choices and never rushed into a decision. 

Before you make a wrong commitment, the best advice to do instead is deal with

  • A Professional that has access to the best carriers in your area
  • A Broker Independent that can shop around for the best program!
  • A program that is not just a Zero Premium Plan but gives you the least amount of Copays and deductibles and maximizes the benefits you’re eligible for?

Medicare Giveback Benefit – Timestamp: 01:32-01:35 seconds

This part is called the Refund Part B buyback during A Special Enrollment Period (SEP) allows a Medicare beneficiary to join, switch, or drop their prescription drug plan (PDP) Medicare Part D or Medicare Advantage plan (M.A. or MAPD) outside of the annual Open Enrollment Period (AEP) that runs officially from October 15 through December 7.

How do you qualify for $148.50 back from Medicare?

If you have Parts A and B, you can enroll in an Advantage plan with a give-back option. These plans reduce your Part B premium up to the full standard amount of $148.50 each month and add the money to your Social Security check.

Only eligible beneficiaries are those with a limited income for a program with the Government that helps pay for prescriptions drug costs for Medicare Part D.

These beneficiaries of Medicare that get (LIS) the low-income subsidy can get some assistance to pay the monthly premiums, coinsurance, copayments, and monthly premium for their Part D.

Other than zip code, Medicare has extra help eligibility if you qualify for the (LIS) low-income subsidy that is available for Medicare Part D. 

The requirements are if your assets and annual income limits are below the eligibility threshold. These limits could change yearly so you should check the most recent levels and pinpoint more accurately the requirements online at Medicare.gov.

Many people do qualify for the Medicare Extra Help savings and don’t even realize it.

When calculating eligibility for the low-income subsidy, Medicare doesn’t count any resources like your home, insurance policies, or car. So for you to find out if you qualify, the best way is to apply.

End Fine Print – Timestamp: 01:36-01:53 seconds

“Medicare Supplement Insurance is available to those enrolled in Parts A and B of Medicare due to age and in some states to those under age 65 due to disability or end-stage Renal disease. Premiums will vary depending on the plan selected. Medicare has never reviewed nor approved this information.”

“EasyMedicare.com is an affiliate of e-Telequote Insurance, Inc. A private representative of Medicare Insurance organization with a Medicare contract. EasyMedicare.com is not affiliated or acting behalf of any government agency or program.”

“Prescription, Dental, Hearing and Vision Benefits are not guaranteed, are only available in select plans and are not available in every state or zip code. Plan availability varies by region and state.”

“Callers will be directed to a licensed insurance agent with e-Telequote Insurance, Inc., who can provide more information about Medicare Supplement Insurance Plans offered by one or several insurance carrier(s). e-Telequote Insurance, Inc., and the licensed Insurance Agents who may call you are not connected with or endorsed by the U.S. Government or Federal Medicare Program. For a complete listing of Medicare Plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day, 7 days a week or consult www.medicare.gov.”

“Limitations, co-payments may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year. You must continue paying your Medicare Part B Premium.”

Many prefer a Medicare Advantage Plan because coverages include a prescription drug program, dental, vision, and hearing care bundled together under one plan. These plans often have lower monthly premiums (even $0) depending on the coverage of the plan. 

Because many plans are different between plans and providers and even differences in plans that the same providers offer can be, for example, 50% coinsurance or a $50 copayment for a Dental Plan.

Medicare Advantage Plan monthly premiums typically range from $0 to over $100, depending on the coverage.

What That Fine Print Means

This means it is a 3rd-party call center and may not go to Medicare Coverage Helpline. A call center with limited options, stating so many disclaimers in the fine print. A call center that you don’t know or have a relationship with.

You are just calling a random person without verifying; are they experts? Do they understand the business? There is not much quality control with that, so again, the buyer beware.

An Independent broker can shop around for the best private company and handle many of the best Insurance Carriers to choose which benefit you desire the most. At Direct Express Support we can and will help you and prove to you so you can make the proper choices and never rush you into a decision.

As an Independent broker that has the latest and best to offer for you to choose from so that obviously you and your family are most likely to retain this insurance because it is the best for you and save money because it’s not wasted on lesser inferior coverage.

Before you make a wrong commitment, the best advice to do instead is deal with

  • A Professional that has access to choices, to the best carriers in your area
  • A Broker Independent that can shop around for the best program!
  • A program that is not just a Zero Premium Plan but gives you the least amount of Copays and deductibles and maximizes the benefits you’re eligible for?

Good News

The good news is many times we help people with Medicare questions because there may be the opportunity to get back extra benefits, such as dental vision and hearing, to get back your $148.50 out of your paycheck that Social Security takes away each month.

Are you interested in free benefits that you may be eligible for? These are the free Government benefits that you may be eligible for? 

Also, another way to help money get reduced from your pocket is your copays that can many times be reduced for hospitalization. 

Quality

We want to help to get you a quality Medicare plan. To get access to government benefits that you could not previously get or currently have while also getting back some of your currently spent money. 

Knowing the legitimacy of what you spend and what you are entitled to while benefiting from additional coverage that you might not even realize you qualify for is worth a look for you and your family.

Since we are independent brokers, this allows us to shop all the major insurance carriers to find you the best deal in terms of price and coverage. 

You’ve got lots of different options here at Direct Express Support. Many times you could qualify for a better policy that starts immediately.

Right now, it’s real easy to get more information; 

You can just simply fill out the form you see on your screen that says something like Get Help Now

Or

if you are on your Desktop P.C., 

fill out the form on the right that’s titled Get Your Life Insurance Quote Now

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