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  • Other Legislation Also Targets Scams And Fraud Against Seniors

    It is believed that Trump issued the executive orders because a drive to enact major legislation this year stalled in Congress. Although Trump has told Republican senators that lowering prescription prices is 'something you have to do,' many remain reluctant to use federal authority to force drug makers to charge less. .TSCL is strongly opposed to any cut in the payroll tax and we have lobbied aggressively against one. The 2020 reports from the Social Security and Medicare Trustees projected that the Social Security trust funds will become insolvent in only 15 years. At that time, all Social Security beneficiaries would face a 21% benefit cut in benefits that would eventually go to 27%. .At a recent hearing from the House Ways and Means Health Subcommittee, experts in the MA field warned that their plans will not be able to absorb the looming cuts, and they will likely have to trim benefits or increase out-of-pocket costs as they are phased in over the next decade. One witness, Chris Wing – the CEO of SCAN Health Plans – said his MA plan that covers nearly 200,000 seniors in California and Arizona will have to begin limiting provider networks or withdraw from a few markets altogether. … Continued

  • The Senior Citizens League Update 12 20 2019

    While the provision is valuable protection, it doesn't apply to all Medicare Part B enrollees. Roughly 30% of all Part B beneficiaries will not be protected in 201Those people are facing a Part B premium increase of about 22.3%, from 1.80 per month to 9.00, the highest increase in 27 years. People who are not protected by the hold harmless provision include: .The total revenues in the sample could pay the Social Security benefits of 897 retirees, with an average monthly benefit of ,400, for an entire year. Or, that revenue could be used to provide a modest boost to the COLA of 448,560 retirees in the first year, by tying the annual inflation adjustment to the Consumer Price Index for the Elderly (CPI-E). .For details, or to see if your Members of Congress will be holding town hall meetings during this week's recess, call their local offices. You can find contact information HERE. … Continued

This week, the Social Security Administration implemented an online security policy that unexpectedly locked many beneficiaries out of their online accounts. In addition, lawmakers in Congress continued their seven-week summer recess. .Given that disabled beneficiaries would receive on average 0,000 prior to transferring to Social Security benefits, even the smallest error in determining eligibility can result in significant overpayments. TSCL believes that the government should make every effort to perform timely continuing disability reviews (CDRs) to ensure that benefits are only paid out to those who are eligible. The Social Security Administration estimates that every spent on medical CDRs yields about in SSA program savings over ten years. Currently the CDR backlog stands at 1.2 million. SSA's goal for FY2013 is 435,000 CDRs based on the current level of funding. .Four Things To Avoid When Shopping For Retirement Housing .Johnson conducts research on the growth of the prices of goods and services that form a major part of a retirees' household budgets. According to Johnson, Medicare beneficiaries' out-of-pocket spending for prescription drugs was a total cost of ,097 in 2020 (including what beneficiaries and their drug plans pay). "Although drug plans vary, under the standard Part D benefit, the beneficiary is responsible for about 25% of that amount, and drug plans cover the remaining 75% up to an initial coverage limit which is ,130 in 2021," Johnson says. .Medicare and many state Medicaid programs are in the process of transitioning to value-based medicine that would change the way government healthcare programs pay for care. Doctors and healthcare providers are given incentives to improve health and to reduce the incidence of chronic disease — in order to lower spending on healthcare and provide better care at a lower cost. There's emphasis on giving providers single payments for a "bundle of services" instead of paying for each service, checkup or X-ray. This reimbursement system differs from traditional fee-for-service Medicare, as well as Medicare Advantage plans' "capitated" payments, in which providers are paid more for sick patients, regardless of health outcomes. .While employment plunged at the height of the recession in 2009, new data from the Social Security Administration (SSA) suggests that millions of illegal immigrant workers hung onto their jobs. Employers sent in 7.7 million wage reports of workers whose names and Social Security numbers (SSN) don't match those on the SSA's files for 200The "mismatched" wage reports are frequently caused when the SSA receives copies of W2s for illegals who work under stolen, false or invalid SSNs. Although employment among illegal workers appears to have declined in 2009, the number of such "mismatched" wage reports that the SSA received from 2000 - 2009 averaged 9.5 million per year. .If all this sounds complicated — it is. But comparing these costs is well worth the effort. Depending on what you have now, Medicare may wind up saving you a considerable sum, and provide lower deductibles than what you get through your employer. This decision is important to get right, especially if you are married and your spouse is also getting health insurance through your employer's plan. If so, caution is advised because your decision affects your spouse's coverage. .Medicare pays for a wide range of services including many preventive benefits, but routine eye care is not one of them. Medicare-eligible adults with diabetes can, however, get a dilated eye exam to check for diabetic eye disease. The patient's primary care doctor is responsible for determining how often this exam is needed. Medicare also covers an annual eye exam to check for glaucoma if the patient is diabetic or there is a family history of glaucoma. .But it turns out the Democrats are not quite as united as that statement makes it sound. Ten members recently sent a letter to House Speaker Nancy Pelosi (D-Calif.) expressing concerns about the drug pricing legislation as written.