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  • Ask Advisor December 2018

    Social Security benefits are determined by the income earned (up to the taxable maximum) over a working career, and the number of years worked. The more money you make and pay taxes on, and the more years you work the larger your monthly Social Security benefit will be. The Social Security Administration calculates your benefits based on the 35 years in which you earned the most money. But many women, especially those who become mothers or caregivers, give up a substantial portion of their earnings to care for a family. .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. .Proponents say that the change is needed because the CPI is inaccurate and doesn't reflect the effect on inflation when consumers substitute different types of lower-costing goods and services as prices increase. They argue that the government overpays Social Security beneficiaries because the current index is inaccurate and overstates inflation. … Continued

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    In the latest issue of Best Ways to Save, retirees, and those nearing retirement learn: .The benefit reduction would be caused by a feature of the Social Security benefit formula that is sensitive to economic recessions and high unemployment. The first step in calculating benefits is to adjust the individual's earnings using the average wage index (AWI) in order to convert the value of past earnings into today's dollars. The AWI is also used to adjust the earnings levels that determine the portion of their average monthly earnings that people are allowed to keep as their benefit. .TSCL believes that the combined effect of COLA cuts and higher Medicare costs would leave the majority seniors far less able to afford necessities in coming years. Today the average monthly Social Security benefit is just ,150 before deductions for Medicare premiums. The average family income of married couples 65 and over including Social Security is just ,718. … Continued

How Does TSCL Project the Social Security COLA? .Efforts to lower the cost of prescription drugs have been taking place at the state level as well as at the national level. This week the New Mexico legislature sent a bill to their Governor that aims to make the state among the first to work with the federal government on wholesale drug importation from Canada. States including Vermont, Maine, Colorado, and Florida have passed similar bills.
Backers said importing lower-cost drugs from Canada would help people who can't afford their prescriptions amid rising costs in the U.S. .I believe it is imperative that we fully support programs that protect the nation's most vulnerable, and ensure that they can easily access them in their time of need. The SNAP Simplification for the Elderly Act will make great strides in that direction. .If you have been fully vaccinated: .Legislation to allow the importation of less-costly FDA-approved prescription drugs from Canada and other nations is still pending in Congress, and TSCL continues to work for enactment. Seniors like you and your wife who order prescription drugs by mail from Canada faced a particularly tough decision about Medicare Part D. Either you enroll in a Part D plan and quite likely pay more than you do now, or don't enroll and face the risk of paying a steep penalty if you change their mind and sign up after the May 15 deadline. .If he proceeds, Trump would force drug companies to accept lower payments from Medicare for treatments administered in doctors' offices. The rule would apply to certain drugs bought by the "Part B" section of Medicare. .One of the options to address Social Security that appears to have widespread support is increasing the Social Security retirement age. Raising the age at which people would be eligible for unreduced Social Security benefits has been discussed by policy "wonks" for years, but has largely remained out of the discussion with the general public. However, this summer two high-ranking Members of Congress spotlighted the topic in a rare public airing that was discussed in the media and the general public. Within a week of each other, Rep. John Boehner (OH-8), the House Minority Leader, and Rep. Steny Hoyer (MD-5), the House Majority Leader, both advocated raising the Social Security retirement age. .Social Security arose again at the hearing when Committee Member James Clyburn (SC) commented on the payroll tax cap, which is currently set at 6,800. He suggested that the cap be raised to cover 90 percent of income – as it did in the early 1980s – in an effort to restore the program to solvency. Some Members scowled disapprovingly at this proposal and it is still unclear whether the Committee will even touch Social Security, but if they do, this option could appear on the short-list. Clyburn asked Barthold to research the potential effects of raising the wage cap and to report back to the Joint Committee. .Former doughnut hole coverage gap: After spending the initial coverage amount of ,005, you are responsible for 25% co-insurance for both generic and brand name drugs, plus a portion of the pharmacy dispensing fee which is approximately $$Your drug plan pays 75% of the cost of generic drugs and 5% on brand-name drugs. The drug manufacturer provides a 70% discount on brand-name drugs. Your total costs in this stage could run as high as ,345 between the end of the Initial Coverage Period and the Catastrophic stage of coverage begins. Altogether, beneficiaries could be responsible for as much as ,350 in TrOOP, which includes the drug costs paid by the beneficiary and the 70% discount on brand-name drugs provided by the drug manufacturer. Payments made by the drug plan DO NOT count TrOOP costs.