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  • Fastest Growing Retiree Prices August 2018 August 2019

    Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. .When no, or a very low, COLA occurs, a provision of law known as "hold harmless" is triggered. Under the provision, when an individual's Social Security COLA is insufficient to cover the increase in the Medicare Part B premium, the Part B premium is adjusted so that one's Social Security benefit isn't reduced from one year to the next. About 70% of Medicare beneficiaries are protected by hold harmless from rising premiums. .Cutting the payroll tax permanently, which President Trump said he would seek to do if he is re-elected, would bring insolvency even closer and make the whole situation so much worse. … Continued

  • S 124 Preserve Access Affordable Generics Act

    Action on Capitol Hill slowed down this week as Members of Congress returned to their home states and districts for the week-long holiday recess. Meanwhile, The Senior Citizens League (TSCL) announced its support for Medicare fraud prevention legislation, and one key bill gained a new cosponsor. .Holiday Recess Begins .A few years later, under 2003 Medicare drug legislation, funding for private plans was significantly boosted and the program got rebranded as "Medicare Advantage." Enrollment grew steadily and rapidly ever since. But by 2009, government economists reported that the payments to the plans cost the federal government 14 percent more than the same services would have cost under traditional Medicare. … Continued

According to the Inspector General's report, of the 6.5 million active numbers, the Social Security Administration had issued payments to 266 of the number holders, but a review found that only 13 people were likely to be still alive and collecting benefits. In addition to the problem of payments to the dead, the balance of the 6.5 million active numbers pose a risk because they could be stolen to claim fraudulent tax refunds and to work illegally. The IRS has estimated that it paid out .8 billion in fraudulent tax refunds in 2013 because of identity theft. .And no matter what critics may say about the dire finances of the Social Security, the government can find the money for Notch Reform simply by cutting waste, fraud and abuse. The General Accountability Office reported earlier this year that government agencies made over billion in improper payments in fiscal year 200Forty-five billion would more than pay for a Notch settlement. TSCL estimates the cost of the Notch Fairness Act to be around billion. .The Senior Citizens League is proud to have endorsed the BENES Act, and we hope the Senate Aging Committee will work to enact this legislation by the end of this year. To stay updated on the progress of the BENES Act, visit the Bill Tracking section of our website. .Three Key Bills Re-Introduced in Congress .TSCL agrees that the IPAB should be repealed before it is triggered to begin making cost-cutting recommendations to Congress. Even though the Affordable Care Act forbids the board from "rationing" care, cutting Medicare benefits, or increasing premiums, TSCL is concerned that cuts to providers could result in increased costs for beneficiaries or decreased access to quality medical care. .A government shutdown occurs when Congress fails to pass the appropriations bills that allow agencies to operate. As a result, federal workers and government contractors temporarily don't get paid until after the shutdown has ended. But hitting the debt limit would have far more reaching effects. The debt limit is the legal limit on the total amount of debt the federal government may take on. That limit is especially important to older Americans because the federal government has used trillions in excess payroll tax revenues from the Social Security and Medicare Trust Funds in the past, and now must borrow in order to pay Social Security and Medicare benefits in full and on time. .In our meetings on Capitol Hill, we're frequently told that Notch reform would more likely be addressed when Congress takes action on comprehensive Social Security reform, as it appears to be interested in doing now. TSCL is meeting with Members of Congress to ensure that Notch Reform is considered. .On Wednesday, the Ways and Means Social Security Subcommittee met to discuss fraud, waste, and abuse within the Disability Insurance (DI) program. Subcommittee members heard from two expert witnesses – Sean Brune of the Social Security Administration (SSA) and Seto Bagdoyan of the Government Accountability Office (GAO) – on recent progress the administration has made in detecting and preventing fraud. .The process involves more than just an application. If you qualify you would also need to select a drug plan. You can apply for Extra Help anytime. Visit socialsecurity.gov/i1020 to apply online. Call Social Security at 1-800-772-1213.