News
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Legislative Update For Week Ending August 1 2014
Medicare Reform – Protect beneficiaries from changes that would impose greater out-of-pocket costs to beneficiaries. .Fight to End Surprise Billing is Losing Key Ally .If our annual COLA works as intended, this should not happen. … Continued
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Ask Advisor Septemberoctober 2016
With many seniors spending 30 or more years living in retirement, a COLA that keeps up with rising costs is essential protection for making retirement savings last, and for preventing seniors from falling into poverty. Yet over the past five years, Social Security benefits have grown on average about 1.4% per year — less than half the average rate of growth in previous years. Recent projections by the Congressional Budget Office for 2015 suggest another low COLA of 1.6% next year. .Immigration Reform .More than 30% of all Medicare beneficiaries were enrolled in Medicare Advantage plans last year. The federal government pays plans a monthly fee to deliver all their healthcare needs — a fee that's based for the most part on risk scores. In 2015 plans like Humana received on average about ,900 per person for the year. According to government estimates, Medicare made nearly billion in improper payments to Medicare Advantage plans from 2008 through 2013, mostly due to inflated risk scores. … Continued
I turn 65 later this year and I'm in good health. How much will Medicare premiums cost, and what other costs will I have? I do not get health insurance where I work. .You may be surprised to learn that Members of Congress, and their congressional staff, receive their employer-sponsored insurance through Obamacare. Their health benefits would also be affected by an Obamacare repeal as well — but unlike your sister and millions of other Americans, Members of Congress already have high quality health insurance to replace their Obamacare plans. In fact, the premium costs of some Members of Congress could go down as they transition back to getting insurance through the Federal Employees Health Benefits Program (FEHB). .One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services. .Support Grows for Social Security Fairness Act .The Part D initial coverage limit is ,960 this year. "That includes what both the beneficiary and the drug plan must pay, " explains TSCL's Chairman Ed Cates. Once in the doughnut hole, beneficiaries are on the hook for 65% of the cost of generic drugs, or 45% of the cost of brand name drugs. Medicare beneficiaries must spend a total of ,700 out of pocket in drug costs for the year, before catastrophic coverage kicks in. "Even then there's still some additional smaller co-insurance payments," Cates adds. .For this reason, TSCL announced its support for the Protecting Seniors' Access to Medicare Act back in March, and our legislative team has been busy advocating for it on Capitol Hill. The bill's sponsors expect the House Ways and Means Committee to take it up before the end of the year, and they are hopeful that both chambers will pass it shortly thereafter. For updates, visit and, on our new Facebook page, at www.Facebook.com/SeniorsLeague. .Regarding Medicare, the budget blueprint calls for increased means testing for Parts B and D, and it would increase out-of-pocket spending for new beneficiaries by charging them co-payments for home health services, and by adding a surcharge to certain Medigap plans. TSCL fears that these added costs for beneficiaries could result in some unforeseen consequences. .This week, Members of Congress returned to their home states and districts for a week-long recess to celebrate the Thanksgiving holiday. They are expected to return to Capitol Hill on Monday, November 28th, to resume the lame-duck session. .The Obama Administration and proponents of Obamacare have continued to downplay the cancellations of the health insurance of 4.7 million individual policy-holders (including yours truly) who received notices that our polices would be ending in 2014 because they didn't comply with the new healthcare law. I was able to temporarily renew my so-called.
