News

  • Fight Over Surprise Billing Regulations In Washington

    The Congressional Budget Office (CBO) and the Joint Committee on Taxation have boosted previous estimates and now say that switching to the chained consumer price index (C-CPI) will cut Social Security and other federal retirement benefits by 8 billion and increase taxes by 2 billion over the next 10 years. The loss to beneficiaries would compound over time and grows deeper each year as illustrated in the following chart. As seniors grow older and more likely to develop costly health conditions, their Social Security benefits would become less adequate to cover rising costs more quickly. .For example, one Maine resident worked in the private sector, paying into Social Security for fifteen years before she returned to the teaching profession. Her earned Social Security benefits would have totaled 0 a month. However, due to the WEP, she receives only 0 each month from the program. She is also unable to collect Social Security spousal benefits due to the GPO, even though her spouse paid into the system throughout his entire career. In retirement, she must rely almost entirely upon her teaching pension, which is modest since she spent only a decade in the profession. She told the National Education Association, "If I had known the severe financial penalty I was to pay for returning to teaching, I don't think I would have done it." .We are still learning how effective the vaccines are against variants of the virus that causes COVID-1Early data show the vaccines may work against some variants but could be less effective against others. … Continued

  • Legislative Update Week Ending June 5 2015

    Medicare's therapy cap on rehabilitation services, such as physical, occupational and speech therapy, has a long and sordid history in Washington D.C. The therapy cap sought to keep the Medicare budget under control but often hurt patients who need care after traumatic medical events. In practice, this cap limits access to Medicare - covered rehabilitation services. Patients are faced with either footing the bill for additional expensive care out of their own pocket or purchasing additional supplementary coverage if they can afford it. .For more information about the Social Security Expansion Act (S. 427), visit the Bill Tracking section of our website. To sign a petition to Congress, click here. To stay updated on The Senior Citizens League's advocacy work on Capitol Hill, follow us on Twitter. .By making decisions now before her health changes, your sister can have more choices and a better chance of telling you "she only wished she would have moved sooner." Doing this together may have you saying the same thing. … Continued

Action on Capitol Hill was slow this week as lawmakers remained in their home states and districts for the holiday recess. They are expected to return to Capitol Hill to begin the second session of the 114th Congress on Tuesday, January 5th. Check back then for legislative news, or visit our new page on Twitter for more frequent updates. .For updates on the three bills endorsed by TSCL this week, follow the Legislative News or the Track Bills sections of our website. To view TSCL's full legislative agenda for the 115th Congress, click HERE. .Whenever possible, share your views with your elected officials. It is important that they are made aware of how their constituents feel. Remember, you are the one who has control over their job security. You could either call or write your Members of Congress. You can find your member of Congress, as well as their address and phone number, through the Guide to Contacting Congress feature on the Home page of this web site. .Lawmakers at Wednesday's Budget Committee hearing discussed potential solutions to the solvency challenge, including the Social Security 2100 Act (H.R. 860), introduced by Congressman John Larson (CT-1) and cosponsored by more than 200 House lawmakers. Congressman Larson, who testified before the committee members on Wednesday, outlined his Social Security reform proposal in detail. .The COLA also doesn't reflect cost increases in Medicare premiums and other rapidly growing Medicare costs. Research for The Senior Citizens League has found that Medicare Part B premiums are one of the fastest growing costs in retirement. Medicare Part B premiums, which are automatically deducted from Social Security checks, often consume most, or even all, of the COLA increase. .The Senior Citizens League enthusiastically supports H.R. 1205, H.R. 6251, H.R. 4957, and H.R. 2212, and we were pleased to see support grow for them this week. For more information about these and other TSCL-backed bills, visit the Bill Tracking section of our website. .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively. .This week, lawmakers in the House and Senate remained in their home states and districts for the two-week spring recess. Both chambers are scheduled to be back in session by Tuesday, April 25th.