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  • Ask The Advisor February 2013

    According to the Center for Public Integrity, one of the nation's oldest nonpartisan investigative news services, home visits have risen sharply at many Medicare Advantage health plans. While visiting nurses and doctors don't offer any treatment during these visits, they do report exam findings to the patient's primary care doctor. Insurers say the free annual physicals offer a new benefit to help certain health plan enrollees stay fit and in their homes as long as possible. But critics, including some Members of Congress, are concerned the visits may be padding Medicare's bill. .Unlike most of the top 10 causes of death, such as heart disease and cancer, which are covered in large part by Medicare, Alzheimer's care comes with extraordinary costs that are not covered. Medicare covers medically necessary inpatient hospital care, doctor's fees, outpatient services such as blood tests, and Part D covers many prescription drugs. However, a dementia diagnosis most often requires custodial care, like help bathing, eating, dressing, and supervision. Medicare does not cover custodial care. .When the Great Recession hit eight-plus years ago, the focus was on the double-digit unemployment rates and the devastating impact on recent college and high school graduates. Largely ignored in the discussion were mature workers who were hit equally as hard. … Continued

  • Will Social Security Last As Long As You Do 2

    Welcome to the month of February! This week, President Donald Trump addressed the nation in his first State of the Union, and The Senior Citizens League (TSCL) monitored negotiations at one Senate hearing. In addition, four key bills gained new cosponsors in the House and Senate. .However, one week ago a federal judge in California issued a ruling stopping the implementation of the rule because of the "government's failure to complete the notice and comment procedures required by the Administrative Procedure Act." .TSCL's legislative team is monitoring the tax reform negotiations closely, and we have serious concerns about several provisions that would impact older Americans, including the following five… … Continued

And, in case you had any doubts about why you need that Medicare Advantage plan in the first place, here are the general types of costs if you have Medicare Advantage plan coverage compared with having traditional Medicare with a Medigap supplement. .The "defined benefit" pension plan has become rare, only available to about 16 percent of private sector workers, according to the Bureau of Labor Statistics. Most companies have transitioned from traditional pension plans that offer a fixed benefit to 401(k) plans, that are invested in the stock and bond markets, and vary on the amount of income that can be expected, depending on investment performance and the economy. .These trends are likely to continue a rapid climb in years to come. The first jump in the ESF coincided with the big increase in illegal immigration of 1970's. When Congress overhauled immigration laws in 1986, amnesty was offered to immigrants who could prove they were longtime, law-abiding residents. About 3.1 million were legalized, twice as many as the government expected. Because the law had no provisions for any new workers to enter, illegal immigration continued.(8) .The credit will include children who turn age 17 or who are under that age in 2021. .Such logic would be disastrous if it were applied to a successful COVID vaccine. COVID-19 has shut down countless businesses, creating record-high unemployment. And the medical consequences of severe COVID-19 mean weeks of highly expensive intensive care. .This failure of the COLA to keep up with rising Medicare Part B premiums and other retiree costs is creating a dilemma that is growing in magnitude, not only for older Americans, but also for the nation's safety net programs like Medicaid. A majority of Social Security recipients depend on their benefits for more than half of their income, and almost half of all retirees have only limited or no retirement savings at all. The lack of adequate growth in benefits over the past eight years is pushing modest income seniors into poverty, forcing even those who started out as middle-income retiree households to rely on Medicaid for help paying Medicare costs, rental subsidies, fuel assistance, food pantries and senior meals programs. .PLEASE be careful – and remember, there is NO vaccine, cure, or proven treatment for the coronavirus at this time. Do not waste your money on some "medicine" that supposedly will treat or prevent you from getting sick. .If signed into law, the Medicare Advantage Participant Bill of Rights Act would prevent Medicare Advantage plans from dropping physicians from their networks during the middle of the year, and it would require them to finalize their networks sixty days prior to the start of the open enrollment period. .The Hard Times Guide to Retirement Security