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  • Ask Advisor June 2016

    The Social Security Administration calculates benefit withholdings based on the amount you report that you will earn for the year, and then will withhold all benefit payments for a certain period of months to cover excess earnings. For example, say you received a Social Security benefit payment of 0 per month in 2007 (,800 for the year). Let's say that during 2007 you worked and earned ,450 or ,490 over the earnings limit (,450 - ,960). Social Security would withhold ,745 in benefit payments covering slightly more than 6 months of your payments. .TSCL agrees that the IPAB should be repealed before it is triggered to begin making cost-cutting recommendations to Congress.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. .The database that compares health plans and Medigap policies does not give specific costs, but supplies a range of likely costs. I find some of the estimates confusing and misleading because they are based on certain government assumptions about the services an "average" Medicare recipient uses. Because nobody is "average," this may over or under state costs in your specific case depending on your health. … Continued

  • Heres How To Fix Social Security Disability Without Benefit Cuts

    While inflation varies significantly depending on the area of the country in which people live, locality - based payment rates are not calculated on living costs or specific price levels like the COLA. According to a story appearing on the Federal News Network's website, this is a common misconception about locality pay. In fact, consumer inflation is not even a factor when setting locality pay. .Since 2000, cost-of-living-adjustments (COLAs) increased Social Security benefits a total of just 43 percent. Meanwhile typical senior expenses have jumped 86 percent, according to TSCL's 2017 Loss of Buying Power Study. The following table illustrates ten of the fastest growing costs since 2000. .TSCL's surveys have found that moving Medicare Part D to a pricing system that has similarities with Medicaid has strong support among older adults. Seventy percent of those who participated in our 2019 Senior Survey support allowing Medicare to negotiate prices for prescription drugs using a similar system to Medicaid's. … Continued

Get routine physicals and screenings done prior to the start of Medicare's annual Part D Open Enrollment. Case in point: My client had problems with her new blood pressure medication. It was one of the most common and inexpensive generics but she suffered from extreme fatigue and depression. At my urging, she returned to her doctor and was given a new brand prescription to try and a 7-day free sample. She felt better right away. Routine physicals and screenings are generally scheduled about 12 months apart, but try to get them completed about 30 days BEFORE the annual fall Medicare Part D Open Enrollment period, so you can allow for a trial period with any new meds. When you get your new prescription, ask your doctor or pharmacist for a complete list of side effects or possible drug interactions. Keep a list of symptoms if you don't start feeling better. .The loss of a job entitles each of you to a Special Enrollment Period (SEP), but the rules and deadlines will differ for each of you. Because your husband is under the age of 65, he should check options for coverage on the Health Insurance Marketplace (www.Healthcare.Gov). Because of your husband's job loss, your income may be lower and he may qualify for an advance premium tax credit subsidy that would lower the cost of premiums. .How to Protect Yourself and Others .Prescription Drug Re-Importation – Making safe, secure re-importation a reality. .Sources: "Income of the Population 55 or Older," 2008, Social Security Administration. "Health Care On A Budget," Kaiser Family Foundation, June 2011. .On Wednesday, the Board of Trustees – along with Shannon Benton (Executive Director), former Congressman Van Hilleary (Legislative Consultant), and TSCL's staff – spent the day meeting with four Congressional offices. Support was expressed for a number of bills that would strengthen Social Security benefits for older Americans, including the CPI-E Act (H.R. 3961), the CPI for Seniors Act (H.R. 3074), and the Honesty in CPI Reporting Act (H.R. 3500). .My brother-in-law has a low income and is getting home healthcare services. Recently I stopped in and saw a fancy new TV. When asked where it came from, my brother-in-law said it was a rebate from the home healthcare agency. Does Medicare or Medicaid allow this? We live in South Florida. .Medicare Advantage plans contract with Medicare to provide all basic Medicare services, and plans receive monthly lump sum payments that cover expected costs for an average Medicare beneficiary. But officials have known for years that some Medicare Advantage plans overbill the government by exaggerating how sick their patients are, or by charging Medicare for treating serious medical conditions that they cannot prove that patients have. Audits of 37 health plans revealed that, on average, auditors could confirm only 60% of the more than 20,000 medical conditions that CMS paid plans to treat. .The Notch Fairness Act, legislation that would pay Notch Babies born from 1917 through 1926 a choice of ,000 in four annual installments of ,250 or an improved monthly benefit, was recently reintroduced in both the House and the Senate. Members of Congress have not forgotten about you and Notch reform may be closer than anybody thinks.