News

  • Ask The Advisor September 2020

    Medicare Advantage plans have somewhat different costs. If the stay is considered observation care, however, that is covered under Medicare Part B, which means you will have a copayment for each individual outpatient hospital service. In addition, Part B doesn't cover most prescription drugs that are received in an outpatient setting. Perhaps even more importantly, the lack of inpatient status also disqualifies you from receiving Medicare-covered care in a skilled nursing facility or nursing home. .Legislation to lower the cost of prescription drugs remains one of TSCL's top priorities. Although the House of Representatives has passed a bill to accomplish that priority, Senate Majority Leader Mitch McConnell (R-KY) continues to refuse to bring the bill up for consideration. .Excludes medical documentation from doctors or healthcare providers convicted of fraud or excluded from participation in federal health care programs. … Continued

  • Legislative Update August 2020

    TSCL Gears Up For Busy New Year .On June 3, 2011, the House Ways and Means Subcommittee on Social Security held a hearing on the Annual Trustees Report. The Subcommittee heard from the two Public Trustees of the Social Security and Medicare Board: Charles Blahous III and Robert Reischauer. .How much are you spending on prescriptions? Be sure to take TSCL's 2019 Senior Survey and let us know. TSCL is working with Members of Congress to enact legislation that would allow Medicare to negotiate drug prices and supports bills that would cap or reduce out-of-pocket spending. … Continued

According to the committee report, a (now retired) Social Security judge, David B. Daugherty, schemed with a disability attorney Eric C. Conn, improperly awarding benefits to "virtually all" of Conn's 1,823 clients. The decisions were based on recommendations by an unusually loyal group of doctors who "often examined Conn's clients right in his law offices" according to a CBS News "60 Minutes" program. .In order to learn more about what services you are eligible for under Medicare, call 1-800-MEDICARE ( 7), a State Health Insurance Assistance Program counselor at your Area Agency on Aging, or your Member of Congress. .The deal will likely move to the House and Senate for a vote before the Presidents Day recess begins. .The Senior Citizens League agrees with Senator Brown, and we oppose the proposal since it would negatively impact Social Security's finances and the retirement security of future beneficiaries. In the days ahead, Senator Marco Rubio (FL) and Senator Joni Ernst (IA) are expected to introduce the proposal as legislation, and TSCL's legislative team will monitor its movement closely. For updates, follow TSCL on Twitter or visit the Legislative News section of our website. .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. .Trustees Release Annual Social Security and Medicare Reports .Although no other generation has yet been affected by a similar Notch, that could change in the future. Congressional inaction on Social Security's long-term financing problems could give birth to a whole new generation of Notch Babies. During recent hearings on the need for making Social Security more sustainable as Baby Boomers near retirement, David Walker, the Comptroller General of the United States, confirmed this saying "Doing nothing means that we are going to head to a precipitous decline in benefits. Remember the Notch Baby problem?" he asked. "This would be a Notch Baby problem magnified multiple times and it should not be allowed to happen." (10) .TSCL agrees, and we enthusiastically support the PRIME Act. We look forward to working with Reps. Roskam and Carney through the remainder of the 114th Congress to help build support for the critical piece of legislation. .In the coming weeks, TSCL will continue to monitor the "myRA" and immigration reform issues that President Obama spoke about on Tuesday evening. We will provide updates here in the Legislative News section of our website as more details become available.