News

  • 2021 Cost Of Living Adjustment

    Sources: "Divided Deficit Panel OKs Proposal," John Maggs, Politico, December 3, 20"The Moment of Truth" The National Commission on Fiscal Responsibility and Reform, December 2010. .That represents a huge liability to the Social Security Trust Fund, should there be an amnesty. Every year the SSA processes millions of W2s. When a name or SSN on a W2 doesn't match the SSA's records, the wage report goes into an "Earnings Suspense File" (ESF) until the discrepancy can be reconciled. The ESF file today contains more than 312.7 million wage items representing 5 trillion in wages. Wages are what the Social Security Administration uses to determine entitlement to Social Security, rather than the amount of taxes paid. Immigration reform advocates say that although payroll taxes are withheld from the checks of illegal workers, they have little chance of collecting benefits. .With 1.2 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors groups. Its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of The Retired Enlisted Association. Visit for more information. … Continued

  • Medicare Fraud Program Cut Congress Considers Higher Medicare Costs For Seniors

    Last fall, the Government Accountability Office uncovered .3 billion in improper payments from December 2010 to January 2013 made to people who had jobs when they were supposed to be unable to work. To be eligible for Social Security disability, beneficiaries must be unable to work due to a medical condition that's expected to last at least one year, or result in death. The list, however, includes murky afflictions like back pain, depression and other un-measurable afflictions, opening the system to fraud and abuse. .Commissioner Colvin backed the plan to address the DI program's looming insolvency that was released by President Obama in his recent fiscal 2016 budget blueprint. That proposal would adjust the distribution of payroll tax revenues for a period of five years, so that the DI program would receive 0.9 percent more than it currently is receiving, adding around seventeen years to the trust fund's solvency. .As TSCL supporters know, it is a particularly important issue for older people, who rely on medications to manage the medical problems associated with advancing age. However, drug makers remain adamantly opposed to government efforts to curb prices. … Continued

The prices that insurers pay for in-network services are typically much lower than the provider list prices. .According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. .PhRMA, the drug industry's lobbying group, called the bill "the wrong approach to lowering prescription drug prices" and said it "imposes harmful price controls in Medicare Part D." But with drug prices for many brand and specialty drugs running into the hundreds and even thousands of dollars for a single fill, TSCL believes that restricting the rate of increase on prescription drugs, and capping out-of-pocket costs, could help save lives and improve the health of older Americans. .For Medicare Advantage enrollees whose physicians are dropped, this means one of three things. They will either have to scramble to find a new doctor, pay more to see their out-of-network doctor, or switch to a Medicare Advantage plan with a better network of providers. Seniors who did not choose the third option last fall will have to wait until October – the start of Medicare's open enrollment period – to find a new plan. .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. .Compare your drug and health plan options NOW during the Medicare Open Enrollment period before it ends on December 7th. Does your current drug plan even cover your expensive new prescription? If not, you need to check your other options. Chances are another plan will. Use the Drug and Health Plan Finder at www.Medicare.gov. Make sure you carefully enter every prescription drug you take in order to get a custom comparison of your best drug plan choices. Costs can vary by hundreds, even thousands, of dollars, and you may be very surprised by the savings from switching to a better plan. .Did your husband work in 2020? If his earnings averaged more than ,260 per month, he generally would not be considered disabled. .A new Medicare cost-saving rule that was launched late in 2020 will cut payments to hospitals for some surgical procedures and could potentially raise costs for Medicare recipients. According to an article by Susan Jaffe, of Kaiser Health News, the Centers for Medicare and Medicaid Services (CMS) has for years classified 1,740 surgeries and other services as "so risky" for older adults that Medicare would pay for them only when people were admitted to the hospital as inpatients. But under the new rule, CMS is beginning to phase out that requirement. By the end of 2023, these "inpatient only services" which includes complicated procedures such as heart and brain operations, is scheduled to be gone. .TSCL strongly supports legislation that would provide a minimum COLA in years when inflation is below average — such as the Guaranteed 3% COLA Act (H.R. 991) sponsored by Representative Eliot Engel (NY-16). How are low COLAs and higher costs affecting you? Let your Members of Congress know! Call 1-844-455-0045.