News

  • Ask The Advisor February 2021

    TSCL recently sent a letter to every office in Congress calling for enactment of legislation that would provide an emergency COLA, would prevent an anticipated Medicare Part B premium and deductible spike of more than 22%, as well as legislation that would result in a more fair and accurate COLA using the CPI-E in the future. .By Jessie Gibbons, Legislative Director .In determining the COLA what items does the government track for price changes? Why does the COLA grow so much more slowly than my costs? … Continued

  • Legislative Update For Week Ending February 17 2012

    Finally, the Equal Treatment of Public Servants Act (H.R. 711) also gained one new cosponsor this week. Rep. Jared Nadler (NY-10) signed on to it, bringing the cosponsor total up to 10That bill, if signed into law, would repeal the Windfall Elimination Provision (WEP) while establishing a new formula for the non-covered earnings of future retirees. It would also create a separate formula for retirees who are currently affected by the WEP. TSCL believes H.R. 711 is a sensible step forward, and we hope it continues to gain strong support in the months ahead. .The Senior Citizens League agrees with Chairman Johnson's remarks at Thursday's hearing, and we hope that Congress will address the shortfall as soon as possible so that any negative impacts on current or future retirees can be averted. In the months ahead, we will continue to advocate for solutions that strengthen the Social Security program responsibly – without cutting benefits – and we will post updates on Twitter, and here in the Legislative News 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. … Continued

The legislation now calls for a "one-time, one-year increase in the Medicare physician fee schedule of 3.75 percent" in 2021 "to provide relief during the COVID-19 public health emergency." .Based on the growth rate of the Consumer Price Index for Workers (CPI-W) over past 12 months, I'm projecting a COLA in the vicinity of 3.6% for 201But Congress may take action that would slow the growth of the COLA. Deficit reduction plans are likely to call for switching to the "chained" CPI, a move that TSCL feels would further undermine the purchasing power of benefits. The difference between the CPI-W and chained COLA has averaged about 0.3 percentage point since 2000, but that's not the case this year. In fact, if the switch were to affect the COLA payable in 2012, seniors would get a COLA of about 2.8% — a cut of more than 20%. .How frequently is this test recommended for a person of my age and medical history? .Second, in October, Congress passed legislation to strengthen Social Security's Disability Insurance (DI) program. Many of the recommendations that TSCL made to the House Ways and Means Committee back in August were signed into law, including provisions that will ramp up fraud prevention and test new work incentives for beneficiaries. Most importantly, the law prevents a 20 percent benefit cut that was scheduled to hit 11 million disabled beneficiaries in December 201A cut of that size would have been truly devastating for enrollees, and TSCL applauds Members of Congress for averting it. .And no matter what critics may say about the dire finances of the Social Security, the government can find the money for Notch Reform simply by cutting waste, fraud and abuse. The General Accountability Office reported earlier this year that government agencies made over billion in improper payments in fiscal year 200Forty-five billion would more than pay for a Notch settlement. TSCL estimates the cost of the Notch Fairness Act to be around billion. .But bigger deficit reduction would be possible if Social Security taxes were made more equitable. Under current law, high-income earners — people with earnings higher than Social Security's taxable maximum of 7,000— pay nothing on earnings over that amount. In other words, someone earning ,117,000 pays no Social Security taxes on the one million above 7,000. Yet workers earning less than 7,000 pay Social Security taxes on every dime of their wages. The CBO estimates that simply raising the taxable maximum to 7,500 would bring in 0 billion in new Social Security revenues through 202Taxing all earnings would eliminate up to 90 percent of Social Security's funding problems. .The second issue is the COLA – specifically next year's COLA. .Unfortunately, the Senate disagreed among themselves about what to do and they were unable to craft a bill that could pass the Senate. .Sources: "Medicare Beneficiaries Sue US Over Hospital Stays," David Morgan, Reuters, November 3, 2011.