News
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Benefit Bulletin March 2021
We know from past surveys and email comments that you want the freedom to choose how you receive your Medicare benefits — either through a Medigap supplement and Part D plan, or a Medicare Advantage plan that includes drug coverage. Nobody wants to get a cancellation notice or to give up their doctor, hospital or other important provider because their health plan is closing. Maintaining affordable access to quality healthcare coverage is the key issue for every Medicare beneficiary and for TSCL. Coming up with a plan to pay for all this is the hard part which depends heavily on how quickly we can get our economy up and running full speed again and get people back to work. .Some deficit cutters contend that the out-of-pocket costs that Medicare beneficiaries pay will have to go up and seniors should pay more for their Medicare benefits. "This survey is powerful testimony to those who hold such beliefs," says TSCL Chairman Larry Hyland. "This survey indicates that they don't understand how much seniors already spend for their healthcare, and how many have already cut back," Hyland adds. "With the majority of seniors depending on Social Security for at least half of their income, and healthcare costs increasing several times faster than benefits, few beneficiaries can afford to pay any more than they already do for their healthcare," he notes. .This question is signficant in light of proposals to "reform" Social Security. Several proposals, including "progressive indexing" of the benefit formula, involve changes similar to those that were enacted in 1977 that led to the Notch disparity. When proposals to change the benefit formula are debated, Members of Congress, the media, and the public tend to focus on the anticipated percentage of reduction. The danger of doing this, however, is that the assumptions used at the time often bear little resemblence to what accually occurs. … Continued
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Category Legislative News Page 19
On Tuesday, the House Energy and Commerce Health Subcommittee approved legislation that would repeal and replace the sustainable growth rate (SGR), which is the flawed formula that is currently used to determine reimbursements for physicians who treat Medicare patients. The SGR regularly calls for steep pay cuts for doctors and other providers, threatening beneficiaries' access to medical care. .This year, Social Security beneficiaries received no cost-of-living adjustment (COLA) despite a national survey indicating a majority reported higher costs. Do you support legislation that would give seniors an emergency COLA before the end of this year? .The 2017 COLA will likely be 0.3 percent says Mary Johnson, a Social Security policy analyst and researcher for TSCL. "And there's a chance that lower gas prices will drag the COLA down even further, to 0.2 percent," Johnson adds. Either way, the 2017 COLA is expected to raise Social Security benefits by only a few dollars, and any increase will be completely offset by stiff increases in the Medicare Part B premium for most people 65 and over. … Continued
This week, four new cosponsors signed on to the bipartisan Equal Treatment of Public Servants Act (H.R. 711), bringing the total up to 11The new cosponsors are Reps. Don Young (AK-1), Carlos Curbelo (FL-26), Brenda Lawrence (MI-14), and Erik Paulsen (MN-3). .Deductibles: This is the amount you pay out – of – pocket before your insurance coverage kicks in. Most people get CT scans as outpatients under Medicare Part B, which has a deductible of 3 in 2021, meaning you might be responsible for that amount. If your scan is part of a hospital stay as an inpatient, it would bill under Part A which has a deductible of ,48Because you are enrolled in a Medicare Advantage plan, your deductible amounts can vary from the standard Medicare amount. It's a good idea to call your health plan before getting any services, to get an idea about the cost. For people covered by a Medigap supplement, it will cover the Part A deductibles but, as of January 2020, insurers are no longer allowed to sell plans that cover the Part B deductible, Plans C and Plan F to new enrollees. .Background Information: Once Congress returns from the August recess, they will only have until September 30th to raise the debt ceiling and prevent the government from shutting down. In the past, government shutdowns have meant a delay in payments for Social Security benefits, causing unnecessary fiscal hardship for many seniors. Question: What are you doing to ensure the government avoids defaulting on the federal debt? .To learn more, please visit . .The Neal bill was passed by the Ways and Means Committee on Wednesday of this week. It would ban surprise billing using an arbitration process favored by hospitals and specialty physician groups but opposed by insurers, employers and labor unions. Neal's legislation would send all the disputes that can't be settled between the parties to arbitration but require mediators to consider median contracted rates used by health plans, with the mediators prohibited from considering "usual and customary charges," also known as "billed charges." .One of the programs President Biden supported during his campaign for .In the months ahead, The Senior Citizens League will continue to work for enactment of legislation that would strengthen Medicare and lower costs for current and future beneficiaries. For progress updates, follow The Senior Citizens League on Twitter. .President Trump also said this last weekend that over the next 2 weeks he will pursue an executive order requiring health insurers to cover pre-existing conditions. "We will be pursuing a major executive order" on pre-existing conditions, Trump said during a news conference in N.J. .The Social Security Disability Trust Fund (SSDI) is rapidly closing in on becoming the first of the two Social Security Trust Funds to become fully insolvent. The disability trust fund, which is separate from the one that pays retirement and survivors benefits, is due to have funding problems by 2016.
