News
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Social Security And Medicare Solvency Why Its Time For A Contingency Plan
There are concerns that the impact of delayed care might reach a crisis this winter if a renewed crush of COVID-19 cases collides with flu season. That could overwhelm the system in what CDC Director Robert Redfield has predicted will be "one of the most difficult times that we've experienced in American public health." .Source: Fiscal Year 2010 Inspector General Statement, Social Security Administration Office of the Inspector General, November 2010. .Fortunately, H.R. 3 is not the only legislation in either house of Congress that could lower drug prices and accomplish the other things necessary to fix Medicare and Social Security. … Continued
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Category Issues Medicare Part B Faqs Page 3
TSCL agrees that lawmakers must take action soon to stabilize the individual health insurance market and to bring down skyrocketing prescription drug prices. In the coming months, our legislative team will continue to monitor and support legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would reduce costs and improve care for older Americans. For updates on this bill and others like it, visit the Bill Tracking section of our website or follow TSCL on Twitter. .Medicare Part B enrollees who don't receive Social Security benefits. This includes people who have delayed the start of Social Security benefits, and all people who are billed for Medicare. According to a report from the Kaiser Family Foundation, in 2013, about half of all people on Medicare who don't yet receive Social Security had incomes below ,000. .Legislation to allow the importation of less-costly FDA-approved prescription drugs from Canada and other nations is still pending in Congress, and TSCL continues to work for enactment. Seniors like you and your wife who order prescription drugs by mail from Canada faced a particularly tough decision about Medicare Part D. Either you enroll in a Part D plan and quite likely pay more than you do now, or don't enroll and face the risk of paying a steep penalty if you change their mind and sign up after the May 15 deadline. … Continued
How will the information be used in my treatment? . Find out which drug store has the lowest cost-sharing before you fill. Your cost sharing can be dramatically higher depending on where and how you fill your prescription (retail versus mail order). Make sure you are using a preferred vs. standard network pharmacy and compare the prices of retail pharmacies with getting a 90-day supply from your drug plan's mail order pharmacy. For example, if you are enrolled in the Wellcare Wellness Rx plan and get your Eliquis from a standard in-network pharmacy, your copay for Eliquis after the 5 deductible would be during the initial coverage phase, and 7.38 in the Part D coverage gap. However, if you get your Eliquis from a preferred in-network pharmacy the co-pay is .00 during the initial coverage phase and 3.36 in the coverage gap. Depending on where you live, and your drug plan's mail order pharmacy, sometimes you may save a little more using mail order. .Conference Committee Announces Compromise .Jessie Gibbons – TSCL's senior policy analyst – told Karen Damato of Money, "We're concerned that the abrupt change will cause a lot of confusion and frustration among older Americans, many of whom don't have reliable access to text-enabled cellphones." In addition, Mary Johnson – a policy consultant for The Senior Citizens League – told Mary Beth Franklin of InvestmentNews, "Based on what we know at the moment, the alternative to checking online is either calling SSA's 1-800-772-1213 line, or trekking out to a local Social Security office where you take a number and wait in line." She also said, "The Senior Citizens League feels that online security is vital, but feels alternate options should be offered." .Spending Deal Reached by Congress .In addition, when lawmakers return to Capitol Hill on Monday to begin the lame-duck session, TSCL will keep a close eye on the evolving budget negotiations. Lawmakers have until December 9th to negotiate legislation to keep the federal government operating. Should they fail to miss the looming deadline, the federal government will shut down like it did back in 2013, and Social Security and Medicare beneficiaries could see negative impacts. For progress updates from Capitol Hill, visit the Legislative News section of our website, or follow TSCL on Twitter. .Although the President did not offer specific policy recommendations, he did renew his commitment to lowering prescription drugs costs. He said: "One of my greatest priorities is to reduce the price of prescription drugs. In many other countries, these drugs cost far less than what we pay in the United States. That is why I have directed my Administration to make fixing the injustice of high drug prices one of our top priorities. Prices will come down." .2020 COLA Hold Harmless Issue Brief 9.2020 .The cost of additional coverage varies significantly. There are pros and cons that need to be weighed for the type of selection you make for your additional coverage. For example, you should ensure that your Part D or Medicare Advantage plan is selected based on the drugs you take, and the doctors and hospitals you actually use. (A Medicare benefits counselor will check this information for you on the Medicare website.) While the cost of this additional coverage varies, the coverage offered may be identical, and that is why we recommend getting help from a SHIP counselor, who can help you find coverage to keep your costs to a minimum. Medigap insurance, for example, costs more for the premium, but you would have minimal out-of-pocket costs. On the other hand, you might pay less for the premium of a Medicare Advantage plan, and perhaps get some additional benefits like vision care, but you would have co-pays or co-insurance for each service. In Central Virginia, for example, a Medigap G policy may be found for about 0 per month, and roughly per month for the drug plan (or even less).
