News

  • Judge Halts Illegal Immigrant Crackdown

    In March, the Trump administration paused routine nursing home inspections, which typically occur about once a year. Instead, the Centers for Medicare and Medicaid Services (CMS) asked that state agencies focus on inspecting facilities for their infection control practices, such as whether staff wash their hands or properly wear protective clothing before tending to multiple patients. .Old vs. New LawЧMonthly Benefit Differentials .Both Social Security and Medicare have come under intense scrutiny for benefit cuts in recent years of deficit reduction negotiations. Immigration proponents say that immigration reform would boost the payroll taxes flowing to both programs and prolong program solvency. Critics, including TSCL, say that giving hundreds of thousands of illegal immigrants new access to Social Security would boost long-term costs far more than the 2-year estimated gain in solvency that the Social Security program would receive. Under current law the government continues to calculate entitlement and the amount of the initial benefit based on all earnings, even for jobs worked under invalid or even fraudulent Social Security numbers prior to gaining legal work authorization. … Continued

  • Action Call

    But critics say the failure to make in-person checks prevented states from identifying lapses at a crucial time. The fact that family members were blocked from visiting their relatives — a policy intended to prevent the virus from entering the facility — removed another source of accountability in homes, some of which ended up having more than half of their residents stricken with the coronavirus. .Can I expect a cost of living increase this next year? Something needs to happen! .Prices like these are not only unaffordable for most Medicare recipients, these costs also place pressure on Medicare's finances, since Medicare pays 80% of Part D costs during the catastrophic phase of coverage. Although drug plans vary significantly, the 2019 "standard Part D benefit" has a 5 deductible and a 25% co-insurance up to an initial coverage limit of ,820 in total drug costs. That includes both what consumers and their drug plans pay. Once total costs exceed that amount, beneficiaries hit the Part D "doughnut hole" or coverage gap. Under that stage of coverage, beneficiaries pay 25% coinsurance on the discounted price of brand name drugs, and 37% co-insurance for generics until they have spent a total out-of-pocket of ,100. At that point beneficiaries enter the catastrophic phase of coverage, but are still on the hook for 5% of the cost of their prescriptions. … Continued

The agreement appears ambiguous on this issue, and TSCL has filed four Freedom of Information Act requests in order to obtain copies of estimates of the cost to Social Security. After receiving the first known copy of the agreement in December of 2006, which apparently had never been made public, even to Members of Congress, the battle to obtain key documents in federal court has continued for TSCL. According to the State Department, public disclosure of the withheld information would risk undermining U.S. efforts in important areas of U.S. foreign policy. TSCL rejects this and will ask the judge to look at documents to see if they have been properly withheld. Although current U.S. law forbids the payment of Social Security benefits to illegal immigrants, there are loopholes and exceptions. .While that may solve one problem in trying to find the most affordable health care, it's not clear it will solve many others that still exist. .To help you sort things out, TSCL strongly recommends that you get free one-on-one Medicare counseling through your state health insurance assistance program (SHIP). Many of the programs operate through area agencies on aging, local departments of senior services or senior centers. You can also get more information online at www.Medicare.gov or call 1-800-Medicare ( 7). ., editor, and Terry Newell, President, Leadership for a Responsible Society .Medicare Advantage plans offer comprehensive hospitalization, doctor, and outpatient services through selected network providers, and most also include coverage of prescription drugs. Typically, premiums for Medicare Advantage plans can be 60% less than premiums for a Medigap supplement and a prescription drug plan. Many also offer extra benefits that are not covered by Medicare, like vision or dental benefits. .You should still take steps to protect yourself and others in many situations, like wearing a mask, staying at least 6 feet apart from others, and avoiding crowds and poorly ventilated spaces. Take these precautions whenever you are: .We are covering this study again because according to an article on BenefitsPro.com, "The study is part of a growing body of evidence that cost-sharing, designed to encourage consumers to make smarter choices when shopping for health care, is not achieving that goal. Both anecdotal and statistical data suggest that health care, as it exists today in the U.S, is simply too complicated and opaque for Americans to approach as a simple consumer product." .It's smart to compare your health insurance options. Your Initial Enrollment period for Medicare begins three months before you attain age 65, the month you turn 65, and ends three months after you attain 6If you decide in favor of starting Medicare as soon as you are eligible, then you would want to shop and compare coverage costs now. .TSCL Gears Up For Busy New Year