News
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Legislative Update Week Ending January 2 2015
In the meantime, TSCL will be keeping a close eye on the budget negotiations since they will impact the funding of the Social Security and Medicare programs. We will post updates here in the Legislative News section of our website, and on our Twitter page. .Now, with the massive amounts of money being spent by Congress to deal with the coronavirus, which is all borrowed money, we cannot help but wonder what Congress will do when the trust funds for Social Security and Medicare become insolvent. There is still time to fix the programs if the trust funds remain as they are now but cutting the payroll would be devastating and would create a new crisis for seniors that we do not need and should not have to face. .Some Seniors to Pay More for Drugs Under New Rule … Continued
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Category Issues Medicare Part D Articles Page 3
"The proposal would apply to both Medicare Part B and Part D drugs, an expansion from an earlier version of the order. The order would apply to Part D drugs where ‘insufficient competition exists.'" .This week, one new cosponsor – Rep. Steve Israel (NY-3) – signed on to the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1030), bringing the cosponsor total up to twenty-four. If signed into law, H.R. 1030 would adopt the CPI-E for the purpose of calculating Social Security cost-of-living adjustments (COLAs). Currently, COLAs are based upon the way young, urban workers spend their money – a method that underestimates the spending inflation seniors experience. H.R. 1030 would address this issue, resulting in more fair and accurate COLAs for seniors. .Sources: "Humana Inc. Overcharged Medicare Nearly 0 Million, Federal Audit Finds," Fred Schulte, NPR, April 20, 202"Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle to Stop It," Fred Schulte and Lauren Weber, Kaiser Health News, July 16, 201"Reducing Medicare Advantage Overpayments," Committee for a Responsible Federal Budget, February, 23, 2021. … Continued
Earnings from work could cause Social Security to withhold your benefits. Should you be successful in your job search, your earnings could affect what you receive in Social Security benefits. Social Security will deduct in benefits for every you earn above the annual limit, which is adjusted annually and is ,720 in 201If for example, you started a job and earn ,000 in 2017, you would earn ,280 more than the exempt ,720. That means Social Security with withhold about ,140 in benefits. If you are receiving a reduced survivors monthly benefit of 5, or ,100 annually, then you would receive only 0 in benefits for the entire year of 201You would receive no benefits at all for 10 months out of the year. .Genetic testing is not routinely used by doctors to screen for cancer. Here's how the scam works— The "target" (that's anyone close to age 65 and up) might receive automated phone calls, often multiple times a week, or may be approached in-person by a "recruiter." The recruiter, who may present herself as a "certified Medicare counselor," convinces the target to take a genetic test promising that Medicare pays the full cost. The patient, however, often never receives a report, or the report may be incomprehensible. .Reducing Medicare costs remains a top piece of unfinished business for TSCL. While Congress was successful in restraining a double-digit Medicare Part B increase in 2021, capping the increase at .90 per month rather than .60 more per month — I was particularly troubled to learn that .00 of the .90 Part B increase is a "repayment" charge. While TSCL congratulates Congress for passing legislation to hold the monthly Part B increase down, at least temporarily, the Part B increase wasn't "forgiven". The balance that won't be paid in 2021 will be recovered through a .00 per month repayment which will be tacked onto future Part B increases. That could take years. .Social Security's Disability Insurance program is littered with waste. Last year, for example, .8 billion in overpayments were made to those collecting disability benefits. In addition, the administration has allowed an enormous backlog to accumulate for Continuing Disability Reviews, which are conducted to determine whether a beneficiary has recovered enough to return to work. Currently, every dollar spent reviewing cases yields more than ten dollars in savings; if the backlog were eliminated, more than billion in savings would be returned to the Trust Fund. The potential savings from eliminating waste within Social Security are enormous and could cover the cost of the Notch Fairness Act. Second, Congress could increase the amount of income subject to the Social Security payroll tax – an option that sixty-seven percent of TSCL members strongly supported in this year's Senior Survey. Currently, yearly income earned above 0,100 is not subject to the payroll tax. .One of our purposes in visiting with those offices was to find out why they do not support the bill and to see if there is any hope that some compromise to the bill could be reached. The main reason they do not support the Grassley-Wyden bill is because it has a provision that they believe would, in essence, result in government price-setting of drug prices and would be a first step toward a one-payer (meaning government) health care system. Each office mentioned other bills that they might support but there is not one bill that the Republican majority is currently in favor of and that might have a chance to pass. It was also stated that because this is an election year there is a very short timeline for action to be taken. .TSCL enthusiastically supports H.R. 2745, H.R. 3118, and H.R. 1795, and we were pleased to see support grow for each of them this week. .A 2.5% COLA would boost an average monthly benefit of about ,500 by an additional ,000 over the next ten years through 2030. An emergency 2.5% COLA would boost a monthly ,500 benefit by an extra .50 (0 per year) in 2021, but it would grow to an extra .30 per month by the end of ten years. Another way to think about this, if retirees do not receive a 2.5% COLA, that would be like loosing ,000 in Social Security income over the next ten years. .Now, the government of Canada is banning drug manufacturers and distributors from shipping any Canadian drugs that might be at risk of shortage to the United States. .Which is right for you? Medigap policies tend to have have higher premiums, but pay most of your out-of-pocket costs, so your costs stay more consistent and predictable. You are also free to use any healthcare provider that accepts Medicare. If you choose Medigap you will also need to enroll in a separate Part D prescription drug plan. Medicare Advantage plans tend to have lower premiums and include drug coverage, but you will have deductibles, as well as co-pays and cost sharing for most services. Hospitalizations could be costly. Many Medicare Advantage plans are managed care and require that you use participating providers to receive reimbursement for your care.
