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    We recently moved my mom from another part of the state to live with us. She's starting to have memory problems and it's too risky for her to live on her own. Recently when we went for a visit to her new doctor, I discovered that her Medicare health plan isn't accepted in our area. Can she enroll in a new plan now that Open Enrollment is over? .The CBO also notes that increasing the payroll tax rate or subjecting more earnings to the payroll tax could improve Social Security's financing. .Getting the maximum you've earned on your personal work record requires some homework and planning. You can't count on getting all of your retirement advice from the Social Security Administration. According to TSCL's Senior Survey, 77% of participants said they received no counseling from Social Security staff about the best age to start benefits, undoubtedly because people are directed to sign up for benefits online. … Continued

  • Legislative Update 5

    The CMS rule change would also make it more difficult to qualify for nursing home and even home health care coverage after leaving the hospital. To qualify for nursing home coverage, one must spend three days as an inpatient. Outpatient stays do not qualify for Medicare coverage of nursing home stays. Without a qualified hospital inpatient stay, patients may even have trouble finding home health care agencies that would serve them due to Medicare's lower Part B reimbursement rates. .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. .Social Security Reform – Work for solutions that extend the Trust Fund's solvency and strengthen the program without enacting harmful cuts. … Continued

Patients would spend less to achieve better health. Value-based care systems focus on helping patients to recover from illness and on managing or avoiding chronic disease. The aim is to decrease the need for doctor visits, medical tests and procedures, and to reduce the amount of money spent on prescriptions while improving health. Value-based care encourages health providers to spend time on prevention-based services in order to focus more efforts on managing chronic disease with the goal of reducing costs like emergency room visits and hospitalizations. .COLAs Going To Be Flat In 2014 .Locate the booklet of information about your drug plan for 2020. Your drug plan is required to send you "Evidence of Coverage" for 2020, a booklet that outlines your plan's coverage for your prescription drugs, and what you pay in general. If you don't have that information from your drug plan, or if you don't see answers to your specific questions, you can call the customer service representative of your drug plan directly, or you may find information about your drug plan online by searching drug plans at www.Medicare.gov. .Is Life Insurance After Starting Social Security Worth the Money? .As part of our continuing efforts to find ways to lower the costs of prescription drugs, TSCL supports the idea that people should ask their doctors if taking a generic is available and appropriate for their specific ailment. .Manufacturers have traditionally claimed that only the lure of windfall profits would encourage them to take the necessary risks, since drug development is expensive and there's no way of knowing whether they're putting their money on a horse that will finish first, or scratch. .Congressional support for a bi-partisan deficit reduction solution before the November 21st deadline is dwindling as each day passes. Republican co-chairman of the joint committee, Rep. Jen Hensarling (TX-5), expressed discontent with Democratic colleagues this week for rejecting the latest GOP offer. "I will give my Democratic colleagues credit for at least putting some reforms on the table, but frankly they do not solve the problem," Hensarling said. .Now we are looking for viral deliverance when drug development is one of the world's most lucrative businesses, ownership of drug patents is disputed in endless court battles, and monopoly power often lets manufacturers set any price, no matter how extraordinary. A new cancer treatment can cost a half-million dollars, and old staples like insulin have risen manifold in price to thousands of dollars annually. .TSCL would like to remind you that Members of both the House and the Senate will remain in their home states and districts until Monday, September 10th. We encourage you to contact your Members of Congress to request their support for fair cost-of-living adjustments, Notch fairness, and other issues affecting seniors.