Your doctor or provider accepts "assignment" or the Medicare approved payment, as payment in full. There may be some doctors in your area that accept assignment, but fewer do that anymore. You will need to call your doctor to find out if he or she accepts assignment. Many are charging more than the Medicare-approved amount and you or your Medigap plan will need to cover the "excess" charges. Even if you do locate a doctor who accepts assignment, a growing number of doctors are not accepting new Medicare patients. To find a doctor who accepts assignment call the customer service number of your Medigap supplement. Then call the physician to find out if he or she is accepting new Medicare patients. .Part B — Seniors with incomes of less than ,000 a year pay a base monthly premium of 5.40, in 2011, which would be automatically deducted from your Social Security benefit. Since 2000, Part B premiums have increased about 154%. .One big difference between Social Security and a Ponzi scheme is the establishment of Social Security by law. Both the amount paid out and the financing coming in can be, and frequently has been, adjusted by Members of Congress. Unlike Ponzi schemes that are supported by voluntary investments, Social Security is supported by tax revenues from working individuals and taxes on a portion of Social Security benefits paid by seniors, both of which are required by law. While Ponzi promised phony payouts, Social Security payouts are established by law as well. They too, have been adjusted over the years. .Deductible: During the initial deductible, the beneficiary pays 100% of the cost of the drug—up to 5 depending on the plan. Many plans provide immediate coverage on generics, and even preferred brand drugs "before the deductible." In this type of plan, you only pay the full price up to the deductible on higher tier drugs, and some plans don't charge a deductible at all. .The bill, known as the Grassley-Wyden bill, would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .In coming years, growing program cost pressures could mean that some illegals may benefit from the use of invalid and fraudulent Social Security numbers at the expense of others who worked and paid into the system legally. TSCL's new 2014 Senior Survey found that 87 percent of respondents favor prohibiting payment of Social Security benefits calculated on earnings from unauthorized work by illegal immigrants. TSCL supports legislation that would prohibit earnings under invalid and fraudulent Social Security numbers from use in determining entitlement to Social Security benefits. .Rep. Ted Deutch (FL-21) introduced H.R. 1811 on April 15, 201It has since been referred to the Committee on Ways and Means and to the Committee on Education and the Workforce. .First, two new cosponsors – Representative Paul Gosar (AZ-4) and Representative John Larson (CT-1) – signed on to the Audiology Patient Choice Act (H.R. 2276), bringing the total up to thirty-two. If adopted, H.R. 2276 would improve Medicare coverage for hearing services that are performed by licensed audiologists. Under current law, audiologists are not recognized as providers of health-related hearing services, and the Medicare program will only reimburse them for their services when patients are referred by physicians or nurse practitioners. .While Congress continues to discuss similar changes to the Social Security benefit formula today, Notch Reform remains a legislative priority for TSCL. TSCL estimates that 2.7 million Notch babies and their spouses or widows would benefit from passage of The Notch Fairness Act. The legislation would provide Notch Babies, born 1917 through 1926, ,000 payable in four annual installments, or an improved monthly benefit. Representative Mike McIntyre (NC-7) introduced the legislation in the House where it has 17 cosponsors, and Senator David Vitter (LA) has introduced a corresponding bill in the Senate. TSCL continues to work for passage.