News

  • Issues Medicare Means Testing Faqs

    Is The Government Manipulating COLAs? .What does the policy cover? In addition to basic services, make sure you learn about tooth removals, root canals, periodontal gum treatments, dentures, crowns, bridges and implants. Read details carefully. For example, your dental plan may only cover one implant a year, even though you may need to get two or more done at one time. .How can I get in contact with Medicare? … Continued

  • November 2012 Pharmacy Choice

    This week, TSCL endorsed two new bills from Congressman Lloyd Doggett (TX-35) – the Transparent Drug Pricing Act (H.R. 4116) and the Competitive DRUGS Act (H.R. 4117). If signed into law, the bills would promote transparency in the prescription drug industry and prevent anti-competitive pay-for-delay deals, in which brand-name drug companies pay generic drug makers millions of dollars to delay the introduction of their generic medicines to the market. .Managing the cost of pet care grows more emotionally and financially challenging as we and our pets age. The cost of care often sets up ethical dilemmas, especially for older adults facing unfunded gaps in retirement income. .The Social Security COLA is calculated using the consumer price index. There are several of them, and the government uses the Consumer Price Index for Urban Wage Earners and Workers (CPI-W) to calculate the annual boost. That index, though, doesn't measure how people 62 and older spend their money. It measures how younger working adults do. Seniors, however, have different spending patterns, and have to spend a growing share of their budget on healthcare, which in most years outpaces overall inflation. … Continued

In 2017, there was a tiny 0.3% COLA and raising Sally's benefit from ,000 to ,00But in 2017 the Medicare Part B premium took a stiff jump to Once again, because the COLA was so low, Sally's share of the Medicare premium was adjusted downward so that her Social Security benefit would not be reduced. However, virtually all of her .00 per month COLA was put toward the increased Part B premium, and today Sally pays a monthly Part B premium of 7.90. .In addition, your Social Security benefit is likely to be small anyway. When Social Security calculates the initial benefit, the amount of total earnings would be averaged over a 35-year (420 month) period to determine your average monthly earnings. While you become eligible with a little as ten years of earnings total, the SSA will still average your earnings over the 420-month period. This would produce a low average initial benefit amount. Then the WEP adjustment would reduce your initial benefit formula by scaling back the amount of average monthly earnings that would be credited toward your benefit. .In 2015, the Senate Finance Committee came up with a simpler explanation for high drug prices. After reviewing 20,000 pages of company documents, it found that Gilead Sciences had what the committee's ranking Democratic member, Ron Wyden of Oregon, called "a calculated scheme for pricing and marketing its hepatitis C drug based on one primary goal, maximizing revenue." .Even though I have good insurance, I wound up with ,260 in unexpected out-of-pocket costs after being referred to a specialist who ordered "a few tests." I later learned that most, if not all of the tests I was given were probably unnecessary, and not recommended by the physician groups, based on my medical history. The visit with my specialist lasted only 15 minutes. At check out I learned the doctor had ordered four high-tech tests including a CT scan. No explanation was given about what the doctor was looking for, why the tests were necessary, or how they would help, nor was I given the opportunity to go back and ask the doctor before leaving. Nothing abnormal was found in any one of them. While I'm grateful for that, the stack of bills I received later forced me to tap savings that I was hoping to count on for retirement. .To learn more about proposals that would affect your Medicare and Social Security benefits, to get tips on reducing your Medicare costs, and to sign up for TSCL's free online newsletter, The Social Security & Medicare Advisor, visit TSCL at . .TSCL has been working with Rep. Larson the past few years to expand Social Security benefits, strengthen the Social Security Trust Fund and correct the flaw in the way annual COLAs are determined. We look forward to his reintroduction of the Social Security COVID-19 Correction and Equity Act. .Sources: "Crackdown Proposed To Prevent Illegal Immigrants From Obtaining Medicare," Robert Pear, The New York Times, March 3, 201"Medicare Improperly Paid Providers Millions Of Dollars For Unlawfully Present Beneficiaries," Daniel R. Levinson, Department of Health and Human Services Office of Inspector General January 2013. .We had no way to tell how much worse these scams were about to become. As a result of this pandemic, our legislative efforts must evolve just as these scams have. .The coverage offered through the state of Virginia, however, didn't offer the same additional benefits, and would cost Paula a monthly premium of 0 in 200If she chose to "opt out," Paula would not be able to receive Medicare supplemental coverage or drug coverage through her former employer in the future.