Congressional Corner We Have To Do A Better Job On The Cola
According to the new survey by The Senior Citizens League, the majority of Medicare beneficiaries (72 percent) report spending for prescription drugs that was less than the Part D initial coverage limit in 2020. But 28 percent of survey participants report a level of monthly drug spending (at least per month and more for co-pays and co-insurance) that puts them at risk of exceeding the Medicare Part D initial coverage limit and hitting the "coverage gap" or "doughnut hole" — the point at which drug costs can be higher than under initial coverage. In addition, one quarter of survey participants, 25 percent, said they postponed filling one or more prescriptions in 2020 due to high cost or shortages. Under current law there is no annual cap on out of pocket spending in Part D, except for the lowest income beneficiaries who qualify for Medicare Extra Help which covers most of their out of pocket costs. .Who are these beneficiaries? The Inspector General's report refers to these beneficiaries as dependents and survivors of other Social Security beneficiaries and subject to the Social Security Alien Nonpayment Provision (ANP) law. The ANP forbids payment of retirement, survivor and disability benefits when non-citizens have been outside the United States for more than 6 months. But as is so often the case with Social Security law, there are several exceptions; for example, if the non-citizen is from a foreign country that has its own social insurance system and meets certain conditions. Mexico is on the list of countries that meet the conditions of the exception. .Second, six new cosponsors signed on to the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), bringing the total up to twenty-six cosponsors. The new cosponsors are: Representative Adam Schiff (CA-28), Representative Joe Kennedy (MA-4), Representative Greg Walden (OR-2), Representative Kevin Kramer (ND-1), Representative Dan Webster (FL-11), and Representative Don Bacon (NE-2). If adopted, H.R. 4841 would allow for and standardize electronic prior authorization for Medicare Part D beneficiaries. … Continued
Best Ways To Save Aprilmay 2013
The House of Representatives has scheduled a vote for this coming Wednesday on a new CR that will last until Dec. 18, as well. .The overpayment amount that the Social Security Administration is claiming in your case may be due to several reasons. Here are some things that may affect you: .What would you say are the three most important decisions to maximize Social Security? … Continued
In June, the Medicare trustees estimated that Part B premiums will rise only .50 in 2019, from 4 to 5.50. However, according to a recent survey conducted by The Senior Citizens League, roughly 25 percent of all Medicare beneficiaries are currently paying less than 4 per month due to a special "hold harmless" provision of law. Their Part B premium hikes will be much larger than .50, offsetting a larger portion of the 2019 COLA. .That's because COLAs are currently based upon the way young, urban workers, rather than seniors spend their money. The Bureau of Labor Statistics (BLS) uses an inflation index called the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). It regularly underestimates the spending inflation that seniors experience since it fails to capture the rising costs of medical care, upon which older Americans spend a disproportionate share of their income. .Thousands of The Senior Citizens League's supporters – including the 800 petition signers – have told us they are failing to keep up with rising costs, and they are forced every day to make tough decisions about how they will spend their Social Security checks. To address this growing issue, The Senior Citizens League and its supporters urge Congress to adopt the Social Security Expansion Act (S. 427) before the end of the 115th Congress. .The credit for qualifying children is fully refundable, which means that taxpayers can benefit from the credit even if they don't have earned income or don't owe any income taxes. .Initial Coverage Period: During this stage of coverage you pay a co-pay or co-insurance of 25% of the cost of covered drugs, and the plan pays 75%, up to a total of ,005 (beneficiary) and ,015 (plan). This includes any applicable deductible. Your plan's full retail drug cost, not your co-pay, is what counts toward entering the coverage gap. Your co-pays or True Out-of-Pocket costs (TrOOP) count toward exiting the coverage gap and qualifying for catastrophic coverage. .Fixing this problem seems to be more complicated than passing a continuing resolution to temporarily fund the government. Senate Minority Leader Mitch McConnell (R-Ky.) has made it known that no Republican Senators will support raising the debt ceiling and without Republican support Democrats will have to resort to a special procedure called "reconciliation" in order to pass it because of the Senate filibuster rule. In the past there has been partisan squabbling over raising the debt ceiling but when it came right down to it both sides ended up voting to raise it. We'll find out very soon whether that will happen this time. .I take a brand name drug that costs more than 0 per month in 2019 and I have a co-pay of In 2019, I hit the Part D coverage gap. Can you tell me how much I would have to pay in the Part D doughnut hole next year? .The stockpile had 13 million medical-quality N-95 masks when the pandemic hit. The government aspires to have 1 billion, with 300 million anticipated by fall. It had 2 million gowns at the start of the pandemic and expects that to grow to as many as 7 million. .As a proud affiliate of TREThe Enlisted Association, and because many of TSCL supporters are military retirees we keep a close eye on the health benefits of military retirees.