Fraud Abuse Costing Medicare
Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home. .With only six weeks to go before the December 13th deadline, it remains to be seen which path the budget conference will take. Leaders of the conference announced on Wednesday that the next public meeting will be held on November 13th, but most of the work will likely occur behind closed doors in the coming weeks. Regardless, TSCL will continue to monitor the evolving budget negotiations, and we will post updates here in the Legislative News section of our website. .Because of the huge demand various brands of sanitizers started appearing in stores that we had not seen before. Then we were alerted that some of those that were made in Mexico contained methanol, a form of alcohol that's poisonous to humans, and we should not use them. … Continued
White House Action Immigration Expected
Medicare is currently prohibited from covering most hearing, vision, and dental services, even though millions of seniors are afflicted with age-related hearing loss, low vision, and poor oral health. When left untreated, these conditions often result in serious injuries and complications. What do you feel should be done about this? .How much are you spending on prescription drugs? Please tell us by taking our 2019 Senior Survey. ."Failing to raise the U.S. debt ceiling could be disastrous," warns The Committee for a Responsible Federal Budget, a group made up of leading U.S. economists, retired economic policy experts, and former Members of Congress concerned about reducing federal debt. If Congress fails to lift or suspend the debt limit in time, the inflow of Social Security and Medicare payroll taxes won't be sufficient to cover daily obligations. That could mean the U.S. Treasury could default on Social Security payments as well as payments to Medicare health plans. … Continued
As we have previously written, there is a bill that has passed out of the Senate Finance Committee called the Grassley-Wyden bill but Senator McConnell also refuses to bring that bill to the floor for consideration. The Grassley-Wyden bill is co-sponsored by Senate Finance Committee Chairman Chuck Grassley (R-IA) and the top Democrat on the Finance Committee, Ron Wyden (D-OR). .TSCL enthusiastically supports H.R. 807, H.R. 1902, S. 1909, and H.R. 1205, and we were pleased to see support grow for them this week. For progress updates on these and other TSCL-backed bills, visit the Bill Tracking section of our website. .Now, it turns out, AbbVie is helping to fund ads attacking legislation that would lower prescription drug costs. .Based on your age, you potentially may be able to use a claiming strategy at your full retirement age (66) that could provide you with a divorced spousal benefit, while you wait for your own benefit to grow. Once you have reached full retirement age you can choose to receive only the divorced spouse's benefit and delay receiving retirement benefits based on your own work record until a later date or when you turn age 70. .There are two types of U.S. debt: debt held by the public, like U.S. savings bonds, and debt held by government accounts. The Social Security Trust Fund is the single biggest government account holding U.S. debt, with the federal government owing the Trust Fund about .8 trillion. Since 2010, the program has paid out more in benefits than it receives in cash revenues, requiring the U.S. treasury to borrow to pay the interest due on the non-marketable bonds or I.O.U.s held by the Trust Funds — money that is needed to pay the benefits of current beneficiaries. According to a recent TSCL poll, 95 percent of older voters say that money owed to the Social Security Trust Fund should be repaid in full. .The Notch years are 1917 through 1926, but this is subject to some controversy. To read more detail, click here: What is the "Notch"? .Obama's controversial executive action would defer the deportation of up to five million illegal immigrants, including older adults who have children who were born in the U.S. (and thus U.S. citizens). In addition, his executive actions provide the work authorization required to receive Social Security and Medicare, once other qualifications are met. Texas and 25 other states are challenging the legality of Obama's actions. They are being supported by TSCL, 12 other groups, and 113 Members of Congress who argue in an amicus brief, that "the President acted contrary to both the express and implied will of Congress." .According to a recent survey by The Senior Citizens League, 74 percent of survey participants favor applying the 12.4% Social Security payroll tax to all earnings. To learn more, visit . .If more than 12 months have passed, the plan should disenroll your mom, and her Special Enrollment Period should begin at the beginning of the twelfth month and continue through the end of the fourteenth month after the move.