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  • Category Congressional Corner Page 2

    According to a report from Kaiser Health News, the skepticism is "Because whether it's sharing the credit for a legislative victory with the other party or running afoul of the powerful pharmaceutical lobby, neither Democrats nor Republicans are sure the benefits are worth the risks, according to several of those familiar with the debate on Capitol Hill. .Medicare does not usually cover eyeglasses or contact lenses. However, Medicare Part B helps pay for corrective lenses when the patient has cataract surgery to implant an intraocular lens. Corrective lenses include one pair of eyeglasses with standard frames or one set of contact lenses. .I heard that Medicare would be mailing new cards. When can I expect to get mine? … Continued

  • Majority Of Retirees Say Cola Should Be Top Priority For Congress

    While others want to privatize and dismantle Social Security, I'm fighting to honor our commitments to retirees and fix a broken system. .For information about town hall meetings near you in the final days of the week-long recess, call the local offices of your elected officials. You can find contact information for your Members of Congress right here. .The four stated that their proposal – The Congressional Health Care for Seniors Act – would "provide Medicare patients with the best healthcare in America," and that it would "forever protect seniors' interests by aligning them with self-interested politicians." But the plan is risky for two key reasons. First, it would eliminate Medicare completely, and second, it would do so beginning in 2014, affecting even current beneficiaries. Other proposals, including the plan released by House Budget Chair Paul Ryan (WI-1) in his fiscal 2013 budget, would offer traditional fee-for-service Medicare as an option to seniors, and would delay implementation to protect current enrollees from any drastic or sudden changes. In addition to phasing out traditional Medicare, The Congressional Health Care for Seniors Act would gradually increase the eligibility age to seventy, and it would increase means-testing measures so that wealthier seniors would pay a greater percentage of their healthcare costs. … Continued

Spending Bill Dominates "Lame Duck" Session .Can Home Health Agencies Provide Rebates? .This week, discussions to fund the federal government past September 30th – the end of the fiscal year – seemed to stall. Leaders in the House and Senate told reporters last week that they planned to take up a short-term continuing resolution (CR) by September 21st. However, this week, lawmakers on both sides of the aisle said many important details remain up in the air, and the timeline has shifted. . Lisa Kiplinger, USA TODAY 8:41 a.m. EDT June 27, 2016 .Congress did not receive any automatic pay adjustment this year. With so many Americans (including seniors) suffering from long-term financial set backs, and so many workers out of jobs, lawmakers wisely opted to forego a raise. They last received a pay raise in January 200At the time their salary was increased 2.8% to 4,000 from 9,300. While the recession was taking a bite out of Americans' income, the pay of Members of Congress grew by ,800 from the time the recession began at the end of December 2007 through 2009, according to the Congressional Research Service. Over the decade 2000 through 2009, Congress gave themselves a total of 9 pay hikes, raising their salaries a total of ,300 from 6,700 in 1999 to the 4,000 that they receive in 201Legislation passed in 1989 established the current formula used to automatically adjust the Congressional pay increase that they refer to as a "cost-of-living adjustment" (COLA). . Find out which drug store has the lowest cost-sharing before you fill. Your cost sharing can be dramatically higher depending on where and how you fill your prescription (retail versus mail order). Make sure you are using a preferred vs. standard network pharmacy and compare the prices of retail pharmacies with getting a 90-day supply from your drug plan's mail order pharmacy. For example, if you are enrolled in the Wellcare Wellness Rx plan and get your Eliquis from a standard in-network pharmacy, your copay for Eliquis after the 5 deductible would be during the initial coverage phase, and 7.38 in the Part D coverage gap. However, if you get your Eliquis from a preferred in-network pharmacy the co-pay is .00 during the initial coverage phase and 3.36 in the coverage gap. Depending on where you live, and your drug plan's mail order pharmacy, sometimes you may save a little more using mail order. .The Medicare Hospital Trust Fund is Running Out of Money .TSCL Goal of new Drug Pricing Legislation Left out of new House Bill .On Thursday, the House Oversight and Government Reform Committee held a high-profile hearing on recent developments in the prescription drug market. According to the committee, thirty of the top-selling drugs in the United States experienced price increases of 76 percent between 2010 and 2014 – eight times the general inflation rate.