To learn more about your Enrollment Periods check your 2016 Medicare & You handbook, call 1-800—MEDICARE ( 7) or visit www.Medicare.gov. You can get free unbiased one-on-one counseling to help you sign up for Medicare and select the best way to receive coverage through your State Health Insurance Assistance Program (SHIP). Many of the programs operate through local senior centers or area agencies on aging. .Government officials, like the head of the Department of Veterans Affairs, can opt out of buying American drugs if the product is not produced "in sufficient and reasonably available commercial quantities" in the United States or buying the product in America would raise procurement costs by 25 percent. .The traditional formula does not take into account rising Medicare premiums, deductibles and expenses for prescription drugs that have had increasing effects on this segment in recent years. The revised formula accounted for 15.9 percent of seniors 65 or older living in poverty, which nearly doubled the percentage used in the traditional formula. In total, a record level of 49.1 million Americans are considered in poverty, according to the new estimates. .This past week the House of Representatives remained out of session, but committees continued to work remotely, holding briefings and forums over videoconferencing technology and conference calls. The House will hold votes next week on several issues that have come out of committees and are ready for a vote by the full body. .Marvin Moser, MD author of "The Patient As A Consumer" Yale University School of Medicine Heart Book, provides these eight questions to ask: .If signed into law, this bill would repeal the windfall elimination provision (WEP) and establish a new formula to calculate benefits for those with non-covered earnings. The WEP currently affects more than one million seniors who collect Social Security benefits and have earned pensions from non-Social Security-covered employment. ."If the Secretary of the Department of Health and Human Services and Congress take no action to lower the Part B premium, most of those who were protected by "hold harmless" will need a hefty COLA in order to raise their benefit just to cover the cost of Medicare Part B premiums in 2018," Johnson says. .While retirees won't be getting as much of an increase in their Social Security checks in 2020, the Part B premium, is expected to go up considerably more than it did this year. In 2019, most beneficiaries paid .50 per month more than in 201In 2020, however, the Medicare Trustees have forecast that Part B premiums will increase from 5.50 to 4.30 per month — .80 per month more—an increase of 6.5%. That's four times faster than the 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.