Generally, you pay higher premiums for plans that have no deductibles. All too often, though, Medicare consumers pay premiums that far exceed the cost of the deductible because they don't do the math. Having a plan that pays the Part A (hospital) deductible of 2 makes sense, because just one trip to the hospital could take your entire month's Social Security benefit. .We are still learning how vaccines will affect the spread of COVID-1After you've been fully vaccinated against COVID-19, you should keep taking precautions in public places like wearing a mask, staying 6 feet apart from others, and avoiding crowds and poorly ventilated spaces until we know more. .We reported earlier this year that President Trump issued executive orders to lower prescription drug prices under Medicare by linking them to rates paid in other countries and allowing Americans to buy medication imported from Canada. .The bill, known as the Grassley-Wyden bill, would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .If they are not included, we will continue to fight for them next year and each year until we are successful. .The act also recalculates COLAs so future changes would be based on the price of goods and services seniors actually buy, like medications, by using a formula known as Consumer Price Index for the Elderly (CPI-E). Currently, the COLA is based on CPI-W, which evaluates the entire economy, including infant and toddler apparel, nursery care, toys and school fees. .Some financial advisors say that there may be some tax advantages to taking money out now while valuations are lower. This information is not intended as investment advice. We strongly recommend that you contact the custodian of your 401(k) or your financial advisor and discuss a plan for your income needs and to explore potential sources of funds. .Specialists are already warning that under the new "quality initiatives" some patients may have difficulty finding services under the new system as doctors join larger practices or stop accepting patients. As doctors reorganize and move into new HMO - like Accountable Care Organizations, all sorts of new questions are coming up. Does this payment system create an incentive to send unprofitably sick patients with complicated conditions elsewhere for care? How will the government measure quality, and what evidence will the Administration use to determine successful doctor performance? .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."