News

  • The Senior Citizens League Tscl Weekly Update For Week Ending May 15 2020

    Here's how the coverage gap works. Once individuals and their Medicare Part D plans spend the initial coverage amount (,310 in 2016) on covered prescription drugs in a calendar year, beneficiaries hit the doughnut hole. Once in the doughnut hole, coinsurance on covered drugs is not only higher, one must also pay a substantial amount out-of-pocket to reach the limit for catastrophic coverage. For brand-name drugs in the coverage gap, individuals are responsible for 45% of the cost, and for generic drugs, they're responsible for 58%. Once out-of-pocket costs for those in the doughnut hole total ,850, catastrophic drug coverage takes effect, and Part D plans pay 95% of prescription drug costs until the calendar year ends. .In his testimony, Mr. Goss explained that the Social Security DI Trust Fund will be fully solvent until 2032 – four years later than was projected in last year's report. In addition, the OASI Trust Fund will be fully solvent until late 2034 – just a few months earlier than was projected in last year's report. For the combined Trust Funds, the outlook is very similar to last year's and only minor changes will be needed to ensure the program's solvency. .Survey participants also support making changes to modestly increase benefits by using a senior CPI, the Consumer Price Index for the Elderly (CPI-E), to determine the annual cost of living adjustment (COLA), and to provide a boost of about per month. TSCL is meeting with Members of Congress to enact these changes. With 73% of survey participants reporting that their household expenses in 2015 rose by more than a month, while average Social Security benefits are stuck around ,250 due to low or no COLAs, TSCL is making a strong case that older Americans need a raise! … Continued

  • Medicare Part B Premiums 96 40

    Individuals with incomes below ,000, and whose Part B premiums are automatically deducted from their Social Security benefits, are protected from a reduction in their Social Security benefits when Part B premiums increase more than their Social Security benefits. The provision was triggered twice in recent years, in 2016 when there was no COLA, and in 2017 when the COLA was just 0.3%. .The Centers for Medicare and Medicaid Services said the rule would be mandatory and will focus on 50 single source drugs and biologic drugs that comprise the largest majority of Medicare Part B drug spending. .Wages in the ESF since the end of 1999 grew by 3.20 billion to 5 billion, nearly doubling from 1.8 billion. In other words, it took 63 years to accumulate 1.8 billion in wages in the ESF. In the five most recent years, the amount of wages rose by 93%. This growth is illustrated in the charts in Tables 1, 2 and 3, which follow. … Continued

We know from past surveys and email comments that you want the freedom to choose how you receive your Medicare benefits — either through a Medigap supplement and Part D plan, or a Medicare Advantage plan that includes drug coverage. Nobody wants to get a cancellation notice or to give up their doctor, hospital or other important provider because their health plan is closing. Maintaining affordable access to quality healthcare coverage is the key issue for every Medicare beneficiary and for TSCL. Coming up with a plan to pay for all this is the hard part which depends heavily on how quickly we can get our economy up and running full speed again and get people back to work. .Drug spending nationally increased by 76% between 2000 and 2017, and the costs are expected to increase faster than other areas of healthcare over the next decade as new, expensive specialty drugs are approved, according to the researchers. .The goal is to prevent fraud and combat identity theft by removing the Social Security numbers. Fraud And Abuse Are Costing Medicare — (And You Too!) The federal government made more than billion in erroneous payments to Medicare Advantage health plans last year. The U.S. Government Accountability Office (GAO) recently testified that nearly 10% of payments to Medicare Advantage plans were improper. Those improper payments are driving up costs not only for Medicare, but also for every person in Medicare Part B. Government To Issue New Medicare Cards Watch Out For Scams! .Shoring up the Medicare Part A Trust Fund will be more difficult. Simply cutting payments to hospitals would not be in the best interests of patients or hospitals, because many medical centers are already faltering financially. .What is the ,000 Lump-Sum Settlement? .Sources: "Appeals Panel Weighs Fate of Obama's Immigration Overhaul," Michael Shear, The New York Times, April 17, 201"Effects Of Unauthorized Immigration On The Actuarial Status Of The Social Security Trust Funds," Actuarial Note 151, Social Security Administration, April 2013. .If adopted, the bill would strengthen and reform the Social Security program responsibly, without enacting any benefit cuts for older or disabled Americans. Among other things, it would: boost Social Security benefits by 2 percent, protect against inflation by basing cost-of-living adjustments (COLAs) on the CPI-E, create a new minimum benefit set at 125 percent of the poverty line, and cut taxes for over 12 million Social Security beneficiaries. .As part of our continuing efforts to find ways to lower the costs of prescription drugs, TSCL supports the idea that people should ask their doctors if taking a generic is available and appropriate for their specific ailment. .Obviously we will continue to push for passage of those bills and keep you updated about their progress as things develop.