One of the programs President Biden supported during his campaign for .(Washington, DC) – Sixty - five percent of retirees participating in a new survey by The Senior Citizens League (TSCL) report that their monthly household expenses in 2020 rose by more than . That includes 40 percent of survey participants who reported that their monthly household expenses are up by 0 or more. Yet the same survey also found that 63 percent of participants indicated that their 2021 COLA, which was 1.3 percent, raised their net monthly Social Security benefit by less than after the deduction for the Part B premium. .Changes in your earnings: Did you report increases in salary or commissions? You need to keep Social Security informed of higher earnings in order for your benefits to be accurately withheld. . 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. .In 2016 there was no COLA at all, and in 2017 the COLA was just 0.3 percent. During that time a special provision of law known as "hold harmless" protected about 70 percent of Social Security recipients from reductions to their Social Security benefits due to increasing Medicare Part B premiums. .I read that the Medicare Part D doughnut hole is closing. What does that mean? I recently started on Lantus insulin, which my drug plan covers, but with the other drugs I take, I expect to hit the doughnut hole with my April refill. .If the Social Security COLA were based on a more accurate measure of inflation for senior citizens, next year's increase would not be 0.3 percent – it would be 2.1 percent according to the Bureau of Labor Statistics. Do you support legislation that would base the COLA on a more accurate inflation index like the Consumer Price Index for the Elderly? .What does this new "pay for performance" mean for patients? Not much is known yet, but I got a first - hand experience of the new system recently. One of my doctors, a specialist, told me that due to a "quality initiative reorganization," he wouldn't be seeing me as a patient anymore. I'll have to find a new doctor. .TSCL supports several bills that would lead to lower prices for Medicare Part D beneficiaries, and we will continue to seek out innovative solutions that would increase access to lifesaving prescription drugs. The goal remains to ensure safe and affordable medicines for older Americans.