News
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Q A Februarymarch 2016
One-out-of-three adults covered by Medicare is not getting regular routine dental care, according to TSCL's 2019 Senior Survey. We estimate that translates to roughly 20 million older Americans who are going without bi-annual cleanings, X-rays, and dental exams. Medicare does not cover routine dental health services, and that often comes as a shock to new beneficiaries. More than half of survey participants say they do not have any dental insurance coverage. .Provide a modest boost in monthly benefits to retirees to make up for years when no COLA, or only a negligible COLA, was payable. .The good news is that reducing drug costs appears to have bipartisan support. Two critical congressional committees – the Senate Finance Committee and the House Oversight and Reform Committee – have launched investigations into the pricing practices of the pharmaceutical industry. … Continued
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Category Issues Medicare Part B Page 6
The SSA and the AARP say, however, the Notch affects only those born during the five-year period of 1917 through 192Those born during that period were covered by a special transitional benefit formula, the purpose of which was to provide a 5-year phase-in for the new 1977 benefit formula. .If signed into law, H.R. 242 would require the federal government to negotiate lower drug prices on behalf of Medicare Part D beneficiaries. Currently, Medicare is prohibited from doing so despite the fact that other federal health programs are required to. If adopted, H.R. 242 would go a long way in reducing the costs of lifesaving medications for millions of Part D beneficiaries, and it would result in lower spending on prescription drugs for the Medicare program. .Instead, I am a strong supporter of the Consumer Price Index for Elderly Consumers Act of 201This legislation would change the way the Social Security Administration calculates the Cost of Living Adjustments (COLA) by switching from a CPI based on urban wage earners to a formula that would better reflect the spending of seniors. Unlike younger Americans, seniors spend a disproportionate amount of their income on medical expenses and it is crucial that we raise the Cost of Living Adjustment to keep up with the rising cost of medical expenses. … Continued
Case 2— A man born in Mexico worked under his father's SSN for 9 years and then had these wages transferred when he acquired his own SSN before collecting retirement benefits. From 1999 to 2002 he collected approximately ,441 in retirement benefits, including benefits for dependents based on his account. Estimated benefits over 20 years — ,300. .This is no rumor — it's a fact. In 2010 the IRS paid illegal immigrants .2 billion in the child tax refunds. The original version of the video you saw, from WTHR TV in Indiana, appears to be based on a report issued over a year ago by the U.S. Treasury Inspector General for Tax Administration. The report says that the number of tax returns filed by illegal immigrants, as well as the amount claimed in Additional Child Tax Credits, has been growing rapidly and warns "the risk of fraud for these types of claims is significant." The video featured a whistleblower tax consultant who says that in many of the returns he has seen, undocumented workers are claiming the tax credit for kids who live in Mexico. .TSCL Estimates 2019 Social Security COLA .Make a list of contact information for family members, close friends, health providers or anyone who calls regularly so you know the call is legitimate. .My pulmonologist ordered a CT scan, but the person scheduling appointments said they first had to check my insurance. Is this correct? I'm covered by Medicare and a Medicare Advantage plan. I thought I would be covered for any medically necessary CT scan. .Nevertheless, Congress is considering ways to "redesign" Medicare. The Congressional Budget Office (CBO) estimates that changing the cost-sharing rules for Medicare and restricting Medigap coverage would save the federal government 4 billion over the next ten years.[1] Medicare supplements, better known as Medigap, cover Medicare's deductibles and other out-of-pocket costs. The plans are popular with seniors because they provide financial certainty by reducing unexpected out-of-pocket expenses. .To get a list of supplemental plans offered in your state, insurers and premiums, check your state's insurance commission's website for published guides comparing Medicare supplement premiums. Look up the plan you are interested in to compare premiums in your area. Be sure you look at the quotes for people who are your age, but do read on to get a feel for how premiums rise with age. Once you pin down a few likely insurers, you will need to call the insurer to confirm premium quotes for your zip code. .TSCL continues to work with Members of Congress to pass "The Notch Fairness Act," legislation which would provide Notch Babies born 1917 through 1926 with a settlement of ,000 or a choice of higher monthly benefits. What you can do: Urge your Members of Congress to co-sponsor and pass "The Notch Fairness Act," H.R. 1001 and S. 118! To learn more about the status of Notch legislation, give us a call 1-800-333-8725. .Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively.
