News

  • Legislative Update July 2013

    I take a brand name drug that costs more than 0 per month in 2019 and I have a co-pay of In 2019, I hit the Part D coverage gap. Can you tell me how much I would have to pay in the Part D doughnut hole next year? .Click here for more information about our legislative agenda. There you can also sign a petition to your Members of Congress, view bills that have been recently introduced in the House and Senate, and stay updated with the latest news on Capitol Hill. .Downsizing doctor networks is one way that Medicare Advantage insurers are dealing with the sizable cuts. Some insurers have also begun to increase premiums and out-of-pocket costs that enrollees pay. Austin Pittman, President of UnitedHealth, told the Wall Street Journal: "It's no secret that we are under substantial funding pressure from the federal government … That's what's driving our actions." … Continued

  • Double Digit Healthcare Cost Shock Has Budgets On Life Support

    TSCL is a strong supporter of H.R. 973, and we were pleased to see support grow for it this week. .As we reported then, the study by the National Board of Economic Research, (NBER) explored how "cost-sharing", in other words co-pays and premiums, can affect patient choices and patient health. The researchers examined Medicare data and found that a relatively modest increase in drug costs ( per prescription) lead to a 33% increase in mortality. .Where to find premium information. Rather than calling insurance agencies for quotes, first visit the website of your state insurance commission and look for a publication listing all the state-approved Medigap insurers and Medigap plans (A through N) sold in your state. The information includes the insurer's company name, phone number and website address, and more crucially, the current premiums for the plans (A through N). Since all insurers are required to cover the same benefits under specific plans (A through N) then all you need to do is select the plan covering the benefits you are interested in (such as Plan F), then find a good insurer with the lowest premium for the plan you are shopping for. Not all states have all plans. Calls to the insurer are necessary to confirm premium quotes for your zip code. For Part D Plans, or Medicare Advantage plans, use the health and drug plan finder on the Medicare website at www.Medicare.gov. It's important to select those plans by selecting the lowest-costing plan based on the prescriptions you currently take. … Continued

Sources: "Congress Kills Social Security Claiming Loopholes," Alicia Munnell, Market Watch, November 11, 2015. .TSCL believes the drug problem could explode this year. Citing massive "sequester" budget and staff cuts, federal officials are set to scale back or drop investigations into Medicare and Medicaid fraud and abuse cases. The Department of Health and Human Services may lose a total of 400 staffers and the existing staff is stretched so thin that it was unable to investigate about 1,200 cases of Medicare and Medicaid fraud and abuse last year. .The measure's inclusion in the stimulus is likely to be a point of contention between Republicans and Democrats as they work to hash out a compromise this week that will address state and local funding, money for schools and extending expiring unemployment payments. .What strategies are key to better managing healthcare costs in retirement? .The second bill is H.R. 1215, which would establish an office within the Federal Trade Commission and an outside advisory group to prevent fraud targeting seniors and to direct the Commission to include additional information in an annual report to Congress on fraud targeting seniors. .Use call block technology. If you have a smart phone, you can block calls from unknown numbers. Some land line phones also have similar technology. .This is the website of The Senior Citizens League ("TSCL"). .To avoid significant cost increases and unexpected benefit cuts next year, TSCL encourages its members and supporters to examine all MA plan offerings closely before making a selection or allowing a plan to automatically renew. The open enrollment period ends on December 7th, and coverage begins on January 1st. In the meantime, TSCL will continue to monitor the status of the MA program and advocate for legislation like the Medicare Advantage Participant Bill of Rights Act, which would protect MA enrollees from unfair and abrupt changes to physician networks. .By Mike Watson, TSCL Legislative Assistant