News

  • Legislative Update For Week Ending June 7 2019

    One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services. .Most Americans contribute 6.2 percent of every paycheck to Social Security, but due to the taxable maximum wage cap, people earning more than 8,500 pay nothing over that amount. Do you support increasing or eliminating the taxable maximum wage limit to make the program more solvent? .The fraudsters enlist unscrupulous doctors to approve the test and the doctor receives a kick back from the recruiting company for each prescription. Medicare receives a bill that can range from ,000 to ,000. Victims have later reported that they did not even know the doctor who prescribed the test. Law officials warn that health fairs, senior centers and even church events are magnets for the scam, where recruiters take cheek swabs for genetic testing and collect Medicare numbers. … Continued

  • Category Issues Medicare Part B Page 7

    Due to changes made to the Social Security benefit formula in the late 1970s, Notch Babies receive lower Social Security benefits than other Social Security recipients born before and after them with almost identical earnings. To learn more, or to add your name to TSCL's Notch Register, call 1-800-333-TSCL (8725). .This week, TSCL announced its support for the Delay until Fully Functional Act (S. 1592 and H.R. 3359), which was introduced by Sen. Marco Rubio (FL) in the Senate and by Rep. Trey Radel (FL-19) in the House. The bill, if signed into law, would delay the Affordable Care Act's individual mandate for six months once the Government Accountability Office certifies that the exchange website is fully functional. .Two weeks after President Trump signed an executive order "Lowering Drug Prices by Putting America First," the White House still has not released the text of the order. The unorthodox move is apparently a leverage play, an attempt to squeeze drug companies into offering concessions. … Continued

The situation is affecting lower-income seniors with modest resources because states require single seniors to exhaust nearly all of their assets, including their home equity, to qualify for Medicaid. Meyer reports that "Federal Medicaid rules allow states to exempt the home from consideration of financial eligiblilty if the family is making a good faith effort to sell, but not all states do." Depending on where they live, seniors may not qualify for Medicaid if they can't sell their home. .This week, one new cosponsor – Congressman Bill Foster (IL-11) – signed on to the Social Security 2100 Act (H.R. 1902), bringing the total up to 16The bill, which was introduced just a couple of months ago, has more support in Congress than any other comprehensive Social Security reform bill to date. .The cost of additional coverage varies significantly. There are pros and cons that need to be weighed for the type of selection you make for your additional coverage. For example, you should ensure that your Part D or Medicare Advantage plan is selected based on the drugs you take, and the doctors and hospitals you actually use. (A Medicare benefits counselor will check this information for you on the Medicare website.) While the cost of this additional coverage varies, the coverage offered may be identical, and that is why we recommend getting help from a SHIP counselor, who can help you find coverage to keep your costs to a minimum. Medigap insurance, for example, costs more for the premium, but you would have minimal out-of-pocket costs. On the other hand, you might pay less for the premium of a Medicare Advantage plan, and perhaps get some additional benefits like vision care, but you would have co-pays or co-insurance for each service. In Central Virginia, for example, a Medigap G policy may be found for about 0 per month, and roughly per month for the drug plan (or even less). .(Washington, DC) – The upcoming Supreme Court Case on immigration could have significant consequences for Social Security and Medicare, says a report , released today by The Senior Citizens League (TSCL). The U.S. Supreme Court is expected to hear arguments April 18th on President Obama's executive action on immigration. The president's immigration policy changes would allow an estimated 5 million undocumented immigrants, including parents of U.S. citizens or lawful residents, to obtain temporary deferral of deportation, work authorization and potential access to Social Security and Medicare benefits. .Throughout the remainder of the 113th Congress, TSCL will continue to urge Members of Congress to pass the Social Security Fairness Act since we believe strongly that it would go far in ensuring the retirement security of millions of seniors. To aid us in our efforts, we encourage you to contact your elected officials to request their support for S. 896 and H.R. 1795. .If his income is too high to qualify for either, your daughter may want to find out if the 0 penalty is really accurate. If she can find evidence that her father-in-law had qualifying health insurance coverage after turning age 65, such as through a former employer, even for a few years, that coverage may potentially reduce the amount of the Part B delayed enrollment penalty. This sort of digging can be difficult if her father-in-law has cognitive or memory issues now. Another family member or a former coworker may be able to help though, and at 0 a month, it's worth a few calls. .Source: " 10 Charts About Public Opinion On Medicaid," Kaiser Family Foundation, June 27, 201"Medicare Savings Program Cuts Delayed By Two Months," Mackenzie Rigg, The CT Mirror, December 5, 201"General Assembly Reverses Cuts To Medicare Program," Keith Phaneuf, The CT Mirror, January 8, 2018. .In fact, the CPI-W does't even measure one of the most rapidly rising senior costs – Medicare Part B premiums. TSCL's research has found that Medicare Part B premiums rank as the third-fastest growing senior cost since 2000. Only home heating and gasoline have increased faster. To put the problem of Medicare's cost growth into perspective, the following table illustrates what common food items would cost in 2014, if they had increased as rapidly as Medicare Part B premiums. To give a full picture, this table spans a 3year period, the length of time that many Baby Boomers can expect to live in retirement. Medicare Part B premiums are twelve times higher today than 34 years ago in 1980. .No. Your understanding is correct, although there are circumstances that might explain the income. The Social Security Disability Insurance (SSDI) program's rules generally restrict beneficiaries from working and earning substantial amounts while they are receiving benefits. When beneficiaries first return to work, however, they can earn an unlimited amount for 12 months without losing their benefits under "trial work period" rules. Thereafter they can earn a specified limit, ,480 in 2013, before their benefits are eliminated.