News

  • Big Variation In Part D Costs Means Most Medicare Beneficiaries Overpay For Prescriptions

    Expands disability investigation units effective Feb 1, 2016. .(Washington, DC) – Older Americans overwhelmingly support legislation that would allow Medicare to negotiate prescription drug prices, according to a new survey by The Senior Citizens League (TSCL). The online survey, which had over 1,234 participants, found that 88 percent support tying prescription drug prices to what other industrialized countries, such as Great Britain, Canada and Japan, pay for the same drug. .TSCL is hopeful that lawmakers will successfully repeal and replace the SGR by the end of this year since doing so would bring increased stability to the Medicare program for both doctors and patients. However, we are opposed to offsets that would reduce Medicare benefits or require seniors to pay more for their health care, and we firmly believe that beneficiaries should not be penalized for the poor policy-making decisions that were made by Congress more than a decade ago. … Continued

  • Congress Averts 19 Social Security Disability Benefit Cut

    For more information about town hall meetings near you, click HERE. You can also call the local offices of your Members of Congress to request information about upcoming town halls. For contact information, click HERE. ."The proposal would apply to both Medicare Part B and Part D drugs, an expansion from an earlier version of the order. The order would apply to Part D drugs where ‘insufficient competition exists.'" .For example, you may want to suggest that your sister put a simple plan into writing. The plan should outline how she wants to live. It's important for your sister to consider who is going to take care of her, if there's an emergency, or, if she needs someone to drive her to or from doctors' appointments. Do you have such a plan for your own long-term care? Perhaps this is something the two of you can do together. Your sister is not too young to start her plan. In fact, age 78 is an ideal age to put a plan in place, and, even to consider moving into a senior living community. … Continued

Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home. .For Medicare Advantage enrollees whose physicians are dropped, this means one of three things. They will either have to scramble to find a new doctor, pay more to see their out-of-network doctor, or switch to a Medicare Advantage plan with a better network of providers. Seniors who did not choose the third option last fall will have to wait until October – the start of Medicare's open enrollment period – to find a new plan. .A study conducted by TSCL has found that Social Security benefits have lost 30 percent of buying power since 2000 over the same period that Medicare Part B premiums grew by 195 percent. Social Security benefits on the other hand have grown by only 43 percent. The findings represent an especially big loss in buying power of 7 percent from January of 2016 to January of 2017. .To make the COLA more fair and accurate, TSCL believes that Congress must fully implement the CPI-E, and use it to provide a more realistic annual benefit boost. We support a number of bills before Congress that would do just that, including the CPI-E Act (H.R. 1030), the Guaranteed 3% COLA Act (H.R. 1585), the CPI for Seniors Act (H.R. 2154), and the Social Security Guarantee Act (H.R. 1275). Each of them would go a long way in ensuring that seniors receive the retirement security they deserve. .The new cosponsors of the Social Security Fairness Act are as follows: Congressman Patrick Meehan (PA-7), Congressman Luke Messer (IN-6), Congresswoman Eleanor Holmes Norton (DC), Congressman Danny Davis (IL-7), Congressman Ben Ray Lujan (NM-3), Congressman Dan Kildee (MI-5), Congresswoman Brenda Lawrence (MI-14), Congressman Juan Vargas (CA-51), Congressman Lee Zeldin (NY-1), and Congressman Tim O'Halleran (AZ-1). .Medicare Reform – Protect beneficiaries from changes that would impose greater out-of-pocket costs to beneficiaries. .A Humana Medicare Advantage plan in Florida improperly collected nearly 0 million in payments in 2015 by overstating how sick some of its enrollees were. A new audit by the Department of Health and Human Services Office of the Inspector General (OIG) is seeking to get the money back. If successful, the audit penalty would be what has been described as "by far the largest" ever imposed on a Medicare Advantage company. But Humana has sharply disputed the OIG's findings, and has said that the recommendations "do not represent final determinations, and Humana will have the right to appeal." .Since he was first elected to Congress in 2010, Congressman Mulvaney – a founding member of the House Freedom Caucus – has been vocal about his support for reforming the Social Security and Medicare programs. In a 2011 interview, he told reporters: "We have to end Medicare as we know it. We have to fix it." He has endorsed several proposals that would privatize the Medicare program by adopting a "premium support" model, and on Tuesday, he endorsed plans to increase means-testing within the program. Both of those proposals are opposed by TSCL since they would result in higher out-of-pocket costs for beneficiaries. .House Committee Advances IPAB Repeal