Set up a healthcare worksheet with your basic expenses. That can include Medicare premiums for Part B (deducted from your Social Security), Medicare supplement premiums and Part D premiums OR Medicare Advantage premiums. You also need to include deductibles, out-of-pocket co-pays or co-insurance. In addition, include the costs for premiums or out-of-pocket costs for services that Medicare does not cover, including dental, vision and audio. Include the cost of glasses and hearing aids and batteries if you use them. .The month of August presents constituents with the perfect opportunity to do just that. Both the House and the Senate adjourn for the month, and many Members of Congress travel home to hold town hall meetings. The Senior Citizens League (TSCL) encourages you to make the most of this month by attending town halls and making your voice heard. Below are summaries of three key issues, along with sample questions. Feel free to take them with you to your next meeting. .If adopted, this key bill would improve Social Security COLAs by basing them on the CPI-E, and it would cover the cost by phasing out the payroll tax cap over the course of seven years. Together, these changes would improve the adequacy of Social Security benefits and strengthen the solvency of the Trust Funds past 2035. .In addition, next week lawmakers will continue working on a spending package that will fund the federal government past December 9th. Negotiations have already begun to pass a continuing resolution (CR) that will provide short-term funding through January 201However, if those in the House and Senate fail to reach a compromise before the looming deadline, the government will shut down like it did in 2013 and Social Security beneficiaries could see negative impacts. .Failure to balance between price and services. Assisted living and continuing care communities can be very expensive and more people are living longer in these facilities. It's important to make finances last while maintaining access to the best care. When exploring options, don't be afraid to look into facilities in areas that have lower costs of living, even if you won't be able to visit with your family every single day. What you give up in fancy features, you may trade off with more affordable rents, and service fees, more personal attention, while still getting high standards of care. .Both the SSA and AARP say that "fixing" the Notch would be a costly mistake that would drain dollars from the Social Security Trust Fund reserve. In 1992 one popular piece of legislation to provide improved monthly benefits was estimated to cost 0 billion. To counter these concerns, alternative "capped-cost" legislation has been introduced. "The Notch Fairness Act of 2001" would provide those born from 1917 through 1926 their choice of either improved monthly benefits, or a Lump-Sum of ,000 payable over a four-year period. The cost of Lump-Sum legislation is estimated to be billion, or slightly less than .25 billion per year over a four-year period. .It turns out than among seniors who are not vaccinated, the biggest problem may be access to the vaccine as opposed to opposition to getting the shot. .Some want legislation to correct inequities for those born from 1917 through 1921, while others believe Notch reform must include the years through 192It is important to remember that hundreds of our elected officials agree that there is a Notch, and that Notch Victims deserve justice. However, some interpret the complicated rules affecting Social Security differently from others. We respect and continue to support all Members of Congress who are courageous enough to advocate Notch Reform of any sort. To read more on the Notch, click here: What is the "Notch"? .The bill now moves on to the full Energy and Commerce Committee for a markup, and later it will likely move to the House Ways and Means Committee, where more offsets will be added. Lawmakers in both the House and the Senate hope to repeal and replace the SGR before January 1st – if they fail to act, doctors who treat Medicare patients will see a 25 percent pay cut. TSCL was pleased to see the subcommittee's bill progress this week, and we are hopeful that Members of Congress will pass a permanent solution before the end of this year in order to preserve seniors' access to quality medical care. As the negotiations evolve, we will continue to post updates here in the Legislative News section of our website.