Interview with author Mark Miller .I'm enrolled in a Part D drug plan. I thought I would get my brand name drug Eliquis, for a copay, but I was charged 5.4Why was that? .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. .Sources: "Prescribers With Questionable Patterns In Medicare Part D," Department of Health and Human Services Office of Inspector General, June 201"Medicare Fraud Outrunning Enforcement Efforts," The Center For Public Integrity, July 3, 2013. .This week, discussions to fund the federal government past September 30th – the end of the fiscal year – seemed to stall. Leaders in the House and Senate told reporters last week that they planned to take up a short-term continuing resolution (CR) by September 21st. However, this week, lawmakers on both sides of the aisle said many important details remain up in the air, and the timeline has shifted. .Often, the most consequential decisions are those we make only once or twice in a lifetime. But decision – making itself is a skill that takes practice. That means we can get better at it. Even with practice though, it's almost impossible to forecast whether our decisions will work out. Often there are hidden factors at play, influencing our decisions, of which we may not even be aware. Learning about how our minds could be sabotaged, and how we could be nudged in wrong direction, can help us improve our decisions. One of these nudges is called the "anchor effect." .The Medicare Physician Payment Innovation Act (H.R. 574) also gained a cosponsor – Rep. Pete Gallego (TX-23) – this week, bringing the total up to thirty-five. If signed into law, H.R. 574 would repeal and replace the SGR, bringing increased stability to the Medicare program for both physicians and beneficiaries. .Seniors and Baby Boomers nearing retirement have every right to object and that doesn't make anybody greedy for doing so. After 1983, when the Social Security Trust Fund began building up reserves, our government proceeded to use all excess funds, and replaced that money with .6 trillion in special non-marketable bonds, or I.O.U.s. Seniors are frequently told those I.O.U.s are backed by the full faith of the U.S. government which has never defaulted on its debt. But now that the U.S. Treasury must borrow to pay the interest due to the I.O.U.s held by the Trust Fund, lawmakers are considering plans that would cut promised Social Security benefits. If a government default on the U.S. savings bonds held by public investors is unthinkable — why is cutting obligations to Social Security beneficiaries any less so? .TSCL believes that the Supplemental Poverty Measure is a more fair and appropriate measure of poverty today. We encourage you to ask Congressional candidates where they stand on programs to reduce poverty affecting older Americans.