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  • Frequently Asked Question July 2021

    In some hard-hit states, inspectors conducted remote surveys rather than going into nursing homes, a process that involved speaking to staff by phone and reviewing records. In Pennsylvania, for example, inspectors conducted interviews and reviewed documents for 657 facilities from March 13 to May 15 — most of which was done remotely. .First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. .Transportation (new vehicles, airline fares, gasoline, motor vehicle insurance) … Continued

  • House Drug Bill Would Save Medicare 345 Billion

    The campaign consisted of collecting and organizing TSCL-supporter signatures by each Congressional district. A personalized letter addressed to nearly each House Member was drafted to clearly convey the needs of our supporters and issue a call to action asking each office to look more closely at these issues. For those who have supported our causes in the past, these letters served as a "thank you" for their support. For many, however, the petitions signaled a clear and powerful message on behalf of their constituents that the time had come to make a concerted effort to stand up for seniors' rights. .Medicare Part B enrollees who don't receive Social Security benefits. This includes people who have delayed the start of Social Security and all people who are billed for Medicare. According to the Kaiser Family Foundation, in 2013 about half of all people on Medicare who don't receive Social Security yet had incomes below ,000. .Both bills would stop a premium hike of nearly 50 percent that's scheduled to hit millions of beneficiaries in January. They would also prevent a deductible increase of nearly , from 7 to Most Medicare beneficiaries will not be affected by the increases due to the "hold harmless provision" that protects them in years when premium increases are large enough to reduce their monthly Social Security checks. Since seniors are expected to receive no cost-of-living adjustment (COLA) next year, the premium rates for around 70 percent of beneficiaries will remain unchanged from this year's. … Continued

The message here isn't "work till you drop." Working even a few additional years can boost retirement security substantially when you finally do retire. There's a "triple whammy" effect -- delayed Social Security filings means higher monthly benefits; you have more years of contributions to retirement accounts; and you have fewer net years of drawing down those accounts. Working with financial planning experts, we estimated that these factors can boost income in retirement by one-third or more. .The recommendation of MedPAC would combine the deductibles for Part A and Part B services. Currently the deductibles are charged separately and for good cause. About 80 percent of Medicare beneficiaries never pay a Part A deductible because they don't require hospitalization in most years. The Part A deductible for hospital inpatient services is ,156, a cost that is covered in full today by all Medigap supplements. Some Medigap supplements also cover all of the Part B deductible, which is 0 in 201Costs differ for seniors enrolled in Medicare Advantage depending on the plan. Co-payments would also change and vary by the type of service and provider. ."Sorting this out isn't easy for most seniors or family members who try to help them," Johnson admits. "Medicare Part D can befuddle all of us," Johnson says. "But comparing plans saves so much -- where else are you going to get this sort of return for your time?" Johnson wryly notes. "Just do it. If you don't have computer access, or just are not sure how to start, get the help of a Medicare benefits counselor from your State Health Insurance Program (SHIP), " Johnson urges. Many of the programs operate through local Area Agencies on Aging or you can call the Eldercare Locator at 1-800-677-1116, or call Medicare at 1-800-MEDICARE ( 7). .Seventy-eight percent of the prescriptions ordered by one Florida physician were for Schedule II drugs. For one beneficiary, this physician prescribed a 605-day supply of morphine, a 52day supply of oxycodone, a 460 - day supply of fentanyl, and a 34day supply of hydromophone. .Recently a journalist, familiar with my estimates of cost-of-living adjustments, contacted me for my thoughts on the topic.. What's Missing From Your Social Security Check? For Many — 7 , editor .According to the report, the triggering of hold harmless will continue on an individual basis, particularly when inflation is lower than forecast (about 2.4 percent) or if Medicare Part B premium increases are higher than forecast (5%), or both. The risk for both is high, because over the past 8 years COLAs have averaged just 1.2 percent and since 2000 Medicare Part B premiums have increased on average more than 10 percent per year. According to the report, individuals with the lowest benefits, 0 or less, are the most likely to be affected by hold harmless on an individual basis over the next decade, even in years when a COLA is payable, particularly if Medicare Part B premium increases are higher than expected. .Economic Conditions Compounded Problem . Contact your doctor's office and alert them to this dilemma. Ask if they have emergency samples of Lantus and your blood pressure medicine that they can provide, or if they can give you the contact number of programs that can help you. .Initial Coverage Period: During this stage of coverage you pay a co-pay or co-insurance of 25% of the cost of covered drugs, and the plan pays 75%, up to a total of ,005 (beneficiary) and ,015 (plan). This includes any applicable deductible. Your plan's full retail drug cost, not your co-pay, is what counts toward entering the coverage gap. Your co-pays or True Out-of-Pocket costs (TrOOP) count toward exiting the coverage gap and qualifying for catastrophic coverage.