News
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Legislative Update For Week Ending November 29 2013
Two bills that would provide for coverage of dental services under the Medicare program were introduced in Congress last week. H.R.502, authored by Rep. Nanette Diaz Barragan (D-Calif.) has been introduced in the House of Representatives, while S.97, authored by Sen. Ben Cardin (D-Md.) has been introduced in the Senate. .Eyeglasses, however, are not covered. If you are having difficulty affording a pair of glasses from brick and mortar stores, you may want to try shopping online. Zenni optical.com has eyeglasses starting as low as .95 for basic frames. Costco the wholesale club has high ratings for their optical section. According to Consumer Reports, the median price for a complete pair of eyeglasses, frames and lenses at Costco Optical is 4, the cost of membership not included. .Why You Should Beware When The Doctor Wants To Hold You For "Observation" … Continued
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In Congress This Week
We have been reporting recently that unless Congress passes new legislation soon there will be significant cuts in Medicare payments to health care providers, such as doctors and hospitals. If that happens it is quite possible those patients covered by Medicare would likely face negative consequences with regard to their health care. .Of the more than 1,200 people who participated, 766 sent in comments. Most described their personal challenges in meeting their healthcare expenses. In what may be a sign of the times, a surprising number indicated they are working far longer than they ever thought they would, even into their late 70's and 80's, because they don't have enough to live on after paying their healthcare costs. Even seniors who do have good Medicare supplemental and drug coverage described how they keep costs in check by asking their doctor to prescribe generics, filling prescriptions for 90 days, splitting pills, and sticking to preferred pharmacies. .What We Know and What We are Still Learning … Continued
It remains to be seen if Congress will go along with this plan. .Congress should prohibit "surprise medical bills. Congress should require healthcare providers and insurers to accept fees no greater than 20 percent more than the Medicare approved fees as settlement. — 82 percent support, 15 percent not sure, and only 4 percent opposed. (Legislation passed in December would provide relief from surprise medical bills but stopped short of tying payments to prices paid by Medicare and Medicaid which are often lower than other rates negotiated by other insurers.) .Contact Social Security and ask about placing a "block" on your account. This would prevent changes from being made regarding your address and payment deposit. The "block" would require that you visit your local Social Security office in person to authorize changes. .Dental insurance works differently than health insurance. Standard Medicare, for example, has an 80/20 structure. Traditional Medicare pays about 80% of the Medicare approved cost, while the patient, or the patient's supplemental insurance, pays most, or all of the balance. On the other hand, dental insurance can follow a 100-80-50 structure. If you use in-network dentists, dental plans may pay 100% of routine preventive services, such as x-rays, cleanings and exams. The plan may pay only 80% for basic procedures such as fillings, root canals, and extractions. And major procedures such as crowns, implants and gum disease treatments may only be reimbursed at 50%, which can set you back with significant out-of-pocket costs. .This week, one new cosponsor – Rep. Betty McCollum (MN-4) – signed on to the Social Security 2100 Act (H.R. 1391). The total is now up to sixty-two. If signed into law, H.R. 1391 would increase Social Security benefits by 2 percent, cut taxes for over 11 million seniors, increase the minimum benefit to 125 percent of the poverty line, and make cost-of-living adjustments more fair and accurate. It would also take measures to increase the solvency of the trust fund beyond the next seventy-five years, through the year 2100. .Despite receiving some pointed questions at Wednesday's hearing, most Senators on the panel seemed overwhelmingly supportive of Burwell's nomination. Sen. Tom Coburn (OK) introduced her to the Finance Committee and he recommended her confirmation, saying: "When you have someone who is competent and also has a strong character, you find a way to get past your differences and try to solve your problems." In addition, in his opening remarks, Sen. Jay Rockefeller (WV) said, "We need you, Sylvia Mathews Burwell, very, very much." .Although no other generation has yet been affected by a similar Notch, that could change in the future. Congressional inaction on Social Security's long-term financing problems could give birth to a whole new generation of Notch Babies. During recent hearings on the need for making Social Security more sustainable as Baby Boomers near retirement, David Walker, the Comptroller General of the United States, confirmed this saying "Doing nothing means that we are going to head to a precipitous decline in benefits. Remember the Notch Baby problem?" he asked. "This would be a Notch Baby problem magnified multiple times and it should not be allowed to happen." (10) .The Senior Citizens League encourages its supporters to attend these events and to ask important questions of their elected officials, like the following three... .The approach taken in the Scott bill is also the approach favored in the Senate bills. Ways and Means Chairman Neal said they will start negotiating a compromise between the two House bills that will also be agreeable to the Senate and he is optimistic they can reach a solution soon. This approach is opposed by conservative groups such as the National Taxpayers Union, which have opposed what they call "rate-setting."
