News

  • Notch Reform Feed

    Recently the House Budget Committee and the House Energy and Commerce Committee both held hearings on the controversial Independent Payment Advisory Board (IPAB). The IPAB was created under the healthcare reform law to slow rising Medicare costs. If costs grow too fast, the IPAB would recommend cuts that would go into effect unless Congress comes up with the same amount of savings. Both Committees heard testimony from Health and Human Services (HHS) Secretary Kathleen Sebelius, among many others. .According to the study, the Social Security Cost-of-Living Adjustment (COLA) has increased benefits just 38% since 2000, while typical senior expenses have jumped 81 percent, more than twice as much. Seniors with average Social Security benefits in 2000 received about 6 per month, a figure that rose to ,129.80 by 201However, those seniors would require a Social Security benefit of ,477.00 per month in 2013 just to maintain their 2000 level of buying power. .Although Part D plans are given leeway to vary how they structure their plans here is a breakdown of the standard Medicare Part D plan cost sharing in 2020: … Continued

  • Best Ways Save Octobernovember 2014

    To learn how you can join the effort for an Emergency COLA and Medicare relief, Visit .We are reading a lot these days about "Greedy Geezers." The term is used to describe supposedly self-centered seniors who insist that elected lawmakers get their HANDS OFF! Social Security and Medicare. These affluent old codgers are reportedly bankrupting the nation, leaving nothing but crushing debt and taxes for the nation's children. . Find out which drug store has the lowest cost-sharing before you fill. Your cost sharing can be dramatically higher depending on where and how you fill your prescription (retail versus mail order). Make sure you are using a preferred vs. standard network pharmacy and compare the prices of retail pharmacies with getting a 90-day supply from your drug plan's mail order pharmacy. For example, if you are enrolled in the Wellcare Wellness Rx plan and get your Eliquis from a standard in-network pharmacy, your copay for Eliquis after the 5 deductible would be during the initial coverage phase, and 7.38 in the Part D coverage gap. However, if you get your Eliquis from a preferred in-network pharmacy the co-pay is .00 during the initial coverage phase and 3.36 in the coverage gap. Depending on where you live, and your drug plan's mail order pharmacy, sometimes you may save a little more using mail order. … Continued

TSCL's surveys have found that moving Medicare Part D to a pricing system that has similarities with Medicaid has strong support among older adults. Seventy percent of those who participated in our 2019 Senior Survey support allowing Medicare to negotiate prices for prescription drugs using a similar system to Medicaid's. .What are the waiting periods and exclusions? You can find dental plans that cover two cleanings and check-ups a year, but it's not uncommon for dental plans to require a year or two waiting period before covering basic fillings, or crowns and implants. Some plans will not cover pre-existing conditions, so if you are switching dentists and you are in the middle of getting bridge work done, the new dental plan may not cover prior dental work in progress. .I turn 66 in August of next year, and plan to start Social Security retirement benefits. How much may I earn in 2021 without reducing my benefits? .Legislation to allow the importation of less-costly FDA-approved prescription drugs from Canada and other nations is still pending in Congress, and TSCL continues to work for enactment. Seniors like you and your wife who order prescription drugs by mail from Canada faced a particularly tough decision about Medicare Part D. Either you enroll in a Part D plan and quite likely pay more than you do now, or don't enroll and face the risk of paying a steep penalty if you change their mind and sign up after the May 15 deadline. .While the cost of the prescription is affordable, the drug causes a number of serious side effects. Susan needs to see her doctor more frequently for monitoring and blood tests. Her biggest prescription cost surprise was learning that her prescription vitamin, folic acid, which she needs to fight the side effects, was not covered under Medicare. Her Part D plan wanted 0.00 for a one-month supply. Susan instead orders an over-the-counter supply of 400 pills for .99 on Amazon, taking 7 pills every day to get to the required dosage, which is still not as effective as the prescription version of folic acid. Now her doctor is considering a different medication. .Lawmakers Adjourn for Holiday Recess .Sources: "Feds Announce Biggest-Ever Medicare Fraud, Totaling 0 Million," Scott Cohn, CNBC, May 4, 201"Report: Suspect Billings At 2,600 Drugstores," Ricardo Alonso-Zaldivar, The Associated Press, May 13, 201"Obstacles To Collection Of Millions In Medicare Overpayments, Office of Inspector General, Department of Health and Human Services, May 2012. .TSCL enthusiastically supports H.R. 1030 and H.R. 3118, and we were pleased to see support grow for both of them this week. .TSCL is non-partisan and we are listening! This is exactly the time when your voice counts the most. Please take time now to participate in TSCL's 2020 Senior Survey.