Healthcare Debate Continues in Senate .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. .Finally, one new cosponsor – Representative Mark Pocan (WI-2) – signed on to the CHANGE Act (H.R. 4957), bringing the total to twenty-one. If adopted, this bill would direct CMS to create programs that would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .Each year SSA receives hundreds of millions of employer reported W2s. When Social Security receives a name or SSN on a W-2 that does not match SSA's records, the wage report goes into the ESF while the SSA attempts to reconcile the discrepancy. In recent years the file has been growing at an unprecedented pace—the fastest since the inception of Social Security in 1937. .The provision only protects an estimated 70 percent of beneficiaries (almost 43 million beneficiaries) from increases in the Medicare Part B premium that exceed the dollar amount of their COLA. When an individual's Part B premium increases more than the dollar amount of their COLA, the Part B premium is reduced to prevent a reduction in net Social Security benefits from one year to the next. ."Let's have some discussion about what the government would actually be measuring," Johnson says. "It would not be direct measurement of the growth in the costs of specific goods and services as is the case under the conventional CPI," she says. "Yet that's what most people think of when we talk about inflation," she says. According to the Congressional Budget Office, the chained CPI measures the amount of additional resources that an individual would need to maintain the same standard of living this year as last year. "That's not the same thing, especially for people dependent on fixed incomes," Johnson notes. .The further we read into the Affordable Care Act, the more we learn it doesn't address the issues of rising costs and access to quality care. A majority of my patients were either Medicare beneficiaries or Medicaid recipients. I understand the importance of these issues and want you to know that I am working hard to ensure everyone, especially seniors, has access to quality care and to keep the Federal Government out of the way when it comes to making the important decisions that affect your health and well being. .Unless you are in poor health and need money to put food on the table or keep a roof over your head, these days it makes sense to delay starting benefits as long as you can. That's especially true if you're single and have limited retirement savings. If you claim Social Security too early, you could set yourself up for a reduced standard of living for the rest of your life. .Source: "The 2018 Long-Term Budget Outlook," The Congressional Budget Office, June 2018.