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  • Congressional Corner By Representative Nick Rahall Wva Feed

    Are These Home Nurse Visits Legit? .Individuals at full retirement age (66 in 2017) who retire with an average monthly benefit of ,300 would receive about 0,000 over a 25-year retirement assuming a 2.2% cost-of-living adjustment. Since you were born in 1955, your full retirement age is 66 + 2 months. But even people who retire at full retirement age are leaving money on the table when starting benefits prior to reaching age 70. Waiting until age 70 allows benefits to grow 8% per year. .Telephone scammers are bilking Medicare out of billions of dollars, and bombarding millions of older U.S. consumers with multiple daily automated phone calls for everything from "free" back braces to genetic tests. While Medicare scams have been with us for decades, what's new is the use of automated calling technology, and the massive international scale of the scams. … Continued

  • S 31 Medicare Prescription Drug Price Negotiation Act

    The CMS rule change would also make it more difficult to qualify for nursing home and even home health care coverage after leaving the hospital. To qualify for nursing home coverage, one must spend three days as an inpatient. Outpatient stays do not qualify for Medicare coverage of nursing home stays. Without a qualified hospital inpatient stay, patients may even have trouble finding home health care agencies that would serve them due to Medicare's lower Part B reimbursement rates. .Just how bad is it? We were stunned to learn just how big the disparity in drug prices can be. Recently I compared the highest and lowest prices of the top ten most-prescribed drugs in the U.S. using the Medicare drug plan finder. In my area, a monthly supply of diabetes drug Lantus Solostar for example, ranges from a high of 2.00 from the mail order pharmacy of First Health Part D Value Plus plan to a low of .75 from the network retail pharmacies for SilverScript Choice. In fact, the cost difference between the highest and lowest-cost plans for the ten drugs compared averaged 3 per month! .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. … Continued

We do not collect any other information unless it is voluntarily provided by the visitor, such as if you answer one of our surveys, make a donation and/or register on our site to receive news and important updates on issues affecting senior citizens. .Industry groups and health systems led by the American Hospital Association challenged the rule, arguing that the rule would do more harm than good because it won't "tell consumers their actual out-of-pocket costs, will likely produce confusion and may be less effective than the price-transparency tools the hospital field has been developing." .A study conducted by TSCL has found that Social Security benefits have lost 30 percent of buying power since 2000 over the same period that Medicare Part B premiums grew by 195 percent. Social Security benefits on the other hand have grown by only 43 percent. The findings represent an especially big loss in buying power of 7 percent from January of 2016 to January of 2017. .The potential cost in benefits based on illegal work is substantial. Failure to address this inconsistency of law could result in newly legalized immigrants receiving benefits for earnings received while breaking U.S. laws, at the same time U.S. workers and senior citizens who paid into the system legally over their entire careers receive benefit cuts and higher taxes. .When asked how Congress should address the lack of coverage, 79 percent of poll respondents said Medicare coverage should be expanded, while 14 percent said private Medicare Advantage plans that sometimes cover more of these services should be better promoted. Only 7 percent of respondents said Medicare's coverage of dental, vision, and hearing services should remain unchanged. .Tucked away into the President's health care law is a little-known tax increase that's scheduled to hit seniors in 201If allowed to go forward, they will find themselves facing hundreds of dollars in higher taxes – at a time when many can least afford it. .Here are some examples of scams being tried. .Benefits haven't kept pace with the cost of living and all changes that have occurred over the last 50 years. … .Seniors are reporting that in recent years they have frequently put off visits to the doctor and other healthcare providers due to economic reasons, according to recent TSCL surveys. You may have been told that the new healthcare reform law provides "free" new preventive benefits. While that made a good sound bite for the TV news and those Andy of Mayberry ads, the reality is most Medicare beneficiaries will probably still have some out-of-pocket costs. In order to qualify for the "free" preventive services you need the following: