Which is right for you? Medigap policies tend to have have higher premiums, but pay most of your out-of-pocket costs, so your costs stay more consistent and predictable. You are also free to use any healthcare provider that accepts Medicare. If you choose Medigap you will also need to enroll in a separate Part D prescription drug plan. Medicare Advantage plans tend to have lower premiums and include drug coverage, but you will have deductibles, as well as co-pays and cost sharing for most services. Hospitalizations could be costly. Many Medicare Advantage plans are managed care and require that you use participating providers to receive reimbursement for your care. .Now, the government of Canada is banning drug manufacturers and distributors from shipping any Canadian drugs that might be at risk of shortage to the United States. .Surprisingly, there was no discussion of slowing the growth of cost-of-living adjustments (COLAs) by switching to the more slowly-growing "chained" CPI. The proposal is getting increasing attention (mostly favorable) in media editorials. Switching to the more slowly-growing chained CPI would reduce cost-of-living-adjustments, and many policy experts view the option as a front-runner for reducing the deficit. .One new cosponsor – Rep. Denny Heck (WA-10) – signed on to Rep. Allyson Schwartz's (PA-13) Medicare Physician Payment Innovation Act (H.R. 574) this week, bringing the total up to thirty-three. The bill, if signed into law, would repeal and replace the faulty formula that is currently used to determine reimbursements for physicians who treat Medicare patients. .Low-income "dual eligibles" — Medicare beneficiaries whose incomes are so low that they are also eligible for Medicaid. Part B premiums are paid on their behalf by their state Medicaid program (about 19% of beneficiaries).[4] .At a time when Congress is deeply divided on many issues, we need to find a way to break through the gridlock to pass bipartisan, commonsense measures to support our nation's seniors. In that spirit, I introduced the bipartisan SAFE ID Act to ensure that seniors can retire without fear of having their identity stolen or losing their savings. With nine of the ten top cities for tax-ID fraud located in Florida, many seniors in my home state have fallen prey to identity theft and other forms of fraud. This bipartisan legislation will eliminate one big source of identity theft by allowing a shortened taxpayer identity number to be used in place of a social security number on taxpayer forms like W-2s. .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. .This week, TSCL announced its support for three new bills: the Social Security Safety Dividend Act (H.R. 67), the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), and the Safe and Affordable Drugs from Canada Act (S. 64). .This week, the Senate returned from break and President Barack Obama delivered the State of the Union address. New co-sponsors were also added to a pair of Social Security bills, and negotiations continue on how to fund the "doc fix."