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  • Will Medicare Soon Include Dental Coverage And More

    For progress updates or for more information about these and other bills that would strengthen Social Security and Medicare programs, visit the our website or follow TSCL on Twitter. .A deductible is the amount of money you must pay before your coverage starts. Many Medicare supplements (Medigap policies), Medicare Advantage plans, and drug plans cover Medicare's deductible as part of the coverage you purchase. Medigap polices "B" through "J" pay the Part A dedictible, and Plans "C", "F" and "J" also cover the Part B deductible. Medicare Advantage Plans and prescription drug plans may or may not have a yearly deductible depending on the type of plan you choose. There are also federal and state government programs for low-income seniors that provide assistance for this cost. .Rep. Paul Ryan said this week that he would also like to consider reforms to the Medicare program at that time. At an event on Monday, he stated, "There are other issues, like Medicare reform-based issues, that we'd like to enter into this to try and help pay for this … Sometimes you find if you have a problem that's small and intractable, if you make it a little bigger it's actually easier to solve, and that's kind of the way we're looking at the full-time doc fix." … Continued

  • Benefit Bulletin June 2015

    The number of observation patients has exploded 88 percent over the past six years, according to the Medicare Payment Advisory Commission. Medicare has tightened rules for hospital admissions, and usually won't pay for admitted patients who should have been designated as observation status. Consequently, hospitals have increased their share of observation patients. But the rule is not the same for people's private insurance like Medicare Advantage. Most Medicare Advantage plans don't require their enrollees to have a three-day hospital admission in order to receive nursing home coverage, according to an analysis by Avalere Health research firm. .Members of the House were scheduled to vote on a stopgap funding measure on Tuesday, but leaders have delayed the vote until next week due to a lack of support. It remains to be seen whether or not lawmakers will successfully avert the shutdown, but Appropriations Chairman Harold Rogers (KY-) remains optimistic. He said of the delay this week: "We've got some time left here, and conversations are taking place among the various elements … It's not time to panic." .If you've received a medical bill for services that you thought were covered by your health insurance you already know what surprise medical billing is. But as a reminder, "Surprise medical billing" is a term commonly used to describe charges received by someone who has health insurance but they received care from a health care provider who is not included in their insurance coverage. This situation could arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. Surprise medical bills might also happen when a patient receives planned care from an in-network provider (often, a hospital or ambulatory care facility), but other treating providers brought in to participate in the patient's care are not in the same network. This can end up costing patients thousands of dollars they thought their insurance would pay. … Continued

We at TSCL believe that if the drug companies do not offer vaccines or treatments either free of charge, at-cost, or with only a small profit, Congress must take action to reduce the cost. It is simply unacceptable for the American taxpayers to have to pay a large amount of money for something that is so desperately needed by everyone and that has disrupted, and most likely permanently changed, our lives. .TSCL believes this is good news for the Social Security and Medicare systems, but there is no doubt that if the deferred taxes are never re-paid, it will cause major damage to both programs. .Notification dates: Because you started working and received about 6 months of Social Security payments prior to your notification of Social Security, these payments may not have been properly accounted for in your withholdings and may form a substantial portion of the overpayment. It's very important to notify Social Security, either in advance or immediately, if you work. .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. .Scrapping the Social Security payroll tax cap on the taxable wages would not only provide enough revenues to make the program solvent for another 50 years, but would also pay for a more fair and accurate cost-of-living adjustment (COLA) for current retirees. For example, say a CEO of a company receives million in compensation. That individual and the employer each pays 6.2% Social Security taxes on the first 8,500 in wages. Social Security receives a total of ,69But if the entire million were taxed, Social Security would receive 8,000 instead. .TSCL believes a better approach to Medicare Advantage "risk adjustments" is needed, and should be written into law, rather than left to the discretion of politically appointed Medicare administrators. Congress could do this by writing a method for calculating the adjustment into the law. This approach would make payment for MA plans more like payment for other Medicare providers. .Rural Americans who face unique challenges would also experience unique struggles under a one-size-fits-all healthcare plan. For years, the farmers, ranchers, and everyone living in our nation's breadbasket have endured inequitable access to quality care and medical services compared to their urban and suburban counterparts. .CBO is strictly nonpartisan; conducts objective, impartial analysis; and hires its employees solely on the basis of professional competence without regard to political affiliation. CBO does not make policy recommendations, and each report and cost estimate summarizes the methodology underlying the analysis. .For progress updates or for more information about these and other bills that would strengthen Social Security and Medicare programs, visit the Bill Tracking section of our website or follow TSCL on Twitter.