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  • Obamacare Opens Millions Lose Health Insurance Including Me

    If signed into law, the Medicare Physician Payment Innovation Act would repeal the sustainable growth rate (SGR) formula for physician reimbursements, and it would set up a five-year trial period during which the Centers for Medicare and Medicaid Services would test and evaluate new payment and delivery models. TSCL strongly believes that the SGR formula breeds uncertainty in the Medicare program for both physicians and beneficiaries. Many doctors have stopped accepting Medicare patients, and many more are threatening to do so if a permanent solution is not established soon. We believe that Rep. Schwartz's bill would bring increased stability to the Medicare program, and we were pleased to see four new cosponsors announce their support for it this week. .The fraudsters enlist unscrupulous doctors to approve the test and the doctor receives a kick back from the recruiting company for each prescription. Medicare receives a bill that can range from ,000 to ,000. Victims have later reported that they did not even know the doctor who prescribed the test. Law officials warn that health fairs, senior centers and even church events are magnets for the scam, where recruiters take cheek swabs for genetic testing and collect Medicare numbers. .If your mom has permanently moved out of the area served by her former private Medicare health, she will qualify for a Special Enrollment Period to switch to another private health plan. These plans are also known as Medicare Advantage plans. The rules covering the period you have to shop for and switch to a new plan depend on your circumstances, particularly, whether you notified her private health plan in advance, or after the move. In addition, how your health plan learns of her move, whether from you, the Centers for Medicare and Medicaid Services (CMS), or the postal service — also affects the period you have to switch to a new plan. … Continued

  • Should Social Security Continue To Pay Benefits Based On Illegal Work

    Medicare Savings Programs cover the cost of the Medicare Part B premium, saving a person 8.50 per month in 202Depending on income, those with the lowest income may also qualify for additional benefits that cover the Part B deductible and out-of-pocket costs. People with incomes in 2020 of up to ,456 per month (individual) or ,960 (married couples) might be eligible if they have limited savings and resources of ,860 (individuals) or ,800 (married couples). These limits are slightly higher for Hawaii and Alaska. This program is administered through state Medicaid programs and states may have guidelines that allow people with slightly higher income to enroll. If interested ,contact your local Medicaid office to apply. .My pulmonologist ordered a CT scan, but the person scheduling appointments said they first had to check my insurance. Is this correct? I'm covered by Medicare and a Medicare Advantage plan. I thought I would be covered for any medically necessary CT scan. .This week, Members of Congress remained in their home states and districts for the month-long August recess. … Continued

There are three factors that affect your final benefit amount: .To qualify for special enrollment in a Marketplace plan, your husband will need to select a plan within 60 days after losing his job-based coverage. If you need coverage in the time between losing job-based coverage and beginning coverage through a Marketplace plan, your husband may want to continue COBRA coverage from his former employer's plan. He should learn more about his special enrollment period, and coverage at www.HealthCare.gov or by calling 1-800-318-2596. .The Congressional Budget Office (CBO) recently issued a cost estimate citing the Joint Committee on Taxation's estimates of the cost for Social Security of about 6 billion in reduced SS revenues between 2020 -2021, increased revenues from repayments of 9 billion between 2022-2023, and about billion in higher outlays which would be due to administrative and debt costs. The CBO assumes that some companies will go out of business and would be unable to repay deferred taxes — about billion in Social Security revenues. The CBO warned that uncertainties its estimate of the CARES Act are high, and that actual outcomes could vary significantly. .Source: Fiscal Year 2010 Inspector General Statement, Social Security Administration Office of the Inspector General, November 2010. .Pressure politicians. "Candidates who don't take a stand on Social Security in this important election year choose to put the program's strength at risk in the long-term," AARP CEO Jo Ann Jenkins said in a statement. "Though people of all ages rely on it, its importance to older Americans — already under tremendous pressure from wage stagnation and shrinking pensions — is only likely to grow." .Since he was first elected to Congress in 2010, Congressman Mulvaney – a founding member of the House Freedom Caucus – has been vocal about his support for reforming the Social Security and Medicare programs. In a 2011 interview, he told reporters: "We have to end Medicare as we know it. We have to fix it." He has endorsed several proposals that would privatize the Medicare program by adopting a "premium support" model, and on Tuesday, he endorsed plans to increase means-testing within the program. Both of those proposals are opposed by TSCL since they would result in higher out-of-pocket costs for beneficiaries. .The new cards will have unique, randomly-assigned numbers called a Medicare Beneficiary. Benefit Bulletin: June 2016 Can You Identify Medicare Fraud In This Story? .However, experts say the actual cost of living for Social Security beneficiaries is rising and their quality of life is falling. Social Security recipients have lost nearly a fourth of their buying power over the last 15 years, according to the Senior Citizens League. .The COLA will be announced on October 19th, and Medicare premiums and deductibles also will be announced in the fall. Seniors who are already retired and those nearing retirement have few options if the benefits they rely on today were to be cut. TSCL is fighting such proposals affecting the benefits of current retirees, believing that seniors need a COLA that more adequately protects the buying power of Social Security, and TSCL supports H.R. 776, the Guaranteed 3% COLA Act, introduced by Representative Eliot Engel (NY-17).