News

  • Legislative Update Week Ending January 26 2018

    SSA Rescinds New Online Security Policy .In addition, your Social Security benefit is likely to be small anyway. When Social Security calculates the initial benefit, the amount of total earnings would be averaged over a 35-year (420 month) period to determine your average monthly earnings. While you become eligible with a little as ten years of earnings total, the SSA will still average your earnings over the 420-month period. This would produce a low average initial benefit amount. Then the WEP adjustment would reduce your initial benefit formula by scaling back the amount of average monthly earnings that would be credited toward your benefit. .Under a rule change that will take effect in July the Center for Medicare and Medicaid Services (CMS) will allow insurers and employers to exclude certain copay assistance programs from counting toward deductibles and out-of-pocket maximums. The rule applies even for expensive brand-name drugs with no generic alternatives. … Continued

  • No Cost Of Living Adjustment

    "Sorting this out isn't easy for most seniors or family members who try to help them," Johnson admits. "Medicare Part D can befuddle all of us," Johnson says. "But comparing plans saves so much -- where else are you going to get this sort of return for your time?" Johnson wryly notes. "Just do it. If you don't have computer access, or just are not sure how to start, get the help of a Medicare benefits counselor from your State Health Insurance Program (SHIP), " Johnson urges. Many of the programs operate through local Area Agencies on Aging or you can call the Eldercare Locator at 1-800-677-1116, or call Medicare at 1-800-MEDICARE ( 7). .In the Senate, Finance Committee Chairman Chuck Grassley (IA) has also prioritized this critical issue. His first hearing as chairman was titled "Drug Pricing in AmericA Prescription for Change" and, in his opening statement, he vowed to get to the bottom of the growing problem. Following that hearing in January, Chairman Grassley called upon seven of the most profitable pharmaceutical companies to testify before the committee, saying: "Patients and taxpayers deserve to hear from leaders in the industry about what's behind this unsustainable trend." .Back in April, President Trump picked out a single computer model of coronavirus spread to use for guidance about the coronavirus. It turns out that that model initially had rosier estimates than others, and it projected many fewer Covid-19 deaths. … Continued

However, he must first apply for Medicare Part B and pay the initial Part B premium to get the process started, and he only may do so during the Medicare General Enrollment Period. This period is going on right now, starting January 1 through March 31, each year. The application can be safely done online at the Social Security Administration's website. The coverage will not actually start until July 1, 202In the meantime, we recommend that you contact his local Medicaid or Senior Services department to learn if his income qualifies him for short-term Medicaid coverage. .(For more details see our "FAHow ‘Undocumented' Workers Are Becoming Entitled To Social Security.") Of particular importance is an exception that applies to immigrants receiving benefits living in a country with which the U.S. has a totalization agreement. It appears that under the U.S./Mexico Totalization Agreement, all that any illegal Mexican worker must do to qualify for benefits is return to Mexico. Once a claim has been filed, the U.S. Social Security system counts all earnings, even for jobs worked without legal authorization, to determine entitlement to benefits. TSCL is particularly wary of how the 2012 presidential election may affect the status of the agreement. And, even if voters send a new president to the White House, the agreement will continue to remain pending even if no action is taken by President Obama, for the next President's consideration. .Over one million Medicare recipients in my home state of Indiana would face reductions in choice and difficulty receiving care if provider incentives are cut. Instead of reducing access to healthcare, it is time to shift focus to the big picture of improving the economy through job creation so more people are able to contribute to their own healthcare. It is not time to chip away at benefits to the men and women who built this great country. Individuals who contributed to Medicare for decades rely on that investment for their well-being. . Double check the price quote that you received by checking the difference in price between several retail walk-in pharmacies and Humana's mail-in. Sometimes the price can be very different between the two. I learned that my drug plan's mail-in pharmacy would charge me 3 for three albuterol inhalers. The small local walk-in pharmacy was still charging just 1.99 for three. Often, mail order can be less expensive than walk-in retail. Check for each separate drug. You can use the Medicare drug plan finder to help you look up your plan and learn the cost of your co-pay or co-insurance. .The Inspector General's Office recently surveyed 4 field Social Security field offices along the border with Mexico in California and Texas. Each office provided services to about 1,000 such beneficiaries every month. Personnel say the number is increasing for three reasons: .The online survey, taken by 401 participants, was conducted in June and early July 2020. Here are some key findings: .According to information from the Medicare Rights Center, a nonprofit organization that provides Medicare counseling and educational programs, when you notify a Medicare Advantage plan after the move, then your mom's Special Enrollment Period begins the month you tell her plan, plus two more full months thereafter. . How much would delaying retirement benefits after my full retirement age be worth? I turn 66 in August. .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.