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  • Ask The Advisor April 2016

    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] .While the House of Representatives has passed legislation (H.R. 1868) to stop those cuts, the Senate has been a question mark. .The number of Medicare patients in observation stays has jumped 69% in the past five years, according to federal records. They are also staying in the hospital longer. Even though Medicare recommends that hospitals decide within 24 to 48 hours whether to admit or discharge patients, the number of observation stays exceeding 24 hours have nearly doubled. … Continued

  • Questions And Answers

    Eliminating income taxes on Social Security benefits. Millions of middle-income Social Security recipients currently pay income taxes on a portion of their Social Security benefits. According to a recent survey of TSCL's members, 56 percent of older households pay taxes on their benefits, and that number is projected to rise in the coming years. Eliminating this income tax would provide millions of middle-income beneficiaries with much-needed tax relief. .In October, the Social Security Administration announced that benefits will increase by 2.8 percent in January 2019, but approximately 2 million seniors with the lowest Social Security benefits will not see any net increase in their monthly checks after Medicare Part B premiums are automatically deducted. It will be the fourth year in a row that this group will not see a boost in net benefits due to Part B premiums, which are rising several times faster than Social Security COLAs. .This week, lawmakers released the text of legislation that will comprehensively reform the tax code if adopted, and The Senior Citizens League (TSCL) delivered letters to Capitol Hill outlining three tax-related changes that would strengthen the Social Security program. In addition, TSCL endorsed two new bills that would reduce prescription drug costs, and several key bills gained support. … Continued

The Part B and Part D deductible period starts on January 1 of each year and ends on December 3If you were healthy during the year, but require doctor's services in November for the first time and the charge is 0, then you (or possibly your supplemental insurance plan) will have to pay that charge. If you don't see the doctor again until January, you start a whole new deductible period. If he charges you 0 again, then you or your insurer will pay the 0 again. . My husband who is diabetic and has high blood pressure, underwent surgery for colon cancer in March of 2020. He recovered and returned to work last summer. Shortly thereafter he had a stroke. He's been unable to work and received short term disability benefits through his employer until coverage ended on December 31, 2020. Will he qualify for Social Security disability now? He will turn 63 in April 202 .However, support in the House has gone to two bills of the bills, both of which moved forward this week: HR 5826, sponsored by Rep. Richard Neal (D-MA), Chairman of the House Ways and Means Committee; and HR 5800, sponsored by Rep. Bobby Scott (D-VA), Chairman of the House Education and Labor Committee. While they each deal with the same issue the way they try to solve it is different. .TSCL's Board of Trustees on Capitol Hill .In the meantime, TSCL is advocating on Capitol Hill for legislation that would provide immediate assistance to those who fall into the coverage gap. Older Americans living on fixed incomes cannot wait until 2020 for coinsurance in the doughnut hole to drop to 25%. We enthusiastically support the Prescription Drug Affordability Act (S. 2023, H.R. 3513), a bill that would drop the coinsurance to 25% by 2017, three years earlier than current law would. In the months ahead, we will continue to work with its sponsors in the House and Senate to build support for it, and we hope to see it passed into law by the end of this year. .Unlike most of the top 10 causes of death, such as heart disease and cancer, which are covered in large part by Medicare, Alzheimer's care comes with extraordinary costs that are not covered. Medicare covers medically necessary inpatient hospital care, doctor's fees, outpatient services such as blood tests, and Part D covers many prescription drugs. However, a dementia diagnosis most often requires custodial care, like help bathing, eating, dressing, and supervision. Medicare does not cover custodial care. .You can find contact information HERE. In addition, you can find ten sample town hall questions HERE, in this month's issue of the Social Security and Medicare Advisor. .Sources: "Social Security, Treasury Target Taxpayers For Their Parents' Decades-Old Debts," Marc Fisher, The Washington Post, April 10, 201 .What Do We Do Now? My Husband Lost His Job And Our Healthcare Coverage