President Trump recently released a proposal that could change the way drugs are sold in the U.S. Patients have been forced to pay out-of-pocket costs based on the rising list price of drugs. The proposal would require that often-secretive discounts or rebates, received by pharmacy benefit managers from drug companies, would have to be credited at the pharmacy when a patient fills a prescription. For patients who need expensive drugs, out-of-pocket costs are likely to go down. .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. .Investigate insurance company ratings. You want a company that will still be here 30 years from now when you are. Check with rating agencies like Standard & Poor's or A.M. Best and only do business with insurance companies having the highest two ratings. .In the 109th Congress, I co-sponsored legislation expressing CongressТ disapproval of the Totalization Agreement between the U.S. and Mexico because I believe it is imperative that we protect Social Security by preventing others from "gaming" the system. For this reason, I also co-sponsored the Illegal Immigration Enforcement and Social Security Protection Act of 2005, legislation aimed at cracking down on Social Security fraud. .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .The Social Security Administration maintains a special Earnings Suspense File of wage reports that don't match the name and Social Security number of those in Social Security records. According to data from the Social Security Administration, an average of 9,762,500 wage reports per year with invalid names or Social Security numbers were received from 2000 through 2007 for an average of .68 billion in wages per year. That much in wages would be worth more than billion per year in Making Work Pay tax credits in 2009 and 2010 if those trends continue. .Mismatched earnings reports remain in the ESF until SSA obtains evidence to link the unidentified earnings to a valid SSN — a process termed "earnings reinstatement."(14) When SSA encounters reports that don't match its records, SSA goes through an involved, and time-consuming attempt to make a match. Reinstatements can occur any time, even years later. .But the money to cover beneficiaries' share of premium costs still needs to come from somewhere. That leaves the 30% of Part B enrollees who aren't protected by hold harmless to make up the difference through steeply higher Part B premiums. Many of those people are facing a steep Part B premium increase from 1.80 per month to an estimated 9.00, the highest increase in 27 years. Those not protected by the hold harmless provision include: .This week, one new cosponsor – Congressman Bill Foster (IL-11) – signed on to the Social Security 2100 Act (H.R. 1902), bringing the total up to 16The bill, which was introduced just a couple of months ago, has more support in Congress than any other comprehensive Social Security reform bill to date.