The chances for legislation remain strong as more experts say older seniors need a benefit boost to protect them from outliving their retirement resources. Your continued support, letters, and phone calls to Members of Congress make all the difference in building co-sponsorship. TSCL has been instrumental in building support for the Notch Fairness legislation and remains committed to passage. .To avoid significant cost increases and unexpected benefit cuts next year, TSCL encourages its members and supporters to examine all MA plan offerings closely before making a selection or allowing a plan to automatically renew. The open enrollment period ends on December 7th, and coverage begins on January 1st. In the meantime, TSCL will continue to monitor the status of the MA program and advocate for legislation like the Medicare Advantage Participant Bill of Rights Act, which would protect MA enrollees from unfair and abrupt changes to physician networks. .Understand the type of Medicare options available to you. You can receive coverage for the costs that Medicare does not pay in two main ways: through a Medicare supplemental (sometimes called Medigap) or through a newer Medicare Advantage managed care plan, like an HMO or PPO. Both types of plans cover medically necessary hospitalization as well as doctors' and outpatient services. Many, but not all, Medicare Advantage plans also offer Part D prescription drug coverage. There are significant differences between these two types of plans that affect what you pay out-of-pocket. And those differences are often buried in all the tedious-to-read fine print. .Many social and economic factors work against women who are family caregivers and mothers that can lower their Social Security benefits. The Senior Citizens League (TSCL) believes that lawmakers can and should be doing more to improve this. .Your Member of Congress appears to be referring to "value-based healthcare." The idea is that by keeping people healthy we can reduce government spending on healthcare. .Proposals to reform Medicare have been floating around the halls of Congress since 2010, but none have been as radical or risky as one recently released by four prominent Senators. In an attempt to curb Medicare spending, the group came up with a plan that would phase out Medicare completely, and it would do so at the expense of current enrollees, beginning as early as 201The proposal, introduced by Senators Rand Paul (KY), Mike Lee (UT), Lindsey Graham (SC), and Jim DeMint (SC), would transition beneficiaries into the Federal Employees Health Benefits Program – the same health program available to Members of Congress. .Sources: National Health Expenditures 2011 Highlights, Department of Health and Human Services, January 8, 2013. .Meanwhile, Republicans argued that Medicare should not be expanded when its hospital fund is already slated to be insolvent in 2026. .Yet here we are today facing another failure to pass legislation on time, which has happened year after year under McConnell.