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  • S 2251 Seniors And Veterans Emergency Save Benefits Act

    On Tuesday, TSCL's Legislative Analyst, Jessie Gibbons, attended the Joint Select Committee on Deficit Reduction's first public hearing. The Committee heard testimony from Doug Elmendorf, Director of the Congressional Budget Office (CBO). .The Congressional Budget Office estimates that H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, prescription drug price negotiation legislation which is under debate in the House could lower government spending on Part D by 6 billion over a ten year period, but cautioned the estimates are uncertain, especially if price negotiations are implemented differently that the CBO's interpretation. .I read that the Medicare Part D doughnut hole is closing. What does that mean? I recently started on Lantus insulin, which my drug plan covers, but with the other drugs I take, I expect to hit the doughnut hole with my April refill. … Continued

  • Category Newsletter Archive Page 3

    TSCL Goal of new Drug Pricing Legislation Left out of new House Bill .Finally, one new cosponsor – Congresswoman Pramila Jayapal (WA-7) – signed on to Congresswoman Jan Schakowsky's (IL-9) Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to seventeen in the House. If adopted, it would take several steps to reduce prescription drug costs. It would require the federal government to negotiate lower prices for Medicare beneficiaries, allow individuals to import prescriptions from Canada, accelerate the closing of the Part D "doughnut hole," and cap monthly out-of-pocket drug expenses at 0, among other things. .This week, lawmakers returned to Capitol Hill following a week-long holiday recess. They have just one week to reach a deal to fund most of the federal government past Friday, December 7th. Should they fail to reach an agreement before then, part of the federal government will shut down like it did earlier this year. … Continued

And, in case you had any doubts about why you need that Medicare Advantage plan in the first place, here are the general types of costs if you have Medicare Advantage plan coverage compared with having traditional Medicare with a Medigap supplement. .What Is the Risk of Catching the Coronavirus on a Plane? .Where to find premium information. Rather than calling insurance agencies for quotes, first visit the website of your state insurance commission and look for a publication listing all the state-approved Medigap insurers and Medigap plans (A through N) sold in your state. The information includes the insurer's company name, phone number and website address, and more crucially, the current premiums for the plans (A through N). Since all insurers are required to cover the same benefits under specific plans (A through N) then all you need to do is select the plan covering the benefits you are interested in (such as Plan F), then find a good insurer with the lowest premium for the plan you are shopping for. Not all states have all plans. Calls to the insurer are necessary to confirm premium quotes for your zip code. For Part D Plans, or Medicare Advantage plans, use the health and drug plan finder on the Medicare website at www.Medicare.gov. It's important to select those plans by selecting the lowest-costing plan based on the prescriptions you currently take. .This failure of the COLA to keep up with rising Medicare Part B premiums and other retiree costs is creating a dilemma that is growing in magnitude, not only for older Americans, but also for the nation's safety net programs like Medicaid. A majority of Social Security recipients depend on their benefits for more than half of their income, and almost half of all retirees have only limited or no retirement savings at all. The lack of adequate growth in benefits over the past eight years is pushing modest income seniors into poverty, forcing even those who started out as middle-income retiree households to rely on Medicaid for help paying Medicare costs, rental subsidies, fuel assistance, food pantries and senior meals programs. .Key Bill Gains Cosponsors .Now the Centers for Medicare & Medicaid Services (CMS) has told hospitals they can't hide their prices from web searches. .The Senate bill also would change Medicare Part D by adding an out-of-pocket maximum for beneficiaries of ,100 starting in 202No such out-of-pocket cost cap currently exists. According to our 2019 Senior Survey, about one-in-five survey participants report out-of-pocket spending this high for prescription drugs. Advisor editor Mary Johnson estimates that this legislation would protect almost 14 million Medicare beneficiaries from out-of-pocket drug costs exceeding ,100 in the first year of enactment if signed into law. .Benefits haven't kept pace with the cost of living and all changes that have occurred over the last 50 years. … .We were also told that the Congressman is working on further legislation to raise benefits and further extend solvency which he plans on introducing later this year. We will report on that new bill whenever it is introduced.