Extremely low cost-of-living adjustments (COLAs) not only affect Social Security benefits, the 0.3% COLA also affects the amount of Medicare Part B premium people will pay in 201When no, or a very low, COLA occurs, a provision of law known as "hold harmless" is triggered. Under the provision, when an individual's Social Security COLA is insufficient to cover the increase in the individual's Medicare Part B premium, the Part B premium is adjusted so that the Social Security benefit isn't reduced from one year to the next. .Medicare Part B premiums increased to 4 month in 2017 – and the higher costs continue to hit older adults, including a large number of low-income individuals who struggle to make ends meet. For these seniors who live paycheck-to-paycheck on Social Security, our failed system means they're facing impossible choices. A meal or medicine? A raincoat or rent payment? .Social Security policy analyst and Advisor editor Mary Johnson finds the average monthly rate of increase for the past 12 months. This rate of inflation is added to the current month, and each subsequent month through to September, in order to project inflation in those months. The SSA's COLA formula takes the third quarter data (July/August/September) and finds the average for the quarter. That is then compared that with the third quarter average from one year ago, and the percentage of difference is determined. That percentage of difference is the amount that the COLA would increase. .Source: James W. Kelley & Joseph R. Humphreys, "Congressional Intent Concerning The Notch Issue: Legislative Background of the 1977 Social Security Amendments," 1994.Source: Congressional Research Service May 24, 1999 .Some deficit cutters contend that the out-of-pocket costs that Medicare beneficiaries pay will have to go up and seniors should pay more for their Medicare benefits. "This survey is powerful testimony to those who hold such beliefs," says TSCL Chairman Larry Hyland. "This survey indicates that they don't understand how much seniors already spend for their healthcare, and how many have already cut back," Hyland adds. "With the majority of seniors depending on Social Security for at least half of their income, and healthcare costs increasing several times faster than benefits, few beneficiaries can afford to pay any more than they already do for their healthcare," he notes. .In his opening statement, Dr. Conway said, "This proposal is part of the Administration's broader strategy to encourage better care, smarter spending, and healthier people by paying for what works, unlocking health care data, and finding new ways to coordinate and integrate care to improve quality." .In a normal year the two-week period around Christmas and New Years Day is a slow news period. But, as with so much else, that was not true this year. .One can't write about Medicare as I do without learning that Medicare has requirements for everything. Lots of requirements.. Medicare Starts Mailing New Cards In April — Beware Of Scams! Start watching the mail for your new Medicare card. The Center for Medicare and Medicaid Services will start mailing the cards this month and plans to replace all existing Medicare cards over the next year — by April of 2019. .Locate the booklet of information about your drug plan for 2020. Your drug plan is required to send you "Evidence of Coverage" for 2020, a booklet that outlines your plan's coverage for your prescription drugs, and what you pay in general. If you don't have that information from your drug plan, or if you don't see answers to your specific questions, you can call the customer service representative of your drug plan directly, or you may find information about your drug plan online by searching drug plans at www.Medicare.gov.