News

  • Ask The Advisor Februarymarch 2016

    Thus beneficiaries will continue to be hit with steep costs when they fall into the coverage gap in the foreseeable future. To keep prices as low as possible in the doughnut hole, beneficiaries can look into using mail-order pharmacies, which require 90-day prescriptions and are often cheaper per dose than a 30-day supply. People with limited incomes may also qualify for Extra Help or other pharmaceutical assistance programs. TSCL also recommends that Part D beneficiaries talk to their doctors at each visit to discuss potential alternatives to their high-cost prescriptions. .Your doctor or provider accepts "assignment" or the Medicare approved payment, as payment in full. There may be some doctors in your area that accept assignment, but fewer do that anymore. You will need to call your doctor to find out if he or she accepts assignment. Many are charging more than the Medicare-approved amount and you or your Medigap plan will need to cover the "excess" charges. Even if you do locate a doctor who accepts assignment, a growing number of doctors are not accepting new Medicare patients. To find a doctor who accepts assignment call the customer service number of your Medigap supplement. Then call the physician to find out if he or she is accepting new Medicare patients. .The CMS rule change would also make it more difficult to qualify for nursing home and even home health care coverage after leaving the hospital. To qualify for nursing home coverage, one must spend three days as an inpatient. Outpatient stays do not qualify for Medicare coverage of nursing home stays. Without a qualified hospital inpatient stay, patients may even have trouble finding home health care agencies that would serve them due to Medicare's lower Part B reimbursement rates. … Continued

  • Medicare Part D Will Cost Me More

    Insurance Industry Predicts Premium Increase .But financial problems are more likely to compound for Notch Babies and their families because Notch Babies received Social Security benefits lower than those of other retirees having similar work and earnings histories, and they are at the age when many have exhausted their retirement savings and other resources. According to U.S. Census data, 9 percent of men and 14 percent of senior women over 85 have incomes lower than the U.S. poverty level — ,170 for single seniors in 201A core set of benefits is available to low-income seniors including: .Originally, Members of Congress planned to quickly debate and approve the CR last week so that they could turn their focus towards the November 4th elections. However, President Obama made a last-minute request to authorize extra military funding for the training of rebels in Syria, and the discussion grew complicated. After much discussion behind closed doors, leaders in the House and Senate agreed to attach an amendment to the CR to provide the military with the necessary funds to complete the training mission. … Continued

In addition to overlooking Medicare premiums, the CPI-W also doesn't accurately measure the portion of income that retirees and disabled Social Security recipients spend on Medicare. Spending for medical care in the CPI for younger adults represents about 6.5 percent of household budgets, but surveys by TSCL suggest that retirees routinely send more than twice that amount. .This week, one House Subcommittee heard from the Medicare Payment Advisory Commission (MedPAC) about its most recent report to Congress, which was titled Medicare and the Health Care Delivery System. In addition, the 2013 recovery estimate was released for the Senior Medicare Patrol, and The Senior Citizens League (TSCL) saw support grow for two key bills. .Continuing Resolution Debate Grows Complex .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. .The trillion Senate Republican stimulus proposal comes with a measure that could curb federal spending in the future by reducing costs tied to Social Security, Medicare, and highway trust funds. .TSCL agrees that lawmakers must take action soon to stabilize the individual health insurance market and to bring down skyrocketing prescription drug prices. In the coming months, our legislative team will continue to monitor and support legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would reduce costs and improve care for older Americans. For updates on this bill and others like it, visit the Bill Tracking section of our website or follow TSCL on Twitter. .In our meetings on Capitol Hill, we're frequently told that Notch reform would more likely be addressed when Congress takes action on comprehensive Social Security reform, as it appears to be interested in doing now. TSCL is meeting with Members of Congress to ensure that Notch Reform is considered. .However, current benefits, as we will learn today, are inadequate, unfair, and in many cases discriminatory, because of systemic economic inequities. .We urge you to be cautious. You should not be charged just for being put on a list. If you receive a contact like this you should call your doctor's office or your local health department to try and verify that such a list exists.