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  • Seven Ways To Avoid Being Overcharged For Your Prescriptions

    "The distinction between inpatient or outpatient can make a tremendous difference to what Medicare patients have to pay," says TSCL Executive Director, Shannon Benton. Inpatient stays are covered under Medicare Part A. Inpatients who are hospitalized for three days or more qualify for Medicare's limited nursing home stay coverage. Observation stays are considered outpatient services covered under Part B. Observation patients can have much higher copayments costs and sometimes get hit with huge bills for non-covered drugs. .Although Congress has often enacted "clean bill" debt limit increases, and may do so again, lawmakers have also paid for increases with other types of changes, including changes to Social Security and Medicare. In a 2015 debt limit deal, Congress ended a benefit claiming option that was one of the few ways married couples could maximize their benefits. The change affected some people who were already 62 and entitled to benefits. It cost those affected, thousands in Social Security income that they were depending on getting. .Are you the parent or spouse of someone with special needs? Permanent life insurance can make sure a child or spouse will have financial support when you are gone. … Continued

  • Congressional Corner Washington Talking Protecting Expanding Social Security Not Cutting

    Generations have watched big-government, socialist systems fail, one after another, in countries experimenting with soviet-style, centralized planning. Medicare-for-all would be no different, leading to longer wait times and lowered standards of care at an unsustainable cost to the American taxpayer. .Medicaid already uses this strategy to lower drug costs, and pays much lower prices than Medicare for the same drug. In June we reported that Medicare spending on the highest price category of prescription drugs, called "specialty drugs," increased from .7 billion in 2010 to .8 billion in 201Spending on the same drugs under Medicaid, the program that provides healthcare for low-income Americans, grew much more slowly over the same period, rising from .8 billion to .9 billion. .Wall Street economists are in the midst of a growing debate over whether we are in for "the return of inflation." (Oh, go ahead and snort. I did too when I first read about this.) … Continued

Economists are saying that cost-of-living adjustments (COLAs) overpay seniors and that recipients don't need so much money to maintain their standard of living. Cuts to annual cost-of-living adjustments (COLA) are a key provision of the deficit reduction plans on Capitol Hill, and TSCL is fighting the plans that would cut the benefits of more than 60 million beneficiaries. .In the weeks ahead, TSCL will keep a close eye on the issue, and we will advocate for solutions that will improve access without jeopardizing online security. For progress updates, visit the Legislative News section of our website or follow us on Twitter. .Here's how it works: If Medicare spending exceeds certain growth rates, the 15-member board must make recommendations to Congress to rein in spending. If Congress fails to respond by passing cost-cutting measures of their own, the board's recommendations would be automatically implemented. .It is bad enough that non-medical professionals are involved in criminal activity like this but for a doctor to be part of it is outrageous. .Last October's debt deal contained surprise Social Security changes that will cost some Baby Boomer couples tens of thousands in anticipated Social Security income. While proponents say the changes were necessary to "close filing loopholes," TSCL feels the cuts included people who are too close to retirement. Worse, these changes were struck in a secret, closed-door "must pass" debt deal with no public debate. .If the bill is going to reach the President's desk for his signature the House will have to agree to the changes the Senate made and pass it one more time. It may take a couple of weeks if that is to happen, however, because the House will not be back in session until the week of April 12. .After the drug executives announced they would not meet with the President, he went on Twitter and accused the pharmaceutical industry of running ads that lied about his new executive order. .High drug or health plan premiums don't necessarily purchase better coverage. For example, the generic blood pressure medication Lisinopril is one of the most commonly used prescriptions by Medicare beneficiaries. The least expensive Part D plan in my area charges The order would broaden existing federal requirements for government agencies to prioritize buying supplies for medicines deemed "essential" from U.S. manufacturers, rather than companies in China or elsewhere around the world. .By Representative Al Lawson (FL-05) .My ex-wife passed away last year at 62, and recently my job ended. She had a good job with a pharmaceutical company for about 20 years. Can I file a claim for widower's benefits based on her account and still get my own retirement benefit later? I'll be 64 in December and I'm looking for new employment. I have not re-married. .Missing Medicare Part B Enrollment Deadline Triggers Penalties .The transition has set off dozens of new Medicare scams. To protect yourself from scam here's what to remember. There is nothing you need to do to get your card, and it does not cost anything. It will be shipped to you automatically. Scammers try to call beneficiaries on the phone and falsely claim that to get the new card you must provide Social Security, credit card, or bank account information, or Medicare benefits will be canceled. All of these claims are false. If you get a call like this or if anyone calls unsolicited, and claiming to be from Medicare, HANG UP. This is a scam. Once you get your new Medicare number, don't toss your old Medicare card in the trash — shred or cut it up into small pieces. .By Representative Larry Bucshon (IN-8) .In the days and weeks ahead, TSCL encourages its members and supporters to contact their elected officials to request their support for a clean and immediate increase in the debt ceiling. For frequent updates on this important issue, follow TSCL on Facebook or Twitter. .Part B premiums are only part of what Medicare recipients pay. People also have premiums for a Medigap supplement and Part D plan, or a Medicare Advantage plan and those premiums are rising as well. Hold harmless protection does not apply to premium increases in these private plans, and any increase would leave retirees .While most people have rebounded, too many mature workers are still struggling to find work, much less a good-paying job. According to a survey by AARP, half of mature workers who experienced unemployment between 2010-2014 were still looking for work five years later. copay for Tier 1 generics, and the monthly premium is just .50 in the zip code used in this search. The most expensive plan charges a co-pay of .19, and the plan has a monthly premium of .30 — a difference of ,055.88 for the entire year counting premiums! .In April, TSCL's staff trekked up to Capitol Hill to hand-deliver hundreds of thousands of petitions to each Congressional office. The petitions were delivered along with a cover letter from Larry Hyland, Chairman of TSCL's Board of Trustees, who encouraged Members to support key bills. He wrote: "Your constituents listed in the following pages are active and informed, and these represent some of the issues that matter the most to them. Each of these bills would go a long way in protecting and defending the earned benefits of senior citizens."