Prevention of Fraud, Waste, and Abuse – Eliminating inefficiencies within Social Security and Medicare. .We do not collect any other information unless it is voluntarily provided by the visitor, such as if you answer one of our surveys, make a donation and/or register on our site to receive news and important updates on issues affecting senior citizens. .TSCL's members and supporters tend to be older, less affluent seniors. They are also, to a large extent, Notch victims — those individuals who receive lower Social Security benefits because they were born between the years 1917 and 1926. .Medicare supplements tend to have higher premiums than Medicare Advantage plans, but will cover most, or even all of your out-of-pocket costs, depending on which policy "A" –"N" that you choose. Medicare Advantage plans have lower premiums, but you instead pay co-pays for every service. If you get sick or you are hospitalized, your out-of-pocket costs could be thousands of dollars. But unlike Medicare alone, Medicare Advantage plans have annual out-of-pocket maximums to cap what you pay. Those maximums average ,332 in 2017 but can be as high as ,700. .At The Senior Citizens League, we understand the scope of the nation's deficit and we know that some small changes to Medicare may be necessary. However, we firmly believe that any adjustments should be phased in gradually, and that current enrollees and those nearing retirement should be protected from sudden changes. Congress is not likely to vote on any Medicare reform plans before the November election, but TSCL will continue to monitor the evolving negotiations. To learn more, visit our website at . .However, it remains unclear if lawmakers will be able to successfully negotiate an omnibus before the December 11th deadline. Many in Congress are hoping to attach language to the spending measure that would block funding for an immigration executive order that President Obama is set to announce in the coming weeks. Sen. Barbara Mikulski (MD), Chairwoman of the Appropriations Committee, called the request a "deal-breaker," and said that it would likely result in a veto from President Obama. .Regrettably, this uncertainty persists during the on-going deficit reduction discussions. Those who received services paid for by Medicare will not be affected by the automatic budget cuts due to the failure of the Joint Select Committee on Deficit Reduction to reach a compromise. Nevertheless, I am concerned that providers are not also shielded from those cuts. That is why I am co-sponsoring H.R. 3519, legislation to protect Medicare providers from the 2 percent cuts that were part of the Budget Control Act of 2011. .On Tuesday, Senators on the influential Finance Committee held a hearing titled "Examining the Proposed Medicare Part B Drug Demonstration." Dr. Patrick Conway testified before the full committee on the status of the controversial demonstration program, which was proposed by CMS earlier this year and has not yet been implemented. The program will test new payment strategies for hospitals and physicians who administer prescription drugs to Medicare beneficiaries receiving outpatient care. It is a new attempt by the Obama Administration to move away from a medical system that rewards volume of care and towards one that values high-quality care. .Congress first approved the WEP in 1983 as part of a large package of Social Security reforms that included increasing the full retirement age. The stated intent was to remove an unintended advantage for workers who collect non-covered pensions, but also did some work in jobs covered by Social Security.