News

  • Changes Designed To Stop Surprise Billing Coming Next Year

    The report's findings are significant because the DI program is currently in serious financial trouble. If Congress does nothing to address its funding issues, the trust fund will become insolvent next year, at the end of 201At that point, enrollees will face an across-the-board 20 percent cut in benefits. .Excludes medical documentation from doctors or healthcare providers convicted of fraud or excluded from participation in federal health care programs. .To help you sort things out, TSCL strongly recommends that you get free one-on-one Medicare counseling through your state health insurance assistance program (SHIP). Many of the programs operate through area agencies on aging, local departments of senior services or senior centers. You can also get more information online at www.Medicare.gov or call 1-800-Medicare ( 7). … Continued

  • Much Social Security Will Spend Medicare Costs

    The COVID-19 pandemic has taken a huge toll on nursing homes, leading to large numbers of residents and staff becoming become ill or dying. We hope that such catastrophes may help focus attention on long-term problems that plague these facilities. .The 30 percent of beneficiaries who are not protected by hold harmless include: .Not thoroughly reviewing the contracts. Make sure you understand what your fees cover and understand built - in price "escalators." For example, cost-of-living adjustments have only increased Social Security benefits by an average of 1.1% over the past 8 years, but rental units may come with automatic price escalators of 5% per year. Facilities often have charges for room and board and separate fees for care. In addition to care fees, there may be medical supplies, medication delivery, laundry and other fees. It's a good idea to have an attorney review the contracts with you. … Continued

The costs shown in the chart below assumed plan coverage started on September 1, 2017 for a new enrollee. The Medicare Drug Plan Finder cost estimates include premiums, and out-of-pocket cost sharing for 201Costs shown are estimates and the actual costs may vary somewhat depending on pharmacy used. The prices illustrated in the chart are likely to change for 2018. .House Republicans Revive AHCA .TSCL encourages its members and supporters to attend these events and to voice their concerns about important Social Security and Medicare issues like inadequate cost-of-living adjustments and skyrocketing prescription drug prices. .New retirees often fail to understand just how rising Medicare costs can result in less Social Security income than anticipated. The Social Security Administration automatically deducts premiums for Medicare Part B from Social Security benefits. This year, the Part B premium is 4.00 per month for retirees with incomes under ,000 and the Medicare Trustees estimate it will rise to 5.50 for 2019. .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. .Many believe that Sen. Conrad's plan entails a fair balance of spending cuts and revenue increases, and they are pleased that he has revived the Fiscal Commission's recommendations. Others, however, have expressed concerns about some of the entitlement spending cuts that it calls for. TSCL in particular is concerned about the adoption of the Chained Consumer Price Index, which could significantly reduce the lifetime benefits collected by future Social Security recipients. .The new guidance is as follows: .In short, there are two main obstacles to the "Pelosi" bill to lower drug prices: overcoming objections from House Democratic progressives and getting through the Republican opposition in the Senate. .Part D — If you choose a Medigap plan, or a Medicare Advantage plan that does not offer drug coverage, you will need a Part D plan. If you take any prescription drugs, be sure to input your medications to get an accurate estimate of costs and to check the coverage of the drugs you take. Coverage of prescription drugs varies from plan to plan and from one year to the next. The average monthly premium for Part D plans weighted for enrollment is Plans often charge a deductible and in 2011 you would need to spend a total of ,550 out-of-pocket (not including premiums) before reaching catastrophic coverage.