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  • About Us Board And Staff Joseph Kluck Legislative Liaison

    This week, TSCL endorsed two new bills from Congressman Lloyd Doggett (TX-35) – the Transparent Drug Pricing Act (H.R. 4116) and the Competitive DRUGS Act (H.R. 4117). If signed into law, the bills would promote transparency in the prescription drug industry and prevent anti-competitive pay-for-delay deals, in which brand-name drug companies pay generic drug makers millions of dollars to delay the introduction of their generic medicines to the market. .Employers are only required to check SSNs and report wages, but aren't required to verify whether individual workers have legal authorization to work in this country. When employers submit wage reports with SSNs that don't match those of Social Security, the reports wind up in the Earnings Suspense File until they can be reconciled. .How much are you over-paying for your prescription drugs? The only way to find out is to do a drug plan comparison based on all the drugs you take. This is the time of year you can make changes during the Medicare Open Enrollment period, which runs through the month of November and ends December 7th. Give the Medicare Drug Plan Finder a try. You can get free one-on-one counseling by contacting your local Area on Aging, State Health Insurance Program (SHIP) or senior centers and ask for help comparing Medicare drug plans. … Continued

  • Ask The Advisor August 2014

    Very modestly boosting the payroll tax paid by workers and matched by employers to employers. .Senate Committee Discusses Social Security Benefit Maximization .This week, lawmakers returned to Capitol Hill following a two-week spring recess, and one member of The Senior Citizens League's (TSCL's) Board of Trustees visited Capitol Hill to advocate for legislation that would improve the Social Security and Medicare programs. In addition, two key bills gained support in the House and Senate. … Continued

One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services. .Throughout the hearing, Barthold urged the Committee Members to address the corporate and individual tax codes. For both, he recommended total overhaul. .You must follow Medicare guidelines for receiving the services to ensure coverage. Find out how often you should receive a service. Some preventive services are covered only once every few years, others are covered only if you meet specific criteria. To learn more read "Your Guide to Medicare's Preventive Services," CMS Product No. 101Download a copy at www.Medicare.gov or call 1-800- Medicare ( 7). .Most people who spend the night in the hospital would say they have been an inpatient. But over the past six years, rapidly growing numbers of Medicare beneficiaries have learned that they were never admitted as an inpatient — even though they have stayed in a hospital bed, received treatment, diagnostic tests, and drugs. .Services must be those that have earned an "A" or "B" recommendations by the U.S. Preventive Services Task Force. They include: annual wellness visit, blood tests for heart disease, bone mass measurements, diabetes screening, colon cancer screening, diabetes screening, flu shot, hepatitis B vaccine, medical nutrition therapy, pap smears, pelvic exams and clinical breast exams, pneumonia vaccine, prostate cancer screening (PSA test), and screening mammograms. .Benefit Bulletin: February 2014 Before Obamacare & 8220;Glitch,& 8221; There Was The Notch Glitch .A 2.5% COLA would boost an average monthly benefit of about ,500 by an additional ,000 over the next ten years through 2030. An emergency 2.5% COLA would boost a monthly ,500 benefit by an extra .50 (0 per year) in 2021, but it would grow to an extra .30 per month by the end of ten years. Another way to think about this, if retirees do not receive a 2.5% COLA, that would be like loosing ,000 in Social Security income over the next ten years. .Let's be clear about this, this is the responsibility of the Ways and Means Committee, and specifically this subcommittee. .The cost of additional coverage varies significantly. There are pros and cons that need to be weighed for the type of selection you make for your additional coverage. For example, you should ensure that your Part D or Medicare Advantage plan is selected based on the drugs you take, and the doctors and hospitals you actually use. (A Medicare benefits counselor will check this information for you on the Medicare website.) While the cost of this additional coverage varies, the coverage offered may be identical, and that is why we recommend getting help from a SHIP counselor, who can help you find coverage to keep your costs to a minimum. Medigap insurance, for example, costs more for the premium, but you would have minimal out-of-pocket costs. On the other hand, you might pay less for the premium of a Medicare Advantage plan, and perhaps get some additional benefits like vision care, but you would have co-pays or co-insurance for each service. In Central Virginia, for example, a Medigap G policy may be found for about 0 per month, and roughly per month for the drug plan (or even less).