News

  • Benefit Bulletin March April 2020

    "The Reality Behind Generic Drug Inflation," Express Scripts, December 30, 2014, http://lab.express-scripts.com/insights/drug-options/the-reality-behind-generic-drug-inflation. .This week, Members of Congress returned to Washington following a two-week recess and quickly began working on legislation to prevent a government shutdown. In addition, House Republicans revived the American Health Care Act (AHCA), which would repeal and replace most of the Affordable Care Act (ACA) if adopted. Finally, one House Subcommittee met to discuss fraud prevention within the Social Security Disability Insurance (DI) program. .With 1.2 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors groups. Its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of The Retired Enlisted Association. Visit for more information. … Continued

  • Changes Designed To Stop Surprise Billing Coming Next Year

    I'm enrolled in a Part D drug plan. I thought I would get my brand name drug Eliquis, for a copay, but I was charged 5.4Why was that? .The amount you pay for your CT scan will vary by your Medicare Advantage plan and whether you get your CT scan from a preferred provider. You will need to call your plan to learn the out-of-pocket cost details, and to make sure the facility, doctors, and medical technicians performing the CT scan are preferred providers with your Medicare Advantage plan. You could pay considerably more if you use providers who are not under contract with your Medicare Advantage plan. Call the customer service number on the back of your health plan's card, have your questions written down and be ready to take notes. .The Part B and Part D deductible period starts on January 1 of each year and ends on December 3If you were healthy during the year, but require doctor's services in November for the first time and the charge is 0, then you (or possibly your supplemental insurance plan) will have to pay that charge. If you don't see the doctor again until January, you start a whole new deductible period. If he charges you 0 again, then you or your insurer will pay the 0 again. … Continued

To the contrary, the majority of you who have taken our Senior Cost Survey in June and July — 56% — think we need to invest more in Medicare so that we can respond rapidly and more effectively to the next health crisis. COVID-19 affects us all, and is expected to continue to be a threat for months to come. TSCL believes that investing more in Medicare now pays off in protecting the health, and future, of all its beneficiaries. .This week, The Senior Citizens League (TSCL) successfully hosted its first ever town hall meeting. Meanwhile, action on Capitol Hill remained slow as Members of both Houses of Congress remained in their home states and districts for the August recess. .As seniors know from experience, even as we face ever-higher prescription drug prices every year, we face increased Medicare premiums but also reduced Social Security COLAs. .Jessie Gibbons – TSCL's senior policy analyst – told Karen Damato of Money, "We're concerned that the abrupt change will cause a lot of confusion and frustration among older Americans, many of whom don't have reliable access to text-enabled cellphones." In addition, Mary Johnson – a policy consultant for The Senior Citizens League – told Mary Beth Franklin of InvestmentNews, "Based on what we know at the moment, the alternative to checking online is either calling SSA's 1-800-772-1213 line, or trekking out to a local Social Security office where you take a number and wait in line." She also said, "The Senior Citizens League feels that online security is vital, but feels alternate options should be offered." .Help! I'm turning 65 soon. My daughter says I should sign up for Medicare, but I don't know what to do or where to begin. I work for a small company with 17 employees, where I get my health insurance now. About a week is currently taken out of my paycheck for premiums. My current health coverage isn't that good. It has a ,500 deductible and, because I'm still in good health, I've never been able to benefit. .Starting a new medication can sometimes take you by surprise when drug plans don't cover the drug or charge higher co-pays than you can afford. If you're having trouble covering the cost of your medicine, here are some things to try: .I'm still working and will turn 65 in July of this year. I currently get my health insurance through my employer. We have more than 20 employees and I've been told I can keep my employer's health insurance instead of starting Medicare in July. The health insurance that I have now is pretty expensive and the deductibles are high. How can I compare the costs between the two types of insurance? .If signed into law, the PRIME Act would take a number of steps to prevent and reduce fraud, waste, and abuse within the Medicare and Medicaid programs. Among other things, it would enact stronger fraud penalties, curb mistaken payments by the agencies, phase out the ineffective "pay and chase" practice, reduce the theft of physician identities, and improve the sharing of fraud data among states, agencies, and programs. .Senator Sanders said at the hearing: "Constituents are sick and tired of getting ripped off by drug companies and paying the highest prices in the world … The real issue is whether Congress has the guts to take on the powerful pharmaceutical industry."