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  • Ask The Advisor July 2013

    But if mature workers are not working and earning, they can't make critical life investments in themselves, their families, and their futures. .Please donate today to support TSCL's work to help save the integrity of your benefits! .Interestingly, the big drug manufacturers do not like the new rule. A spokesperson for the Pharmaceutical Research and Manufacturers of America (PhRMA), the drug industry's largest trade group, said the rule is "unconscionable" for making it "harder for patients to use manufacturer cost-sharing assistance to lower their out-of-pocket costs for medicines." … Continued

  • Privacy Policy Feed

    "We should not allow health insurers to limit how much cost-sharing assistance can help patients at the pharmacy counter," the spokesperson said. .Ultimately, seniors aren't just a class of individuals who are a certain age — they are our mothers and fathers, grandparents, teachers, pastors, and public servants. They are each of us, either today or tomorrow. As a nation, it is incumbent upon us to prioritize safeguarding the futures of our senior citizens and addressing some of the obstacles to saving that exist both in our system and in our society. It is not just "their" future, it is our future. We're in this together. Let's secure our futures. .I'm helping my brother who has cognitive problems. He's enrolled in a Humana Medicare Advantage plan that covers prescription drugs in addition to providing hospital and doctor benefits. The plan seems OK, but I'm annoyed by numerous (often weekly) phone calls from the plan asking for permission to send out a visiting nurse. They say the visit is provided at no charge to get his blood pressure, and a physical. That sounds good, but my brother doesn't want strangers coming to his home, and I'm getting suspicious. Is this request legitimate? … Continued

By the time the Inspector General has performed its audit reports and given CMS its recommendations, CMS has limited, if any, time to collect before the statute of limitation expires. The OIG recommends that CMS should pursue legislation to extend the statute of limitations so that the recovery period exceeds the reopening period for Medicare payments. In addition, the OIG recommends that CMS develop a system to verify that the amount reported collected has actually been collected. TSCL heartily supports these commonsense recommendations. With Congress debating a major Medicare overhaul that would make seniors pay a higher portion of Medicare costs in the future, Congress should move quickly to close the statute of limitation loophole that's costing us millions in lost recoveries. .The high cost of treatment is a frequently cited barrier by those who are not getting the dental care they need. Elizabeth H., a retiree living in Colorado told us "I do not have the ,000 I was told that I needed to get my teeth fixed. They need to either be pulled and a bridge put in, or root canaled. Being on a limited income, I do not see getting any of this done, and so it affects my health negatively. Without dental care, I'm not as healthy as I could be." .This week, two new cosponsors – Representatives Michelle Lujan Grisham (NM-1) and Mike Coffman (CO-6) – signed on to the Credit for Caring Act (H.R. 4708), bringing the cosponsor total up to five. If signed into law, the bill would provide eligible caregivers with a new tax credit equal to 30 percent of all expenses greater than ,000, and capped at ,000 per year. .Senate Appropriations Committee Chairman Richard Shelby (AL) told reporters this week that a government shutdown later this month is a real possibility. He said: "This could make us all come together or it could drive us further apart. We don't know yet … I've been here on Christmas Eve." .On Monday, Representatives Peter Roskam (IL-6) and John Carney (DE) re-introduced the bipartisan Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 818) with the support of twenty-three original cosponsors. If signed into law, the bill would combat fraud, waste, and abuse within the two programs. .He gradually gained backing from more of his fellow Republicans in the Senate, often persuading them one-by-one to make shows of support since last summer. Democrats in the Senate were essential to getting the legislation even out of the Finance Committee, which approved it with the support of 13 Democrats and six Republicans in July 2019. .Unlike other government penalties, such as a tax penalty, the extra 0 per month is permanent, and is payable for the rest of the time he has Medicare. To avoid further penalties, we strongly urge your daughter to get her father-in-law enrolled in Medicare Part B as quickly as possible. If her father-in-law only receives Social Security and has limited savings, he may qualify for a Medicare Savings Program that would pay the cost of the Part B premium. .The House passed the bill yesterday and the Senate is expected to take it up next week. .However, the ACA, also known as "Obamacare", already requires health insurers to cover pre-existing conditions. We are not sure why The President said what he did, except that his administration is in court trying to have the ACA declared unconstitutional, and maybe he anticipates a need for his order.