News

  • Congressional Corner As Congress Fights Robocalls Take Steps To Protect Yourself

    But New Co-Pay "Tiers" May Raise Some Costs .Medicare health plans also have new rules about co-pays and co-insurance. Copayments can vary drastically between MA plans, but through 2018, individual plans were required to offer all enrollees in the plan's service area access to the same benefits at the same level of cost - sharing. In 2019, MA plans have the option of imposing tiers for the cost - sharing of contracted providers, as an incentive to encourage enrollees to seek care from specific providers. Plans that utilize tiered cost-sharing must disclose tiered co-pays and co-insurance amounts to enrollees and providers, ensure that services at each tier of cost-sharing are available to all enrollees, and ensure that all enrollees are charged the same amount for the same service from the same provider. .Recently we received the following from one of our readers: … Continued

  • Benefit Bulletin April May 2020

    "The Congressional Budget Office said in 2019 that the bill would likely hamper some pharmaceutical development due to lower ‘potential global revenues' but predicted that ‘the effects of the new drug introductions from increased federal spending under the bill on biomedical research would be modest and would almost all occur more than 20 years in the future.' On the other hand, it estimated that the bill would save more than 0 billion in drug spending over the next decade." .Government agencies will identify themselves. .The Social Security Fairness Act, if signed into law, would amend the Social Security Act by repealing the government pension offset (GPO) and the windfall elimination provision (WEP). These two provisions unfairly reduce the earned Social Security benefits of millions of teachers, firefighters, peace officers, and other state or local government employees each year. TSCL believes that Congress should repeal the GPO and the WEP so that dedicated public servants receive the retirement security they deserve. … Continued

Even though flying is a relatively low-risk activity, traveling should still be avoided unless absolutely necessary. .The Part A deductible, however, is charged "per spell of illness" and it's feasible that you could have to pay it more than one time in a year should you require multiple hospitalizations the same year. .TSCL enthusiastically supports H.R. 4704, H.R. 4841, and H.R. 2212, and we will continue to advocate for their passage in the months ahead. For more information, visit the Bill Tracking section of our website. .The 30 percent of beneficiaries who are not protected by hold harmless include: .TSCL is gearing up to fight legislation that would cut the current rate of COLA growth. "People who depend on Social Security need a COLA that more adequately protects the buying power of their benefits," says Hyland. TSCL believes seniors would receive higher and more adequate benefits by using an index that more closely tracks senior spending, like the Consumer Price Index for the Elderly (CPI-E). TSCL supports The Consumer Price Index for Elderly Consumers (CPI-E) Act, H.R. 798 introduced by Rep. Peter DeFazio (OR-4), and H.R.456 introduced by Charles Gonzalez (TX-20). Learn more by visiting TSCL on the web at . .The age at which you stop working. .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. .Alzheimers and some Potentially Good News .Medicare is currently prohibited from covering most hearing, vision, and dental services, even though millions of seniors are afflicted with age-related hearing loss, low vision, and poor oral health. When left untreated, these conditions often result in serious injuries and complications. What do you feel should be done about this?