There could be several reasons that can cause sticker shock at the pharmacy. Here are some tips for checking the charges and understanding the costs associated with your new drug plan: .First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. .For 4 per month the state of Virginia retirees should be able to purchase the most comprehensive drug coverage available nationally. But that was not the case. In fact, the drug benefits offered for 4 per month were almost identical to what Paula could purchase directly on her own for just .70 per month. The cost is so much lower because the federal government pays subsidies that cover an average of 75% of the cost of the Part D premium. Paula could not enjoy that savings if she received her Part D coverage through the state of Virginia retiree plan. If Paula chose to "opt out," she could find an even less costly plan that provided better coverage for the drugs she currently took. .The massive cost of both House and Senate tax bills, estimated to add .5 trillion to the deficit, will trigger automatic spending cuts in 2018 due to language in the Statutory Pay-as-You Go Act of 20The Act, commonly known as "pay-go", prevents legislation from adding too much money to the deficit. Because the .5 trillion cost of the bill is not adequately offset, the Medicare program will see billion in cuts in 2018, and other critical programs like Meals on Wheels would see their budgets slashed. Lawmakers have said they will pass legislation early next year to avert these cuts, but that remains uncertain. .The database that compares health plans and Medigap policies does not give specific costs, but supplies a range of likely costs. I find some of the estimates confusing and misleading because they are based on certain government assumptions about the services an "average" Medicare recipient uses. Because nobody is "average," this may over or under state costs in your specific case depending on your health. .Finally, locality pay is subject to the approval of the President, and thus subject to politics. In 2019, the average locality pay adjustment was 0.5%. The annual COLA was 2.8%. The calculation has also been challenged by economists and the nonpartisan CBO as not being accurate. What do you think about using locality pay adjustment rates to adjust Social Security? To send a comment or take a poll on this topic visit . ."If you look at the science across all diseases, you see few outbreaks" on planes, Allen said. "It's not the hotbed of infectivity that people think it is." .The Senior Citizens League (TSCL) will be monitoring CR discussions in the Senate in the coming hours and days, and we will post updates on Facebook and Twitter. In addition, we will continue to monitor ongoing budget discussions since they are expected to include plans to repeal the Affordable Care Act. As was noted in a recent legislation update, repealing the law would impact the Medicare program in several ways. For instance, progress that has been made to close the prescription drug "doughnut hole" would be reversed, and the Hospital Insurance Trust Fund that finances Medicare Part A would lose an important stream of funding that the law created. The Trust Fund could face immediate depletion if eliminated. .On Friday, Members of Congress remained in their home states and districts for a week-long holiday recess. They are expected to return to Capitol Hill on Monday, June 3rd. In the final days of the Memorial Day recess, many Members of Congress will be hosting town hall meetings and attending events in their home states and districts.