Medicare Advantage plans have somewhat different costs. If the stay is considered observation care, however, that is covered under Medicare Part B, which means you will have a copayment for each individual outpatient hospital service. In addition, Part B doesn't cover most prescription drugs that are received in an outpatient setting. Perhaps even more importantly, the lack of inpatient status also disqualifies you from receiving Medicare-covered care in a skilled nursing facility or nursing home. .TSCL is working for the re-introduction of the Notch Fairness Act. This. Benefit Bulletin: August 2012 TSCL Chairman Larry Hyland Congratulates Representative Mike McIntyre (NC-7) .Prescription Drug Costs .Your cost-of-living adjustment (COLA) "overpays" you. Yes, that is an outrageous statement — especially since you haven't gotten a COLA boost for two years. Nevertheless, calling it "The Moment of Truth Project," that's what the President's Fiscal Commission is saying in making the case for the government to switch to a more slowly- growing "chained" Consumer Price Index (CPI). .Senior housing experts say they frequently hear clients say they want to live in their own homes. But over time, it can become a great burden, especially when people don't have family that lives close by. Health and physical changes can make it difficult to climb stairs, keep the home clean, and keep up with paying bills. There may be a growing need for help with simple chores like driving to the pharmacy or grocery store. Home maintenance and repairs can even become a source of exploitation from unscrupulous vendors. .This week, one new cosponsor – Rep. Elijah Cummings (MD-7) – signed on to the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1030), bringing the bill's total up to twenty-five. If signed into law, the CPI-E Act would base the Social Security cost-of-living adjustment (COLA) upon the spending patterns of seniors. Currently, it is based upon the way that young, urban workers spend their money – a method that underestimates the spending inflation that seniors experience. A study conducted by TSCL this year found that seniors have lost 31 percent of their purchasing power since 2000 – a clear sign that the current COLA is growing too slowly. .According to a report in BGov News, "… younger seniors have shown a greater appetite for vaccines than their older peers. Initially, the opposite was true, as governments sent inoculation teams into nursing homes and assisted-living facilities. Recently, the numbers have flipped, adding support to the idea that some elderly residents -- especially those outside structured-living arrangements -- are simply having trouble navigating the system." .Congress recently enacted legislation that ended two so-called Social Security benefit "loopholes" — known as "file and suspend" and "restricted application." Details about the changes, which affect some married couples and took effect on April 30th, 2016 — can be found in the Social Security Q & A. .But here's the real kicker. A statute of limitation loophole is hamstringing Medicare from recovering overpayments. Federal law allows a Medicare claims contractor to reopen a payment determination for "good cause" at any time within 4 years of the date the original payment determination was made. But another provision of law bars the recovery of overpayments from providers that are "without fault." And the law states that a provider is deemed to be without fault 3 years after the year in which the original payment was made unless there is "evidence to the contrary."