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  • Usmexico Social Security Treaty Must Be Opposed Feed

    Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively. .While you may hear a lot of shouting about the payroll tax cut over the next few months, don't let it distract you from the real threat to Social Security – namely, radical plans to convert Social Security from the current guaranteed retirement benefit for everyone to a risky gamble on Wall Street that would benefit only a select few at best. .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." … Continued

  • 2017cost Of Living Adjustment

    Members of the Finance Committee seemed receptive to Blum's suggestions on Wednesday, but it remains to be seen whether they will act in the coming months. Thus far, one of the greatest hurdles for lawmakers has been coming up with an offset to cover the cost of the repeal – the Congressional Budget Office has estimated that the price tag will be nearly 0 billion over ten years. TSCL is hopeful that lawmakers will repeal and replace the SGR by the end of this year in order to preserve seniors' access to quality medical care. As the discussions evolve over the coming months, we will continue to post updates here in the Legislative News section of our website. .According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. .By Rick Delaney, Chairman of the Board, TSCL … Continued

Throughout the remainder of the 113th Congress, TSCL will continue to urge Members of Congress to pass the Social Security Fairness Act since we believe strongly that it would go far in ensuring the retirement security of millions of seniors. To aid us in our efforts, we encourage you to contact your elected officials to request their support for S. 896 and H.R. 1795. .At Wednesday's hearing, many lawmakers seemed to agree that Congress should begin working seriously towards a long-term plan, but it was clear that there is no consensus on what that plan should look like. One member of the committee, Senator Bob Corker (TN), said he would support a plan similar to the Simpson-Bowles proposal of 2010 that would increase Social Security's age of eligibility and adopt the "chained" CPI, among other things. .Enrollees in Medicare Advantage (MA) plans should take a careful look at changes in their health plan for 201These Medicare health plans have new leeway to offer new supplemental benefits. While some of the new benefits may be valuable to some families, other changes, which give plans greater leeway to "tier" the co-pay structure for healthcare providers, may mean higher out-of-pocket costs when non-preferred or out-of-network providers are used. .As debate intensifies over the cost of medicines, a new analysis found that prescription drug prices were on average 2.5 times more expensive in the U.S. than in 32 other countries. And that gap widened to 3.4 times costlier when looking specifically at brand-name medications. .This week, five new cosponsors signed on to the Social Security Fairness Act (S. 896 and H.R. 1795), bringing the total up to thirteen in the Senate and ninety-two in the House. The new cosponsors are Sen. Jeff Merkley (OR) and Reps. Charles Boustany, Jr. (LA-3), Thomas Massie (KY-4), Bill Shuster (PA-9), and Barbara Lee (CA-13). If signed into law, H.R. 1795 would repeal two provisions of the Social Security Act that unfairly reduce the earned benefits of millions of state and local government employees each year. The provisions – the Windfall Elimination Provision and the Government Pension Offset – prevent dedicated public servants from receiving the retirement security they have earned. .Pet health insurance may not be worth the cost. While many veterinarian practices have brochures for pet health insurance, shop carefully, and read the fine print about what these policies do and don't cover. Pet owners can expect to pay between to per month for premiums, often more than what you pay in services most years. Consumer experts suggest that if you are worried about catastrophic costs, put the money you would spend on pet health insurance premiums into a pet savings account. .Depending on the size of COLAs and the amount of the Medicare Part B premium increase in following years, it may well take Sally another year, possibly even longer, to see any increase in her net benefit. Meanwhile Sally's other household costs have made big jumps. .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. .Second, two new cosponsors – Senator Amy Klobuchar (MN) and Senator Cindy Hyde-Smith (MS) – signed on to the bipartisan Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act (S. 2387), bringing the total up to eight. If adopted, it would direct the Centers for Medicare and Medicaid Services to create programs that would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia.