News

  • New Legislation Limits Stiff Increase Expected For 2021 Medicare Part B Premium

    Too many doctors are prescribing large quantities of narcotics and addictive drugs that may be finding their way onto the streets, or putting patients at risk of addiction. The doctors, in turn, are accepting kickbacks and other "incentives" while billing Medicare for the cost. The following are just three of the examples from a new report from the Department of Health and Human Services Office of Inspector General: .Support for the IPAB at both hearings was scarce. Some Members, including the Ranking Member of the House Budget Committee, Chris Van Hollen (MD), called the IPAB a necessary "failsafe" measure that will stabilize healthcare costs. He stressed the fact that the experts on the IPAB will make recommendations, but Congress will ultimately have the final say in whether or not they become law. . You are fortunate to already be in a Medicare drug plan that covers Lantus because not all Part D plans do. If your drug plan had been one of the several Medicare Part D plans that doesn't cover Lantus, this drug could cost as much as 0 per 100/ml vial. Many diabetics need about 3 vials per month to control their blood sugar, which would cost more than ,000 over a 12-month period. But since you are in a plan that covers Lantus and presumably the other drugs that you take, here's what to expect when you exhaust 2019's Part D initial coverage limit of ,820 in total drug costs, which includes what both you and your drug plan pays. … Continued

  • Save At Participating Businesses With Membership In Tscl

    TSCL urges Congress to take common-sense steps like the following five to reduce prescription drug prices: allowing the federal government to negotiate lower Part D prices, capping out-of-pocket expenses for Part D beneficiaries, permitting prescription drug re-importation, prohibiting anti-competitive pay-for-delay deals, and increasing price transparency. .One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services. .Tax legislation enacted at the end of last year makes significant changes that touch virtually all taxpayers. While most of the new provisions have consequences for the 2018 tax year and thereafter, there are at least a few things that pertain to the 2017 tax returns of older taxpayers. (Remember, as always, nothing in this newsletter constitutes legal or tax advice. Please consult tax advisors with your tax questions and for assistance in making decisions.) … Continued

If all this sounds complicated — it is. But comparing these costs is well worth the effort. Depending on what you have now, Medicare may wind up saving you a considerable sum, and provide lower deductibles than what you get through your employer. This decision is important to get right, especially if you are married and your spouse is also getting health insurance through your employer's plan. If so, caution is advised because your decision affects your spouse's coverage. .This week, action on Capitol Hill slowed down as Members of Congress adjourned for a holiday recess. .This week, The Senior Citizens League was pleased to see support grow for three important bills that would strengthen the Social Security program if signed into law. .Obamacare is not the first government program in which major implementation glitches had disastrous consequences for large numbers of beneficiaries. In 1977 changes that Congress made to the Social Security benefit formula created a major inequity in benefits that cost retirees tens of thousands of dollars in Social Security benefits over their lifetimes. The seniors affected are among the oldest and most vulnerable today. Born during 1917 through 1926, and known as "Notch Babies," they received substantially lower benefits than other seniors close to them in age with almost identical work and earnings records. The name refers to the plunging "V" notch when benefits of Notch Babies are charted on a graph. .At the hearing, the witnesses explained the intricacies of the prescription drug price-setting process and the drivers of rising costs. Doctor Anderson told the committee members, "Drug pricing is extremely complex … When a company has a monopoly, it sets the price that maximizes its profit and that's not the price that allows all people to get access to the drug." Doctor Howard urged Congress to "create incentives that reward providers who use medicines and technology to deliver care as efficiently as possible, while also empowering patients with the information they need to identify high-quality providers." .Rep. Gene Green (TX-29) recently introduced a bill that would remove the limit for the amount of outside income that an individual could earn while receiving Social Security benefits. The Social Security Earnings Test Repeal Act of 2011 was referred to the Committee on Ways and Means. .Many expected immigration reform to be a focal point of the President's speech, however, his remarks on the topic were vague and very brief. In one short paragraph, he said, "Republicans and Democrats in the Senate have acted. I know that members of both parties in the House want to do the same … So let's get immigration reform done this year." TSCL has some serious concerns about comprehensive immigration reform, since it would further strain the Social Security and Medicare Trust Funds. We strongly feel that any efforts to reform the system should include loophole-closing legislation that would prevent immigrants from receiving benefits based on a history of illegal work. .According to the Congressional Budget Office's (CBO) recent baseline data for the Social Security Trust Funds, Social Security is expected to receive about 7 billion in payroll tax revenues in 202The CBO further estimates that the Trust Fund would receive billion in revenues in 2021 from the taxation of Social Security benefits. .The TSCL survey found that, to improve Medicare's finances, seniors strongly support ramping up anti-fraud efforts, and better integration of care to reduce duplications of tests, services, and expensive imaging. What do you think? Take a poll. Visit TSCL's website at .