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  • Category Congressional Corner Page 3

    The hold harmless provision usually affects only a small number of beneficiaries in any given year, which has a relatively minimal impact on Part B financing. Since 2010, however, the hold harmless provision has been triggered on a nationwide basis an unprecedented four times. This occurred when inflation was so low that the COLA was zero in 2010, 2011 and 2016 and just 0.3 percent in 2017. .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. .Raising Medicare Age Would Save 500 Billion Dollars … Continued

  • Seniors May Get Cola Next Year But Medicare Premiums Will Take It All Feed

    As you know, the medical expense deduction is essential for older Americans who disproportionately experience high medical costs for prescription drugs, medical equipment, or services like nursing home care. Around 5 million taxpayers, most of whom are over the age of sixty-five, rely upon the tax deduction when their out-of-pocket medical costs total more than 10 percent of their annual income. .There are, however, a number of ways that unauthorized workers can, and do, become entitled to benefits based on illegal work (see our "FAHow "Undocumented" Workers Are Becoming Entitled To Social Security" from the May 2012, Volume 17, Number 4 issue of The Social Security & Medicare Advisor. Despite a 2004 law forbidding illegals from claiming Social Security benefits, they are able to do so if at some point their status changes and they receive work authorization — as would happen under an amnesty. With work authorization, noncitizens can file a claim for Social Security benefits. Under current law when determining entitlement for benefits, Social Security uses all earnings for calculating the primary benefit amount, even if the earnings were for unauthorized work using fraudulent documents. All the individual needs to do is to supply evidence of the earnings, such as old W2s, and earnings in the ESF file would be "reinstated" to the account of the claimant. .Housing: (rent of primary residence, owners' equivalent rent, fuel oil, bedroom furniture) … Continued

A U.S. federal judge has temporarily blocked President Obama's immigration program that defers deportation for almost 5 million illegal immigrants. Responding to a lawsuit filed by 26 states, the judge did not rule on the legality of immigration orders, but said there was sufficient merit to warrant a suspension of the new program while the case goes forward. .Some deficit cutters contend that the out-of-pocket costs that Medicare beneficiaries pay will have to go up and seniors should pay more for their Medicare benefits. "This survey is powerful testimony to those who hold such beliefs," says TSCL Chairman Larry Hyland. "This survey indicates that they don't understand how much seniors already spend for their healthcare, and how many have already cut back," Hyland adds. "With the majority of seniors depending on Social Security for at least half of their income, and healthcare costs increasing several times faster than benefits, few beneficiaries can afford to pay any more than they already do for their healthcare," he notes. .We have a deep moral obligation to ensure our seniors receive quality, affordable healthcare. We have an equal obligation to our children to pass on an America rich in opportunity and free from the bonds of debt. That is why resolving this problem is one of my top priorities. .Unlike the temporary payroll tax cuts, which wouldn't affect Social Security's finances, the diversion of Social Security contributions into private accounts would substantially reduce the amount of money available to pay current beneficiaries. This "privatization" of Social Security contributions would drain the Social Security Trust Fund in short order and require the transfer of TRILLIONS of dollars from the U.S. Treasury into the Social Security Trust Fund in the coming decades to continue paying current benefits. .By Jarrad Hensley, TSCL Legislative Assistant .Do you have a low benefit and think you may be affected by hold harmless? TSCL would like to hear from you! Contact us at . .The Social Security report projected the combined reserves of the Old Age, Survivor and Disability trust funds would be depleted in 2035, resulting in across-the-board benefit cuts of about 21% unless Congress stepped in before then. .Gather your medical expense records from the past year to three years, if you have them. Organization of these records not only helps you figure out your household budget, but keeping it all in one place helps you compile the amount to claim as medical expenses at tax time. Since expenses vary so much with your health, going back three years can help you get a better idea of average annual cost. .I recently introduced H.R. 4521, SNAP Simplification for the Elderly Act, as one of the focal points for my "Let's Feed America Campaign." The bill would eliminate burdensome red tape and make it easier for the low-income elderly and disabled individuals to receive SNAP, Supplemental Security Income (SSI) and the Medicare Savings Program (MSP) benefits.