News

  • Congressional Corner By Representative Nick Rahall Wva Feed

    Because of the collapse in the real estate market, experts say that thousands of seniors who need assisted living or nursing home care are remaining in their homes longer because they can't sell or get the price they need to cover their long term care. According to Harris Meyer, in an article for Kaiser Health News, the situation is leaving families under pressure to either pay for their parents' placement with their own money, or to provide care themselves. .One rule, known as "most favored nation," would require Medicare to tie the prices it pays for drugs to those paid by other wealthy countries. The other rule would limit rebates paid to middle men (called "pharmacy benefit managers" or "PBMs") by drug makers in Medicare. .A Humana Medicare Advantage plan in Florida improperly collected nearly 0 million in payments in 2015 by overstating how sick some of its enrollees were. A new audit by the Department of Health and Human Services Office of the Inspector General (OIG) is seeking to get the money back. If successful, the audit penalty would be what has been described as "by far the largest" ever imposed on a Medicare Advantage company. But Humana has sharply disputed the OIG's findings, and has said that the recommendations "do not represent final determinations, and Humana will have the right to appeal." … Continued

  • Legislative Update For Week Ending November 8 2013

    However, with two weeks to go before the October deadline, negotiations have stalled. Leaders in the House have decided to tie the temporary funding extension to a measure that would defund the Affordable Care Act. Currently, a number of political strategies are being considered, but members of both political parties are unsatisfied with the options that leaders have put forth so far. .The toll free number for the VA Hotline is . .I'm helping my brother who has cognitive problems. He's enrolled in a Humana Medicare Advantage plan that covers prescription drugs in addition to providing hospital and doctor benefits. The plan seems OK, but I'm annoyed by numerous (often weekly) phone calls from the plan asking for permission to send out a visiting nurse. They say the visit is provided at no charge to get his blood pressure, and a physical. That sounds good, but my brother doesn't want strangers coming to his home, and I'm getting suspicious. Is this request legitimate? … Continued

On November 21, 2017 The Senior Citizens League delivered advocacy letters to caution members of Congress to NOT repeal the medical expense tax deduction. The letters were delivered to Majority and Minority members of the House of Representatives Ways and Means Subcommittee on Taxes, in addition to a few other key Congressional members. Learn which members are on the Ways and Means Sub-committee on taxes here. .The number of employees at your company determines whether you must enroll at age 65, or whether you can delay, and keep your employer insurance. Because you work for a company with fewer than 20 employees, Medicare pays first once you turn 6That means, if you miss your initial enrollment deadline, you would not be able to use your former employer coverage, even if you and your employer continued to pay the premiums. People who work for companies with more than 20 employees may delay enrollment and keep their current coverage as long as they meet certain rules. .In exchange, annuities pay you a monthly income for the rest of your life, an income that can last 20 or 30 years. There are joint and survivor type annuities that continue the monthly income to your spouse after your death, and you can also buy annuities that have a 3 percent annual cost-of-living adjustment. .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. .Second, one new cosponsor – Representative Sean Patrick Maloney (NY-18) – signed on to the Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to twenty-three. If adopted, this comprehensive bill would require the federal government to negotiate lower Medicare Part D prices, allow the importation of prescription drugs from Canada, and cap monthly prescription drug expenses at 0, among other things. .Clauses requiring mandatory arbitration have become exceedingly common in many types of contracts, but they can have serious implications for unsuspecting consumers. By signing such agreements, consumers give up their Seventh Amendment right to a trial by jury or their right to bring civil suit in court against the company no matter what the grievance. This can even include sexual abuse, medication errors, and negligence. .Check plans offering gap coverage but don't be surprised if you wouldn't save much. If your new prescription will cost enough to put you into the doughnut hole coverage gap, check the cost of plans with additional gap coverage. But if your main expense is an expensive brand name prescription, gap coverage may not save enough to make up for the higher cost of premiums. Most only cover some generics. Get unbiased help comparing your coverage by calling your Area Agency on Aging and asking for the help of a State Health Insurance Assistance Program (SHIP) counselor, or visit online at: https://shipnpr.shiptalk.org/. .It would: boost monthly Social Security benefits by 2 percent, improve the adequacy of the Social Security cost-of-living adjustment, create a new minimum benefit set at 125 percent of the poverty line, and cut taxes for millions of beneficiaries. To cover the cost of these benefit enhancements and extend the solvency of the Social Security Trust Funds for decades to come, it would also apply the payroll tax to income over 0,000 and gradually increase the payroll tax rate from 6.2 percent to 7.4 percent. .This week TSCL Board member and Legislative Liaison, Doug Osborne, was in Washington. D.C. Mr. Osborne began his visit by laying a wreath at the Tomb of the Unknown Soldier for Veteran's Day with TSCL's parent organization, TREThe Enlisted Association. Together with TSCL Executive Director Shannon Benton and TSCL Legislative Consultant Larry Madison he spent the next two days on the "Hill" speaking with Congressional staff members about legislation TSCL is lobbying to pass in Congress. The focus of our efforts was on Social Security issues, specifically the "Notch" issue and the "Windfall Elimination Provision," (WEP) both of which affect many TSCL supporters.