News

  • Update Totalization Is Hot Topic During Tscl Trustees Meetings On Capitol Hill

    Workers are never too old to learn new skills, especially if it means access to a better job. .Ask about insurer discounts. When shopping, learn what the prospective insurer gives discounts for. Smoke detectors, burglar alarms and dead bolt locks can be worth a 5% premium discount. .Here's how the coverage gap works. Once individuals and their Medicare Part D plans spend the initial coverage amount (,310 in 2016) on covered prescription drugs in a calendar year, beneficiaries hit the doughnut hole. Once in the doughnut hole, coinsurance on covered drugs is not only higher, one must also pay a substantial amount out-of-pocket to reach the limit for catastrophic coverage. For brand-name drugs in the coverage gap, individuals are responsible for 45% of the cost, and for generic drugs, they're responsible for 58%. Once out-of-pocket costs for those in the doughnut hole total ,850, catastrophic drug coverage takes effect, and Part D plans pay 95% of prescription drug costs until the calendar year ends. … Continued

  • Benefit Bulletin April 2017

    Prior to 1984, Social Security benefits were excluded from taxation. Today, from 50 to 85 percent of Social Security income can be subject to taxation depending on two income thresholds. For taxpayers with incomes between ,000 and ,000 (individual) or ,000 and ,000 (filing jointly), up to 50 percent of Social Security benefits may be taxable. For individuals with incomes above ,000 or couples filing jointly with incomes above ,000, up to 85 percent of benefits may be taxable. .The Social Security COLA is provided to help protect the buying power of benefits when costs rise due to inflation. Yet even under the current method of adjusting benefits, Social Security benefits have lost 30 percent of buying power since 2000, according to a recent report released by TSCL. "Switching to the chained CPI would mean the erosion in the buying power of Social Security benefits would occur at faster rates than is already occurring today," says Johnson. "That puts retirees at higher risk of depleting retirement savings more quickly than expected, going into debt, and going without." According to Johnson's analysis, if the proposal were to take effect this year, average benefits would be about per month lower by 2026, and about per month lower in 20 years. .home care. Concerns have been raised that health plans may not have adequate capacity to handle enrollment of large numbers of dual eligibles en masse in 201In addition, the Medicare Payment Advisory Commission (MedPac) has said that only a limited number of health plans have any experience managing benefits for this complex population. … Continued

If you asked a Social Security recipient for a penny for their thoughts on next year's projected 0.2% cost of living adjustment, they could give it to you, but they'd only have .99 left. .Florida's contact tracing program has been mired in controversy over reports that it is understaffed and ineffective. For instance, CNN called 27 Floridians who tested positive for COVID-19 and found that only five had been contacted by health authorities. (The Florida Department of Health did not respond to requests for an interview.) .'It´s not clear why the administration hasn't made a bigger push to line up votes to get a bill through the Senate and a deal with Congress, given strong public support to lower drug costs,' said Tricia Neuman, a Medicare expert with the nonpartisan Kaiser Family Foundation. .Your Initial Enrollment Period starts three months prior to turning age 65, includes the month you turn 65, and ends 3 months after you turn 6Advisor editor Mary Johnson, who has helped dozens of friends and neighbors with their Medicare, highly recommends starting the Medicare enrollment process 3 months before you turn 65, in order to have your new coverage become effective in the month you turn 6Enrolling in Medicare is done online through the Social Security website at www.SocialSecurity.gov. Look for the box that says, "Enroll in Medicare". Or you can get assistance to help you with this. .This week, lawmakers in the House adjourned for a week-long recess, while those in the Senate heard from Sylvia Mathews Burwell, who was recently nominated by President Obama to serve as the next Secretary of the Department of Health and Human Services (HHS). Meanwhile, The Senior Citizens League (TSCL) saw . ."For the third year in a row, millions of older Americans will once again see no increase in their net operating Social Security payments, particularly if Medicare Part B premiums remain 4 per month in 2018, as currently forecast by the Medicare Trustees," says TSCL's Social Security and Medicare Policy Analyst, Mary Johnson. "The problem is that a substantial portion of beneficiaries currently are paying a Part B premium that is about less than that now," Johnson says. .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. .What If Food Costs Grew As Fast As Medicare Part B Premiums? .Medicare Savings Programs cover the cost of the Medicare Part B premium, saving a person 8.50 per month in 202Depending on income, those with the lowest income may also qualify for additional benefits that cover the Part B deductible and out-of-pocket costs. People with incomes in 2020 of up to ,456 per month (individual) or ,960 (married couples) might be eligible if they have limited savings and resources of ,860 (individuals) or ,800 (married couples). These limits are slightly higher for Hawaii and Alaska. This program is administered through state Medicaid programs and states may have guidelines that allow people with slightly higher income to enroll. If interested ,contact your local Medicaid office to apply.