News

  • Election Day Resources

    Trump Expected to Issue Executive Orders about Prescription Drugs .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .Seniors are reporting that in recent years they have frequently put off visits to the doctor and other healthcare providers due to economic reasons, according to recent TSCL surveys. You may have been told that the new healthcare reform law provides "free" new preventive benefits. While that made a good sound bite for the TV news and those Andy of Mayberry ads, the reality is most Medicare beneficiaries will probably still have some out-of-pocket costs. In order to qualify for the "free" preventive services you need the following: … Continued

  • Congressional Corner Representative Peter Roskam Il 6 Feed

    This issue has just popped up and TSCL will be in contact with members of Congress to do all we can to prevent these looming cuts and we will keep you advised as to how things are going. .Finally, two new cosponsors – Senator John Hoeven (ND) and Senator Angus King (ME) – signed on to the Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act (S. 2387). The cosponsor total is now up to twelve. If adopted, the bill would direct the Centers for Medicare and Medicaid Services (CMS) to create programs that would promote early identification, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .Using the tool takes computer know-how, and interpreting the results can take some special training. You can get free unbiased help through your State Health Insurance Assistance Program (SHIP). Call your local Area Agency on Aging. Check the number in your local phone book and when you call, say you need help comparing drug plans. … Continued

Medicare's 2021 physician fee schedule would've cut payments for radiology by 10%; physical/occupational therapy by 9%; anesthesiology and cardiac surgery by 8%; critical care by 7%; general surgery by 6%, and infectious disease by 4%. .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. .While the reasons for that are still being explored, it is likely the wearing of masks, frequent hand washing and staying away from crowds contributed to those results. .Sens. Tom Carper (DE) and Tom Coburn (OK) introduced S. 1123 on June 10, 201It has since been referred to the Committee on Finance. .Democrats have delayed the start of the program in part because of its cost and an agreement to limit the overall spending in the Biden budget bill to .5 trillion. There is some talk on Capitol Hill of offering seniors limited vouchers to use toward dental benefits before 2028 as a compromise. .This year, I am currently gathering support for the Medicare Advantage Quality Payment Relief Act, which would require the HHS Secretary to take Medicare Advantage Quality Incentive payments out of the calculation of the Medicare Advantage benchmark cap. This will allow high performing plans to receive the quality payments that they rightfully earned and to use those payments to improve beneficiary care. .For details, or to see if your Members of Congress will be holding town hall meetings during this week's recess, call their local offices. You can find contact information HERE. .Coronavirus and the U.S. Drug Supply .Recently a journalist, familiar with my estimates of cost-of-living adjustments, contacted me for my thoughts on the topic.. What's Missing From Your Social Security Check? For Many — 7 , editor