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  • Tag Medicare Part D

    Former doughnut hole coverage gap: After spending the initial coverage amount of ,005, you are responsible for 25% co-insurance for both generic and brand name drugs, plus a portion of the pharmacy dispensing fee which is approximately $$Your drug plan pays 75% of the cost of generic drugs and 5% on brand-name drugs. The drug manufacturer provides a 70% discount on brand-name drugs. Your total costs in this stage could run as high as ,345 between the end of the Initial Coverage Period and the Catastrophic stage of coverage begins. Altogether, beneficiaries could be responsible for as much as ,350 in TrOOP, which includes the drug costs paid by the beneficiary and the 70% discount on brand-name drugs provided by the drug manufacturer. Payments made by the drug plan DO NOT count TrOOP costs. .Indeed, the Social Security Administration does not "promise" a specific amount of benefits, but they do not promise to replace a specific percentage of pre-retirement earnings either. Both benefit amounts and "replacement rates" can change at any time if Congress and the Social Security Administration deem it necessary. Prior to the 1977 changes, the replacement rate was not a stable percentage. For people who retired under the 1972-73 flawed formula (those born 1913 through 1916), replacement rates grew from 39% to a high of 54%. The new benefit formula led to a lower, more stable replacement rate of about 43%, as well as lower benefits. . My husband who is diabetic and has high blood pressure, underwent surgery for colon cancer in March of 2020. He recovered and returned to work last summer. Shortly thereafter he had a stroke. He's been unable to work and received short term disability benefits through his employer until coverage ended on December 31, 2020. Will he qualify for Social Security disability now? He will turn 63 in April 202 … Continued

  • President Biden Signs Bill To Delay Medicare Payment Cuts

    "It's outrageous to say that COLAs overpay seniors and the disabled," Hyland says. "To the contrary, COLAs already grow too slowly to provide the protection to Social Security benefits they're intended to," he points out. .Congress managed to pass a short-term fix to prevent a 19% benefit cut that was due to hit disabled Social Security beneficiaries by the end of this year. The legislation heads off the cut by temporarily transferring some payroll tax revenues over the next three years, expanding measures to better ensure medical eligibility for benefits, and by preventing improper payments due to fraudulent work. The stronger eligibility and anti-fraud provisions are strongly supported by TSCL, incorporating several recommendations that TSCL presented last fall to the House Ways and Means Subcommittee on Social Security. The legislation: .By Shannon Benton, Executive Director … Continued

TSCL Announces Support for PRIME Act . 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. .Johnson cautions, "The current inflationary trend may only be temporary, because prices today are compared with a big sudden drop in prices a year ago when the impact of COVID-19 first began to hit our economy." "The jump we see now is centered primarily on energy prices, but a number of other spending categories have stayed relatively flat," she says. .TSCL enthusiastically supports H.R. 4704, H.R. 4841, and H.R. 2212, and we will continue to advocate for their passage in the months ahead. For more information, visit the Bill Tracking section of our website. .One glitch that trapped working seniors during the 2010 tax season involved the 0 economic stimulus payment beneficiaries received if they were getting Social Security, Supplemental Security Income (SSI), railroad retirement or veterans' disability compensation. The 0 payment reduced the Making Work Pay Tax Credit that working seniors could claim to a maximum of 0 (individual) or 0 (joint). The IRS withholding tables that employers used in 2009 and 2010, however, did not adjust for those payments. Compounding the problems for seniors, the problematic IRS withholding tables also allowed reduced withholdings for pensions — even though pension income was not even eligible for the credit. .The age at which you start Social Security is for most people the biggest financial decision you will ever make. But according to TSCL's annual Senior Survey, 71% of survey participants said that prior to starting Social Security benefits, they had no idea of the amount of money they could expect over a typical 20 to 30 year retirement. That lack of financial information can have big consequences for your standard of living in retirement, your success at making your retirement finances last, and ultimately how much you enjoy retirement. .There could be several reasons that can cause sticker shock at the pharmacy. Here are some tips for checking the charges and understanding the costs associated with your new drug plan: .The findings come as the nation finds itself in a growing a retirement crisis. Even before the coronavirus - caused recession, the U.S. Government Accountability Office estimated that about 48 percent of households headed by people aged 55 and over had no retirement savings. That situation has been made even worse in 2020 and 2021 as older workers have lost jobs or seen their work schedules reduced due to the pandemic. .Much of the debate over federal deficit reduction plans has been focused on overhauling Medicare and making changes to Social Security. But a major funding change is also under consideration for Medicaid, the federal and state program that covers medical care for lower-income individuals including seniors who also receive Medicare. As federal and state governments struggle to address Medicaid funding shortfalls, TSCL is concerned that Notch Babies, and the families who provide care for them, would be among those who would be hit the hardest by funding cuts.