News

  • President Announces Plan Tie Drug Prices Prices Paid Industrialized Countries Will Work

    Millicent Graves of Williamsburg, Virginia recently was shocked to discover an astounding price range in the same generic drug after her doctor prescribed a different form of Clobetasol propionate, commonly used to treat psoriasis. When she filled her previous prescription in December of 2014 for the Clobetasol solution, she paid — the full retail cost. But when filling the first prescription for Clobetasol foam in 2015, Graves discovered the retail cost was 5.8And five weeks later when she refilled her prescription for the foam, the cost had jumped dramatically— to 7, making the total difference in price between the solution and foam 1,691%. "When I looked at the receipt I almost passed out," she says. "Everything is the same as the first bottle! It's price gouging," she says. .We have warned you before to be careful about scams when it comes to getting your coronavirus vaccination. Getting cheated out of money during a time of crisis like this is the last thing we want to happen to anyone. And even though the reports of scams have not been widespread, there have been some in various parts of the country. .MedPAC also recommended increased financial assistance for low-income Medicare beneficiaries in its report. Currently, those with incomes up to 135 percent of the federal poverty level qualify for Medicare Savings Programs (MSPs), which help beneficiaries cover the cost of Part B premiums. The Commissioners recommended extending the subsidy to those with incomes up to 150 percent of the poverty level. This would save those who qualify approximately ,300 a year in Part B premium costs, and the Commissioners believe it would "free up resources" for beneficiaries who are currently struggling to pay out-of-pocket costs. … Continued

  • Benefit Bulletin February March 2019

    Growing numbers of seniors are working longer, and delaying the start of benefits. According to a TSCL survey conducted early this year, 42 percent of seniors who are still working say they plan to delay the start of benefits until age 66 or thereafter. Those who continue to work, continue to pay Social Security, Medicare and other taxes as well. .In addition to overlooking Medicare premiums, the CPI-W also doesn't accurately measure the portion of income that retirees and disabled Social Security recipients spend on Medicare. Spending for medical care in the CPI for younger adults represents about 6.5 percent of household budgets, but surveys by TSCL suggest that retirees routinely send more than twice that amount. .Just years before they were set to retire, these individuals learned that they would have significantly lower benefits than originally anticipated. The issue was created by the amendments to the Social Security Act that were signed into law in 1977, and it has compounded over time. … Continued

Some Medicare Advantage plans offer low cost dental insurance as an additional benefit. Before adding the coverage, always look into the details. Coverage can be very skimpy for the money, and you might be able to find better coverage for the same amount of money from a stand-alone dental plan. .If signed into law, the Medicare Advantage Participant Bill of Rights Act would prevent Medicare Advantage plans from dropping physicians from their networks during the middle of the year, and it would require them to finalize their networks sixty days prior to the start of the open enrollment period. .Low-income seniors would receive assistance from Medicaid, and those with the greatest health expenses would receive additional help from the government. According to the plan's sponsors, The Congressional Health Care for Seniors Act would reduce the deficit by trillion over ten years, and it would save the average enrollee ,500 in out-of-pocket expenses each year. However, a recent poll conducted by the Kaiser Family Foundation shows that a majority of Americans – seventy percent – would prefer to keep Medicare as is, "with the government guaranteeing seniors health insurance and making sure that everyone gets the same defined set of benefits." .Major findings: .But according to TSCL studies, Medicare Part B premiums are one of the single fastest - rising senior costs. Data from TSCL's annual survey of senior costs indicate that with next year's Part B increase, premiums will be 168% higher than 2000, rising on average 10.5% per year, even though there was no increase at all over the past two years. Part D premiums have grown roughly 60% since the program started in 2006, averaging about 6% per year. .Prosecutors say Marrero used his ill-gotten proceeds to collect a couple of Lamborghinis, a Ferrari and a Bentley. The indictment stated that Marrero and his wife also paid thousands of dollars a month to a "recruiter," Enrique Rodriguez, who supplied patients having Medicare cards. Rodriguez is accused of bribing patients to participate. .Rep. Rosa DeLauro (CT-2) introduced H.R. 4998 on June 26, 201It has since been referred to the Committee on Ways and Means. .By Rick Delaney, Chairman of the Board, TSCL .Many are wary at this point in time about the likelihood of reaching a deal before the December 31st deadline. On Thursday, Senate Majority Leader Harry Reid (NV) predicted that the Fiscal Cliff would hit as scheduled, saying, "It looks like that's where we're headed." Any hope of reaching a deal now lies in the hands of Majority Leader Reid and Senate Minority Leader Mitch McConnell (KY).