News

  • Tag Medicare Part D Feed

    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. .The online survey, taken by 401 participants, was conducted in June and early July 2020. Here are some key findings: .This week, the Social Security Fairness Act (H.R.1205, S.915) gained one new cosponsor in Congressman Steve Stivers (OH-15), bringing the new cosponsor total up to 16In the Senate, the bill gained six new cosponsors in Senator Bill Nelson (FL), Senator Sheldon Whitehouse (RI), Senator Elizabeth Warren (MA), Senator Mazie Hirono (HI), Senator Jack Reed (RI), and Senator Patrick Leahy (VT). If signed into law, the Social Security Fairness Act would repeal the Government Pension Offset (GPO) and Windfall Elimination Provision (WEP) – two Social Security provisions that unfairly reduce the earned benefits of millions of public employees each year. … Continued

  • 2012 Tscl Senior Survey

    TSCL's surveys have found that moving Medicare Part D to a pricing system that has similarities with Medicaid has strong support among older adults. Seventy percent of those who participated in our 2019 Senior Survey support allowing Medicare to negotiate prices for prescription drugs using a similar system to Medicaid's. .How Much Would Delaying Retirement After Full Retirement Age Increase My Benefit? . Find out which drug store has the lowest cost-sharing before you fill. Your cost sharing can be dramatically higher depending on where and how you fill your prescription (retail versus mail order). Make sure you are using a preferred vs. standard network pharmacy and compare the prices of retail pharmacies with getting a 90-day supply from your drug plan's mail order pharmacy. For example, if you are enrolled in the Wellcare Wellness Rx plan and get your Eliquis from a standard in-network pharmacy, your copay for Eliquis after the 5 deductible would be during the initial coverage phase, and 7.38 in the Part D coverage gap. However, if you get your Eliquis from a preferred in-network pharmacy the co-pay is .00 during the initial coverage phase and 3.36 in the coverage gap. Depending on where you live, and your drug plan's mail order pharmacy, sometimes you may save a little more using mail order. … Continued

Fourth, one new cosponsor – Representative Raul Ruiz (CA-36) – signed on to Medicare Prescription Drug Price Negotiation Act (H.R. 242), bringing the total up to forty-four. This bill, if adopted, would require the Centers for Medicare and Medicaid Services (CMS) to negotiate lower prescription drug prices on behalf of Medicare Part D beneficiaries. Under current law, CMS is prohibited from doing so. .Fortunately, H.R. 3 is not the only legislation in either house of Congress that could lower drug prices and accomplish the other things necessary to fix Medicare and Social Security. .Recently we learned of a woman, now in her 80's, who has moved twice in the past decade to be close to her daughter. Her first move was from the family home in Connecticut to an up-scale retirement community in Virginia, and more recently following her daughter to Arizona after her son-in-law's job changed. Her former Virginia home has been sitting on the market for months. That's posing a drain on her resources, adding unanticipated costs for new housing at a time when her need for caregiving services is growing. Her daughter worried that the former facility wasn't handling things well. .Congress this week was sort of the entire U.S. in miniature form. The Senate came back to town to conduct business, but not all Senators agreed with that. Most Senators followed the rules for wearing face masks, but not all. Not all committee hearings were attended by all the members. Most Senators were careful about following the protocols that have been recommended by health care professionals, but not all. .Last year, my office received reports of people coming up to the doors of our elders, posing as census takers or COVID testers, and requesting sensitive information like Social Security numbers and other forms of identification -- something that real census takers or health workers would never do. .According to that study, during a recent five-year period, Medicare spending on hundreds of medicines to treat various neurologic conditions, such as epilepsy and multiple sclerosis, rose 50%, but the number of claims increased only 8%. .On Wednesday, the Senate Special Committee on Aging held a hearing titled "Maximizing Your Social Security Benefits: What You Need to Know." The Committee heard from a panel of experts, including Virginia Reno – Deputy Commissioner for Retirement and Disability Policy at the Social Security Administration (SSA) – and William Meyer – CEO of Social Security Solutions, Inc., a private firm that provides financial advice to retirees. .Is his condition found on the Social Security Administration's list of disabling conditions? This is a list of medical conditions that the Social Security Administration considers so severe that it prevents a person from completing substantial gainful activity. .The Senior Citizens League was pleased to see support grow for these three bills this week, and we thank the new cosponsors for their support. In the months ahead, The Senior Citizens League will continue to advocate for the passage of the Social Security Fairness Act, the Social Security 2100 Act, and the Medicare Drug Price Negotiation Act, and we urge Congress to enact them this year.