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. .The federal government negotiates prescription drug prices for Medicaid and for veterans, but it is barred from negotiating lower prices for Medicare beneficiaries. As a result, senior citizens enrolled in Part D often pay much higher prices for their prescriptions. What are you doing to correct this unfair policy? .Despite the efforts of TSCL and others, knowledge of the U.S – Mexico Totalization Agreement remains limited on Capitol Hill, and the issue flies under radar for the most part. TSCL has expressed its support for resolutions in opposition to the totalization agreement. In addition, TSCL is supportive of legislation, such as the Social Security Totalization Agreement Reform Act, which would grant more time for congressional review of these agreements. TSCL also supports loophole-closing legislation which would prevent individuals who worked in the U.S. while illegal from receiving credit for that work for purposes of Social Security benefit calculations. .It's smart to compare your health insurance options. Your Initial Enrollment period for Medicare begins three months before you attain age 65, the month you turn 65, and ends three months after you attain 6If you decide in favor of starting Medicare as soon as you are eligible, then you would want to shop and compare coverage costs now. .This week, the Department of Health and Human Services announced that the Senior Medicare Patrol – a voluntary fraud prevention effort comprised of seniors – recovered at least .1 million last year, which is up from million in 2012. .With about 1 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors groups. Located just outside Washington, D.C., its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of TREA The Enlisted Association. Please visit or call 1-800-333-8725 for more information. .House Passes Prescription Drug Legislation .Following the Thanksgiving recess – on Wednesday, November 30th – Democrats in the House will elect their party leaders. Republicans in both chambers and Democrats in the Senate chose their leadership teams last week. In the 115th Congress, they will be led by Senate Majority Leader Mitch McConnell (KY), Senate Minority Leader Charles Schumer (NY), and Speaker of the House Paul Ryan (WI-1), among others. .The annual Medicare Advantage Open Enrollment period starts January 1 –March 3During this time, you will be allowed to switch to another MA plan or return to Medicare and a stand alone plan. However, if you give up your MA plan in favor of returning to original Medicare, that does not necessarily mean you would be able to buy a Medigap supplement. Medicare supplement insurers are not required by law to cover pre-existing conditions, other than during certain periods (when you first sign up for Part B or if you qualify for a Special Enrollment Period.)