News

  • Comparing Drug Plans Saves Senior More Than 3000

    Of the 20 CEOs, annual income not taxed for Social Security totaled 1,545,322 and averaged ,077,266 per CEO. .The last vaccine to quell a global viral scourge was the polio inoculation, which ended outbreaks that killed thousands and paralyzed tens of thousands each year in the United States. The March of Dimes Foundation covered the nominal drug cost for a free national vaccination program. .Dental insurance works differently than health insurance. Standard Medicare, for example, has an 80/20 structure. Traditional Medicare pays about 80% of the Medicare approved cost, while the patient, or the patient's supplemental insurance, pays most, or all of the balance. On the other hand, dental insurance can follow a 100-80-50 structure. If you use in-network dentists, dental plans may pay 100% of routine preventive services, such as x-rays, cleanings and exams. The plan may pay only 80% for basic procedures such as fillings, root canals, and extractions. And major procedures such as crowns, implants and gum disease treatments may only be reimbursed at 50%, which can set you back with significant out-of-pocket costs. … Continued

  • Legislative Update For Week Ending October 18th 2013

    The Centers For Medicare and Medicaid Services (CMS) recently announced a bold new model to save money and improve healthcare quality by changing the way the government pays doctors. The Administration is taking steps to ensure that, by 2018, up to half of all payments to doctors won't be for visits and procedures, but rather for providing "high quality" care. The plan is to pay doctors on how they perform. .This is a major blow to military retirees whose reasons for settling around a military base included getting the health care they were promised when they agreed to serve a career in the Armed Forces. .In addition, next week lawmakers will continue working on a spending package that will fund the federal government past December 9th. Negotiations have already begun to pass a continuing resolution (CR) that will provide short-term funding through January 201However, if those in the House and Senate fail to reach a compromise before the looming deadline, the government will shut down like it did in 2013 and Social Security beneficiaries could see negative impacts. … Continued

The FDA advises consumers to be cautious of websites and stores selling products that claim to prevent, treat or cure COVID-1There are no FDA-approved products to prevent COVID-1Products marketed for veterinary use, or "for research use only," or otherwise not for human consumption, have not been evaluated for safety and should never be used by humans. .On Wednesday, the Ways and Means Health Subcommittee held a hearing focusing on a number of Medicare provider payment provisions that are set to expire at the end of this year. The Subcommittee heard from an expert panel of witnesses, which included Richard Umbdenstock, President of the American Hospital Association, and Robert Wah, Chairman of the Board of Trustees at the American Medical Association. .Finally, one new cosponsor – Senator Richard Blumenthal (CT) – signed on to the Medicare Drug Price Negotiation Act (S. 99), bringing the cosponsor total up to eight. If adopted, this bill would require the Secretary of Health and Human Services to negotiate lower prescription drug prices on behalf of Medicare Part D beneficiaries. .As with nearly every other aspect of our lives, the coronavirus has changed the agenda of Congress. Discussion of a fourth big spending bill to deal with the pandemic began this week and all three sides (House, Senate, and the President) have set out their preliminary positions. .Because of the strong push on the part of the President and members of Congress to find a way to lower drug prices, and getting drugs from other countries where the cost is lower has become popular as a solution, the Food and Drug Administration (FDA) recently released a proposal to let states submit drug importation plans for federal approval. .Congress recognized that benefits would be lower under the new benefit formula provided by the 1977 law changes, but they sought to address the problem of abrupt benefit cuts for those nearing retirement (3). Congress provided a "transitional benefit formula" to phase in the changes for those who would become eligible for Social Security within the first five years of the changeoverЧthose born from 1917 through 192This group of retirees had their benefit calculated two waysЧunder the new benefit formula and under the transitional benefit formula and they received the higher of the two benefits. According to a comprehensive economic analysis by noted economist John Haldi, Ph.D., the transitional benefit formula, however, had significant flaws and in almost every case failed to provide any benefit protection (4). Thus, benefits were sharply and rapidly reduced. .Experts estimate that fraud, waste, and abuse within Medicare costs more than billion each year. What efforts do you support to ramp up prevention? .Because of the collapse in the real estate market, experts say that thousands of seniors who need assisted living or nursing home care are remaining in their homes longer because they can't sell or get the price they need to cover their long term care. According to Harris Meyer, in an article for Kaiser Health News, the situation is leaving families under pressure to either pay for their parents' placement with their own money, or to provide care themselves. .If you are interested in helping TSCL make the most of the 113th Congress, give us a call at 800-333-TSCL to help us start a local chapter or plan a town hall meeting in your area.