Misconceptions about Medicare coverage are very widespread. New beneficiaries and their families are frequently surprised when they learn what Medicare doesn't cover. Routine eye examinations, eyeglasses and lenses, hearing exams and hearing aids are among the services generally excluded from the core benefits covered by original Medicare. .A government shutdown occurs when Congress fails to pass the appropriations bills that allow agencies to operate. As a result, federal workers and government contractors temporarily don't get paid until after the shutdown has ended. But hitting the debt limit would have far more reaching effects. The debt limit is the legal limit on the total amount of debt the federal government may take on. That limit is especially important to older Americans because the federal government has used trillions in excess payroll tax revenues from the Social Security and Medicare Trust Funds in the past, and now must borrow in order to pay Social Security and Medicare benefits in full and on time. .Here are two actual cases from the Social Security Administration's Office of Inspector General, and estimates of what the cost would be over a 20-year period by Advisor editor, Mary Johnson. .The Senior Citizens League supports legislation that would strengthen the COLA and better protect the buying power of Social Security recipients. To learn more, visit . .Because of the coronavirus, however, the BLS has been unable to gather much of the information from those two categories. Therefore, although they do not use the word, they are going to guess at those costs. It may be an educated guess, but it is still a guess, nonetheless. .Source: "Analysis of Plan 2 of The President's Commission on Social Security," Congressional Budget Office, July 21, 2004. .Recently Congressional Budget Office estimated in its September budget outlook, that Medicare outlays for 2020 would rise about 12 percent — roughly double the rate forecast by the Medicare Trustees in their April 2020 report. This suggests that the Medicare Part B premium increase for 2021 could be about .40 per month higher in 2021, rising from 4.60 to 2.00. But even this estimate does not include the full impact of cost shifting that occurs when people with low Social Security benefits are protected from reductions due to high Medicare Part B premium increases. Thus, the base monthly Part B premium increase for 2020 could be even higher than .40, and closer to the spike seen in 2016. .Currently, Social Security COLAs are based on the way young, urban workers spend their money, and because items like gasoline and electronics are weighted more heavily than medical costs and housing expenses, they underestimate the inflation Social Security beneficiaries experience. For example, this year, if COLAs were based on the spending patterns of seniors, Social Security beneficiaries would be receiving a COLA of around 2 percent instead of a 0.3 percent increase. .In recent years, conversations about Social Security reform focused on the need to save funds by cutting benefits. While some lawmakers on Capitol Hill still favor an increase in the retirement age and a reduction in cost-of-living adjustments (COLAs), others have shifted the debate towards a growing retiree savings "crisis" and calling for expanding benefits instead. Three bills in particular would strengthen and modernize the Social Security program while making benefits more generous for all recipients, but especially for those who rely on them the most. These bills have won the support of many in Washington – including The Senior Citizens League: