He predicted that lawmakers will pass a six-month "doc fix" later this month in order to buy more time for the offset discussions. If Congress takes that route, the temporary pay patch would expire at the end of September – the same time that funding for the Children's Health Insurance Program (CHIP) will run out. Rep. Price suggested that a permanent repeal of the SGR would likely be rolled into a package with CHIP's reauthorization. .Proponents of the measure, which include some Democrats, say that addressing the projected shortfalls now would prevent draconian cuts or tax hikes later. The legislation would create congressional panels mandated to draft bipartisan legislation that restores solvency of the trust funds, and the bills would receive fast-track consideration in each chamber. .Increase the taxable maximum wages. Raise the maximum wages upon which Social Security is paid, currently 6,800. ."That combination elevates the risk of disruptions to care, and unexpected, uncovered costs — two problems that could plague seniors shifted to new managed-care plans," Hyland says. Most states are expected to "passively enroll" beneficiaries into the plans requiring beneficiaries to take the initiative to opt out. "It is too early to know what type of choices those wishing to opt out will have," Hyland notes. "Without a strong notification and education process, many of the affected dual eligibles may not be aware, or understand, that they have new health coverage, " he says. "A new health plan can mean a change of doctor if their former providers don't participate," Hyland explains. .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.) .The Part D initial coverage limit is ,960 this year. "That includes what both the beneficiary and the drug plan must pay, " explains TSCL's Chairman Ed Cates. Once in the doughnut hole, beneficiaries are on the hook for 65% of the cost of generic drugs, or 45% of the cost of brand name drugs. Medicare beneficiaries must spend a total of ,700 out of pocket in drug costs for the year, before catastrophic coverage kicks in. "Even then there's still some additional smaller co-insurance payments," Cates adds. .For the last few weeks we have reported on President Trump's executive order to allow employers to defer payroll taxes owed by workers, which funds Social Security and Medicare. TSCL is opposed to payroll tax cuts of any kind because they seriously jeopardize the financial viability of both programs. .Chairman Johnson said: "I know that fixing Social Security will require tough choices that will affect the lives of millions of Americans. Congress has a responsibility to the American people to make these choices. And the longer we wait, the harder it gets. If we wait until the Trust Funds are exhausted, some options won't even be available anymore. We must take this responsibility seriously. Americans want, need, and deserve nothing less." .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.