News

  • Unprecedented Growth In W2s For Illegals Threatens Social Securitys Solvency Feed

    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. .SSI is a federal program that provides monthly benefit payments to people age 65 or older, who are blind or have a disability and who have little or no income and resources. People who receive SSI are also eligible to receive food stamps and Medicaid. .My mother has suffered a stroke and needs to move to an assisted living facilty. She is having problems qualifying for Medicaid. Her only asset is her small apartment that we are trying to sell, but it could take months in this market. Most of the nursing facilities require ,000 and more per month. Is there anything I can do to help her qualify sooner? … Continued

  • Legislative Update May 2011 Advisor Feed

    Last month, the Health and Human Services' watchdog agency announced plans to review the pace of inspections in nursing homes and barriers to completing them — referring to such checks as a "fundamental safeguard to ensure that nursing home residents are safe and receive high-quality care." .To avoid significant cost increases and unexpected benefit cuts next year, TSCL encourages its members and supporters to examine all MA plan offerings closely before making a selection or allowing a plan to automatically renew. The open enrollment period ends on December 7th, and coverage begins on January 1st. In the meantime, TSCL will continue to monitor the status of the MA program and advocate for legislation like the Medicare Advantage Participant Bill of Rights Act, which would protect MA enrollees from unfair and abrupt changes to physician networks. .Sources: "Medicare Beneficiaries Sue US Over Hospital Stays," David Morgan, Reuters, November 3, 2011. … Continued

What Happened To My Higher Retirement Benefit? .How Should Congress Strengthen Social Security and Medicare? .Give yourself a Benefits Check Up: If your savings are gone, and you aren't able to get a side job, you might qualify for programs that can help pay for Medicare Part B premiums, drug costs, meals, heating and cooling your home, rental subsidies and other costs. Using the National Council on Aging's Benefits Check Up online tool is simple. You answer a few screening questions and you can get the contact information for programs in your area. ."We need to get committees working again. We need to recommit to a rational, functioning appropriations process," McConnell said on the floor of the Senate during the first full day of his Senate leadership. "We need to open up. the legislative process in a way that allows more amendments from both sides." .Social Security beneficiaries received a cost-of-living adjustment (COLA) of 2 percent this year, but most are seeing their benefit increases completely offset by higher Medicare Part B premiums. Do you support legislation that would give older Americans a more fair and adequate Social Security COLA? .While the provision is valuable protection, it doesn't apply to all Medicare Part B enrollees. Roughly 30% of all Part B beneficiaries will not be protected in 201Those people are facing a Part B premium increase of about 22.3%, from 1.80 per month to 9.00, the highest increase in 27 years. People who are not protected by the hold harmless provision include: .Finally, two new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305) this week, bringing the total up to sixty-five. The new cosponsors are Reps. Tom Cotton (AR-4) and Matt Cartwright (PA-17). If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within Medicare and Medicaid – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .The Senate Finance Committee recently passed The Prescription Drug Pricing Reduction Act out of committee and now it heads to the floor for further action. The bill, which has support of both Democrats and Republicans would, among other things, cap drug prices based on the rate of inflation. .If signed into law, H.R. 1811 would base Social Security cost-of-living adjustments on the Consumer Price Index for Elderly Consumers (CPI-E) and gradually phase out the cap on income subject to the payroll tax.