News

  • Q November 2017 2

    Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .The amount you get from Social Security may surprise you. While the amount you receive depends on how many years you worked, your earnings, and the age at which you start benefits, the average monthly Social Security payment today is about ,100. People who retire with average benefits will receive about ,200 in 2011 prior to Medicare premium deductions. With people spending as much as 25 years in retirement, people who retire today with an initial benefit of ,100 can expect to receive more than 6,800 in Social Security over 25 years. But that assumes no changes to cost-of-living adjustments (COLAs). .First, two new cosponsors – Senator Chris Van Hollen (MD) and Senator Deb Fischer (NE) – signed on to the bipartisan Know the Lowest Price Act (S. 2553), bringing the total up to thirteen. If adopted, the bill would prohibit "gag clauses" that prevent pharmacists from telling patients when their prescriptions would be cheaper out-of-pocket than through their insurance plans. … Continued

  • Legislative Update Week Ending February 1 2019

    Last fall, the Government Accountability Office uncovered .3 billion in improper payments from December 2010 to January 2013 made to people who had jobs when they were supposed to be unable to work. To be eligible for Social Security disability, beneficiaries must be unable to work due to a medical condition that's expected to last at least one year, or result in death. The list, however, includes murky afflictions like back pain, depression and other un-measurable afflictions, opening the system to fraud and abuse. .While others want to privatize and dismantle Social Security, I'm fighting to honor our commitments to retirees and fix a broken system. .If signed into law, the Social Security Protection and Truth in Budgeting Act would amend the Social Security Act to ensure that receipts and disbursements of the Social Security Trust Funds are not included in a unified federal budget. It would also mandate that Trust Fund monies cannot be diverted to create private accounts. … Continued

Watch our newest video featuring TSCL's Board of Trustees as they work for our benefits in our nation's Capitol. .Deciding when to file is the biggest decision you face. Social Security benefits are calculated using a formula called the primary insurance amount, or PIA. Seniors who wait to start receiving Social Security until their full retirement age (currently 66) receive 100 percent of PIA; taking benefits at 62, the first year of eligibility, gets them 75 percent of PIA. By waiting until age 70, they'll receive 132 percent of the PIA – nearly double the monthly income for the rest of their lives. Those benefits are enhanced by an annual cost-of-living adjustment, which is added back in for any years of delayed filing. .Two weeks after President Trump signed an executive order "Lowering Drug Prices by Putting America First," the White House still has not released the text of the order. The unorthodox move is apparently a leverage play, an attempt to squeeze drug companies into offering concessions. .However, current benefits, as we will learn today, are inadequate, unfair, and in many cases discriminatory, because of systemic economic inequities. .For more information about Social Security reform options, click here. To watch Wednesday's House Budget Committee Hearing in full, click here. .In a press release, Mary Johnson – a policy analyst for TSCL – recently said: "Anyone who cares about his or her health coverage, Medicaid, or Medicare should contact their Members of Congress now." Since many in Congress are undecided on the AHCA, it is not too late for grassroots advocates to make an impact. TSCL encourages its members and supporters to call their representatives in Congress immediately to request their opposition to the AHCA. Contact information can be found HERE. .Food and Beverages: (breakfast cereal, milk, coffee, chicken, wine, full service meals, snacks) .For information about town hall meetings near you in the days ahead, call the local offices of your elected officials. You can find contact information for your Members of Congress right here. .President was expanding home and community-based care for the elderly and disabled and improving conditions for the poorly paid workers who give that care.