News
-
Feds Shut Down 1 2 Billion Medicare Scheme Finally
Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively. .A person with average Social Security benefits in 2000 received 6 per month, a figure that rose to ,166.30 by 201However, that individual would require a Social Security benefit of ,419.00 per month in 2015 just to maintain his or her 2000 buying power, the study found. .Compare your drug and health plan options NOW during the Medicare Open Enrollment period before it ends on December 7th. Does your current drug plan even cover your expensive new prescription? If not, you need to check your other options. Chances are another plan will. Use the Drug and Health Plan Finder at www.Medicare.gov. Make sure you carefully enter every prescription drug you take in order to get a custom comparison of your best drug plan choices. Costs can vary by hundreds, even thousands, of dollars, and you may be very surprised by the savings from switching to a better plan. … Continued
-
Legislative Update For Week Ending September 4 2015
The Health and Human Services Department finalized the policy through an interim final rule in November, meaning the agency skipped the comment period. Lowering drug costs for patients is the end goal of the policy, which the government argues justified the speedy implementation. .In 2014 the Congressional Budget Office estimated that the average tax payment of Social Security households equaled 6.7 percent of benefit income — an amount that is estimated to grow to 9 percent of benefits by 203"That growth is likely to occur much more rapidly due to changes in the tax law, which uses a more slowly growing consumer price index to adjust the tax code," Johnson says. .https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/covid-19-cold-flu-and-allergies-differences/art-20503981 … Continued
This week, TSCL's legislative team, which is led by former Congressman David Funderburk and Mrs. Betty Funderburk, met with several Members of Congress and their top staff to discuss issues of critical importance to seniors. The following bills, among others, were discussed this week: the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1030), the CPI for Seniors Act (H.R. 2154), the Social Security Fairness Act (H.R. 1795), the Notch Fairness Act (H.R. 155), the No Social Security for Illegal Immigrants Act (H.R. 2745), and the Medicare Physician Payment Innovation Act (H.R. 574). .I read that the Medicare Part D doughnut hole is closing. What does that mean? I recently started on Lantus insulin, which my drug plan covers, but with the other drugs I take, I expect to hit the doughnut hole with my April refill. .TSCL surveys confirm that costs for older Americans continued to climb despite no COLA this year. A recent TSCL survey found that 72 percent of respondents reported that their monthly household expenses rose by more than in 2015. .Last month, the Social Security Trustees released their annual report on the program's financial outlook, and they projected that Social Security beneficiaries will face a cut in benefits if lawmakers fail to pass legislation to extend the program's solvency past 203In order for reforms to be phased in gradually and with minimal impact on current or future retirees, Congress will need to adopt comprehensive Social Security reform legislation in the very near future. . Recently I read about a stimulus proposal that would allow people who are out of work to access ,000 of Social Security benefits in advance, in exchange for waiting a few months longer to get benefits when. Ask the Advisor: April/May 2020 I'm Entitled to a Pension for Work as a City Cop… .The number of employees at your company determines whether you must enroll at age 65, or whether you can delay, and keep your employer insurance. Because you work for a company with fewer than 20 employees, Medicare pays first once you turn 6That means, if you miss your initial enrollment deadline, you would not be able to use your former employer coverage, even if you and your employer continued to pay the premiums. People who work for companies with more than 20 employees may delay enrollment and keep their current coverage as long as they meet certain rules. .This week, five new cosponsors signed on to the Notch Fairness Act (H.R. 1001). They are: Reps. Jesse Jackson, Jr. (IL-2), Collin Peterson (MN-7), Maurice Hinchey (NY-22), Elton Gallegly (CA-24), and Christopher Smith (NJ-4). These cosponsor additions bring the total up to 35. .Benefit Bulletin: September 2021 Most Look Forward to Boost; Low-Income Retirees Worry Benefits Could be Trimmed .On Tuesday, new and veteran lawmakers in the House and Senate met on Capitol Hill for the swearing in of the 115th Congress. As expected, Congressman Paul Ryan (WI-1) was re-elected to the Speaker position with 239 votes in the House, and Congresswoman Nancy Pelosi (CA-12) was re-elected to the House Minority Leader position with 189 votes.