News
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Legislative Update 4
According to the non-partisan Kaiser Family Foundation, the average Medicare Part D plan premium increase for 2016 is likely to be the largest since 200In addition, Medicare Part B premiums will increase more than 16 percent, from 4.90 to 1.80 per month, for about one in three beneficiaries next year, and that's after legislation that reduced the increase. .Catastrophic Coverage Period: When your total out-of-pocket spending reaches ,350, you hit the catastrophic stage of coverage. Your co-insurance drops to 5% coinsurance or co-pays of .60 generic, .95 brand, whichever is higher. You remain in the Catastrophic coverage period until December 31, 2020. .The House passed the bill yesterday and the Senate is expected to take it up next week. … Continued
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Social Security Recipients Need Better Benefit Boost
But this doesn't necessarily mean that the rising Part B premium would reduce an individual's net Social Security benefits next year. Due to a special provision of law known as the Social Security "hold harmless" provision, the Medicare Part B premium is adjusted to prevent an overall reduction in Social Security benefits from December of the previous year. The provision only applies to about 70% of all Medicare beneficiaries, however, and does not protect people whose overall income is so low that their Medicare Part B premium is paid by state Medicaid programs, and individuals with incomes above ,000 or married couples with incomes above 5,000. .Both retirees and the disabled spend a very significant portion of their incomes on healthcare costs. For many, health insurance premiums are the most significant expense that they incur every month. That includes what the government automatically deducts for Medicare Part B, and what individuals shell out for a Medicare Advantage plan or Medigap policy, and Part D drug plan. According to a policy brief from the Kaiser Family Foundation, premiums account for the largest share of Medicare beneficiaries' out-of-pocket health spending. Four-in-ten Medicare beneficiaries spend more than 10 percent of their income on premiums alone. To get a better idea of what the government does track, here's a list from the Bureau of Labor Statistics (BLS). The BLS has classified all expenditure items into more than 200 categories, arranged into eight major groups. Major groups and examples of categories in each include: .Although immigration law forbids work without authorization, immigrants do find jobs, and the majority of employers report their earnings to SSA. Each year SSA receives hundreds of millions of W-2s. When the name and Social Security number (SSN) do not match SSA's records, the W-2 is held in the Earnings Suspense File (ESF). Recent data indicates that in recent years the ESF is growing at an unprecedented pace and the cumulative wages represented is now 5 billion. These wages can later be reinstated to valid Social Security numbers when immigrants gain work authorization. Because earnings are used to determine both the number of quarters of coverage worked for insured status, and the initial retirement benefit, this poses a substantial liability to the Social Security Trust Fund and would worsen its solvency. … Continued
Medicare's Trustees reported in April that the Part A Trust Fund, which covers hospital insurance and inpatient care, would run out of money by 202That estimate, however, does not factor in the impact of the coronavirus on the program. New estimates are coming in that the pandemic could cause the Part A Trust Fund to become insolvent much sooner. The Committee for a Responsible Federal Budget, a group of nonpartisan budget experts focused on fiscal policy, estimates that the pandemic will cause Medicare Part A to run low in 2023 or 2024 —as little as two to three years from now. .According to experts, the risk of catching the coronavirus on a plane is relatively low if the airline is following the procedures laid out by public health experts: enforcing mask compliance, spacing out available seats and screening for sick passengers. .This week, The Senior Citizens League's (TSCL) Board of Trustees and legislative team held meetings with several Members of Congress and their top staff. In addition, the Board of Trustees presented one Member of Congress – Rep. Mike McIntyre (NC-7) – with the 2012 Seniors Advocate Award. TSCL also saw support grow for a critical piece of legislation this week. .Congressman Larson's bill would comprehensively reform the Social Security program by enhancing benefits and improving the solvency of the Trust Funds for decades to come. He said at Wednesday's hearing: "The Social Security 2100 Act will expand and enhance Social Security, making the program financially stable through this century and beyond. It is the only legislative proposal that expands benefits, is fully paid for, and achieves sustainable solvency as determined by the Chief Actuary of the Social Security Administration." .Social Security policy analyst and Advisor editor Mary Johnson finds the average monthly rate of increase for the past 12 months. This rate of inflation is added to the current month, and each subsequent month through to September, in order to project inflation in those months. The SSA's COLA formula takes the third quarter data (July/August/September) and finds the average for the quarter. That is then compared that with the third quarter average from one year ago, and the percentage of difference is determined. That percentage of difference is the amount that the COLA would increase. .This week, progress stalled on a continuing resolution to fund the federal government past September 30th. In addition, one Senate committee held a hearing on maximizing Social Security benefits. .Discussion on the bill will likely continue into the summer, and TSCL will continue to monitor the ongoing debate. We remain hopeful that lawmakers will address any loopholes that would allow immigrants to claim Social Security credits based on work done illegally. In addition, TSCL is concerned that those with provisional status could have access to Social Security and Medicare benefits before they are granted citizenship. Both of these issues would put an unnecessary and unspecified strain on the Trust Funds, and we will continue to inform Members of Congress about potential issues in the coming weeks. .President Gives First State of the Union .It would permanently set the Social Security Administration's administrative funding at 1.5 percent of overall benefit payments, more than doubling the funding that the administration currently receives.
