"Opting out" of a former employer's coverage on occasion might be able to save you money, but it requires careful cost comparisons and sound guidance. Never make any change without first getting the unbiased advice from a trained Medicare benefits counselor. The service is provided free of charge through your State Health Insurance Program and is available at many local Agencies on Aging. Check your local yellow pages. .Lawmakers Discuss Drug Costs with President Trump .The Senior Citizens League enthusiastically supports the Audiology Patient Choice Act and the Social Security Fairness Act, and we were pleased to see support grow for them this week. For more information about these and other TSCL-backed bills, visit the Bill Tracking section of our website. .Thousands of The Senior Citizens League's supporters – including the 800 petition signers – have told us they are failing to keep up with rising costs, and they are forced every day to make tough decisions about how they will spend their Social Security checks. To address this growing issue, The Senior Citizens League and its supporters urge Congress to adopt the Social Security Expansion Act (S. 427) before the end of the 115th Congress. .Members of Congress remained in their home states and districts to continue the summer recess this week. They are expected to return to Capitol Hill on Tuesday, September 6th. In the meantime, most Members of Congress will be holding town hall meetings in their home states and districts, presenting constituents with excellent opportunities to have their most pressing questions answered. TSCL encourages its members and supporters to attend these events and to voice their concerns about important Social Security and Medicare issues like inadequate cost-of-living adjustments and skyrocketing prescription drug prices. .The Senior Citizens League has prepared a new fact sheet to help the public better understand how immigration changes by executive action may affect Social Security and Medicare. Get it here. .Medicare Advantage — Medicare Advantage (MA) plans are popular because they tend to have much lower, or even zero premiums. In addition, many MA plans offer drug coverage. These plans may have deductibles, and charge co-pays for most services, leaving you at risk of more in out-of-pocket costs when you use services. Starting in 2011 for the first time, all plans include a limit on out-of-pocket spending that cannot exceed ,700. .We urge you to contact Members of Congress and ask them to co-sponsor "The Notch Fairness Act." Suggest that by cutting the rate of improper payments due to waste, fraud and abuse, your elected lawmakers can correct the most improper payment of all, the disparity in benefits caused by the Notch and erroneous government assumptions. .Of particular importance is the portion of income that seniors and the disabled must spend on each particular category. Under the CPI-W, out-of-pocket medical costs are weighted or assumed to account for only 5.6% of total expenditures. National surveys indicate that Medicare beneficiaries spend far more. The Kaiser Family Foundation reports that median out-of-pocket health care spending as a share of income for Medicare beneficiaries was about 16.2% by 2006.