When shopping for an immediate fixed annuity you need to look for how much monthly income your investment will buy, and the safety of your insurance company. Here are some points to consider from Steve Vernon, a retired consulting actuary, and author of Money for Life: Turn Your IRA and 401(k) Into a Lifetime Retirement Paycheck. .Get an annual check up. Case in point: I recently helped a senior who hadn't seen a doctor in years, despite being a smoker. It took some urging, but she finally got a physical. She was shocked to learn that her blood pressure was high — dangerously so — and wound up driving straight to the pharmacy with a prescription for blood pressure medication. Visits to the doctor are far less expensive when you get there under your own steam rather than via an ambulance gurney. Starting this year, Medicare covers a yearly annual "wellness" exam and you pay nothing, if your doctor "accepts assignment" or the amount Medicare pays for the service. Do this before I have to nag you, too. .Social Security recipients will receive the highest cost-of-living adjustment (COLA) in 5 years, effective January 1st. The Social Security Administration recently announced a COLA of 2%. While the boost is critically needed for almost 61.5 million beneficiaries to maintain their purchasing power, the 2% COLA extends a disturbing 8-year pattern of low COLAs that have been far below the 4% average established in the decade prior to 2010 and the Great Recession. .Defense Department Shutting Military Families and Retirees out of Treatment Facilities .The expert witnesses at the hearing focused their suggestions on improving the marketplace. Edmud Hailsmaier – Senior Research Fellow at The Heritage Foundation – said policymakers should change how they see the individual market. He said it should be thought of as two distinct pools which include (1) individuals wishing to be protected against the financial liability of large health expenses, and (2) those who are very sick and have no other insurance options. .At the hearing, Burwell made two key points of interest to TSCL. First, she commented that she fully supports President Obama's proposal to increase means testing within Medicare. TSCL opposes the President's plan since we fear that it could have unintended consequences that would ultimately drive up costs for many of the oldest and poorest seniors. Second, Burwell committed to work with Congress to repeal and replace the flawed sustainable growth rate (SGR) formula, which has brought instability to the Medicare program for more than a decade. TSCL supports efforts to find a permanent solution, since repealing the SGR will result in higher quality medical care for seniors. .Yet since 2010, when the Social Security Trust Fund first started running a cash deficit, budget negotiators have repeatedly attempted to enact Social Security reforms that would decrease benefits. One of the most widely - discussed proposals would switch to a more slowly - growing inflation measure — the chained consumer price index (CPI) — to calculate the annual cost – of – living adjustment as a means of slowing the growth of Social Security benefits and other inflation - adjusted federal programs. Although the proposal was not adopted in the past, primarily due to fear of public backlash, "It remains a key feature in many plans for reducing the deficit," Johnson says. .This week, TSCL enthusiastically announced its support for the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305). In the Senate, the bill was introduced by Sens. Tom Carper (DE) and Tom Coburn (OK), and in the House, it was introduced by Reps. Peter Roskam (IL-6) and John Carney (DE). It currently has bipartisan support, with fifteen cosponsors in the Senate and ten in the House. .Resources: The Medicare Rights Center has an online tool called "Medicare Interactive" that can answer more of your questions about prescription drug coverage. Try it at www.MedicareInteractive.org.