With no increase in Social Security benefits over the past two years, seniors participating in TSCL surveys say they are putting off visits to the doctors, and many are not filling prescriptions. But foregoing healthcare can backfire, leaving you with bigger health problems and bills down the road. Here are three things you can start doing right now to lower your Medicare costs and improve your health. .With about 1 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors groups. Located just outside Washington, D.C., its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of TREA The Enlisted Association. .TSCL is hopeful that lawmakers will successfully repeal and replace the SGR before the looming deadline, since doing so would bring much-needed stability to the Medicare program. We will continue to monitor the negotiations in the coming weeks, and we will post updates here in the Legislative News section of our website. .For progress updates or for more information about these and other bills that would strengthen Social Security and Medicare programs, visit the our website at , follow TSCL on Twitter or Facebook. .Initial coverage stage: 4.61 from the lowest-cost drug plan but, as you have discovered, the total cost of the drug is so expensive that you rapidly use up the initial ,820 in the first three months once you factor in the portion that your drug plan pays. .On Wednesday, after a nine-hour markup, lawmakers on the House Budget Committee approved a .9 trillion resolution to fund the federal government through fiscal 201The proposal includes .5 trillion in spending cuts, including 9 billion to the Medicare program. To accomplish this, it would transform Medicare into a premium-support program over a seven-year period, where beneficiaries would be given vouchers to purchase private insurance from a list of authorized plans. .Congress and President Obama are battling over the federal budget, but supporters in Congress aren't about to forget Notch Babies. The Notch Fairness Act bills (H.R. 155) and (S.90) were introduced by Representative Mike McIntrye (NC-7) and Senator David Vitter (LA). They were among the first bills to be re-introduced in the new session. The bills would provide Notch Babies born from 1917 through 1926, or spouses who receive benefits on their account, a choice of ,000 payable in four annual installments or, an improved monthly benefit. .It's not what the government tracks that causes your Social Security cost-of-living adjustments (COLAs) to grow so slowly. It's what the government isn't tracking that's keeping your COLAs so low. It may surprise you, as it did us at TSCL, to recently learn that COLAs are calculated using methodology that doesn't directly measure what you pay out-of-pocket for health insurance premiums. Add to that the fact that the consumer price index (CPI) the government uses to calculate COLAs (CPI-W) represents the spending habits of younger urban wage earners and clerical workers — or the spending habits of only 29% of the U.S. population. That's certainly not going to reflect the inflation experienced by most Social Security recipients. .The total cost for a single year of treatment with the nation's most expensive specialty drugs can cost more than the entire retirement savings for many retirees. The annual cost of the cancer drug Idhifa, for example, is 0,85According to a new study by the non-partisan Kaiser Family Foundation, the median out-of-pocket cost that Medicare Part D beneficiaries will pay out-of-pocket for specialty drugs in 2019 would be ,55Patients suffering from multiple sclerosis could pay an estimated out-of-pocket of ,409 in 2019 for Glatiramer acetate. Even on the "low side," the annual out-of-pocket for Hepatitis C drug, Zepatier runs ,622.