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  • Category Issues Medicare Part D Articles Page 6

    Eyeglasses, however, are not covered. If you are having difficulty affording a pair of glasses from brick and mortar stores, you may want to try shopping online. Zenni optical.com has eyeglasses starting as low as .95 for basic frames. Costco the wholesale club has high ratings for their optical section. According to Consumer Reports, the median price for a complete pair of eyeglasses, frames and lenses at Costco Optical is 4, the cost of membership not included. .Back in February, U.S. District Judge Andrew Hanen of Texas temporarily halted President Obama's immigration orders that would have delayed the deportation of nearly 5 million illegal immigrants. The Obama administration promptly appealed that decision to the U.S. Court of Appeals for the 5th Circuit in New Orleans. .Regarding Medicare, the budget blueprint calls for increased means testing for Parts B and D, and it would increase out-of-pocket spending for new beneficiaries by charging them co-payments for home health services, and by adding a surcharge to certain Medigap plans. TSCL fears that these added costs for beneficiaries could result in some unforeseen consequences. … Continued

  • Social Security Medicare Questions December 2014

    Last - don't let all the political spin about Social Security scare you. The program is not going broke. Social Security does face a long-term financial challenge. Even when the Social Security Trust Fund becomes exhausted there would still be sufficient assets from payroll taxes to pay about 75 percent of promised benefits. Although that isn't a fair or acceptable outcome — a far more likely one — Congress will take action to correct the imbalance. .Health care for seniors is also one of the top issues on our agenda at TSCL and we have been talking to Congressional offices about our concerns. That's why we were happy to see progress this week regarding the issue of surprise medical billing. Surprise billing has been a real problem for some seniors who have Medicare Advantage. It's an issue that TSCL has been discussing with Congress and that we've written about for the last few weeks. .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. … Continued

The age at which you start receiving Social Security benefits. .Forty-eight percent (48%) have gone without essentials including food, disinfecting products, face masks, due to shortages, rationing or high prices. .Under a rule change that will take effect in July the Center for Medicare and Medicaid Services (CMS) will allow insurers and employers to exclude certain copay assistance programs from counting toward deductibles and out-of-pocket maximums. The rule applies even for expensive brand-name drugs with no generic alternatives. .Sixty – seven percent of seniors participating in the survey said they already spend up to one-third of their Social Security benefits on Medicare costs. Another 21 percent said they spent up to one-half. "Because healthcare costs are rising more rapidly than Social Security benefits, spending on Medicare takes an increasing share of senior income as seniors age," says Cates. .Virtually all of the changes tend to show inflation as growing more slowly. Independent economist John Williams believes that the combined effect understates the measured rate of inflation by an astonishing 7 percentage points. One of the clearest illustrations of the impact of a major change is seen in the following chart of COLAs between 1976 and 1987. .The annual Medicare Advantage Open Enrollment period starts January 1 –March 3During this time, you will be allowed to switch to another MA plan or return to Medicare and a stand alone plan. However, if you give up your MA plan in favor of returning to original Medicare, that does not necessarily mean you would be able to buy a Medigap supplement. Medicare supplement insurers are not required by law to cover pre-existing conditions, other than during certain periods (when you first sign up for Part B or if you qualify for a Special Enrollment Period.) .Noting the vast and unprecedented danger that the coronavirus presents to the elderly and people with disabilities, patient advocates described the lack of inspections as a shocking oversight. .There's good news and bad for older job seekers. The good news: the jobless rate for older workers is lower than the overall unemployment rate. And many employers do value older workers for their experience, skill sets, reliability and maturity. .Yet according Sara Zeff Geber, PhD, author of Essential Retirement Planning for Solo Agers, very few childless adults reside in assisted living or continuous care communities today. That's because it's the adult children, who are the primary caregivers, who help make the decision when mom and/or dad needs more care than can be safely provided at home. It's the adult children who assist with the tasks of helping parents shop for the right senior housing, help with the downsizing and moving, and assist with the complicated transaction of selling a parent's home and financing senior housing.