News

  • Congress And Covid 19

    Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. .On Monday, lawmakers in the House revealed the American Health Care Act (AHCA), which would replace the Affordable Care Act (ACA) if signed into law. Just two days later – before the Congressional Budget Office had a chance to evaluate the proposal – Republicans on the House Ways and Means Committee and the House Energy and Commerce Committee voted to advance the proposal. .Another Broken Obamacare Promise – This One Hits Medicare … Continued

  • Feds Bust 243 People In Biggest Medicare Fraud Yet

    Before the Affordable Care Act, seniors could deduct out-of-pocket medical costs that exceeded 7.5 percent of their Adjusted Gross Income (AGI). Starting in 2017, however, the law increases this threshold to 10% of a person's AGI – effectively lowering how much can be deducted at the end of the year and increasing how much seniors will pay in taxes. .Jodey Arrington represents Texas' 19th Congressional District in the U.S. House of Representatives and is a member of the House Ways and Means Committee. .Now that Congress has passed President Biden's Covid-19 relief bill it must turn its attention immediately to passing legislation to delay billions of dollars in cuts to Medicare. … Continued

Our surveys are the key means to educate the public on issues, and for Members of Congress, to gauge how people think. Survey results can turn up the heat during an election year. This month, TSCL launches our annual 2020 Senior Survey, and we urge you to participate. This is our most important survey of the year, and your responses count. .To get information about Medicare supplement premiums, first select the plan offering the coverage you are interested in, "A" through "N". You can find a listing of these plans on page 82 of the 2017 Medicare & You handbook but not all states will have all plans. Once you have chosen the plan then you can simply compare premiums between insurers. The coverage for each type of plan is just the same, but premiums between various insurers can vary tremendously. .Do not respond to calls or texts from unknown numbers, or any others that appear suspicious. And remember that government agencies, banks, credit card companies, or utility companies will never call you to ask for personal information or money. .Recreation (televisions, toys, pets and pet products, sports equipment, admissions); .Should Social Security benefits be adjusted annually using a locality – based payment rate? Some of you, particularly those of you who are retired federal employees know far more about locality - based pay adjustments than I do. I hope you folks can set us straight on a new legislative proposal that would use locality- based pay adjustment rates to adjust Social Security benefits. My quest­ion to you — is this a good idea? Why or why not? .COLAs Reach All Time Lows At Same Time Seniors Report Expenses Higher Than Ever .The Medicare Trustees estimated in their April 2020 annual report that the base 2021 Part B premium would rise by .70 (6 percent), from 4.60 to 3.30.[1] The annual report was written prior to the coronavirus national emergency and does not incorporate the effects of the coronavirus caused recession, the interaction with an extremely low COLA. .Home delivery is best suited for "maintenance" drugs, the type you take every day over the long term. You will still need to continue to use your drug plan's "preferred" retail pharmacies if you need a short-term or one-time prescription like an antibiotic. .Capping the Part D out-of-pocket spending requirement is a key provision of the bi-partisan Senate drug bill, "Prescription Drug Pricing Reduction Act of 2019" (S.2543). "Several of the provisions of this bill appear to have broad support with Medicare beneficiaries," notes Mary Johnson, a Medicare and Social Security policy analyst for The Senior Citizens League. The new survey found widespread support among survey participants for capping Medicare Part D out-of-pocket requirements at no more than 0 per month (,000) per year. About 36 percent of survey participants reported spending up to 0 per month on prescriptions in 2019, and another 21 percent spent more than that.