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. .Every day approximately ten thousand people reach their retirement age. Many have spent a lifetime working to care for their families and save for retirement all while paying federal taxes. The taxes paid into Social Security and Medicare have helped make these programs successful for past generations of retirees. .The Senior Citizens League (TSCL) urges its members and supporters to make the most of the August recess by attending town hall meetings. For more information, or to see if your Members of Congress will be holding town halls in the coming days, call their local offices. .Nonetheless, several Senators at Tuesday's hearing urged CMS to consider withdrawing the proposed payment changes. Committee Chairman Orrin Hatch (UT) expressed concerns about the rule's potential unintended consequences. He said: "I believe this experiment is ill-conceived and likely to harm beneficiaries. It is an overreach on the part of CMS that, in my opinion, goes beyond the agency's statutory authority, extends nationwide, and requires all Medicare Part B providers to participate." .This year, I am currently gathering support for the Medicare Advantage Quality Payment Relief Act, which would require the HHS Secretary to take Medicare Advantage Quality Incentive payments out of the calculation of the Medicare Advantage benchmark cap. This will allow high performing plans to receive the quality payments that they rightfully earned and to use those payments to improve beneficiary care. .Editor's note: Telephone etiquette has changed! Ask around, and you'll probably discover that many people are letting their voice mail or answering systems screen calls. This is no longer considered rude — but acting in self - defense. Protect yourself from scam (and your dinner from getting cold due to calls at meal time.). Be defensive: .In June, the Medicare trustees estimated that Part B premiums will rise only .50 in 2019, from 4 to 5.50. However, according to a recent survey conducted by The Senior Citizens League, roughly 25 percent of all Medicare beneficiaries are currently paying less than 4 per month due to a special "hold harmless" provision of law. Their Part B premium hikes will be much larger than .50, offsetting a larger portion of the 2019 COLA. .The following does not necessarily reflect the views of The Senior Citizens League. .But, again to be fair, the situation was the same when the Democrats were the majority in the Senate. So perhaps the issue is not which party is in control. Maybe it's the within the institution of the Senate itself. Or maybe it's the fact that voters keep sending Senators to Washington who are afraid to compromise on issues because the voters are so divided about what they done.