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2012 Benefit Bulletin July 2012
In February, after lawmakers allowed two government shutdowns to briefly take effect, Members of Congress finally passed the Bipartisan Budget Act of 201The massive budget deal set spending levels for two years and lifted the debt ceiling through March of next year. It came as a surprise to many in Washington – including The Senior Citizens League (TSCL) – and the agreement put an end to cycles of funding extensions that temporarily and irresponsibly funded the federal government for years. .Shopping For a Better Drug Plan NOW Can Put More Money in Your 2020 Budget .After being suspended since November 2, 2015, the debt cap was reinstated last week. "Although the Treasury secretary is using ‘extraordinary measures' to fund the budget for now, a failure to lift the debt limit in time would affect all Americans, including the timely payment of Social Security benefits," says TSCL Social Security and Medicare policy analyst, Mary Johnson. … Continued
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Legislative Update For The Week Ending September 30 2011 Feed
We are no longer physically able to work, so we're concerned that current Social Security and Medicare benefits and future COLAs will be cut via D.C. shenanigans and slight-of-hand legislation, thus making our financial situation worse. .However, in tough economic times, our seniors — many of whom live on fixed incomes — get hit the hardest. From increasing medical expense costs to the rising cost of living, our seniors are facing greater economic insecurities. This is why we must protect Social Security from cuts and work to lower medical costs for this generation and the generations to come. .Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively. … Continued
On October 22, 2014, TSCL's Executive Director was interviewed on Fox Business about the 2015 COLA announcement. .We will update you whenever we have additional information. .According to the Center for Public Integrity, one of the nation's oldest nonpartisan investigative news services, home visits have risen sharply at many Medicare Advantage health plans. While visiting nurses and doctors don't offer any treatment during these visits, they do report exam findings to the patient's primary care doctor. Insurers say the free annual physicals offer a new benefit to help certain health plan enrollees stay fit and in their homes as long as possible. But critics, including some Members of Congress, are concerned the visits may be padding Medicare's bill. .Last week we wrote about a new bill that was expected to be introduced this week by House Speaker Nancy Pelosi (D-Calif.) that would lower prescription drug prices on some of the most expensive drugs. The plan would allow the secretary of Health and Human Services to negotiate the price of up to 250 drugs per year, and the lower prices would apply to people both with private insurance and those on Medicare. .The Senior Citizens League was disappointed that the President did not comment on Social Security or Medicare during his State of the Union address, but we were pleased that he spoke about the need to reduce prescription drug prices. The President said he was proud to have helped improve "access to breakthrough cures and affordable generic drugs" by speeding up the FDA approvals process last year. That move could increase competition and bring down prices by encouraging generics to enter the market more quickly. .During the recent government shutdown, a group of feisty World War II vets managed to do what Congress failed miserably to do for another 15 days – reopen a part of our shuttered government. The National Mall and parks in Washington D.C. were closed to visitors. But on day one of the shutdown, CNN reported that "busloads of World War II vets, many in wheel chairs, broke past the barricades to visit the World War II Memorial as onlookers applauded." As the cameras rolled and several Members of Congress were busy trading blame, a line of vets rolled past security officers "who willingly stepped aside," CNN reported. .It would: boost monthly Social Security benefits by 2 percent, improve the adequacy of the Social Security cost-of-living adjustment, create a new minimum benefit set at 125 percent of the poverty line, and cut taxes for millions of beneficiaries. To cover the cost of these benefit enhancements and extend the solvency of the Social Security Trust Funds for decades to come, it would also apply the payroll tax to income over 0,000 and gradually increase the payroll tax rate from 6.2 percent to 7.4 percent. .Medicare is structured to pay more to providers based on how sick people are — not on making them well. Yet about one-half of all adults have at least one chronic condition, which is not only the most costly type of health problem to treat over time, but also the most preventable. .Why does that happen?
