News

  • Social Security Medicare Questions Aprilmay 2013

    Providing Medicare services is not simple, but it is critical that we continue to make efficient investments in the healthcare expenses of 48 million people and develop an adequate workforce to provide those services. I proudly voted for the Patient Protection and Affordable Care Act (PPACA), which expanded access for Medicare beneficiaries and increased investment in healthcare provider training. I also remain a staunch opponent of attempts to increase costs to beneficiaries and privatize this valuable program. .Case 1—A woman who was born in Mexico worked illegally under an invalid SSN for 6 years. Later when she received a work authorized SSN, she had the earlier wages, earned while illegal, transferred to her record and then filed for Social Security disability benefits. From 1999 to 2002 this woman collected approximately ,990 in disability benefits, including benefits for dependents based on her account. Estimated benefits over 20 years — 4,275. .In spite of the coronavirus emergency, TSCL is continuing its fight for you to protect your Social Security, Medicare, and Medicaid benefits. We've had to make some adjustments in the way we carry on our work, but we have not, and will not stop our work on your behalf. … Continued

  • Medicare Part D Will Cost Me More 2

    What is the current status of the Notch issue? .I've been out of work since late March. The company that I was working for is in the process of declaring bankruptcy, and I haven't found a new job yet. I turn 64 in two months, but if I start Social Security. Ask the Advisor: August 2020 Is Taking a Loan Against Your Social Security Benefits a Reasonable Option When You are Out of Work? .TSCL believes that while the proposal may be a sensible first step, it doesn't go far enough. Before individuals can enroll in Medicare Advantage or Part D plans, they must be enrolled in Medicare Part B and have a Medicare number. How illegal immigrants obtain that number, and whether they are properly enrolled in Medicare Part B, are two key questions. "To prevent ineligible people from receiving benefits, the responsibility lies with the 'gatekeeper' and that's the federal government," says TSCL's Executive Director, Shannon Benton. "The Social Security Administration and Medicare need to do more to prevent illegal immigrants from getting Medicare numbers to begin with," Benton says. "In addition, both Medicare and private health and drug plans need up-to-date and accurate verification systems in place to determine whether beneficiaries are legally present when they receive services," she adds. … Continued

Deductibles: This is the amount you pay out – of – pocket before your insurance coverage kicks in. Most people get CT scans as outpatients under Medicare Part B, which has a deductible of 3 in 2021, meaning you might be responsible for that amount. If your scan is part of a hospital stay as an inpatient, it would bill under Part A which has a deductible of ,48Because you are enrolled in a Medicare Advantage plan, your deductible amounts can vary from the standard Medicare amount. It's a good idea to call your health plan before getting any services, to get an idea about the cost. For people covered by a Medigap supplement, it will cover the Part A deductibles but, as of January 2020, insurers are no longer allowed to sell plans that cover the Part B deductible, Plans C and Plan F to new enrollees. .And one more supporter said: "At present I am spending out of pocket each month and I fear that will only get worse as I age." .But the money to cover beneficiaries' share of premium costs still needs to come from somewhere. That leaves the 30% of Part B enrollees who aren't protected by hold harmless to make up the difference through steeply higher Part B premiums. Many of those people are facing a steep Part B premium increase from 1.80 per month to an estimated 9.00, the highest increase in 27 years. Those not protected by the hold harmless provision include: .Based on projections in the Trustees Report, Social Security beneficiaries should expect to see a cost-of-living adjustment (COLA) between 2.4 percent and 3.0 percent in 201Medicare Part B premiums will likely increase by around .50 next year, so the typical beneficiary will pay 5.50 per month. If the estimates from the Trustees are correct, most Social Security beneficiaries will see modest increases in their net Social Security benefits next year after Part B premiums are deducted. ."The president's plan to import policies from socialized health care systems abroad is disrupting our work [on Covid-19 therapies] and diverting our focus away from those life-saving efforts," the spokesperson said. "We remain willing to discuss ways to lower costs for patients at the pharmacy counter. However, we remain steadfastly opposed to policies that would allow foreign governments to set prices for medicines in the United States." .Support Grows for Key Bill .Seniors are reporting that in recent years they have frequently put off visits to the doctor and other healthcare providers due to economic reasons, according to recent TSCL surveys. You may have been told that the new healthcare reform law provides "free" new preventive benefits. While that made a good sound bite for the TV news and those Andy of Mayberry ads, the reality is most Medicare beneficiaries will probably still have some out-of-pocket costs. In order to qualify for the "free" preventive services you need the following: .Last year the House did pass a Medicare negotiations bill, which would cap out-of-pocket drug costs for older people and expand program benefits as well. But it has had no Republican support in the House, and it has no path forward in the Republican Senate because Senate Majority Leader Mitch McConnell (R-Ky.) has refused to bring it up for a vote. In addition, the White House calls it unworkable. .What are the potential complications and risks?