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  • Category Issues Medicare Part D Articles Page 9

    At Wednesday's hearing, Charles Jeszeck – Director of Education, Workforce, and Income Security at the Government Accountability Office (GAO) – unveiled the findings of a study requested by the Aging Committee's leaders back in March of 201The study examined the extent to which older Americans understand the rules that impact their future benefits when making claiming decisions, and the quality of the information provided by the agency and its field offices around the country. .New Legislation Would Combat Scams Against Seniors' Investments .What are the waiting periods and exclusions? You can find dental plans that cover two cleanings and check-ups a year, but it's not uncommon for dental plans to require a year or two waiting period before covering basic fillings, or crowns and implants. Some plans will not cover pre-existing conditions, so if you are switching dentists and you are in the middle of getting bridge work done, the new dental plan may not cover prior dental work in progress. … Continued

  • Legislative Update March 2014

    My drug plan is offering a new mail order system. I normally fill my prescriptions at the pharmacy. Does this really save any money? What would I do if I need a prescription quickly? .My pulmonologist ordered a CT scan, but the person scheduling appointments said they first had to check my insurance. Is this correct? I'm covered by Medicare and a Medicare Advantage plan. I thought I would be covered for any medically necessary CT scan. .Sources: "Vets Break Past World War II Memorial Barricade," Laura Koran and Ashley Killough, CNN, October 1, 2013. … Continued

TSCL is encouraged by the President's comments on drug prices, and we urge the administration to do everything in its power to bring down costs for consumers in the months ahead. In the meantime, our legislative team will continue to advocate for legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would take comprehensive steps to lower costs for Medicare Part D beneficiaries. ."The bill has been fiercely opposed by Republicans and the branded pharmaceutical industry, which would likely lose revenue if the bill passed, leading to 40 fewer new drugs coming to the market in the U.S. over the next two decades, according to the CBO estimate. .Lawmakers remained in their home states and districts this week for the August recess. They are expected to return to Capitol Hill on Tuesday, September 8th. In the meantime, many Members of Congress will attend local events and hold town hall meetings, giving constituents an excellent opportunity to voice their concerns and have their most pressing questions answered. .What is the current status of the Notch issue? .In the Senate, Finance Committee Chairman Chuck Grassley (IA) has also prioritized this critical issue. His first hearing as chairman was titled "Drug Pricing in AmericA Prescription for Change" and, in his opening statement, he vowed to get to the bottom of the growing problem. Following that hearing in January, Chairman Grassley called upon seven of the most profitable pharmaceutical companies to testify before the committee, saying: "Patients and taxpayers deserve to hear from leaders in the industry about what's behind this unsustainable trend." .Graves can't understand why the pricing is going unchecked by the federal government. "This needs to be investigated," she says. "People who don't have good Part D coverage or the money to pay for their drugs would be forced to go without," she protests. "It's GREED, GREED, GREED!" .The bill, known as the Grassley-Wyden bill, would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .We know that other prevention steps help stop the spread of COVID-19, and that these steps are still important, even as vaccines are being distributed. .Spring Congressional Recess Continues