"The distinction between inpatient or outpatient can make a tremendous difference to what Medicare patients have to pay," says TSCL Executive Director, Shannon Benton. Inpatient stays are covered under Medicare Part A. Inpatients who are hospitalized for three days or more qualify for Medicare's limited nursing home stay coverage. Observation stays are considered outpatient services covered under Part B. Observation patients can have much higher copayments costs and sometimes get hit with huge bills for non-covered drugs. .Unlike the experience of the general public who access state or federal health care exchanges to choose coverage, the choices offered to Members of Congress are dramatically different than those from many other parts of the nation. For 2017, Members had 57 plan options in "Gold" plans alone on the DC shop exchange. In many areas of the nation, particularly rural ones, Gold plans aren't even available. Unlike the Silver and Bronze level plans, Gold plans have lower deductibles, and cover 80% of costs with patients paying only 20%. Silver plans, for example, typically come with deductibles ranging from ,500 - ,000, and pay 70% of costs while patients pay the other 30%. And in some areas of the country, people are happy if they have a choice of more than six silver plans. Certain parts of the country have only one. .According to an article in The Hill, a Washington, D.C., newspaper that covers legislative matters in Congress, it just might happen. .This week, The Senior Citizens League (TSCL) announced its support for new legislation that would improve the Social Security cost-of-living adjustment (COLA). .Under current law, the Medicare program is prohibited from negotiating prices with pharmaceutical companies despite the fact that other federal health programs are required to do so. As a result, older Americans enrolled in Part D often pay much higher prices than other American consumers for their prescription drugs. If adopted, this bill would lead to billions of dollars in savings for the Medicare program, and it would immediately reduce prescription drug prices for Medicare Part D beneficiaries. .This study illustrates why legislation is needed to provide a more fair and adequate COLA. To put it in perspective, for every 0 worth of groceries a retiree could afford in 2000, they can only buy worth today. To help protect the buying power of benefits, TSCL supports legislation that would provide a modest boost in benefits and base COLAs on the Consumer Price Index for the Elderly (CPI-E) or guarantee that the COLA would be a minimum of 3 percent. To learn more, visit . ."Super Committee" Holds Second Hearing .To help you sort things out, TSCL strongly recommends that you get free one-on-one Medicare counseling through your state health insurance assistance program (SHIP). Many of the programs operate through area agencies on aging, local departments of senior services or senior centers. You can also get more information online at www.Medicare.gov or call 1-800-Medicare ( 7). .Employers are only required to check SSNs and report wages, but aren't required to verify whether individual workers have legal authorization to work in this country. When employers submit wage reports with SSNs that don't match those of Social Security, the reports wind up in the Earnings Suspense File until they can be reconciled.