The Neal bill was passed by the Ways and Means Committee on Wednesday of this week. It would ban surprise billing using an arbitration process favored by hospitals and specialty physician groups but opposed by insurers, employers and labor unions. Neal's legislation would send all the disputes that can't be settled between the parties to arbitration but require mediators to consider median contracted rates used by health plans, with the mediators prohibited from considering "usual and customary charges," also known as "billed charges." ."Social Security benefits have flat - lined since 2010," says Mary Johnson, a Social Security policy analyst and author of TSCL's buying power study. "That was the first time since the annual COLA became automatic that inflation was too low for a COLA to be payable," Johnson notes. Since then, COLAs have averaged just 1.2 percent per year, less than half the 3 percent that COLAs averaged during the decade prior to 2010. .COLAs have flat - lined at unprecedented lows over the past 7 years, averaging just 1.2 percent a year. That's less than half the 3 percent that COLAs averaged from 2000 to 200"The low growth in Social Security benefits since 2009 has a significant impact on overall retirement income of anyone who has been retired since that year," Johnson says. "For people retired over the past seven years, monthly benefits in 2016 are today 13 percent lower than if inflation had been the more typical 3 percent per year," Johnson explains. "In dollar amounts, that's 0 per month lower for someone with average benefits," she adds. "This is huge and this loss of anticipated retirement income compounds every year causing people to spend through retirement savings far more quickly than planned, " she says. "Over the course of a 25 or 30 year retirement, it reduces anticipated Social Security income by tens of thousands of dollars," Johnson says. "Unfortunately this financial impact is not fully understood by the vast majority of the public and Members of Congress — The Senior Citizens League is working to change that," Johnson notes. .The lack of growth in Social Security benefits is eroding the buying power of more than 60 million people who depend on Social Security. There was no annual boost again this year. But according to a recent TSCL survey of more than 1,100 people age 62 and over, retiree household expenses continued to climb. Some 72 percent of survey respondents reported their monthly expenses grew by more than in 2015. .The amount you pay for your CT scan will vary by your Medicare Advantage plan and whether you get your CT scan from a preferred provider. You will need to call your plan to learn the out-of-pocket cost details, and to make sure the facility, doctors, and medical technicians performing the CT scan are preferred providers with your Medicare Advantage plan. You could pay considerably more if you use providers who are not under contract with your Medicare Advantage plan. Call the customer service number on the back of your health plan's card, have your questions written down and be ready to take notes. .Since the start of CPI-E in 1983, the average difference between it and the CPI-W is roughly .25 percentage point per year. Sounds tiny but, like interest, it compounds over time. Had the CPI-E been used to determine COLAs since 2015, your benefit would be about 2% higher today. An average benefit of ,215 per month in 2015 will increase to ,298 per month in 2020. But had the CPI-E been used to calculate the COLAs, that benefit would have been per month more or ,324 in 2020. .To stay updated on the progress of prescription drug legislation, check back every Friday morning to read our weekly Legislative News summary. .Medicare supplements tend to have higher premiums than Medicare Advantage plans, but will cover most, or even all of your out-of-pocket costs, depending on which policy "A" –"N" that you choose. Medicare Advantage plans have lower premiums, but you instead pay co-pays for every service. If you get sick or you are hospitalized, your out-of-pocket costs could be thousands of dollars. But unlike Medicare alone, Medicare Advantage plans have annual out-of-pocket maximums to cap what you pay. Those maximums average ,332 in 2017 but can be as high as ,700. .The House of Representatives has outlined specific reforms that maintain the current Medicare program for those aged 55 and older with no disruption and saves Medicare for future seniors by offering those beneficiaries a premium support program. Specifically for younger workers, when they reach eligibility, Medicare will provide a payment and a list of guaranteed coverage options – including a traditional fee-for-service option from which recipients can choose a plan that best suits their needs. These future Medicare beneficiaries will be able to choose a plan the same way members of Congress do. Medicare will also provide additional assistance for lower-income beneficiaries and those with greater health care needs. Our plan also stops the raid on Medicare trust fund that was going to pay for the Patient Protection and Affordable Care Act, allowing any current Medicare savings to go directly to saving Medicare and not creating open-ended health entitlements.