News
-
9313 2
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. .It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .I'm new to Medicare. I didn't realize that Medicare doesn't cover eye or hearing exams like my former insurance at work. My income is pretty low. Where can I go to get these services? … Continued
-
Legislative Update Retirement Age Feed
The vast majority of illegal immigrants come to this country for jobs. To obtain one, they need documentation to show an employer. There's a huge underground business in the manufacture and distribution of phony or even stolen Social Security numbers (SSNs). According to media reports, counterfeit SSNs and papers can be purchased on the streets for under ,000. .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .In a statement issued early this week, America's Health Insurance Plans, an advocacy organization for insurers, wrote: "Reports from leading industry analysts show broad consensus that the CMS proposal, if finalized, would result in Medicare Advantage payment cuts of at least 4 percent in 2015 and likely much higher once other changes are factored in." But in a statement of their own, representatives from CMS countered: "The proposed changes for 2015 for Medicare Advantage are smaller than those implemented in 2014 – a year in which CMS expects to exceed its 5 percent enrollment growth projection." They went on to claim that the 2015 MA cut will actually result in lower premiums and better care for seniors. … Continued
Even Republicans who support changing the regulations are opposed to putting it in the NDAA and they may support an effort to pass it and try to override the President's veto, which would be the first of his presidency. .Genetic testing is not routinely used by doctors to screen for cancer. Here's how the scam works— The "target" (that's anyone close to age 65 and up) might receive automated phone calls, often multiple times a week, or may be approached in-person by a "recruiter." The recruiter, who may present herself as a "certified Medicare counselor," convinces the target to take a genetic test promising that Medicare pays the full cost. The patient, however, often never receives a report, or the report may be incomprehensible. ."We should not allow health insurers to limit how much cost-sharing assistance can help patients at the pharmacy counter," the spokesperson said. .On Friday, Members of Congress remained in their home states and districts for a week-long holiday recess. They are expected to return to Capitol Hill on Monday, June 3rd. In the final days of the Memorial Day recess, many Members of Congress will be hosting town hall meetings and attending events in their home states and districts. .Call your local State Health Insurance Assistance Program (SHIP) and ask for free counseling from a Medicare counselor. You can find local contact info here: https://www.shiptacenter.org. Many of these programs operate through local agencies on aging or senior services departments. Counselors can help you over the phone from home. .On Wednesday, the Ways and Means Social Security Subcommittee met to discuss fraud, waste, and abuse within the Disability Insurance (DI) program. Subcommittee members heard from two expert witnesses – Sean Brune of the Social Security Administration (SSA) and Seto Bagdoyan of the Government Accountability Office (GAO) – on recent progress the administration has made in detecting and preventing fraud. .Your daughter is giving you good advice. It is time to sign up for Medicare. If you are still working, and you aren't yet getting Social Security, then you won't get Medicare automatically, and you need to apply by your Initial Enrollment deadline. It's important to pay attention to Medicare's enrollment deadlines in order to avoid permanent late enrollment penalties or a lapse in your health insurance coverage, but there is excellent free unbiased help available to steer you through this, as near as your local agency on aging or senior center. .Some lawmakers are advocating for paid leave legislation that would require new parents to trade their future Social Security retirement benefits for twelve weeks of parental leave. This would undermine the mission of the Social Security program, increase its insolvency, and permanently cut the retirement benefits of those who take paid leave. Do you think this is a responsible proposal? .TSCL enthusiastically supports the bills mentioned above, and we were pleased to see support grow for each of them this week.