Your doctor or provider accepts "assignment" or the Medicare approved payment, as payment in full. There may be some doctors in your area that accept assignment, but fewer do that anymore. You will need to call your doctor to find out if he or she accepts assignment. Many are charging more than the Medicare-approved amount and you or your Medigap plan will need to cover the "excess" charges. Even if you do locate a doctor who accepts assignment, a growing number of doctors are not accepting new Medicare patients. To find a doctor who accepts assignment call the customer service number of your Medigap supplement. Then call the physician to find out if he or she is accepting new Medicare patients. .Proponents say that the change is needed because the CPI is inaccurate and doesn't reflect the effect on inflation when consumers substitute different types of lower-costing goods and services as prices increase. They argue that the government overpays Social Security beneficiaries because the current index is inaccurate and overstates inflation. .Yet since 2010, when the Social Security Trust Fund first started running a cash deficit, budget negotiators have repeatedly attempted to enact Social Security reforms that would decrease benefits. One of the most widely - discussed proposals would switch to a more slowly - growing inflation measure — the chained consumer price index (CPI) — to calculate the annual cost – of – living adjustment as a means of slowing the growth of Social Security benefits and other inflation - adjusted federal programs. Although the proposal was not adopted in the past, primarily due to fear of public backlash, "It remains a key feature in many plans for reducing the deficit," Johnson says. ."The question becomes how we can strengthen the retirement security of today's retirees, while strengthening funding for both Medicare and Social Security at the same time," Johnson says. .After receiving no cost-of-living adjustment (COLA) this year, Social Security beneficiaries will finally receive a raise effective January 1st. But the increase in benefits is so small, it will be the lowest payable COLA ever in the history of the program — raising a ,000 benefit by just .00. .I'm still working and will turn 65 in July of this year. I currently get my health insurance through my employer. We have more than 20 employees and I've been told I can keep my employer's health insurance instead of starting Medicare in July. The health insurance that I have now is pretty expensive and the deductibles are high. How can I compare the costs between the two types of insurance? .If the Social Security Administration announces a 1.3% COLA next month, an emergency COLA of 2.5% instead would make a big difference to your income over the next ten years and would also prevent Medicare Part B premiums from spiking any higher than they are already likely to go. .Now Congressional Democrats, while only having a razor-thin majority in the Senate, are planning a major push to include in measures to lower drug prices in upcoming legislation meant to rebuild the U.S. infrastructure. .What cost increases should you keep an eye on in 2015? Prescription drugs! To learn more see "Unprecedented Generic Drug Price Spikes Wreaking Havoc."