News

  • Legislative Update For Week Ending June 15 2012

    The cost of additional coverage varies significantly. There are pros and cons that need to be weighed for the type of selection you make for your additional coverage. For example, you should ensure that your Part D or Medicare Advantage plan is selected based on the drugs you take, and the doctors and hospitals you actually use. (A Medicare benefits counselor will check this information for you on the Medicare website.) While the cost of this additional coverage varies, the coverage offered may be identical, and that is why we recommend getting help from a SHIP counselor, who can help you find coverage to keep your costs to a minimum. Medigap insurance, for example, costs more for the premium, but you would have minimal out-of-pocket costs. On the other hand, you might pay less for the premium of a Medicare Advantage plan, and perhaps get some additional benefits like vision care, but you would have co-pays or co-insurance for each service. In Central Virginia, for example, a Medigap G policy may be found for about 0 per month, and roughly per month for the drug plan (or even less). .Nearly 1.5 million teachers and other public servants see their earned Social Security benefits reduced by as much as 40 percent due to the Windfall Elimination Provision. What do you feel should be done about this? .One rule, known as "most favored nation," would require Medicare to tie the prices it pays for drugs to those paid by other wealthy countries. The other rule would limit rebates paid to middle men (called "pharmacy benefit managers" or "PBMs") by drug makers in Medicare. … Continued

  • Social Security Medicare Questions October 2011 Advisor

    If I received the ,000 Lump-Sum Settlement, would I then lose my monthly Social Security check? Would the amount of the check be raised to the level that it should have been all along? .The Pharmaceutical Care Management Association, which represents pharmacy benefit managers that run the Medicare prescription drug plans targeted by the rebate rule, said at the time that it was exploring litigation. .On Thursday, TSCL delivered letters to several congressional offices – including the offices of lawmakers on the House Ways and Means Committee and the Senate Finance Committee – requesting support for three tax-related changes that would strengthen the Social Security program: … Continued

Some MA plans, including UnitedHealth – the largest provider of MA coverage – have already begun modifying their offerings in order to accommodate the increasing financial pressure. Last year, UnitedHealth dropped thousands of physicians from its networks, which left many enrollees doctor-less. Without much notice, they had to either find new physicians, or pay more out-of-pocket to see their former, trusted and out-of-network doctors. Because the open enrollment period had already ended, seniors were unable to change plans in order to keep their physicians and their low costs. .Growing numbers of seniors are working longer, and delaying the start of benefits. According to a TSCL survey conducted early this year, 42 percent of seniors who are still working say they plan to delay the start of benefits until age 66 or thereafter. Those who continue to work, continue to pay Social Security, Medicare and other taxes as well. .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. .The Senior Citizens League is disappointed that another Obamacare promise has been broken, and we are hopeful that the impact on seniors will be minimal. While UnitedHealth is the first Medicare Advantage insurance provider to announce doctor cuts, we do not expect them to be the last. For tips on checking your plan's provider networks or for other Medicare Advantage information, see "Out – Of – Pocket Costs Catch You By Surprise? How To Avoid "Sticker Shock" .The Senior Citizens League (TSCL) shares Senator Nelson's concerns, and we are hopeful that Congress will take action in the near future to ensure lower out-of-pocket spending for Medicare beneficiaries. In the weeks ahead, we will continue to monitor the confirmation of Congressman Price, and we post updates here in the Legislative News section of our website. .A 2.5% COLA would boost an average monthly benefit of about ,500 by an additional ,000 over the next ten years through 2030. An emergency 2.5% COLA would boost a monthly ,500 benefit by an extra .50 (0 per year) in 2021, but it would grow to an extra .30 per month by the end of ten years. Another way to think about this, if retirees do not receive a 2.5% COLA, that would be like loosing ,000 in Social Security income over the next ten years. .Under the cuts, House members have seen 948 fewer salaried positions in their offices. The 2012 budget calls for an additional 6.4 percent reduction and more cuts to Congressional staffs and office supplies. .Last year a premium support plan that passed in the House prompted a firestorm of opposition from seniors and critics concerned that the plan cut federal spending too much — shifting too great a portion of costs -- and would make Medicare unaffordable for beneficiaries. But premium support itself is nothing new, nor would it "end Medicare as we know it." To the contrary, seniors already know it, and like it. Medicare operates two premium support programs — Medicare Part D, and Medicare Advantage. .Source: "Senators Introduced Medicare Reform Plan: The Congressional Health Care for Seniors Act," Paul.Senate.Gov, March 15, 2012.