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  • Video Hospital Surprise Medicares Observation Care

    Check plans offering gap coverage but don't be surprised if you wouldn't save much. If your new prescription will cost enough to put you into the doughnut hole coverage gap, check the cost of plans with additional gap coverage. But if your main expense is an expensive brand name prescription, gap coverage may not save enough to make up for the higher cost of premiums. Most only cover some generics. Get unbiased help comparing your coverage by calling your Area Agency on Aging and asking for the help of a State Health Insurance Assistance Program (SHIP) counselor, or visit online at: https://shipnpr.shiptalk.org/. .This week, CMS announced that its cuts to the Medicare Advantage program will total 1.9 percent next year, which is significantly lower than most analysts expected. However, the amount has not been finalized yet, and some say that the figure fails to consider all factors that will affect reimbursements. They expect to see a final rate in the range of 4 to 7 percent. ."Opting out" of a former employer's coverage on occasion might be able to save you money, but it requires careful cost comparisons and sound guidance. Never make any change without first getting the unbiased advice from a trained Medicare benefits counselor. The service is provided free of charge through your State Health Insurance Program and is available at many local Agencies on Aging. Check your local yellow pages. … Continued

  • House Budget Resolution Takes Aim Social Security Medicare

    More headaches are on the way this tax season. For the second year in a row, the Making Work Pay Tax Credit didn't work as planned for an estimated 13.4 million taxpayers, according to the Treasury Department's Inspector General. Seniors are high on the "Most Negatively Affected List," and may wind up owing taxes and even a penalty. .Allowing individuals to import prescription drugs from abroad. Many Medicare beneficiaries spend thousands of dollars every month on lifesaving medications under the Part D program. The bipartisan Safe and Affordable Drugs from Canada Act (S. 61) would allow these individuals import their prescription drugs from approved pharmacies in Canada, where medicines are often half the cost. This critical bill would improve access to affordable medication for older Americans, and it would bring down costs nationwide by increasing competition in the American marketplace. .At the hearing, Burwell made two key points of interest to TSCL. First, she commented that she fully supports President Obama's proposal to increase means testing within Medicare. TSCL opposes the President's plan since we fear that it could have unintended consequences that would ultimately drive up costs for many of the oldest and poorest seniors. Second, Burwell committed to work with Congress to repeal and replace the flawed sustainable growth rate (SGR) formula, which has brought instability to the Medicare program for more than a decade. TSCL supports efforts to find a permanent solution, since repealing the SGR will result in higher quality medical care for seniors. … Continued

Conn received more than .5 million in attorney's fees from the Social Security Administration, making him the third highest paid disability lawyer in the country. Reviews of Dougherty's bank accounts found ,000 in unexplained deposits. Senator Tom Coburn (OK) told 60 Minutes, "If all these people are disabled…I want them all to get it and then we need to figure out how we're going to fund it. But my investigation tells me and my common sense tells me that we got a system that's being gamed pretty big now." .On Tuesday, TSCL's Legislative Analyst, Jessie Gibbons, attended the Joint Select Committee on Deficit Reduction's first public hearing. The Committee heard testimony from Doug Elmendorf, Director of the Congressional Budget Office (CBO). .Click here to add your name to a petition, learn how you can help, or take a poll. .Every other developed country has evolved schemes to set or negotiate prices, while balancing cost, efficacy and social good. The United States instead has let business calculations drive drug price tags, forcing us to accept and absorb ever higher costs. That feels particularly galling for treatments and vaccines against COVID-19, whose development and production is being subsidized and incentivized with billions in federal investment. .Supplements and vitamins: Have you ever been surprised by a recommendation to put your dog on pet glucosamine or another joint supplement? Prices for these supplements at the vet can be up to 30% more than ordering these supplements online. Compare these prices at pet supply websites. .While more than 47 million citizens of the United States are Medicare beneficiaries, each day 10,000 newly eligible citizens enroll in the Medicare program. And, according to the non-partisan Congressional Budget Office (CBO), the Hospital Insurance Trust Fund — the fund that pays the Medicare bills — is projected to become exhausted in 202On top of this, the Department of Justice estimates that billion is lost each year from fraud in the Medicare program. .By Jessie Gibbons, Legislative Assistant .But while the temporary payroll tax cut won't affect Social Security's finances, it also won't change the need to put the Social Security system's finances on a sound footing for future generations. Over the last 30 years, proposals have been made to allow future workers to put some of their Social Security contributions into "personal" or "privatized" investment accounts – with the hope of getting more money back than they would get from Social Security as we know it today. .Please, share this video with your friends (use the "Share" button above or copy the URL into an email).