Medicare health plans also have new rules about co-pays and co-insurance. Copayments can vary drastically between MA plans, but through 2018, individual plans were required to offer all enrollees in the plan's service area access to the same benefits at the same level of cost - sharing. In 2019, MA plans have the option of imposing tiers for the cost - sharing of contracted providers, as an incentive to encourage enrollees to seek care from specific providers. Plans that utilize tiered cost-sharing must disclose tiered co-pays and co-insurance amounts to enrollees and providers, ensure that services at each tier of cost-sharing are available to all enrollees, and ensure that all enrollees are charged the same amount for the same service from the same provider. .Senate Subcommittee Considers Family Leave Proposal .Mary: Who tends to use anchors to influence our decisions, and when should we be wary? .One new cosponsor – Rep. Denny Heck (WA-10) – signed on to Rep. Allyson Schwartz's (PA-13) Medicare Physician Payment Innovation Act (H.R. 574) this week, bringing the total up to thirty-three. The bill, if signed into law, would repeal and replace the faulty formula that is currently used to determine reimbursements for physicians who treat Medicare patients. .The massive cost of both House and Senate tax bills, estimated to add .5 trillion to the deficit, will trigger automatic spending cuts in 2018 due to language in the Statutory Pay-as-You Go Act of 20The Act, commonly known as "pay-go", prevents legislation from adding too much money to the deficit. Because the .5 trillion cost of the bill is not adequately offset, the Medicare program will see billion in cuts in 2018, and other critical programs like Meals on Wheels would see their budgets slashed. Lawmakers have said they will pass legislation early next year to avert these cuts, but that remains uncertain. .Beginning in 2017, monthly premiums for Part B and Part D would increase by fifteen percent for those with higher incomes. If the plan were adopted, the income threshold would drop from ,000 to ,000, and it would not be adjusted for inflation until one-quarter of all Medicare beneficiaries qualify to pay the increased premiums. .Is Low Cost Dental Insurance A Good Reason to Switch Health Plans? .The Board of Trustees for Social Security and Medicare recently released a bombshell of a report that shows this essential health safety net is coming apart at the seams. The report estimates the Medicare trust fund will run dry in 2024, five years earlier than last year's estimate, and went on to explain, "The fund is not adequately financed over the next ten years." In an alternate estimate also released, the Centers for Medicare and Medicaid Services' Chief Actuary Rick Foster painted an even more dire picture, reporting that Medicare's unfunded obligations could be significantly higher, and long-term costs could dramatically increase from the numbers provided in the Board of Trustee's report. .Last week Rep. Tim Walburg (R- Mich.) introduced a bill, H.R.2266, that would amend title II of the Social Security Act to provide for a minimum annual cost-of-living increase for Social Security benefits.