Part D — If you choose a Medigap plan, or a Medicare Advantage plan that does not offer drug coverage, you will need a Part D plan. If you take any prescription drugs, be sure to input your medications to get an accurate estimate of costs and to check the coverage of the drugs you take. Coverage of prescription drugs varies from plan to plan and from one year to the next. The average monthly premium for Part D plans weighted for enrollment is Plans often charge a deductible and in 2011 you would need to spend a total of ,550 out-of-pocket (not including premiums) before reaching catastrophic coverage. .On Tuesday, two Senate Committees – the Budget Committee and the Homeland Security and Governmental Affairs Committee – held confirmation hearings to question Congressman Mick Mulvaney (SC-5), who was nominated by President Trump to serve as Director of the Office of Management and Budget. If confirmed, he would lead the office that develops the administration's federal budget and advises the White House on fiscal matters. .With the impeachment drama out of the way Congress really got down to business this week. Health care is the number one issue on the minds of voters as we head toward the November elections and Congress knows it. .TSCL is continuing to meet with Members of Congress to ask for their support and passage of "The Notch Fairness Act" which was recently re-introduced in the U.S. House by Representative Mike McIntyre (D-NC), and in the Senate by Senator David Vitter (R-LA). The legislation, seeks to correct a disparity in benefits caused the last time Congress overhauled the Social Security benefit formula in 1977. .First, the bipartisan Medicare Access to Rehabilitation Services Act of 2017 (H.R. 807) gained four new cosponsors in ​Representative Mike Capuano (MA-7), Representative Tom Rooney (FL- 17), Representative Linda Sanchez (CA-38), and Representative John Curtis (UT-3). The cosponsor total is now up to 23If signed into law, H.R. 807 would repeal the Medicare outpatient therapy cap that currently limits coverage for rehabilitation services at ,940. .That's because COLAs are currently based upon the way young, urban workers, rather than seniors spend their money. The Bureau of Labor Statistics (BLS) uses an inflation index called the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). It regularly underestimates the spending inflation that seniors experience since it fails to capture the rising costs of medical care, upon which older Americans spend a disproportionate share of their income. .Why ban the use of earnings from unauthorized work to determine Social Security benefits? Under current law Social Security uses all earnings to calculate Social Security benefits. That means earnings of unauthorized immigrants from jobs worked under invalid and fraudulent Social Security numbers (SSN) can be used both to qualify for benefits and for the calculation of the initial retirement benefit. There is no official published data on the amount of wages on file attributable to aliens working without authorization, but the Social Security Administration maintains an earnings suspense file that represents an estimated 3.5 billion in wages from 2000 through 2010[2], most of it believed to be attributable to illegal workers. Under immigration reform, that could mean a huge new liability for Social Security in the future, triggering more rounds of cuts and higher taxes. .Look into mail-order pharmacies. When ordering by mail you save money because you order in quantity – a 90-day versus a 30-day supply. Many mail order pharmacies charge lower co-pays for a 90-day supply than what you pay for a 60-day. Check with your drug plan to find out if mail order is available. .Catastrophic Coverage Period: When your total out-of-pocket spending reaches ,350, you hit the catastrophic stage of coverage. Your co-insurance drops to 5% coinsurance or co-pays of .60 generic, .95 brand, whichever is higher. You remain in the Catastrophic coverage period until December 31, 2020.