News

  • Hospitals Told To Stop Hiding Their Prices From Patients

    Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .A few weeks after a 90-year old woman was moved into an assisted living facility, her daughter was surprised to be told that her mother was a good candidate for hospice. The move to assisted living was only intended for help with her mother's daily care, and her. Another Banner Year For Medicare Fraud? , editor .TSCL believes all three of these bills go a long way in ensuring the retirement security seniors have earned and deserve. In addition to strengthening benefits, each one would include measures to increase the solvency of the Social Security program responsibly, for 40 years or more into the future. We look forward to working with Rep. DeFazio, Rep. Larson, and Sen. Sanders in the months ahead to help build support for their important legislation. … Continued

  • How Undocumented Workers Are Becoming Entitled To Social Security

    Sources: "Income of the Population 55 or Older," 2008, Social Security Administration. "Health Care On A Budget," Kaiser Family Foundation, June 2011. ."Social Security benefits have flat - lined since 2010," says Mary Johnson, a Social Security policy analyst and author of TSCL's buying power study. "That was the first time since the annual COLA became automatic that inflation was too low for a COLA to be payable," Johnson notes. Since then, COLAs have averaged just 1.2 percent per year, less than half the 3 percent that COLAs averaged during the decade prior to 2010. .This is not the end of the story, however. More legislation will be needed to stop additional Medicare payment cuts that are scheduled in 2022. … Continued

TSCL looks forward to working with these veteran lawmakers, along with new Representatives and Senators, on the following issues in the 114th Congress: .What are the Notch Reform bills that are in the current Congress? .By way of a quick explanation, except for special circumstances, any legislation that goes through Congress has to start in the committee of jurisdiction, meaning the committee that deals with legislation pertaining to a specific subject. In the case of prescription drug legislation, those committees are Finance, Health, Education, Labor and Pensions, and Appropriations. That's one of the reasons passing this legislation is so complicated. .According to the Social Security Handbook, when Social Security decides an overpayment has been made, a written notice will be sent to the overpaid individual or the legal representative (such as guardians or estates), if any. People other than the beneficiary can be liable for overpayments if they are entitled to benefits on the same earnings record, like widows, divorced widows, spouses, divorced spouses, and children. .TSCL enthusiastically supports H.R. 2745 and H.R. 2305, and we were pleased to see support grow for both of them this week. .Only twice in the history of Medicare was the therapy cap actually implemented. In 2003, the cap was set at ,500 until the cap was once again halted from being implemented that same year. Then earlier this year the cap briefly went into effect again. Congressman Erik Paulsen (MN-3) introduced the Medicare Access to Rehabilitation Services Act of 2017, a bill that would repeal the therapy cap permanently. This bill gained the bipartisan support of 240 cosponsors in the House of Representatives and TSCL was proud to endorse and build support for this piece of legislation. .House members are increasingly feeling the effects of a five percent budget cut passed last year. Already tight budgets have forced drastic reductions in the number of salaried positions and could reduce the amount of services provided. .Sixty – seven percent of seniors participating in the survey said they already spend up to one-third of their Social Security benefits on Medicare costs. Another 21 percent said they spent up to one-half. "Because healthcare costs are rising more rapidly than Social Security benefits, spending on Medicare takes an increasing share of senior income as seniors age," says Cates. .However, an estimated 15 million Medicare beneficiaries – including new enrollees, those who are dually eligible for Medicare and Medicaid, high-income beneficiaries, and beneficiaries who do not receive Social Security benefits – will see large premium and deductible hikes in January if Congress does not act before October 15th, less than one week from now.