Local Lion's Club. Local chapters may have programs to assist people with severe vision impairment, and some clubs run the Affordable Hearing Aid Project, which distributes three types of affordable hearing aids. To find contact details for your local chapter, visit: Lions Club Directory. .One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services. .The issue of physician choice and access to care for Medicare recipients arises time and again as Congress has taken last minute action to prevent drastic cuts to physician reimbursements. Only repeated, last-minute actions have saved doctors from substantial pay cuts. Cutting reimbursements for doctors has surface appeal because it does not require seniors to pay additional dollars out-of-pocket. However, there is a hidden cost. Physicians who live under constant fear of substantial cuts may opt to stop serving Medicare patients, resulting in loss of access to care for many seniors. .Where Can I Get Help With What Medicare Doesn't Cover? .It remains to be seen how the CR debate will unfold in the coming weeks, but TSCL will monitor it closely since another government shutdown could have serious effects on Social Security and Medicare beneficiaries. For updates as the situation develops, visit the Legislative News section of our website. .Getting the maximum you've earned on your personal work record requires some homework and planning. You can't count on getting all of your retirement advice from the Social Security Administration. According to TSCL's Senior Survey, 77% of participants said they received no counseling from Social Security staff about the best age to start benefits, undoubtedly because people are directed to sign up for benefits online. .Let's consider what the I.O.U.s held by Social Security represent. The I.O.U.s are bookkeeping entries, a lot like entries in checking accounts, but are not represented by real cash sitting in a strong box anywhere. The U.S Treasury collects Social Security payroll taxes from employers. In turn, the U.S. Treasury issues I.O.U.s to the Social Security trust fund. In the meantime, those payroll taxes are immediately used for other federal budget operations. When more payroll taxes were collected than needed to pay benefits, that reduced the amount of borrowing from the public that was needed for the general revenues, and lowered taxes. Now, however, the situation has reversed, and the Treasury must increase borrowing from the public to redeem the I.O.U.s held by the trust fund in order to pay benefits. Increased borrowing, and the cost of interest on the debt, further drives up our federal spending. According to many economists, that can weaken our economy, and our nation's ability to respond to a crisis. .In a letter of support, Art Cooper – Chairman of The Senior Citizens League's Board of Trustees – wrote: "The Senior Citizens League's supporters – most of whom are enrolled in the Social Security program – question why Congress has not yet acted to address the funding challenges of the Social Security Administration in order to ensure the service that beneficiaries have earned and deserve … As such, The Senior Citizens League salutes you for introducing the Social Security Administration Fairness Act." .In the months ahead, TSCL will continue to advocate for these and other legislative efforts that would improve the solvency of Social Security and Medicare without cutting benefits for seniors.