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  • Ask The Advisor June 2021

    Social Security Subcommittee Discusses Disability Fraud .Surprise! A new Part D plan drug pricing program may lower costs for those who seek out the savings. Recent Congressional scrutiny on drug pricing may be spurring some drug plans to drop prices on certain drugs. A new drug plan pricing program offered by Cigna, for example, lowers the cost of insulin. In 2018, the lowest cost Part D plan charged an copay for a 100/ML of Lantus Solostar. In 2019, the lowest cost plan in my area charges copays as low as .00 - .00 for Lantus Solostar in the Cigna-HealthSpring Rx Secure — Extra Part D plan. The highest cost plan, which does not cover Lantus, charges the full price, 3.18 per 100/ML. Which would you rather have? .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. … Continued

  • Best Ways To Save On Medicare Costs Feed

    As a member of Congress, I have sought to protect Social Security and have advocated for seniors. From writing to President Obama urging him to exclude chained Consumer Price Index (CPI) from his 2015 budget to drafting legislation to help seniors save on tax deductions for medical expenses — I have fought to ensure Congress does not try to balance the budget on the backs of seniors. .Senate Adopts Budget Resolution .Will Our New Congress Pass a Benefit Boost? … Continued

Survivor claims are increasing due to recent violence in Mexico. .What you can do: To sign a petition, click here. .The Notch years are 1917 through 1926, but this is subject to some controversy. To read more detail, click here: What is the "Notch"? .On Thursday, TSCL delivered letters to several congressional offices – including the offices of lawmakers on the House Ways and Means Committee and the Senate Finance Committee – requesting support for three tax-related changes that would strengthen the Social Security program: .Generations have watched big-government, socialist systems fail, one after another, in countries experimenting with soviet-style, centralized planning. Medicare-for-all would be no different, leading to longer wait times and lowered standards of care at an unsustainable cost to the American taxpayer. ."We believe this unannounced policy of increased enforcement is irresponsible," said Representative Gil Gutknecht (MN) in a letter to the FDA and Customs. Gutknecht also said that the seizures violate the will of Congress, which has for three years denied FDA funding for the purpose of preventing reimportation of prescription drugs for personal use. .The latest report from the Congressional Budget Office says that after passage of recent massive tax and budget legislation, over the next decade the federal deficit is now expected to be .7 trillion higher than estimated in June of 201"To put that in context, that's close to the total amount of money that the federal government would need to cover the reserves held by the Social Security Trust Fund over the next 13 years," Johnson points out. .The explosive cost of specialty drugs, that offer major treatment advances for people with life-threatening diseases, is not only threatening access to these treatments, but threatens to drain retirement savings, and leave widows and widowers in poverty after the death of a spouse. Unlike Medicare Advantage plans, and health insurance plans covering working-age adults, Medicare Part D has no annual out-of-pocket maximum to protect people with the highest drug costs. .Computed tomography or CT scans are diagnostic tests that are covered by Medicare when medically necessary and ordered by your healthcare provider. Medicare most typically covers the tests under Part B when you are an outpatient, or the tests would be covered by Part A if you receive the CT scan as an inpatient during a hospital stay.