Sources: "Medicare Beneficiaries Sue US Over Hospital Stays," David Morgan, Reuters, November 3, 2011. .The savings to the government for switching to the more slowly-growing CPI compound over time, and are substantial. The Congressional Budget Office estimates that the change would cut COLAs by 2 billion from 2012021 alone and, if used in other federal retirement programs and for indexing taxes as well, would reduce deficits by about 0 billion over the next decade, including reduced interest on the debt. .That has never been truer than in this Congress. In trying to craft the new legislation to improve Medicare benefits and lower drug prices, it turns out it's not just Democrat vs. Republican, it's also Senate vs. House, Democrat vs. Democrat, and to a lesser extent, Republican vs. Republican. .A deductible is the amount of money you must pay before your coverage starts. Many Medicare supplements (Medigap policies), Medicare Advantage plans, and drug plans cover Medicare's deductible as part of the coverage you purchase. Medigap polices "B" through "J" pay the Part A dedictible, and Plans "C", "F" and "J" also cover the Part B deductible. Medicare Advantage Plans and prescription drug plans may or may not have a yearly deductible depending on the type of plan you choose. There are also federal and state government programs for low-income seniors that provide assistance for this cost. .Since the November announcement from UnitedHealth, doctors have started to receive termination letters citing "significant changes and pressures in the health-care environment." Doctors who receive the notices had only thirty days to appeal the decision, and if they are dropped from the network, their patients may not find out until they go to schedule their next appointment. .TREA Senior Citizens League (TSCL) was formed in 1993 to protect "earned" Social Security and Medicare benefits. Many TSCL members are affected by the Notch, and rank Notch Reform as their top legislative priority. TSCL is the only national senior citizens action organization to continue to lobby for Notch Reform. To date, TSCL has 1.3 million members and supporters who participate in a number of grassroots lobbying and public education campaigns. .Set up a healthcare worksheet with your basic expenses. That can include Medicare premiums for Part B (deducted from your Social Security), Medicare supplement premiums and Part D premiums OR Medicare Advantage premiums. You also need to include deductibles, out-of-pocket co-pays or co-insurance. In addition, include the costs for premiums or out-of-pocket costs for services that Medicare does not cover, including dental, vision and audio. Include the cost of glasses and hearing aids and batteries if you use them. .In addition to overlooking Medicare premiums, the CPI-W also doesn't accurately measure the portion of income that retirees and disabled Social Security recipients spend on Medicare. Spending for medical care in the CPI for younger adults represents about 6.5 percent of household budgets, but surveys by TSCL suggest that retirees routinely send more than twice that amount. .TSCL is gearing up to fight legislation that would cut the current rate of COLA growth any further. To the contrary seniors need a COLA that more adequately protects the buying power of Social Security, and TSCL supports H.R. 776, the Guaranteed 3% COLA Act, introduced by Representative Eliot Engel (NY-17). Why not take a few minutes now to send your Representative an email explaining how you need a Social Security COLA you can rely on? Be sure to ask your Representative to co-sponsor H.R. 776, the Guaranteed 3% COLA Act.