Last week the Congressional Budget Office (CBO) released a report that revealed Medicare outpatient plans are three times more expensive for the same drugs as those covered by Medicaid. .We want to emphasize that these are all projections based on the economic situation at the time they were developed. As we have seen in the past year, things can change dramatically and clearly, we still don't know how things will be in the coming months and year with regard to the pandemic. .The state of Virginia, however, offers retirees a chance to retain certain parts of coverage but "opt out" of others. If Paula "opted out" of Part D drug coverage, for example, and took medical, dental, and vision coverage alone, she would pay 6 per month. The portion of the premium for the drug coverage through the state of Virginia was a whopping 4 per month. .Since 1980, the BLS has manipulated the CPI several times so that it no longer measures price inflation. Rather, it measures an ever-changing "market basket" of goods that is adjusted as prices drop and increase. It assumes that shoppers will purchase chicken when steak becomes too expensive, or apples instead of oranges when their prices drop. This has resulted in a more slowly growing COLA for Social Security beneficiaries. Instead of allowing seniors to keep up with rising costs, today's COLA requires them to constantly adjust to lower standards of living. .CBO is strictly nonpartisan; conducts objective, impartial analysis; and hires its employees solely on the basis of professional competence without regard to political affiliation. CBO does not make policy recommendations, and each report and cost estimate summarizes the methodology underlying the analysis. .The coverage offered through the state of Virginia, however, didn't offer the same additional benefits, and would cost Paula a monthly premium of 0 in 200If she chose to "opt out," Paula would not be able to receive Medicare supplemental coverage or drug coverage through her former employer in the future. .MedPAC Delivers Report, Testimony to Congress .How much are you over-paying for your prescription drugs? The only way to find out is to do a drug plan comparison based on all the drugs you take. This is the time of year you can make changes during the Medicare Open Enrollment period, which runs through the month of November and ends December 7th. Give the Medicare Drug Plan Finder a try. You can get free one-on-one counseling by contacting your local Area on Aging, State Health Insurance Program (SHIP) or senior centers and ask for help comparing Medicare drug plans. .In an ironic twist, the proposal runs counter to Republicans' belief in the free market system and Congressional Republicans have long opposed it, while Democrats, including Senator Bernie Sanders (I-Vt.), have long advocated it.