News

  • Social Security Medicare Questions November 2010 Advisor Feed

    Unreported deaths undoubtedly rank as the Social Security Administration's number one "Most Gruesome Fraud Management Failures." Hardly a month goes by without the discovery of a grizzly new case. Usually some elderly person is found long-dead of natural causes in their own home or that of a close relative — frequently years after death. The death was never reported. Remains have been discovered tucked into beds, placed in freezers, and even sitting on toilets. Meanwhile loving sons or daughters continued to collect the deceased's Social Security checks — sometimes for decades. One Brooklyn man is serving up to 41 years for impersonating his dead mom. He donned a wig and wore her dresses to collect 5,000 in her Social Security payments and rent subsidies. .Deductible: During the initial deductible, the beneficiary pays 100% of the cost of the drug—up to 5 depending on the plan. Many plans provide immediate coverage on generics, and even preferred brand drugs "before the deductible." In this type of plan, you only pay the full price up to the deductible on higher tier drugs, and some plans don't charge a deductible at all. .But here's the real kicker. A statute of limitation loophole is hamstringing Medicare from recovering overpayments. Federal law allows a Medicare claims contractor to reopen a payment determination for "good cause" at any time within 4 years of the date the original payment determination was made. But another provision of law bars the recovery of overpayments from providers that are "without fault." And the law states that a provider is deemed to be without fault 3 years after the year in which the original payment was made unless there is "evidence to the contrary." … Continued

  • Expenditure Comparisons

    TSCL is carefully monitoring these recommendations and believes they would be financially punitive to seniors who are depending on Medigap supplements to provide a more secure retirement. .Although Social Security and Medicare need some changes to enable the programs to continue paying scheduled benefits in a timely manner, TSCL believes that benefit reductions should not be imposed on people who have already retired, or are close to retirement. Other deficit reduction options exist, and Congress needs to allow time for the public to more fully learn about the proposals, consider the choices, and have an opportunity to provide input to elected lawmakers. .TSCL supports several bills that would lead to lower prices for Medicare Part D beneficiaries, and we will continue to seek out innovative solutions that would increase access to lifesaving prescription drugs. The goal remains to ensure safe and affordable medicines for older Americans. … Continued

d freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of The Retired Enlisted Association. Visit for more information. .No further information about the bill is available at this point but as soon as it is TSCL will review it to determine whether we will support it. .According to Rep. Roskam, the bill would enhance data sharing between states and agencies so that they can more easily catch scammers, and it would modernize outdated fraud prevention systems. Upon introducing the bill, Rep. Carney said, "In this Congress, it's not easy to find areas where Democrats and Republicans agree, but fighting waste, fraud, and abuse while saving billions of taxpayer dollars just makes sense." .Drug companies deserve a reasonable profit for taking on this urgent task of creating a COVID-19 vaccine. But we deserve a return, too. . Paula chose to take the employer-provided Medicare supplement, dental and vision coverage at 6 per month, but "opted out" of the expensive Part D. Instead we found more reasonably priced drug coverage at .90 per month, and covering the prescriptions she currently took with no deductible, using the Medicare Drug Plan Finder at www.medicare.gov. .Is The Government Manipulating COLAs? .The TSCL study looks at the costs of goods and services that are typically purchased by most Social Security recipients. This includes expenditures such as the Medicare Part B premium, which is not measured by the index currently used to calculate the COLA, yet is one of the fastest growing costs that retirees face. Of the 39 items analyzed, 27 exceeded the COLA while 14 were lower than the COLA. .Similarly, Sen. Mike Lee (UT) wrote in a statement: "The Fifth Circuit should be commended for its well-reasoned decision to prevent President Obama from implementing his lawless executive amnesty program. Our immigration system is in desperate need of reform. But that reform must be agreed to and passed by Congress, not unilaterally imposed on the American people by the executive branch." .Members of Congress returned to their home states and districts this week for a holiday recess that will last for two weeks. Members of the House are expected to return to Washington on Tuesday, April 9th, and Members of the Senate are expected to return on Monday, April 8th. Budget negotiations will likely resume at that time, as President Obama is slated to release his own plan for 2014 on April 8th.