News

  • High Drug Prices Major Issue Next Congress

    Medicare Extra Help helps pay for some, or most, of the out-of-pocket costs for Medicare prescription drug coverage. It is also known as the Part D "Low-Income" subsidy. Extra Help pays for the Part D premium up to a certain amount (specific to your state), lowers the cost of your prescription drugs, gives you special enrollment periods to switch plans, and eliminates the Part D late enrollment penalty if you did not enroll in Part D by your original deadline. If your income is under ,615 (individuals) or ,175 (married couples) and you have limited savings and resources, you might be eligible. Apply for Medicare Extra Help on the Social Security website www.SSA.gov. .What sort of income will your resources generate? Will the income generated by your retirement savings be enough to cover the loss of income, expenses, and taxes if any, if you die? .The Part D initial coverage limit is ,960 this year. "That includes what both the beneficiary and the drug plan must pay, " explains TSCL's Chairman Ed Cates. Once in the doughnut hole, beneficiaries are on the hook for 65% of the cost of generic drugs, or 45% of the cost of brand name drugs. Medicare beneficiaries must spend a total of ,700 out of pocket in drug costs for the year, before catastrophic coverage kicks in. "Even then there's still some additional smaller co-insurance payments," Cates adds. … Continued

  • Issues Cola Voices From Across The Country

    Old vs. New LawЧMonthly Benefit Differentials .Get an annual check up. Case in point: I recently helped a senior who hadn't seen a doctor in years, despite being a smoker. It took some urging, but she finally got a physical. She was shocked to learn that her blood pressure was high — dangerously so — and wound up driving straight to the pharmacy with a prescription for blood pressure medication. Visits to the doctor are far less expensive when you get there under your own steam rather than via an ambulance gurney. Starting this year, Medicare covers a yearly annual "wellness" exam and you pay nothing, if your doctor "accepts assignment" or the amount Medicare pays for the service. Do this before I have to nag you, too. .Increase income. On average, older Americans get about 34% of their total income from Social Security; 33% from earnings; 11% from personal assets such as money in IRAs, 401(k) plans and taxable accounts, and 22% from pensions. To boost income, they could invest more aggressively in higher-yielding and perhaps more risky assets, such as long-term bonds and high-dividend-paying stocks; go back to work; or if they are still working, take on more hours. … Continued

Also last year, I introduced the Medicare Advantage Coverage Transparency Act which was ultimately passed with unanimous support and then signed into law by President Obama. Decision-making in Washington should be based on transparency. A truly representative legislature should foster a culture of openness, which is why this law now requires the Department of Health and Human Services (HHS) to offer Congress expanded information on Medicare Advantage enrollment each year based on zip code, congressional district, and state. The purpose of this additional data is to provide greater information to the public, to policymakers, and to the health care community so they may have the most up-to-date information when making decisions. .When it comes to generic drugs, a "substantial portion" of U.S. imports come either directly from China or third countries such as India, which use active ingredients sourced from China. .To learn more about how the SSA calculates the COLA you can find that info here. .The bill would limit price increases in drugs covered by Medicare Part D plans to the rate of inflation or drug makers would be forced to pay a penalty in the form of a rebate. "Since Social Security benefits only grow at the rate of inflation, it would help level the playing field if the cost of prescription medications were required to be adjusted in like fashion," Johnson notes. Research on typical retiree costs conducted by Johnson has found that from 2000 to 2019, annual cost – of – living adjustments (COLAs) increased Social Security benefits by 50 percent but spending on prescription drugs grew five times faster — 253 percent — over the same period. .TSCL is not the only organization to warn about the prospect of another extremely low COLA next year. The Congressional Budget Office (CBO) in its latest budget report projected that next year's COLA would be 1.6%. Seniors depend on COLAS to protect the buying power of benefits from rising costs over retirement, which can last as long as 25 or 30 years. But over the past five years, COLAs have been at record lows, averaging only 1.4% after averaging about 4% per year since COLAs became automatic in 1975. .The Hard Times Guide to Retirement Security .Members of Congress receive their benefits through the District of Columbia's small business health options program (SHOP) exchange that was established under the 2010 health law. Effective January 1, 2014, Members of Congress had to give up their previous health benefits received through the Federal Employees Health Benefits Program (FEHB) and get their insurance through the exchange. However, they remain eligible for employer contributions from the federal government (i.e., U.S. taxpayers) toward coverage, just as they previously received for their FEHB coverage. .This week, Members of Congress returned to Capitol Hill from the month-long summer recess to begin working on legislation that would avert a government shutdown on October 1st – the start of the 2014 fiscal year. Lawmakers have agreed that they would like to pass a stopgap bill to extend funding for federal programs through December 15th. They feel that a temporary measure will grant them the time needed to work out a more substantial fiscal package before the end of this year. .He predicted that lawmakers will pass a six-month "doc fix" later this month in order to buy more time for the offset discussions. If Congress takes that route, the temporary pay patch would expire at the end of September – the same time that funding for the Children's Health Insurance Program (CHIP) will run out. Rep. Price suggested that a permanent repeal of the SGR would likely be rolled into a package with CHIP's reauthorization.