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    Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. .Payroll taxes, and the taxes that people pay on a portion of their Social Security benefits, are two major sources of program funding. The Social Security Trust Fund also receives interest payments from the U.S. Treasury for the money that the federal government has borrowed when the program was in surplus. In fact, the .As seniors know from experience, even as we face ever-higher prescription drug prices every year, we face increased Medicare premiums but also reduced Social Security COLAs. … Continued

  • Brand Name Drugs Increasing 10x Rate Inflation

    First, one new cosponsor – Representative David Cicilline (RI-1) – signed on to the Protecting and Preserving Social Security Act (H.R. 3302), bringing the total up to twelve. If adopted, H.R. 3302 would improve the Social Security cost-of-living adjustment (COLA) by basing it on the Consumer Price Index for the Elderly (CPI-E). It would cover the cost of this change and improve the solvency of the Trust Funds by ensuring that high income earners pay their fair share of taxes into the program. .Bottom line: Everyone in 2017 is expected to pay more for their Medicare Part B premiums. Any increase in benefits due to the COLA will be completely eaten up by the expected increase in Medicare Part B premiums. Nevertheless, for the majority of beneficiaries, the rising Part B premiums, at least, will not reduce benefits — but hold harmless protection only applies to Part B premiums. Any increase in the premiums of Medigap supplements, Part D, or Medicare Advantage plans would reduce one's Social Security income. In November, beneficiaries will be receiving notification through the mail of what they will pay for Medicare Part B in 2017. .For more information about the Social Security Expansion Act (S. 427), visit the Bill Tracking section of our website. To sign a petition to Congress, click here. To stay updated on The Senior Citizens League's advocacy work on Capitol Hill, follow us on Twitter. … Continued

A new audit performed this year by the SSA's Office of Inspector General found that the same problem persists. The Inspector General identified 26,033 spouses – who were eligible for about 5.3 million in higher retirement benefits (about ,502 a piece on average). .To the contrary, the majority of you who have taken our Senior Cost Survey in June and July — 56% — think we need to invest more in Medicare so that we can respond rapidly and more effectively to the next health crisis. COVID-19 affects us all, and is expected to continue to be a threat for months to come. TSCL believes that investing more in Medicare now pays off in protecting the health, and future, of all its beneficiaries. .The Social Security Administration calculates benefit withholdings based on the amount you report that you will earn for the year, and then will withhold all benefit payments for a certain period of months to cover excess earnings. For example, say you received a Social Security benefit payment of 0 per month in 2007 (,800 for the year). Let's say that during 2007 you worked and earned ,450 or ,490 over the earnings limit (,450 - ,960). Social Security would withhold ,745 in benefit payments covering slightly more than 6 months of your payments. .Some financial advisors say that there may be some tax advantages to taking money out now while valuations are lower. This information is not intended as investment advice. We strongly recommend that you contact the custodian of your 401(k) or your financial advisor and discuss a plan for your income needs and to explore potential sources of funds. .TSCL believes that the extreme cost increases are putting Medicare beneficiaries and funding for Part D at risk. "Medicare must be given the authority to negotiate pharmaceutical prices with manufacturers for covered Part D drugs," says Cates. How are rising healthcare costs affecting you? TSCL wants to hear from you, visit . .TSCL agrees that the IPAB should be repealed before it is triggered to begin making cost-cutting recommendations to Congress. Even though the Affordable Care Act forbids the board from "rationing" care, cutting Medicare benefits, or increasing premiums, TSCL is concerned that cuts to providers could result in increased costs for beneficiaries or decreased access to quality medical care. .Sources: "Verifying Eligibility for Certain New Tax Benefits Was A Challenge for the 2010 Filing Season," Treasury Inspector General, September 30, 2010, Ref. No. 2010-41-128 .The drugs that would be affected by any Trump action are among the costliest taken by Americans. They include innovative therapies for cancer, immune disease and other disorders. The industry says that Part B pharmaceutical spending makes up just 3% of overall Medicare costs. .The Senior Citizens League is disappointed that another Obamacare promise has been broken, and we are hopeful that the impact on seniors will be minimal. While UnitedHealth is the first Medicare Advantage insurance provider to announce doctor cuts, we do not expect them to be the last. For tips on checking your plan's provider networks or for other Medicare Advantage information, see "Out – Of – Pocket Costs Catch You By Surprise? How To Avoid "Sticker Shock"