Budget Chair Revives Fiscal Commission Plan .We can no longer kick the can down the road." .She had a very tempting decision. If she "opted out" and decided not to take supplemental coverage through her former employer, she could join a new Medicare Advantage plan and pay However, the ACA, also known as "Obamacare", already requires health insurers to cover pre-existing conditions. We are not sure why The President said what he did, except that his administration is in court trying to have the ACA declared unconstitutional, and maybe he anticipates a need for his order. .The month of August presents constituents with the perfect opportunity to do just that. Both the House and the Senate adjourn for the month, and many Members of Congress travel home to hold town hall meetings. The Senior Citizens League (TSCL) encourages you to make the most of this month by attending town halls and making your voice heard. Below are summaries of three key issues, along with sample questions. Feel free to take them with you to your next meeting. .New Medicare Enrollees in 201Because these people are new to Medicare, they pay the full amount in 2017 when they sign up. .In addition to Medicare Part A and B, you will need additional insurance. Medicare alone does not cover everything, and there are considerable out-of-pocket costs that would suck your life savings right out of any nest egg you might have. You will need to decide between a supplemental insurance policy, known as Medigap, and a free-standing prescription drug plan, or to join a Medicare Advantage plan with prescription drug coverage. TSCL strongly recommends that you get free, unbiased counseling, to learn your options and to find the most reasonably-priced coverage for your needs. All areas of the country offer this Medicare counseling through State Health Insurance Assistance Programs (SHIP). Although the actual name of the program in your area may vary, you can find the programs operating through your area agency on aging, senior center, or get contact info here: https://www.shiptacenter.org .The Scott bill passed the Education and Labor Committee on Tuesday of this week. It has a different approach for dealing with surprise bills that limits the arbitration process and sets forth a benchmark payment rate. Scott's bill would force doctors to accept a benchmark rate for bills under 0 and go through arbitration in disputes over bills higher than 0. .Leaders in Congress are reportedly already discussing their next budgetary move – a long-term deal that would fund the entire government for the next two years. It remains to be seen whether they will reach a compromise before the looming deadline. According to House Appropriations Chairman Hal Rogers (KY-5), they will need to have the parameters for the deal set by November 11th so that appropriators have the time needed to negotiate the details. .Of the more than 1,200 people who participated, 766 sent in comments. Most described their personal challenges in meeting their healthcare expenses. In what may be a sign of the times, a surprising number indicated they are working far longer than they ever thought they would, even into their late 70's and 80's, because they don't have enough to live on after paying their healthcare costs. Even seniors who do have good Medicare supplemental and drug coverage described how they keep costs in check by asking their doctor to prescribe generics, filling prescriptions for 90 days, splitting pills, and sticking to preferred pharmacies. .Sources: Impact of Alien Nonpayment Provisions on Field Offices Along the Mexican Border, Social Security Administration Office of the Inspector General, February 2011 A-08-10-20140. Impact of Unauthorized Employment on Social Security Benefits, Social Security Administration Office of the Inspector General, December 2006, A-14-05-14042. .Using statistical data from the Social Security Administration, TSCL estimates about 88 percent of Social Security beneficiaries have received benefits during the 2009 – 2015 period and have been impacted the hardest. "With 64 percent of older Americans depending on Social Security for over half of their income, going without a COLA is a loss of income that most beneficiaries simply can't be expected to bear," Cates says. Spiking medical costs are causing retirees to go into debt, and run through their savings," he adds. premiums for her hospitalization, doctors' and outpatient coverage. In addition, the plan also offered hearing, vision, dental and Part D drug coverage. .Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente. .The decision on when to start benefits is not a simple one. If you have some retirement savings, or equity in a home, it may be to your advantage to delay starting benefits and to use other resources for a few months while you look for other work. Your local senior center, or colleges or public libraries may also have programs provided by retirement and financial professionals that can help provide you with guidance. To learn more, download this publication from the Social Security Administration: How Work Affects Your Benefits. .Roughly 27% of older single women are at high risk of living in poverty, because they have little other income to augment their Social Security benefits. Single women have it worse in retirement than married couples and men, and are more likely to become impoverished as they age. Most women have lower benefits than men. Women tend to work in lower-paying jobs, get paid less than men, and take time out of the workforce to take care of children and older family members. That can leave zero earnings gaps, or only partial years of earnings for the time out of the work force. .Nevertheless, Congress is considering ways to "redesign" Medicare. The Congressional Budget Office (CBO) estimates that changing the cost-sharing rules for Medicare and restricting Medigap coverage would save the federal government 4 billion over the next ten years.[1] Medicare supplements, better known as Medigap, cover Medicare's deductibles and other out-of-pocket costs. The plans are popular with seniors because they provide financial certainty by reducing unexpected out-of-pocket expenses. .Generally, retirement planners say that to maintain their current standard of living, retirees need to replace 70 percent of their pre-retirement earnings. However, with recent hits to personal savings and 401(k) balances, households are struggling with an erosion in the value of their retirement savings. Also, while workers may plan to retire at a certain age, their retirement decisions are often subject to circumstances outside of their control. A study conducted by McKinsey & Company found that roughly half of all workers who retired earlier than they planned cited health reasons or needing to care for a family member; the other half cited job loss. .Fraud is so prevalent that prevention is only part of the solution. One in 20 seniors in the U.S. is a target of fraud schemes. Yet, the National Adult Protective Services Association has found that only one in 44 seniors report that they are victims of a fraud scheme, suggesting seniors lack information on how to file a complaint.