Nearly 20% of participants in TSCL's Senior Survey say they spent ,100 or more out-of-pocket on prescription drugs in 201And, as we age, all of us face the grim potential that a new health problem could increase our spending on prescription drugs to this level. Doing nothing to lower drug prices for Medicare beneficiaries is not a good option..There's not much time to head off this situation. We can't let Congress think they can shrug and look the other way again this time. A 2.5% COLA is the amount that the Congressional Budget Office estimated beneficiaries would get in 2021, and those funds are already factored into the Social Security spending projections for 2021..This creates problems especially in emergency room visits when the patient may require pricey services such as those from an air ambulance, doctor or other provider that does not have a contract with the patient's Medicare Advantage plan. When health plans get such bills, they can reject the claim and patients wind up on the hook for the "balance bill." While the average emergency room visit is just above 0, some patients have received surprise bills greater than 0,000 from out-of-network providers..Under Medicare Part D, the government does not negotiate prices like it does for doctors' or hospital fees. Drug prices are established by the private insurers who run Part D drug plans. Those prices are based on what the plans negotiate with drug manufacturers and what drug plans want to make on the drugs in order to operate at a profit. Under current law, however, even when drug plans negotiate a rebate, the law does not require that plans pass the savings along to consumers..This week, House lawmakers remained in their home districts for the final week of the August recess. Meanwhile, The Senior Citizens League saw support grow for one key bill that would increase competition in the pharmaceutical industry and improve access to affordable prescription drugs..On Tuesday, the Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education approved a 6.8 billion fiscal 2015 spending bill by a voice vote. The bill provides funding to a wide range of health and education programs, and it also covers the administrative expenses of Social Security and Medicare. The Labor-HHS-Education bill is the largest domestic appropriations bill, accounting for nearly one-third of all non-defense discretionary spending..If you have limited income and savings, there are three Medicare Savings Programs that help pay Medicare costs. If you qualify, your Medicare Part B premium will no longer be deducted from your monthly Social Security check. Over the rest of the year, that could be worth an extra 4.60 per month in your Social Security check, and more than ,300 in higher Social Security income through the end of the year. If you qualify, you will automatically get Extra Help, the Medicare program that helps with Part D prescription drug costs..Now.Backdoor Medicare Cut Could Raise Your Out-of-Pocket Costs A new Medicare cost-saving rule that was launched late in 2020 will cut payments to hospitals for some surgical procedures and could potentially raise costs for Medicare recipients. According to an article by Susan Jaffe, of Kaiser Health News, the Centers for Medicare and Medicaid Services has for years classified 1,740 surgeries and other.Q June 2021 I'm turning 65 later this year. I currently receive my healthcare insurance through my wife's employer. How does Medicare work with this insurance? May I delay enrolling in Medicare?.For progress updates or for more information about these and other bills that would strengthen Social Security and Medicare programs, visit the Bill Tracking section of our website or follow TSCL on Twitter

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Without an emergency COLA, the financial impact of rising Medicare Part B premiums on beneficiaries is expected to vary significantly. A provision of the Social Security Act known as the "hold harmless" provision guarantees that the Social Security benefits of most seniors and the disabled will NOT be reduced when the Medicare Part B premium increases by more than the amount of that person's COLA. The Part B premiums will therefore be adjusted so that the monthly Social Security benefits of people protected by this provision will not be reduced from one year to the next..TSCL consists of vocally active senior citizens concerned about the protection of their Social Security, Medicare, and veteran or military retiree benefits. TSCL was first established as a special project of The Retired Enlisted Association. On January 1, 1995, TSCL became an independent 501[c][4] citizens' action organization..Perhaps the most ambitious effort on behalf of the Obama administration to fight Medicare fraud, abuse, and wasteful spending is the Medicare Shared Savings Program. The program will use networks of doctors, hospitals and other healthcare providers that form a partnership to provide increased accountability toward savings. MSSP is administered by CMS and will aim to bring together in partnerships up to 270 physicians, specialists, hospitals, and long-term care facilities across the country to participate in the program. If effective, the program will reduce healthcare costs by eliminating wasteful and inefficient practices that could save Medicare an estimated 0 million over the next four years. … Continued

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Your own retirement benefit would be low if you were to take it at age 64 - prior to reaching your full retirement age. Full retirement age at which you start receiving full, unreduced benefits, is rising. For people born in 1956 your full retirement age is 66 and 4 months..House Majority Leader Steny Hoyer laid out the priorities for the Democratic majority in the House of Representatives this year. The good news is that more health care legislation is on the list..Although the Social Security trust fund is often reported as being solvent until 2033, there are two separate trust funds, each with separate insolvency dates. The trust fund for the disability insurance program is in the biggest financial trouble and is estimated to become completely exhausted in 2016 or by 2017[1]. "With 2016 being a major presidential election year, either the next Congress will need to enact program changes next year, or risk running out the clock and triggering across the board benefit cuts," Cates points out. … Continued

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