Get your health expense records up to date and review the Annual Notice of Change from your current plans: Drug and health plans send out their Annual Notice of Changes for 2022 in September through October of this year. Review those details to learn what might affect you in 202Start a list of costs, break down what you will pay for all premiums, any out-of-pocket costs that you typically pay. List what you spend out - of - pocket on dental, vision and hearing services, as well as any expenses such as eyeglasses and hearing aids. If you are comparing current Medigap coverage with Medicare Advantage, you will need to know what sort of services you are using and what you typically pay out - of - pocket now for those services, if anything. Worksheets maintained for tax purposes, statements, check registers may be an excellent source of this information..Nearly two-thirds of the spending on prescription drugs by older Americans is for out-of-pocket costs that include deductibles, co-pays and co-insurance. Since the start of Medicare Part D in 2006, out-of-pocket costs grew 188% or roughly 16% per year by the end of 2017, far exceeding the growth in Social Security benefits, that averaged just 1.9% per year over the same period..There are important trade-offs to Medicare Advantage. Enrollees must use the network of hospitals and doctors who contract with the plan. In recent years as enrollment grows, more plan enrollees have been hit with surprise bills for out of network providers - often for thousands of dollars. While traditional Medicare is accepted by any willing doctor in every state, Medicare Advantage coverage tends to be accepted only in a specific geographic area. There are also more requirements for prior approval for certain procedures..Medicare fraud, abuse, and wasteful spending are problems that continue to affect all Americans. Attorney General Eric Holder estimates that fraudulent Medicare activities cost taxpayers an estimated billion a year. The staggering figure has contributed to rising costs that are passed on to beneficiaries. Lawmakers and administrators are seeking alternative measures to reign in Medicare's out-of-control costs to seniors..Since you were born in 1954, however, you qualify to use a "restricted application" strategy to maximize your benefits at full retirement age. Waiting just two more years could significantly boost lifetime Social Security income. People born after 1954 may no longer use this strategy, so consider this:.This estimate appears to be one evaluated by the Government Accountability Office in 200The GAO found that "the cost of a Totalization Agreement with Mexico is highly uncertain, more so than previous agreements, because of the large number of unauthorized immigrants living in the United States.".During these meetings, the following issues were discussed: Social Security cost-of-living adjustments, Social Security Notch fairness, Social Security Totalization agreement reform, and repeal of both the windfall elimination provision and the government pension offset. Support was expressed for many of these key issues, and TSCL looks forward to working with these offices in the future.."Even one year of high health costs, like being hospitalized for surgery, could force most seniors to spend through their savings faster, or go into debt," says TSCL Chairman, Ed Cates. "Most retirees are dealing with fragile fiscal safety nets," he says. "What makes this finding so significant is that most Medicare health plans have annual out-of-pocket maximums that exceed ,000," Cates adds..There's no doubt Democratic lawmakers would like to do these things because they campaigned on them last year and this would be the last chance to pass them this year. Because next year is an election year it is very unlikely any significant progress would be made then.