With 1.2 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors' groups. Its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of The Retired Enlisted Association. Visit for more information..Check your health plan's "out-of-pocket" maximum and budget a little more annually for emergencies: Traditional Medicare has no limit on out-of-pocket spending for hospital or doctors' services. But Medicare Advantage plans have annual out-of-pocket limits. On average, the out-of-pocket limits for Medicare Advantage plans is ,037 this year, but limits can be as much as ,700. Check the booklet that came with your plan, or call your plan's customer service number. It's a good idea to budget more than the out-of-pocket maximum for goods and services not covered by Medicare or your plan. For example, your plan may cover eye exams but not glasses. It's also good to have more the out-of-pocket maximum set aside in case you should ever require hospitalization..Back in mid-August we reported on President Trump's executive order to stop the collection of the workers' part of the Payroll tax, which funds Social Security and Medicare. TSCL is opposed of Payroll tax cuts of any kind because they seriously jeopardize the financial viability of both Social Security and Medicare..What would happen if the Supreme Court rules against Obamacare now that people already have purchased coverage? Will I have to repay my premium assistance subsidies? I qualified for ,456 in premium subsidies last year alone. Will plans be allowed to deny coverage based on pre-existing conditions again?.A lot is at stake. Members of Congress and President Obama have been considering cuts to Social Security cost-of-living adjustments to lower government spending cuts that still remain on the bargaining table. In addition, the Social Security Disability Insurance Trust Fund will be fully exhausted in just three years, according to the Congressional Budget Office. An immigration amnesty would give new access to Social Security for an estimated 11.5 illegal immigrants currently in the U.S., who would become eligible for benefits that potentially include credit for earnings under fraudulent Social Security numbers..Over the past four years, TSCL's surveys have found that about 9 out of 10 people receiving Social Security benefits report that their household spending rose by at least per month during the prior year. But that's just the tip of the iceberg. "Retirees need to plan for large monthly jumps in spending annually over the course of their retirement," Johnson says. In every year since 2014, the largest percentage of those people participating in TSCL annual Senior Surveys reported that their household spending jumped by more than 9 per month. Since 2014 annual COLAs grew a total of just 3.5 percent, averaging less than 0.9 percent per year. One factor in why retirees have such a gap between their COLA and spending is the consumer price index that the government uses to measure inflation and to determine the annual boost. "One would think that the CPI used to calculate COLAs for retirees would be based on seniors' spending patterns, but it is not," says Johnson. Instead, the COLA is determined by the growth in the Consumer Price Index for Urban Wage Earners and Clerical Workers. Younger working adults spend a far smaller portion of their income on medical costs, which is the fastest growing category of the CPI in most years. On the other hand, younger working adults spend more on transportation and gasoline, categories that have gone down dramatically in recent years. "This tends to understate the inflation experienced by the majority of people receiving Social Security," notes Johnson..For most Americans, the prices of essential prescription drugs are increasing far too rapidly for family budgets to sustain. Many Americans are being forced to choose between paying household bills and purchasing life-saving medications. The nonpartisan Kaiser Family Foundation issued a poll last October reporting that 77% of Americans - Democrats, Independents, and Republicans - identified the increasing prices of prescription drugs as their number one health concern.The American people are absolutely right..This discrepancy between COLAs and real costs is squeezing senior households. Retirees are forced to draw down savings faster than planned, and work far longer than anyone ever imagined. In addition, the percentage of households with credit card debt headed by someone age 75 or older has doubled from 11 percent in 1998 to 22 percent in 2010 according to recent data from the Employee Benefit Research Institute. The sad fact is that people 65 and older are the fastest-growing segment of the U.S. population filing for bankruptcy. Seniors are getting deep into debt because of high medical bills, long-term care costs, and dwindling retirement savings..To determine if a portion of the taxpayer's Social Security benefits are taxable, half of Social Security benefits are added to the adjusted gross income, plus any tax - exempt interest, and certain other tax - exempt income. "Few people today think of an adjusted gross income of as little as ,000 -,000 as 'substantial' income," Johnson says. To calculate the taxable portion of benefits, taxpayers can find a worksheet in IRS publication 915.