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When you get surgery it's often difficult to know the costs in advance. Medicare covers anesthesia provided for medically necessary inpatient or outpatient surgical procedures. But it's important to understand how services like anesthesia work because they are often billed and paid separately, and administered by specific providers who may not be affiliated with your in-network hospital or doctor's practice. In addition, billing errors frequently occur, and bills often need to be corrected and re-submitted for reimbursement. Here are some steps to take to make sure all your bills get paid..Another major piece of legislation that Congress is working on, one which has been passed and been signed into law by whomever has been President for the past 59 years, is the National Defense Authorization Act. As we explained last week, that's the annual bill that authorizes the pay for members of the U.S. military as well as other important issues dealing with the Department of Defense..A key unresolved issue is whether undocumented immigrants, who illegally worked using invalid or fake Social Security numbers, would be able to claim work credits towards benefits for those earnings. Work authorization, or "green cards," not citizenship, is the key requirement for noncitizens to become entitled to Social Security benefits and Medicare when other program qualifications are met. According to the Congressional Budget Office, even "limited" immigration changes that provide only permission to work in this country, or temporary work authorization, could potentially add millions of new claims in the future. Under current law Social Security benefits are based on all earnings, including earnings from jobs worked without authorization under invalid and fraudulent documents..The COLA is intended to protect the purchasing power of the benefits received by older and disabled Americans. A 30 percent loss in buying power over a 20 - year retirement period indicates the COLA is failing to provide that protection. The Social Security COLA, as currently calculated, is a poor match to the price changes actually experienced by the people it is intended to protect..In 2010, 2011, and 2016 there was no COLA payable at all and, in 2017, the COLA was just 0.03 percent. Likewise, in 2018, the COLA was 2 percent, but rising Part B premiums consumed the entire increase for roughly half of all beneficiaries..Effective since 1977, the GPO prohibits retired spouses, widows, and widowers from receiving the full benefits based on his or her spouse's employment. The WEP was passed in 1983 and reduces the benefit of a retired or disabled worker who also receives a federal, state or local government annuity based on his or her earnings by up to 60 percent.."At the same time Social Security payroll taxes have taken a huge hit due to tens of millions of people out of work, claims for Social Security will grow faster in 2020 than anticipated, as older adults lose their jobs," says Johnson. Before the start of the coronavirus recession, many older workers may have delayed claiming Social Security to allow their benefits to grow. "But those who lose their jobs may have to go ahead and claim Social Security benefits now because they can't afford to wait - especially if their retirement accounts have gone down significantly in value as well," Johnson says.."The tax is a burden for middle class seniors," Cates says. The Congressional Budget Office estimates that 52 million Social Security beneficiaries paid 6.7% of their Social Security benefits as income tax in 2014 and projects that will rise in the future to 10% or more..Two powerful Senators from the President's party have also discussed this issue. According to the same report, the number two Republican in the Senate, John Thune of South Dakota has said, "We've got to fix that. It's going to take presidential leadership to do that, and it's going to take courage by the Congress to make some hard votes. We can't keep kicking the can down the road. I hope in a second term, he is interested," Thune said of Trump. "With his leadership, I think we could start dealing with that crisis. And it is a crisis."