If you require a non-formulary drug, for which there is no acceptable alternative, your doctor can ask your Medicare drug plan for a Formulary Exception, a type of Coverage Determination that would add the drug to your Part D plan coverage. If approved, you would be able to purchase your medication at the lower plan co-insurance and receive discounts if or when you reach the Part D doughnut hole..This week, lawmakers continued working towards an omnibus spending bill to fund the federal government through the remainder of the fiscal year..Since 2007 the government has determined Part B premiums based on income. The government uses the most current tax return to determine income. For 2011, your mother's 2009 income was used. Individuals with incomes over ,000 or married couples with incomes of 0,000 are subject to the higher premiums. The healthcare reform legislation passed in 2010 expanded "means testing" to include Part D. Based on income, seniors pay a monthly surcharge of to .10 on top of the premium charged by their plan..According to Congressional Quarterly, appropriators will begin conference negotiations to reconcile their fiscal 2015 bills this summer, leaving plenty of time before the mid-term elections and the October 1st start of the fiscal year. In the meantime, TSCL will continue to keep a close eye on the Labor-HHS-Education measure, since significant funding decreases could negatively impact the Social Security and Medicare programs..Tax Planning? Medical Expense Deduction Becomes Less Generous in 2019.In addition, one new cosponsor Rep. Corrine Brown signed on to the Improving Access to Medicare Coverage Act. The cosponsor total is now up to one hundred and forty-four. If signed into law, H.R. 1179 would amend current Medicare policy to count hospital stays under "observation status" towards the three-day requirement for skilled nursing care. Currently, those under "observation status" don't qualify for coverage of the benefit, and they are often hit with large, unexpected bills after receiving necessary medical care. TSCL believes the current policy is unfair, and we were glad to see support grow for H.R. 1179 this week..Conferees Hit Budget Impasse.Social Security and Medicare remain the targets of plans to reduce federal spending. Over the past 12 months, both Members of Congress and President Obama came close to agreeing on cuts to Social Security benefits, including cost-of-living adjustments and making seniors pay more for their Medicare. How much are Social Security benefits worth over a lifetime and what can you count on? A baby boomer retiring with an "average" benefit of ,100 in 2011 can expect to receive 0,225 over ten years, and 3,641 if he or she lives twenty-five years, due to the compounding effect of the cost-of-living adjustments..Senator says the Senate will not get its work done on time –

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This year, Social Security beneficiaries received no cost-of-living adjustment despite a national survey indicating a majority reported higher costs. Do you support legislation that would give seniors an emergency COLA before the end of this year?.Travel expenses to and from medical treatments. In 2018, the standard mileage rate for tax purposes is.18 cents per mile for medical purposes. Keep a travel log for documentation..Information and referral: Depending on her income your mom may qualify for other assistance programs, like Medicare Extra Help, and you can get contact information for other types of programs. … Continued

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Note any other relevant information and then hang up..If you experience a steep rapid price increase like this, where the drug doubles or quadruples as it did for Janice, first check with your drug plan to learn whether the drug is still covered by your plan. You can double check the price you have been quoted by using the Medicare drug plan finder at. If the drug is covered and the price has increased like this example, please contact your Members of Congress, starting with your Representative in the House and share details about the cost increase of your drug. Members of the House have announced hearings in coming weeks to investigate this sort of price gouging and your Representative will be interested in hearing your story..Also this week, one new cosponsor in the Senate signed on to Sen. John Kerry's Social Security Fairness Act, bringing the total up to eighteen. The new cosponsor is Sen. Debbie Stabenow. … Continued

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