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Annual limits on out-of-pocket costs: Unlike Medigap supplements, MA plans have annual out-of-pocket limits, which can vary and rise annually. In 2016 the maximum annual out-of-pocket that plans can charge is ,700, so your costs would need to be that much before catastrophic coverage begins. On the other hand, the limit protects you in years when you have very high out-of-pocket costs. Medigap plans may have lifetime limits that you could potentially exceed as you get older and sicker..The inequities don't stop at the different eligibility rules. The new Medicaid benefits aren't available in every state. In 25 states and Washington D.C., Medicaid will for the first time be open to anyone younger than age 65 whose income is no more than 133% of the federal poverty level, ,856 a year. But people living in one of the twenty-five states that have decided not to expand their Medicaid programs will be left out. Younger seniors in those states aren't receiving the same benefit opportunities because the Supreme Court ruled that Obamacare could not compel states to expand their Medicaid programs..The new regulation announced by CMS calls for a standard format when a health plan orders, authorizes, or initiates an electronic funds transfer with its financial institution. The new standard is expected to decrease many complexities and costs that riddle the current model..The decision can be abrupt and arbitrary. A home health worker tells you, "Your husband isn't getting any better, we've done all we can do, and now we can't continue services, because Medicare isn't going to pay for it.".Finally, the Protecting and Preserving Social Security Act gained one new cosponsor in Senator Claire McCaskill, who brings the new cosponsor total to three. If signed into law, S. 1600 would base the Social Security COLA on the Consumer Price Index for the Elderly. The bill would also ensure that high income earners pay their fair share of taxes into Social Security..Medicare Part D discounts in the "doughnut hole." Once both drug plan enrollees and their plan have spent the initial coverage amount, they reach the Part D coverage gap or "doughnut hole." Prior to the Affordable Care Act, seniors paid 100% of drug costs in the doughnut hole, unless they were covered by a plan that provided some gap coverage. Under provisions of the Affordable Care Act, once seniors hit the coverage gap, they get a 50% discount on covered brand name drugs and pay 86% of the plan's costs for covered generic drugs until they spend a total of ,700 for the year. Some plans offer additional coverage for generics during the gap..Trustees Release Annual Financial Reports.The program was designed to address the needs of low–income seniors, who receive both Medicare and Medicaid. The group includes the oldest, sickest and poorest of seniors, including many Notch Babies, who tend to have multiple health problems, including the need for long term care. Although they make up only 15 percent of all Medicaid beneficiaries, they account for almost 40 percent of Medicaid expenditures, according to the Kaiser Commission on Medicaid and the Uninsured..This week most members of the House and Senate are back in their districts or states meeting with constituents or otherwise conducting business there. A few have stayed in Washington to take part in hearings that are scheduled this week, although since many hearings are now held virtually, they do not necessarily have to be in Washington.