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I've been filling my mother's prescriptions at the same pharmacy without a problem and charged the same co-payment every month. In November when I picked up her prescription, I was charged the full price of the drug. She was not near the doughnut hole. I was told her drug card "was not in the system." I went ahead and paid the full price because my mother needed the prescription, but what can I do now?.TSCL is highly concerned about the Totalization Agreement since it would likely add billions in costs to Social Security and drain Social Security benefits from American citizens who retire in the future. The Agreement would also increase exponentially the number of foreign workers claiming Social Security benefits. Social Security law currently allows non-citizens, who at some point obtain work authorization and a valid Social Security number, to claim benefits. Under current policy, Social Security uses all earnings regardless of a workers' legal status at the time the work was performed, to determine entitlement to benefits - including earnings while working illegally in the U.S. Such work could have been done while using an invalid or even fraudulent Social Security number. Several Members of Congress have introduced legislation that would prevent the Totalization Agreement from moving forward and that would give Congress more oversight over Totalization agreements with other nations. In addition, anti-Totalization legislation opposes Social Security benefits going to those who worked in the United States while illegal..That may be okay for some, but I have had such great success. Why change to something else and put myself through all those fears again? My solution right now is to change where I purchase the medication. Canada, here I come and the devil with Medicare..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..Private insurance executive Peter Edwards, at a recent roundtable with the Senate Finance Committee, presented another option. Edwards, who is the President of Provider Development at Humana, suggested a flexible arrangement that offers a variety of payment models for differing practices and geographic regions. He advised the Senate Committee against a one-size-fits-all approach, warning that such approaches would undermine any existing collaborations..In years when there has been no, or almost no cost-of-living adjustment, Medicare Part B premiums have spiked significantly. TSCL is highly concerned that another Medicare Part B premium spike could occur again in 202Medicare beneficiaries who are not protected by the special provision of law known as the Social Security "hold harmless" provision could get hit with significantly steeper premium costs in 2021, and it may take several years before the majority of beneficiaries see their net Social Security benefit grow again..[iv] Social Security Disability Insurance Trust Fund: Background and Solvency Issues, William R. Morton, November 20, 2013..Increase the Social Security cost-of-living adjustment to reflect the inflation experienced by retirees..We want to assure you that we will try to report the facts as we understand them and keep elective politics out of it.