But one thing is for sure: regardless of whether any agreements on the federal budget are reached or not, Congress will get their pay eventually..Under traditional Medicare, most people need to buy a supplemental Medigap policy to cover Medicare's considerable out-of-pocket costs, and need to enroll in a private Part D plan for drug coverage. Medicare Advantage plans receive a lump-sum from Medicare to provide enrollees with all Medicare Part A and Part B benefits and usually have lower premiums than Medigap insurance. Many of the plans also provide drug coverage and are popular for providing a range of additional services that Medicare doesn't cover, such as discounts on eyeglasses or dental care. The most critical differences between Medigap and Medicare Advantage plans are in the out-of-pocket costs required and, access to doctors and other healthcare providers..In the debate over lowering prescription drug prices, I see frequent mention of allowing importation of drugs from other countries. How would that work for people enrolled in Medicare Part D?.Find out if there are less costly options you can try: If you learn you are taking an expensive drug or one that's not covered by your drug plan, call your doctor to find out if there are generics or older, less expensive drugs that you could try. When trying out a new prescription ask your doctor for free samples, to allow time to determine whether it will treat your condition as effectively, and to monitor for potential negative side effects..In September of last year Sen. Joni Ernst talked about the need to go "behind closed doors" to reform Social Security, presumably because the American public won't stand for it being done in the open. There was more a year earlier from Majority Leader McConnell when he labeled Social Security, Medicare and Medicaid - so-called entitlements - "the real drivers of the debt" and called for them to be adjusted "to the demographics of the future.".In the days ahead, The Senior Citizens League will keep a close eye on the evolving budget negotiations, and we will continue to advocate for legislative solutions that would strengthen and protect your Social Security and Medicare benefits. For updates, follow us on Twitter or visit the Legislative News section of our website every Friday morning..Osterholm added that "vaccines will not become available in any meaningful way until early to third quarter of next year.".Suppose, for example, that an illegal immigrant works for 13 years under an invalid Social Security number, but then gains legal status and works another 22 years under a valid Social Security number. The earnings under the invalid SSN are reinstated under the new work-authorized Social Security number because the individual kept W2s. Thirteen years of earnings would be more than enough to become qualified for Social Security. In this case, 13 years of illegal work would form one-third of the earnings that are used to determine the individual's basic Social Security benefit. This scenario isn't as unlikely as you might think. A major national pro-immigration reform advocacy organization counsels "undocumented" workers to save their pay stubs and W2s "in case their legal status changes.".Retirees are rightfully anxious about financing healthcare in retirement. Some retirement experts estimate that a 65 - year - old couple who retired in 2016 would need 0,000 for medical expenses throughout retirement and 0,000 if you include the costs of long-term care.