About one quarter of all Medicare beneficiaries are covered by Medigap polices. Out-of-pocket costs under Medicare are considerable, and most beneficiaries supplement their coverage either by purchasing a Medigap policy or joining a Medicare Advantage plan. Unlike Medicare Advantage, however, Medigap enrollees in most states are not able to switch to another Medigap policy during fall open enrollment, because insurers are not required to cover pre-existing conditions outside of the individual's initial enrollment period. Seventy-two percent of survey participants support extending guaranteed coverage for pre-existing conditions to Medigap, allowing Medigap enrollees greater freedom to switch to other, less costly, Medigap plans..Though the special deficit committee on deficit reduction failed to reach an agreement last week, it appears that the Super Committee was successful in shaping the discussion for future Medicare savings. "Premium support" refers to a plan in which Medicare would subsidize premiums charged by private insurers that care for beneficiaries under government contract. Experts suggest this plan is gaining support. "This is an idea that could easily resurface in the future as Congress seeks additional Medicare savings for deficit reduction," said Patricia Neuman, senior vice president of the Kaiser Family Foundation..Medical costs are a big expense in retirement that many retirees tend to underestimate. But healthcare isn't always the biggest item. Housing takes the biggest chunk of the household budget in retirement. Here are five of the biggest housing expenses to whittle down in 2014:.Let's say that you work for an employer with more than 20 employees. Then you and your wife may delay enrollment in Medicare, if you continue to work, and as long as you're still covered by the group health plan. If your employment or coverage ends, however, then you and your wife have 8 months to enroll in Medicare. COBRA and retiree health plans don't count as coverage based on current employment..Outdoor improvements. First impressions are important to getting buyers through the door. The grounds and exterior of your home need to be in good condition including the siding, landscaping and any wooden deck or patio area. Resurface cracked driveways or sidewalks..Despite these obstacles, Subcommittee Members were relentless in their requests for CMS to reform the system. A frustrated Chairman Herger stated, "To date, CMS has offered little beyond excuses and questionable reports. If CMS does not responsibly act, then Congress will require them to." Trenkle closed the hearing with an agreement to provide the Subcommittee with an updated list of options and cost estimates by the beginning of next year. TSCL will continue to monitor any movement on this important issue..Refinancing a mortgage in retirement is a "special needs" situation. TSCL highly recommends that this should be discussed with an unbiased financial advisor..This week, the Beneficiary Enrollment Notification and Eligibility Simplification Act gained three new cosponsors in Representatives Anna Eshoo, Zoe Lofgren, and Earl Blumenauer, bringing the total up to thirteen. If signed into law, H.R. 2575 would simplify the Medicare enrollment process and increase efforts to educate those nearing eligibility about the program and the application process..For many years TSCL has led the fight to provide additional compensation to those affected.

Emma Anderson

Medicare Part D's True Out-of-Pocket-Cost spending requirements which are unusually high as it is, are poised to make a stunning and unprecedented jump in 2020. Unless Congress takes action, the Part D doughnut hole coverage gap will swell by 25% next year, from ,100 in 2019, to ,350 in 2020 before the catastrophic phase of coverage kicks in. This would be the largest increase in Part D's required out–of–pocket spending ever, since the start of the program in 2006..Increasing funding for Continuing Disability Reviews, which are conducted periodically to ensure that disabled enrollees still qualify for benefits. CDRs return to the program for every invested..Under current law the Social Security COLA is calculated based on the spending patterns of younger working adults using the Consumer Price Index for Urban Wage Earners and Clerical Workers. But older consumers spend a bigger portion of their household budgets on healthcare and housing, two categories that have been increasing more rapidly in recent years. "Medicare Part B premiums are the fastest growing cost most retirees will ever have," notes Johnson. "But those costs are not even surveyed under the CPI-W or reflected in today's COLA," she says. … Continued

Thrive Talking To Kids About Election Results

"New Analysis by The Senior Citizens League Shows 1990s Changes to Social Security Calculations Hurt Today's Seniors".If you've been to a pharmacy in recent years, you've no doubt noticed how drug costs are soaring - and you've probably felt the immense financial pressure of rising prices. You've also probably thought about how it is that consumers are burdened with the pain of these higher costs while the drug industry simultaneously rakes in massive profits with little to no accountability..So far activists, including TSCL's members and supporters, have managed to keep Capitol Hill lawmakers wary of making major changes. But the issue isn't going away any time soon. The nation will once again reach the federal debt limit by the end of next year, and at the same time, lawmakers will be confronted with the looming insolvency of the Social Security Disability program. Deficit reduction battles are likely to dominate the Congressional agenda once again, and cutting COLAs remains the target of major deficit reduction plans. … Continued

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