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How can illegal immigrants get Social Security? They don't pay taxes!.Verma has an extensive background working with the Medicaid program, but she lacks experience working on complicated Medicare issues. Should Republicans in Congress successfully repeal the ACA as planned, she will oversee the transition period, as well as the implementation of a possible replacement plan. Verma will also be tasked with administering the Medicare program as it navigates a funding crisis caused by the ACA's expected repeal..If the Social Security Guarantee Act is signed into law, all eligible recipients will receive benefit guarantee certificates from the Secretary of the Treasury that would require the payment of full benefits. Additionally, the bill will adopt a measure of inflation that would make annual COLAs more fair and accurate, allowing older Americans to better keep up with rising costs..Preventing the "double-dipping" of disability and unemployment benefits, since eligibility for the two programs should be mutually exclusive the DI program is for individuals who are unable to work, and the unemployment program is for individuals who can..How would switching to the chained CPI cut Social Security?.Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care..Get your health expense records up to date and review the Annual Notice of Change from your current plans: Drug and health plans send out their Annual Notice of Changes for 2022 in September through October of this year. Review those details to learn what might affect you in 202Start a list of costs, break down what you will pay for all premiums, any out-of-pocket costs that you typically pay. List what you spend out - of - pocket on dental, vision and hearing services, as well as any expenses such as eyeglasses and hearing aids. If you are comparing current Medigap coverage with Medicare Advantage, you will need to know what sort of services you are using and what you typically pay out - of - pocket now for those services, if anything. Worksheets maintained for tax purposes, statements, check registers may be an excellent source of this information..In 2010, 2011, and 2016 there was no COLA payable at all and, in 2017, the COLA was just 0.03 percent. Likewise, in 2018, the COLA was 2 percent, but rising Part B premiums consumed the entire increase for roughly half of all beneficiaries.."Many older taxpayers probably did not even know they were getting a medical expense tax break for 2017, or this year," Johnson says. The 7.5 percent of AGI threshold was unchanged from what taxpayers age 65 and older paid in 2016, and before. That threshold, however, was formerly scheduled to rise to 10% of AGI in 201"Meanwhile taxpayers younger than 65 could only deduct medical expenses in excess of 10% under the former tax law, and so for that crowd it may have been noticed as a tax break," Johnson notes.