TSCL is disappointed that Congress has not yet taken action to avert an irresponsible default on the federal debt, and we urge our members and supporters to contact your representatives in Congress to request a clean and immediate increase in the debt ceiling. For updates on the status of this important issue, visit TSCL's website at, or find us on Facebook and Twitter..Those include pharmacy benefit managers, insurers, hospitals and others in the biopharmaceutical supply chain. Meanwhile, a greater share of the cost of medicine has shifted onto patients..On the other hand under Medicaid, net drug prices are heavily influenced by two rebates that are required by law. Manufacturers of brand name drugs must pay a rebate equal to 23.1% of the average price that manufacturers charge to pharmacies. In addition, for generics, manufacturers are required to pay a rebate of 13% of the average price they charge to pharmacies..Compare details carefully: When making health plan benefit comparisons, closely examine the co-payment structure between plans. Your lowest costing plan may not be the best deal if you have health conditions like diabetes, or cancer that require trips to specialists, and pricey outpatient services like CT scans. Refer to your 2012 medical expenses to give you an idea of what the costs would be under alternate plans..Compare your drug and health plan options during the Medicare Open Enrollment period October 15th - December 7th. Does your current drug plan cover expensive new prescriptions? If not, you need to check your other options. Chances are another plan will. Use the Drug and Health Plan Finder at. Make sure you carefully enter every prescription drug you take in order to get a custom comparison of your best drug plan choices. Costs can vary by hundreds, even thousands, of dollars, and you may be very surprised by the savings from switching to a better plan. You can get unbiased help to compare your coverage. Call your Area Agency on Aging and ask for the help of a State Health Insurance Assistance Program counselor, or visit online..Since 2000, Social Security benefits have lost 23 percent of their purchasing power due to inaccurate inflation adjustments based on the CPI-W. This year, for instance, seniors would be receiving a 2.1 percent Social Security benefit increase if the COLA were based on the CPI-E. Instead, they are receiving a 0.3 percent COLA that is offset completely by increased Medicare Part B premiums..You can work while you receive Social Security benefits. When you do, your benefits may be reduced if you earn more than certain limits. But after you reach full retirement age, the Social Security Administration recalculates your benefits and it will be increased to account for the benefits withheld due to excess earnings. The work you do now could mean a higher benefit for you in the future, and that will be important in helping you to afford health care and other big cost increases later on..This week, five new cosponsors signed on to Rep. Mike McIntyre's Notch Fairness Act, bringing the total up to seventeen. The new cosponsors are: Reps. William Enyart, Betty McCollum, Collin Peterson, Don Young, and Jim Himes. If signed into law, Rep. McIntyre's bill would provide modest compensation to Notch babies, or those who receive lower Social Security benefits because they were born between the years 1917 and 192TSCL believes that some compensation for this injustice should be provided, and the Notch Fairness Act would do just that..Get the provider's name and any identifying number. If the agent asks "Who am I speaking with?" answer with your own question. First ask the caller for the name of their company and the phone number, "in case you get cut off." You can give a first name but avoid giving out any actual personal information like your Social Security or Medicare number, full name, date of birth and address.