There are several types of Medicare Advantage plans, and not all are available in all areas. Many are health maintenance organizations, but there are also preferred provider organizations and special needs plans, among others. Under traditional Medicare with a Medigap plan, you may go to any doctor who accepts Medicare. But in a Medicare Advantage HMO plan you need to use network healthcare providers in order to get coverage. If you are treated by non-network providers, you would be responsible for 100% of the out-of-pocket costs, and Medicare would not cover the cost of the claim. If the plan is a PPO, however, you would have greater flexibility to go out of network, but you would pay higher co-pays or co-insurance. Before selecting any Medicare Advantage plan, check the lists of network doctors, hospitals and other providers! It is not unheard of for Medicare Advantage plans to market to people who live a good distance from the nearest in network health care provider..2020 Social Security Trustees Report, April 22, 2020. "COVID-19 May Deplete Social Security Trust Funds This Decade," Nicko Gladstone, Shai Akabas, Bipartisan Policy Center, April 22, 2020..Premium subsidies are based in part on the premiums for a current benchmark plan in the area where you live. More plans are joining the market and there will be new bids for 2015, so the benchmark in many areas will change..Since the WEP and GPO were created decades ago, lawmakers have been working on better alternatives. At Tuesday's hearing, those on the subcommittee discussed a bill the Equal Treatment of Public Servants Act that could be a promising solution. If signed into law, it would provide immediate relief to current retirees affected by adjusting their Social Security benefits. According to Stephen Goss the Social Security Administration's Chief Actuary around 80 percent would see benefit increases of approximately 20 percent..We will all know if they were able to reach and agreement and get their job done by the end of this coming Friday. However, President Trump's position on this is not clear. While Treasury Secretary Mnuchin has been in on the discussions of the legislation the President has not said where he stands..The plan would comprehensively reform Medicare by transforming it into a "premium support" program, where seniors would be given vouchers by the federal government to purchase private health insurance coverage on a federal exchange. Experts predict that "premium support" models like the one laid out in the "Budget for a Brighter American Future" would result in substantially higher out-of-pocket costs for Medicare beneficiaries over time..President Trump Signs Executive Order to Expand Private Medicare Plans.There are 1,313,935 active members/supporters..On Wednesday, the House Ways and Means Health Subcommittee met with officials from the Centers for Medicare and Medicaid Services and the Government Accountability Office to discuss the removal of Social Security numbers from Medicare cards. According to Subcommittee Chairman Wally Herger, more than one million seniors have been victims of identity theft in the past year, largely because the Medicare cards they are encouraged to carry everyday contain sensitive information.

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This week most members of the House and Senate are back in their districts or states meeting with constituents or otherwise conducting business there. A few have stayed in Washington to take part in hearings that are scheduled this week, although since many hearings are now held virtually, they do not necessarily have to be in Washington..Congressional Recess Continues as Election Nears.The good news is that key members of Congress now say they will push for surprise billing legislation to be part of the next bill that deals with the coronavirus emergency. … Continued

Health Reform Poll Finding Kff Health Tracking Poll March 2019

President Obama signed it into law shortly thereafter, saying it will improve the Medicare program "because it starts encouraging payments based on quality, not the number of tests that are provided or the number of procedures that are applied, but whether or not people actually start feeling better." The law took effect immediately, and upon the bill's signing, the Centers for Medicare and Medicaid Services announced that it had already begun reimbursing physicians at the full payment rate..The people who are not covered by hold harmless include higher income beneficiaries, beneficiaries who have not started Social Security yet and who pay for Medicare by check, and about 19% of beneficiaries whose incomes are so low that their state Medicaid program pays their Medicare Part B premiums on their behalf..According to the Federal Register "Amounts collected under section 1411 are not designated for the Medicare Trust Fund. The Joint Committee on Taxation in 2011 stated that's because No provision is made for the transfer of the tax imposed by this provision from the General Fund of the United States Treasury to any Trust Fund." … Continued

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