This week, appropriators in the House and Senate continued their work on the .1 trillion omnibus to fund the federal government through the remainder of the fiscal year. Lawmakers have just one week to finalize the deal in order to avoid a government shutdown like the one that occurred in 2013..The results of not having a formal leader are apparent. As expert witness Max Richtman of the National Committee to Preserve Social security and Medicare described, disability appeals can take over six hundred days to process and ten thousand people die each year waiting for decisions on their appeals..A ,000 per month budget for medical expenses is a staggering amount to consider. Retirees with the highest costs are not only those with multiple health conditions, but also frequently those who don't have access to employer provided health insurance benefits. This group also includes those who don't have access to competitively priced Medicare Advantage Plans, and therefore pay higher premium costs for Medigap and Part D plans..Use the Health and Drug Plan Finder found at..services,consider adding these. When comparing plans, make sure you compare.Even when patients do seek treatment at a hospital mainly staffed by doctors in their insurance plans, they might wind up being treated by an out-of-network specialist. Worsening the problem, insurers have narrowed their networks of preferred doctors over the years in hopes of steering patients away from hospitals to lower-cost outpatient facilities and doctors..Hospitals are not required to tell patients whether they are inpatients or outpatients, so frequently beneficiaries never learn of their status until after they have been released. If you believe the services your mother received should have been billed as inpatient services check your mother's Medicare Summary Notice and follow the instructions to challenge the charges from the hospital listed under Part B of the notice. You may also challenge any charges from the nursing home for outpatient services..When you simply claim benefits at age 66, Social Security will "deem" you eligible for both your own retirement benefit, and an ex spouse benefit. You receive your own benefit first, and the balance that you are eligible for as a divorced spouse would make up the difference. But by claiming at 66 you loose the advantage of delayed retirement credits that can boost your benefit by 8% per year from full retirement age to age 70..At my urging, she returned to her doctor and was given a new brand prescription

Selena Gonzales

TSCL Endorses New House Bill.Rx for Medicare's Doctors' Pay Formula.TSCL encourages its members and supporters to attend these events and to voice their concerns about important Social Security and Medicare issues like inadequate cost-of-living adjustments and skyrocketing prescription drug prices. … Continued

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White House Press Secretary Josh Earnest has said President Obama is involved in the discussions and that he is monitoring the movement of the omnibus very closely. Regarding the controversial add-ons, he told reporters, "Our objection comes to ideological riders that are partisan and that in most other cases would not be able to pass the United States Congress.".Can You Explain the Pros and Cons of Switching to a Medicare Advantage Plan?.CMS has also partnered with the Department of Justice to help to increase law enforcement efforts for Medicare fraud and abuse. In 2009, the Health Care Fraud Prevention and Enforcement Action Team was established to provide a law enforcement arm to the government's effort to stem the tide of Medicare fraud and abuse perpetrators. The special task force combines authorities from local, state, and the Department of Justice and Health and Human Services agencies to increase communication and shared investigative techniques. … Continued

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