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Under traditional Medicare, most people need to buy a supplemental Medigap policy to cover Medicare's considerable out-of-pocket costs, and need to enroll in a private Part D plan for drug coverage. Medicare Advantage plans receive a lump-sum from Medicare to provide enrollees with all Medicare Part A and Part B benefits and usually have lower premiums than Medigap insurance. Many of the plans also provide drug coverage and are popular for providing a range of additional services that Medicare doesn't cover, such as discounts on eyeglasses or dental care. The most critical differences between Medigap and Medicare Advantage plans are in the out-of-pocket costs required and, access to doctors and other healthcare providers..The object is to provide at least 300 million doses of a coronavirus vaccine by January 202In most of the agreements with the drug companies, the Department of Health and Human Services says the vaccines will be given to the American people for free if part of a vaccine campaign. Once the vaccines are approved, the program is intended to quickly deliver them to as many people as possible. The federal government has said it will cover the cost of delivery, but health-care providers can charge to administer the vaccine..This week, four congressional committees began crafting legislation to repeal the Affordable Care Act. In addition, the Senate Health, Education, Labor and Pensions Committee held a courtesy confirmation hearing to question Congressman Tom Price, the nominee for the Secretary of the Department of Health and Human Services position..As negotiations continue over the coming days, TSCL will continue to monitor them closely and encourage lawmakers to avoid another shutdown on December 11th, since it would likely have a negative impact on Social Security and Medicare benefits. For updates, visit the Legislative News section of our website..While that part is good news for consumers, TSCL is closely watching to see how these changes may impact Medicare Advantage premiums and emergency room co-insurance costs. And unfortunately, drug costs are likely to continue to shock us unless Congress takes action to address that next!.On Tuesday, the Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education approved a 6.8 billion fiscal 2015 spending bill by a voice vote. The bill provides funding to a wide range of health and education programs, and it also covers the administrative expenses of Social Security and Medicare. The Labor-HHS-Education bill is the largest domestic appropriations bill, accounting for nearly one-third of all non-defense discretionary spending..The .5 billion for VA health care improvements will now be paid for with savings elsewhere in the budget. However, one Democratic aide said the funds used to pay for the program were gimmicks that do not harm spending in vital programs..Although Medicare has an annual Open Enrollment period, when beneficiaries can compare drug plans and switch to lower costing drug plans, few retirees actually do so. "In most areas of the country, the Medicare beneficiaries have more than two dozen Part D plans to sort through, and the average person just don't know where to begin, or that free, unbiased help is available," Johnson says. "Consequently, Medicare beneficiaries winds up overpaying for prescriptions that could be obtained for a lower cost from a different drug plan.".When it comes to the Social Security cost-of-living adjustments many, if not most, of you say that you feel the government is cooking the inflation data. The COLA seldom seems to reflect the growing costs you experience. Two factors are to blame; the choice of a consumer price index used to calculate your COLA, and the methodology that our government uses to calculate price inflation to begin with.