As was noted in last week's update, the AHCA would reform the current health system and negatively impact older Americans in several ways. It would restructure the Medicaid program, which funds nursing home care for many qualified Medicare beneficiaries. It would base premium subsidies on age instead of income, while allowing private health insurers to charge older Americans five times more than they charge younger folks for their coverage. And it would deplete Medicare's Hospital Insurance Trust Fund by eliminating two revenue sources that the ACA created, creating a funding crisis for the program..Because of age-related changes in their immune systems, people 65 years and older may not respond as well to vaccination as younger people. Although immune responses may be lower in older people, studies have consistently found that flu vaccine has been effective in reducing the risk of medical visits and hospitalizations associated with flu..That's the case for Ninon Ruscher and her husband John of Tuscon, Arizona, who rely on Social Security for all of their income. Mrs. Ruscher says that, "seniors who rent their own homes are in a precarious financial situation." "Once we pay the monthly bills, we sit at home. We don't have the money to do anything or go anywhere. Once the food runs out we have to wait until our next Social Security payment," she adds. Mrs. Ruscher notes that even though her husband receives health benefits through the Veterans Administration, and she's enrolled in a Medicare Advantage plan, they are still trying to pay off expenses from her recent surgery earlier this year..As anyone who was following the news last week knows, Congress failed to reach an agreement on a new coronavirus economic relief bill, so they went home. They have left it up to the leadership in both houses to try and come up with legislation that can pass both bodies, but no one sounds optimistic that will happen before they return in September..Medicare Advantage plans are popular in many areas of the country for low, monthly premiums, having an annual out-of-pocket maximum, and for offering supplemental benefits not currently covered by Medicare, such as dental and vision coverage. Most Medicare Advantage plans also provide prescription drug benefits..The Congressional Budget Office estimates that there would be costs both to Social Security and Medicare, primarily for disability benefits starting as early as 2017, assuming enactment into law this year. The CBO said, however, that the new TSCL-supported amendment would save the programs about billion over the first 20 years, with the savings growing greater in the future..At what age do you think most people retire? According to the Social Security Administration, the largest group retires at age 62 with reduced benefits! Only 4% wait to start benefits at 70, the age at which they would get the maximum amount. Could the fact that most people file for Social Security benefits so early be simply because they hear so often that they can do so at 62? Does 62 become a distorting anchor on our thinking?.TSCL is pleased that after more than a decade, lawmakers have finally passed legislation to repeal and replace the SGR once and for all. The SGR has not worked as it was intended to since 2003, and seventeen times it has called for steep physician pay cuts, threatening access to quality medical care for seniors. We are hopeful that the new system will bring increased stability to the Medicare program..Check My or your last "Medicare Summary Notice" to see if you've met your deductibles. Deductibles are the amount you must pay before the service is covered, and vary widely depending on the type of coverage you have in addition to Medicare Part A and Part B.
