Changes are looming for Medicare and Social Security. Make your opinion count. Take the monthly poll on TSCL's homepage. We'll announce the results in upcoming issues of this newsletter..However, the Biden administration has not received the idea enthusiastically. Jen Psaki, who is the White House Press Secretary, was asked about the proposal to fire the postal service board and she said it was an "interesting question," and that "we all love the mailman and mailwoman," but did not have any further comment..This week, action on Capitol Hill slowed down as the House of Representatives adjourned for a holiday recess, and the Senate focused on legislation to reauthorize programs within the FDA. Meanwhile, TSCL expressed support for a new House resolution, introduced by Rep. Scott Rigell..By Representative Rodney Davis.Earlier this year, after passing a .9 trillion tax bill in December and a .3 trillion spending package in March, leaders in the House called for a vote on a balanced budget amendment to the constitution that could have been disastrous for your Social Security and Medicare benefits. The amendment ultimately failed in the House, thanks to the voices of concerned citizens like you, but many lawmakers have said they aren't giving up on the drastic measure..The concern is well justified. The Office of the Inspector General for the Department of Health and Human Services has reported that Medicare Advantage plans deny care inappropriately at high rates. When the Office of the Inspector General collected data, it found that when beneficiaries and providers appealed pre-authorization and payment denials, Medicare Advantage Organizations over-turned 75% of their own denials over the 2014-2016 period. The OIG noted "This is especially concerning because beneficiaries and providers rarely use the appeals process, which is designed to ensure access to care and payment." Only 1 percent of beneficiaries and providers appealed denials..Rather than making deliberate well-reasoned choices, our brains often latch onto the first piece of information offered when making a decision, even though we may not be aware we are doing so - a process cognitive scientists have named "anchoring." You already know how it works. We've all seen a sign like this: "SAVE! 4 cans of soup for $Limit 12 cans per customer!" How many cans would you buy?.As to the details of how healthcare reform will affect you and your husband, stay tuned. Government officials and community organizations are gearing up for consumer information and assistance efforts that will surround this fall's open enrollment period starting in October. A major poll conducted earlier this year indicates that much of the public remains confused about the status of the health law. Check coming issues of The Social Security and Medicare Advisor for how the new healthcare law will affect seniors younger than Medicare age..The Internal Revenue Service interpreted the law to allow eligible consumers to receive premium subsidies regardless of whether the exchange was run by their state or by the federal government. Challengers of the law question that interpretation, saying that the law as written clearly directs subsidies to state-run exchanges only. Health law proponents say that lawmakers fully intended that subsidies be offered on all exchanges, regardless of whether they were administered by the states or federal government.

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Why did Dad get a bill for ,944 after his recent hospitalization due to COVID-19? I thought emergency legislation required coronavirus care to be covered by Medicare. Dad is enrolled in a large Medicare Advantage plan..Again, those projections were made prior to the effects of the pandemic. You can be sure when this is all over, the projections will be much worse..This week, The Senior Citizens League announced its support for two bills that would improve Medicare coverage of certain services. First, TSCL endorsed the Audiology Patient Choice Act, a bipartisan bill that was introduced in March by Senator Elizabeth Warren and Senator Rand Paul. The bill was introduced in the House last year by Representative Tom Rice with the support of several cosponsors. … Continued

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Yes. Social Security provides a variety of benefits to people who have not paid into the system. If one meets certain eligibility criteria, one can be eligible for benefits based on another person's account. Here are some examples:."Senate Republicans, White House Officials Meet Privately on Fiscal Deal," Paul M. Krawzak, CQ Roll Call, June 6, 201"Inflation Indexing Elements in Federal Entitlement Programs," Dawn Nuschler, Congressional Research Service, April 24, 2013..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. … Continued

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