Start by reviewing materials that you receive from your current health plan for prospective changes in premiums, deductibles, co-pays and provider networks. If your income has changed in 2014, report changes to the healthcare exchange in your state or through before the Open Enrollment crunch begins. Watch your local news media for announcements of "healthcare navigator" programs in your area to help you compare plans and enroll. The programs may be offered through your local library, or other community service organizations..The President should not sign or send the current totalization agreement with Mexico to Congress. Should the President nevertheless do so, Congress should disapprove the agreement..If you have limited income and savings, there are three Medicare Savings Programs that help pay Medicare costs. If you qualify, your Medicare Part B premium will no longer be deducted from your monthly Social Security check. Over the rest of the year, that could be worth an extra 4.60 per month in your Social Security check, and more than ,300 in higher Social Security income through the end of the year. If you qualify, you will automatically get Extra Help, the Medicare program that helps with Part D prescription drug costs..For more information about your retirement age, and to use retirement calculator tools visit..Then on Monday there was a report that Congressional negotiators were closing in on a government spending bill agreement after keeping the funding for Veterans Affairs Mission Act under the .4 trillion budget cap, a significant victory for the House Republicans who insisted on this provision, according to two congressional aides..What are budget cutters looking at? Here are a few key proposals under discussion. After reviewing these, tell us what you think by taking our survey..To learn more, see the Medicare Publication "Are You A Hospital Inpatient or Outpatient" Publication No.1143Call Medicare at..Recently my mother got a notice from Social Security saying that her income is over the limit, and now she's paying much higher Medicare premiums than last year. Normally her income is modest, but in 2009 we sold her home after she moved into an assisted living facility. Her monthly Part B premium rose from .40 to 1.50. Her Part D coverage had increased by per month and the government tacked on a surcharge of more than doubling the premium that she paid last year. Altogether, my mother's Social Security was reduced by .10 a month! Someone told me this was part of healthcare reform. Why was there no advance notice to allow families to plan for this?.The subsidies are based on household income. If your income went down in 2014 you may be entitled to a bigger health insurance subsidy tax credit. But if your income goes up you would get a lower premium subsidy.

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Legislation to lower prescription drug prices is a top priority of TSCL's this year and we continue to monitor things very closely and work to pass legislation that will lower drug prices in a substantial way..After a rare bipartisan agreement, President Obama signed a bill into law that will extend the payroll tax break and unemployment benefits, and prevent a 27% pay cut to Medicare physicians. The President signed the measure into law in private on Wednesday, after celebrating the passage of the bill at an event on Tuesday..Increasing the payroll tax rate. Survey results have also shown strong support for a gradual increase in the payroll tax rate from 6.2% to 7.4%. An increase of that size would amount to an extra 50 cents per week for the average worker an amount that most feel is fair and practical. … Continued

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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..Congress Still Working to Avoid Government Shutdown.There's an old saying: "Laws are like sausages; it is better not to see them being made." … Continued

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