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And, in case you had any doubts about why you need that Medicare Advantage plan in the first place, here are the general types of costs if you have Medicare Advantage plan coverage compared with having traditional Medicare with a Medigap supplement..Alexandria, VA Seniors will get one of the lowest cost-of-living adjustment paid in the past decade next January. But even so, COLAs remain a key target in post-election deficit reduction efforts, warns The Senior Citizens League, one of the nation's largest nonpartisan seniors groups. A plan that would slow the growth in annual COLAs is a key provision of major deficit reduction plans quietly under consideration in Congress..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..This week, five new cosponsors signed on to Rep. Mike McIntyre's Notch Fairness Act, bringing the total up to seventeen. The new cosponsors are: Reps. William Enyart, Betty McCollum, Collin Peterson, Don Young, and Jim Himes. If signed into law, Rep. McIntyre's bill would provide modest compensation to Notch babies, or those who receive lower Social Security benefits because they were born between the years 1917 and 192TSCL believes that some compensation for this injustice should be provided, and the Notch Fairness Act would do just that..For people with incomes less than ,000, the monthly Medicare Part B premium in 2017 is 4, and Medicare Trustees expect it to stay at that amount in 201But the vast majority of retirees are paying a Part B premium that's far lower than 4 - about 0 or less - due to a special provision of law that protects Social Security benefits from reduction when Medicare Part B premiums rise more than the COLA raises benefits..Editor's Note: Please DO NOT postpone getting care in emergencies. Do not delay care for chest pain, stroke symptoms or the onset of a diabetic reaction. Seek immediate treatment!.Some of the most talked-about plans using a "chained" consumer price index to calculate annual cost-of-living adjustments, cutting the payroll tax, and reducing benefits for people who are currently retired or nearing retirement would devastate many of the most vulnerable seniors..Questions To Ask Your Member Of Congress At Your Next Town Hall.As a result, some doctors are opting out of providing care to Medicare patients.