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Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket..At this point, the future of the Social Security tax holiday is unclear, though some believe it may resurface later this year as the Joint Select Committee on Deficit Reduction takes up the challenge of reducing the deficit by at least .2 trillion before Thanksgiving..Information and assistance.TSCL is adamantly opposed to "Chaining the COLA" and continues to fight it. TSCL is gathering the signatures of thousands of seniors. Should the plan achieve passage, TSCL is prepared to lead a national repeal campaign of the same kind that resulted in the immediate repeal of "Medicare Catastrophic" in the late 1980s. To sign a petition or to learn how you can take part in our campaign, visit TSCL on the web at..What do you think about proposals to cut Social Security or Medicare benefits? Visit to participate in TSCL's annual Senior Survey..This week, The Senior Citizens League's Board of Trustees traveled to Capitol Hill to host a Welcome Reception and to meet with several lawmakers and their top aides. In addition, Members of the Senate overwhelmingly voted to confirm Marilyn Tavenner as the Administrator of the Centers for Medicare and Medicaid Services, and three key bills gained critical support..At the hearing the top Republican on the committee, Steve Womack of Arkansas and other Republican lawmakers said that Congress will need to limit the growth of Social Security, Medicare and Medicaid, which they referred to as "major mandatory programs.".At 2.8%, the annual cost-of-living adjustment that Social Security beneficiaries received in 2019 was the highest in seven years. The average monthly retiree benefit of ,425 increased by almost , but since October of last year, consumer price index data indicate that growth in inflation has stalled. In fact, if the current trend continues, it suggests the COLA payable in 2020 could be zero, according to projections by Advisor editor, and COLA researcher, Mary Johnson..In late December of last year, the federal government reluctantly turned over to TSCL the first public copy of the controversial Totalization Agreement with Mexico after TSCL was forced to file two federal lawsuits under the Freedom of Information Act to gain access to the documents. The agreement has not yet been signed by the President or sent to Congress for final review.