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Fifty six percent of older adults think we need to invest more in Medicare in order to respond more quickly and effectively to a healthcare crisis like COVID-19, according to a new survey by The Senior Citizens League. "Boosting funding for Medicare is one of the most important issues for older voters this year," says Mary Johnson, a Medicare, and Social Security policy analyst for The Senior Citizens League..Either way, you will need to consider how well your income, including Social Security, retirement savings, pension and other income will allow you to sustain mortgage payments over the refinancing periods. It's also helpful to use realistic budget expenses. That means estimating how taxes will reduce your Social Security and retirement income, and factoring in a realistic growth rate for medical expenses of at least 10% or more each year, to account for both rising prices and the greater need for services as we age..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..Get your health expense records up to date and review the Annual Notice of Change from your current plans: Drug and health plans send out their Annual Notice of Changes for 2022 in September through October of this year. Review those details to learn what might affect you in 202Start a list of costs, break down what you will pay for all premiums, any out-of-pocket costs that you typically pay. List what you spend out - of - pocket on dental, vision and hearing services, as well as any expenses such as eyeglasses and hearing aids. If you are comparing current Medigap coverage with Medicare Advantage, you will need to know what sort of services you are using and what you typically pay out - of - pocket now for those services, if anything. Worksheets maintained for tax purposes, statements, check registers may be an excellent source of this information..We realize there is a severe lack of good news these days and we sometimes fear reporting on the issues of the day can have the effect of discouraging our supporters like you..And drug list prices continue to increase every year. As health insurers and employers pay more, they often pass those costs to consumers in the form of higher premiums, deductibles, and copayments..Medicare has been subject to automatic 2 percent spending cuts since 2014, enacted as a provision of the Budget Control Act of 201Providers continue to bill Medicare in the normal way, but they are only paid 98 cents on the dollar. According to a FAQ from the House Committee on the Budget, the Medicare spending cut for the government's fiscal year 2021 which starts October 1, 2020, will reduce spending by .2 billion..The hold harmless provision kicks in when the dollar amount of an individual's Medicare Part B premium rises more than the dollar amount of an individual's COLA adjustment to prevent a reduction in Social Security benefits. The provision applies to individuals with incomes below ,000, and whose Medicare Part B premium is automatically deducted from their Social Security benefits. Johnson estimates that about 35.5 million Social Security recipients were held harmless in 2016 and 201"People who have been held harmless in both those years are paying premiums that are roughly 8 per month in 2017 on average, a difference of about from the current 4 premium. However, for many of those people, especially those with below - average Social Security benefits, the 2018 COLA won't be high enough to cover the full 4 Part B premium..The reconciliation bill is one of the most complex tax and spending bills ever contemplated, with virtually no area of the budget or tax code left untouched. The Democrats want it to contain measures that are extremely important to seniors, including dental, hearing and vision benefits being covered by Medicare. They are hoping to craft it in such a way as to only need 51 votes for passage.