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Unrealistic Cost-of-Living-Adjustments : COLAs are already inadequate: Seniors have lost almost one-third of their buying power since 2000, according to a recent TSCL study. In that period, COLAs increased just 31 percent, while typical senior expenses jumped 73 percent, more than twice as fast. There is talk of using a "chained" CPI to calculate COLAs. But the spending patterns assumed by the "chained" CPI don't apply as well to seniors, who spend a larger percentage of their income on necessities that aren't as conducive to substitution. Billed as a mere "technical correction," a TSCL analysis shows that using a "chained" CPI to calculate COLAs would in fact slash payments by more than ,000 over a 25-year retirement. Read more here and here..We strongly recommend that you call your dad's health plan and ask for a detailed statement including dates of stays and services billed. Keep careful notes of your call. If you are still unsatisfied, you can get free one-on-one counseling through your state health insurance assistance programs that may be able to help you determine what costs should have been covered and whether you should appeal the charges. Find a program in your area here..The Social Security Trust Fund is the single biggest government account to which the U.S. Treasury owes money, with obligations currently totaling about .8 trillion dollars. From the mid 1980s until 2010, the Social Security Trust Funds received more revenues than required to pay benefits. Under current law, when surplus revenues are received, the Treasury issues special bonds or I.O.Us to the Trust Funds and excess revenues are used for other government spending. The government is required by law to pay interest on those I.O.U bonds..Although there's a new higher standard deduction for U.S. taxpayers this year, tax professionals are cautioning taxpayers against automatically taking it. The 2017 tax legislation retains the deduction for medical expenses. This year, taxpayers can deduct medical expenses exceeding 7.5% of their Adjusted Gross Income, but that threshold will rise to 10% of the AGI in 2019, so taxpayers won't be able to deduct as much. It would be a good idea to crunch the numbers now, to learn if itemizing and the medical expense deduction would reduce your taxes..The disparity between growth in the COLA and Medigap premiums is likely to be worse in 2020. "Inflation is lower this year, and we are estimating that the COLA is likely to be around 1.7 percent," Johnson says. "Nevertheless, we anticipate that Medigap premiums will continue to grow several times faster for a number of reasons," Johnson adds..High-income beneficiaries who pay an income-related surcharge in addition to the basic premium..Recently we received the following example:.The median income for those age 65 and older was ,757 in 2010..Ranking Member Senator Murray and several witnesses on Wednesday including Tennessee Health Commissioner Julie McPeak and Pennsylvania Secretary of Health and Human Services Theresa Miller agreed that CSR payments are critical to improving the marketplace and that vulnerable populations must continue to receive the same level of coverage through state waiver programs.