Nearly two-thirds of the spending on prescription drugs by older Americans is for out-of-pocket costs that include deductibles, co-pays and co-insurance. Since the start of Medicare Part D in 2006, out-of-pocket costs grew 188% or roughly 16% per year by the end of 2017, far exceeding the growth in Social Security benefits, that averaged just 1.9% per year over the same period..Keep in mind that this is not a comprehensive list or tax advice, but provided to give you an idea of the steps you need to take to learn how to reduce your tax bill. TSCL strongly recommends that you get help preparing your taxes from a tax professional who can explain your options and get you every tax break to which you're entitled to..To find out how much your benefits would be reduced, use the Social Security Administration's Retirement Test Calculator at..How Can We Expand Social Security When The Program Is Running Out of Money?.If signed into law, the CPI-E Act would amend the Social Security Act with regard to annual cost-of-living adjustments for Social Security and Medicare benefits. Currently, the COLA is based upon the spending patterns of young, urban workers, but Rep. DeFazio's bill would require that COLAs be based upon the way seniors spend their money. The COLA that seniors currently receive does not accurately reflect how they must spend their money, and TSCL estimates that a senior who retired with average benefits in 1984 would have received ,723.16 more through 2011 had the CPI-E been used. We are very supportive of Rep. DeFazio's bill, and we were pleased to see one new cosponsor sign on this week..Congressional aides have said that the conference co-chairs, Sen. Patty Murray and Rep. Paul Ryan, are "talking almost every day," but a partisan divide over potential "sequester" offsets seems to have halted progress. Half of the conferees hope to replace a portion of the "sequester" with revenue increases, while the other half would like to enact cuts to mandatory programs, including Social Security and Medicare. At this point, conferees on both sides are remaining steadfast in their positions..Squeeze your home for cash - If your home can be divided into."These practices pose a risk of severe tissue damage and corrosive injury and should be strictly avoided," the CDC researchers wrote in a paper, published in the agency's Morbidity and Mortality Weekly Report. "Although adverse health effects reported by respondents could not be attributed to their engaging in high-risk practices, the association between these high-risk practices and reported health effects indicates a need for public health messaging regarding safe and effective cleaning practices aimed at preventing SARS-CoV-2 transmission in households.".Petition to Congress in Support of Social Security Notch Reform

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The report continues, "Two House panels last week approved legislation adding vision, hearing and dental coverage to Medicare. Dental is by far the most expensive and complicated of the three to roll out: the nonpartisan Congressional Budget Office previously estimated that such coverage would cost 8 billion over 10 years, compared with billion for vision and billion for hearing coverage..Again, thank you for participating in the legislative process by signing the petition. It is my hope that you will continue to keep me apprised of your interest in issues important to you as my colleagues and I continue our work during this 113th Congress.Negotiations Continue among Conferees … Continued

Medicare State Indicator Total Enrollment By Plan Type

Third, three new cosponsors Representative John Garamendi, Representative Jim McGovern, and Representative Judy Chu signed on as cosponsors to the bipartisan Nursing Home CARE Act, bringing the total up to twenty-two. If adopted, the bill would protect Medicare and Medicaid beneficiaries by more quickly codifying emergency preparedness rules for nursing home facilities that receive funding from the federal government..Health insurers are pushing back, and are warning that the cost of new coverage could limit other benefits they offer in private Medicare Advantage plans - such as free transportation to medical appointments or free over-the-counter drugs..Providers would have to give patients information on their network status, costs of out-of-network care, options for in-network providers, and other insurance requirements generally 72 hours before an appointment. The notice would have to clearly state that consent is optional, and that the patient could seek care from an in-network provider. … Continued

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