Medicare costs often consume up to half of your Social Security benefit. In a recent TSCL survey, 48% of respondents said they spent 11% to 33% of their Social Security benefits on healthcare in 201Another 25% said they spent from 34% to 50% of their Social Security on healthcare..There are important trade-offs to Medicare Advantage. Enrollees must use the network of hospitals and doctors who contract with the plan. In recent years as enrollment grows, more plan enrollees have been hit with surprise bills for out of network providers - often for thousands of dollars. While traditional Medicare is accepted by any willing doctor in every state, Medicare Advantage coverage tends to be accepted only in a specific geographic area. There are also more requirements for prior approval for certain procedures..Two of the most popular Medigap plans, "F" and "C," will no longer be offered for sale in 2020. "While individuals enrolled in these plans may keep their plans, we are concerned that premiums for these plans could rise significantly without younger and healthier new enrollees to spread the costs in those plans," Johnson says..Medicare has recently made revisions to its payment rules, but those changes do not drop the three day of inpatient care for nursing home coverage, or require hospitals to tell patients when they are getting observation care. Legislation has been introduced in Congress that would count observation stays as part of the three hospital days required for nursing home coverage..Although not many studies exist, according to one study of average earners born from 1917 through 1926, the disparity in benefits with other retirees seems to average about 26%..The concern is well justified. The Office of the Inspector General for the Department of Health and Human Services has reported that Medicare Advantage plans deny care inappropriately at high rates. When the Office of the Inspector General collected data, it found that when beneficiaries and providers appealed pre-authorization and payment denials, Medicare Advantage Organizations over-turned 75% of their own denials over the 2014-2016 period. The OIG noted "This is especially concerning because beneficiaries and providers rarely use the appeals process, which is designed to ensure access to care and payment." Only 1 percent of beneficiaries and providers appealed denials..On Wednesday, Congressman Jimmy Duncan introduced the CPI for Seniors Act, and TSCL announced its support for it shortly thereafter. The bill, if signed into law, would mandate the formulation and publication of a new Consumer Price Index specifically for seniors with the purpose of establishing a more fair and accurate cost-of-living adjustment..In 2014, your ,200 in earnings was slightly higher than the amount you are allowed to earn without reduction, which was ,480. Under the Social Security earnings test, if you are under your full retirement age the Social Security Administration will withhold in benefits for every in earnings in excess of the annual exempt amount. In your case ,200 is ,720 more than ,480 - the exempt amount. That means Social Security should only withhold ,360, not ,000..too.

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"A New and Rising Price Tag for Trump's Wall: .6 Billion," Jonathan Weisman, The New York Times, February 10, 201"The Wall Should Be Paid For," Committee for a Responsible Federal Budget, January 30, 201Summary of the Sequester Offset Solutions Plan, Committee for a Responsible Federal Budget, September 16, 2015..Better Donut Hole Coverage - Higher Taxes Ahead.Nearly 20% of participants in TSCL's Senior Survey say they spent ,100 or more out-of-pocket on prescription drugs in 201And, as we age, all of us face the grim potential that a new health problem could increase our spending on prescription drugs to this level. Doing nothing to lower drug prices for Medicare beneficiaries is not a good option. … Continued

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A controversial "Medicare" tax on net investment income that was signed into law shortly after passage of the 2010 Affordable Care Act is expected to once again come under debate according to The Senior Citizens League. "During the battle over The Affordable Care Act, a new source of funding - a 3.8% Medicare Net Investment tax was enacted - presumably as means to strengthen Medicare funding," says Mary Johnson, a Medicare policy analyst for The Senior Citizens League. "But the truth is those revenues, which the Joint Committee on Taxation estimates to be .5 billion for 2021, never actually made it into the Medicare Part A Trust Fund," she says.".It was always expected that few if any Republicans in the House of Representatives would support legislation to lower drug prices. But it turns out that a group of moderate Democrats has now said they do not support the sweeping legislation that Democratic leaders in the House have proposed..The debate over cutting entitlement spending, however, isn't new. For years, proposals to cut Social Security and Medicare benefits have been put forth from both sides of the aisle. Consider: … Continued

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