Saturday, November 13, 2021

The Ups And Downs Of Senior Life

Nobody in the media seems to care that Social Security benefits went up nearly 6% for COLA increases to help with costs in 2021. That's $90 a month on average, but I guarantee you everyone's going to go berserk over Medicare Part B going up one third of that.


The federal government announced a large hike in Medicare premiums Friday night, blaming the pandemic but also what it called uncertainty over how much it may have to be forced to pay for a pricey and controversial new Alzheimer's drug. 
The 14.5% increase in Part B premiums will take monthly payments for those in the lowest income bracket from $148.50 a month this year to $170.10 in 2022. Medicare Part B covers physician services, outpatient hospital services, certain home health services, medical equipment, and certain other medical and health services not covered by Medicare Part A, including medications given in doctors' offices. 
The Centers for Medicare and Medicaid Services played down the spike, pointing out that most beneficiaries also collect Social Security benefits and will see a cost-of-living adjustment of 5.9% in their 2022 monthly payments, the agency said in a statement. That's the largest bump in 30 years. 
"This significant COLA increase will more than cover the increase in the Medicare Part B monthly premium," CMS said. "Most people with Medicare will see a significant net increase in Social Security benefits. For example, a retired worker who currently receives $1,565 per month from Social Security can expect to receive a net increase of $70.40 more per month after the Medicare Part B premium is deducted." 
The increase, however, is far more than the Medicare trustees estimated in their annual report, which was released in late August. They predicted the monthly premium for 2022 would be $158.50. 
 
But thanks to Republicans in Congress continuing to block the Biden Build Back Better program, which would lower prescription drug costs, and Big Pharma rattling off massive price increases in drugs in the last few years under Trump, the bad guy here is...the Democrats!
 
The actual spike -- the largest since 2016 -- could hurt some seniors financially. 
It "will consume the entire annual cost of living adjustment (COLA) of Social Security recipients with the very lowest benefits, of about $365 per month," said Mary Johnson, a Social Security and Medicare policy analyst for The Senior Citizens League, an advocacy group. "Social Security recipients with higher benefits should be able to cover the $21.60 per month increase, but they may not wind up with as much left over as they were counting on." 
Medicare premiums have typically increased at a far faster rate than Social Security's annual adjustments, the league said. And much of the 2022 increase in Social Security benefits will be eaten up by inflation, which is also rising at a rapid clip. 
CMS said part of the increase for 2022 was because of uncertainty over how much the agency will end up paying to treat beneficiaries to be treated with Aduhelm, an Alzheimer's drug approved by the US Food and Drug Administration in June over the objections of its advisers. Some experts estimate it will cost $56,000 a year. Medicare is deciding whether to pay for it now on a case-by-case basis. 
 
Call me nuts, but maybe the problem with Medicare costs is stuff like "Alzheimer's drugs costing $56,000 per year" rather than "inflation of a global economy coming out of mothballs to 2019 demand levels".

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