About Us
Photo Gallery
Take action
Issues
TSCL News
Sign a petition
Become a member
Request a speaker
For the media
For Capitol Hill staff
Contact us
Healthcare Cost Survey
Your answers to this survey will help TSCL educate Members of Congress, the media and the public about the challenge of rising Medicare costs when living on Social Security and why Medicare costs should be kept affordable for beneficiaries.
Email
Which of the following most closely represents the amount (please include other sources in addition to Social Security) that you spent on all healthcare costs during the first six months of the year (January 1, 2011 – June 30, 2011)? Please include the costs of premiums, out-of-pocket spending, and costs not covered by Medicare or other insurance like vision and dental exams, eyeglasses, etc.
$0-$599
$600-$1799
$1800-$3599
$3600- $4499
$4500 or more
Which of the following most closely represents your 2011 monthly Social Security payment after deductions for the Medicare Part B premium?
Under $500
$500-750
$751-$1,335
$1,336-$1,835
over $1,836
The following pertains ONLY to people enrolled in a Medicare Advantage plan. If you are enrolled in a Medigap Plan (A through N), skip the next two questions.
If you are enrolled in a Medicare Advantage plan which of the following most closely represents what you pay in monthly premiums?
$0
$1-$39
$40-$59
$60-$79
$80 or more
Does your Medicare Advantage plan include drug coverage?
Yes
No
The following pertains ONLY to people enrolled in a Medigap Plan (A through N). If you are enrolled in Medicare Advantage, skip the next two questions.
If you are enrolled in a Medigap plan which of the following most closely represents what you pay in monthly premiums?
$0
$1-$99
$100-$199
$200-$399
$400 or more
If you are enrolled in a Medigap plan, how much do you pay for Part D plan premiums?
$0
$1-$19
$20-$39
$40-$59
$60 or more
How much are you spending per month for drug plan cost sharing, including deductibles, co-payments or con-insurance?
$0
$1-$99
$100-$199
$200-$299
$300 or more
In 2011, have you postponed any of the following healthcare services? If so, please indicate how often.
Visits to doctors or getting outpatient services?
Never
Occasionally
Frequently
Not applicable
Visits to dentists, opticians, hearing specialists?
Never
Occasionally
Frequently
Not applicable
Filling prescriptions, (or did you take lower dosage)?
Never
Occasionally
Frequently
Not applicable
Tell us your story about how you manage your healthcare costs!