Tag: Medicare/Medicaid

welcome to girlfriends with aging parents

ask your financial planner about medicare enrollment

What’s on your calendar for October 15 – December 7, 2012? Halloween & Christmas, sure! Did you remember Medicare Open Enrollment?

Yes, we are now in the annual Open Enrollment period for Medicare. Seniors can switch from Medicare parts A & B (traditional Medicare) to a Medicare Advantage Plan (partC), or go from Medicare Advantage back to a traditional plan. It’s also time to make any changes to the Part D prescription drug plan. Changes will be effective January 1, 2013.

It’s important to make a timely decision. If you’d like more information, I invite you to visit my recent Laird Norton Tyee post here.

Submitted by Susan Talton: a Client Advisor and CFP professional at Norton Laird Tyee, with over 25 years of management experience. Susan enjoys writing about the life transitions that women are very likely to face. She also frequently writes about retirement, a big transition in itself.

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is it time for a nursing home?

Dear Smith Family Members:

I would like to bring up Nursing Home care for your parents. The reason being is that your Dad is losing his balance more and more and ended up on the living room floor the other night. After several attempts to get him up ,the caregiver had to call 911 and have paramedics come to assist him. He was not hurt & refused any medical treatment and the rest of the night went well. Every caregiver has expressed concern and relayed stories to me of his “near misses”.

That same morning when I was there, your Mom lost her balance while trying to sit down at the dining table and crashed the chair into the glass hutch. She too was fine, but it did seem to startle her.

My concern is that one of these times one of them is going to really hurt themselves and if they are unable to return to the apartment, where will they go? I think it might be wise to start looking at nursing homes or assisted living facilities. This way there would be time to find one that will accommodate their needs and meets everyone’s approval instead of waiting until something does happen and then be forced to make some decisions within a limited time frame.

There are many things to consider. This process takes time.  Finding out which ones accept Medicare, is there a wait-list, can they be together in the same room? What kind of activities are offered, how much staffing and assistance is available to each resident and raising any other issues that would need to be addressed is critical/crucial.

I would like your feedback on this matter and to know what ideas you all may have.

The last thing I want is for your parents to go into nursing care, but again, there is only so much care and assistance we can provide here in the apartment.

Thank you for reading!

Doris – Family Case Manager

 

 

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between a rock and …. well, you know

It is the time of year when we do honor to moms and dads (as well as grads). Lots of young people will be graduating and “moving on”. Yet, one of the challenges of our times is that many will be “moving back” instead of moving on. A recent PEW Foundation think tank, research report has dubbed the current generation of 25-34 year olds, the “boomerang generation”. The economic challenges that they face have caused a majority to find safety and comfort back home. The report was based on a survey that PEW conducted in December of 2011 of over 2,000 young adults across the USA. Thirty percent of that age cohort now live in what the study called “multi-generational” homes and, what may come as a surprise, “large majorities say they are satisfied with their living arrangements (78%) and upbeat about their future finances (77%).

At the same time, what also is happening is a growing concern about the economics of aging. A recent N.Y. Times article (May 6, 2012) on a type of dementia called frontotemporal dementia, again pointed out the growing challenge that it is going to cost our generation a lot of money to care for the rapid rise in chronic illness. And, we may not be able to count on our kids to help afford our own situations, as we have helped our parents. The lack of real debate in any level of government on the future of Social Security and Medicare only adds to the slowly growing reality that our boomer aging may very well be, in many ways, unaffordable. So, we need to ask them who will pay?

I raise this issue here only because it is so real and so many of us will be faced with these realities. We take for granted our health and mobility until that moment when we cannot…and then what?

The stresses and strains on families dealing with these issues are enormous. It appears that these will only continue to grow and I do not know if our generation is prepared. I would invite your comments on this issue.

Shalom,

Rabbi Richard F. Address, D.Min

www.jewishsacredaging.com

 

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medicaid cuts impact senior access to pharmacy care

Providing quality health care for our beloved family members as they age is one of the most important aspects of being a caregiver. When we think of health care providers, we often immediately think of doctors, nurses, or physical therapists. But one of the most often overlooked providers is one many seniors see more often than any other: their community pharmacist.

Indeed, the pharmacist plays a vital role in the ongoing health of our loved ones in their golden years. They offer advice and instruction on the sometimes multiple and varied medications that seniors become accustomed to taking more of as time passes. Not only that, in many states pharmacists provide life-saving vaccines to senior citizens for diseases like shingles and pneumonia.

At Pharmacy Choice and Access Now (PCAN), we are fighting to ensure that pharmacy access remains available to everyone, including those who are most vulnerable, like our beloved parents, grandparents, and other senior family members. Seniors are among the population most at risk by the lost access to pharmacy care that is resulting from Medicaid reforms being made in several states.

As states across the country are slashing Medicaid reimbursements and taking other measures to cut costs, seniors are the collateral damage. Pharmacies in Texas started closing the next day after the state transitioned its Medicaid patients to managed care. Many rural areas only have one pharmacy to begin with, how will seniors access their medication if their only community pharmacy is forced to shut down?

In California, proposed 10 percent cuts to the state’s Medicaid program (Medi-Cal) threaten more than pharmacies. Senior health centers and care facilities will also feel the effects.

You can help us spread the word by visiting http://rxchoiceandaccess.com — by lending our voices, we may be able to help stop some of these disastrous reforms before they have the chance to hurt America’s seniors!

submitted by Pharmacy Choice & Access Now

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where to move my elder parents?

It feels like an appropriate time to consider moving my mom & dad from their apartment. My parents are in there late 80’s & currently have wonderful care at home. However, the other night, my dad lost his balance & ended up on the living room floor. The caregiver could not get him up, after several attempts, so they called 911 & the paramedics came to assist him. Dad was not hurt & refused any medical treatment. This was a near miss and not the first time Dad has fallen (nor will it be the last).

My mom is not so stable either. I am thinking about looking at assisted living or a nursing home, one that will accommodate their needs & meet our approval before either of them seriously hurts themselves.

Questions I have thought about are: which ones accept Medicare, is there a waitlist, can my parents be together in the same room? Also, what activities are offered, how much staffing & assistance is available to residents.

Can anyone chime in…… I want to make a good decision for my parents & help them transition to a new home……I am not sure how to accomplish this.

 

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getting life in order – early

safety deposit boxA few of the things that would have given me a smoother transition into the caregiver role for my parents would have been a more gradual relinquishing of their medical, physical and household responsibilities.  Dad’s hip fracture (unfortunately) was the incident that set in motion their immediate and full dependence on me.  I have a brother, but he has created only more work for me.  I know most elderly folks living independently don’t feel the urgency to begin relinquishing financial control when they can still seem to manage it all, but I do think when we are in our 70′s that it is time to have all of those pieces of the puzzle completely in order, so that the transition is smooth and easy for our children.  Maybe not easy breezy, but at least not a major headache!  For starters, downsize to no more than three or four accounts, get POA’s in order on all accounts, Social Security, Medicare, etc.  everything that has money or personal privacy issues must has POA on file or you are out of luck!

I would also be certain that by my 70′s all my important documents are safely tucked away in a safety deposit box:  will, financial account records, birth certificate, marriage license, copy of insurance cards and policies, most recent tax statement, passport, funeral papers, etc.  Be sure the executor of the will has the extra key or code to this box!     Can you share your wisdom, please?

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challenges with caregiving long distance

(MONEY Magazine) — “Caring for an ailing or aging parent is never easy, but the challenges only multiply when Mom and Dad live far away. Nearly 7 million Americans care for an elderly relative from a distance, reports the National Alliance for Caregiving (NAC). If you’re among them, you know full well the guilt and anxiety of not being able to be there at a moment’s notice.” Aside from these stats, CNN Money.com article “4 tips for caring for mom & dad” also discuss the financial issues long distance caregivers face. There are four, invaluable tips that help you optimize your long distance participation. Read the article to find out if you have learned something new! Let us know with a comment.

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