Category Archives: Health

Reasons to keep Fit as You Age

How independent you are often depends on how well you can function physically. While this is one of the best reasons to stay physically active, it’s not the only one.  Here’s a list of eight reasons why you should make physical activity a priority in your daily life.

  1. 1.      Increases bone density and limits osteoporosis.

The best exercises to increase bone strength include weight-bearing exercises (like walking) and resistance exercises (like weight lifting). However this does not mean you have to become a competitive walker or body builder, just living an active lifestyle you will help your bones stay strong.

 2.     Increases your independence.

One of the main points of being active is to maintain your ability to function. Studies show that those who exercise over their lifetimes are more likely to avoid falls and disability as they age.

 3.     Increases your metabolism.

As strength training increases muscle mass, it also increases metabolism. One of the benefits of this is that your body uses more of the calories you take in because your resting metabolic rate increases, which leads to less body fat and easier weight control. Keeping yourself at a healthy weight will lower your risk for health problems. Remember that even being just a few pounds overweight can put you at higher risk for many health problems.

 4.     Reduces your risk for falls.

Physical activity reduces your risk for fall for two reasons. First, it lets you practice keeping balanced and reacting to things around you. Second, it can help prevent the natural decline of your muscles that help keep you steady.

 5.     Increases flexibility.

Doing exercises that require a full range of movement will help keep you flexible. Any kind of activity will produce results, so choose to walk instead of drive or rake the leaves in your lawn instead of using a blower.

 6.     Gives you a reason to socialize.

One of the best strategies for increasing your activity is to exercise in a group, so exercise can lead to new friends. For opportunities ask your friends, check your local senior center, or look at the bulletin boards in local health clubs for exercise groups for seniors.

 7.     Improves your mood.

Exercise is a good way to improve your mind. Studies show that exercise reduces depression, and has the ability to lift your self-esteem.

 8.    Physical activity helps your entire body.

As you age the body’s systems weaken, but much of it occurs because of a lack of physical activity. Exercise can slow this breakdown and help you continue to live well.

Remember: if you are thinking about increasing your daily activity level, be sure to talk to your doctor first. For more information about exercise and aging check out the Soundpath Health Wellness Library on www.SoundpathHealth.com.

 

Alternatives to AARP

This past Saturday on the AgingOptions Radio Show a listener by the name of Tricia called in to inquire as to whether there might be some good alernatives to the AARP (American Association of Retired Persons)… similar organizations that could offer the same benefits associated with AARP’s vast membership “clout” in  procuring savings on things like insurance products and discounts on services and products.

Turns out that there are!  Membership groups that build upon the AARP model of  “purchasing strength in numbers” include groups such as the Association of Mature American Citizens (AMAC) ,which bills itself as a “Conservative alternative to the AARP” and the American Seniors Organization  being two such examples.

Here’s what it really comes down to… in all these membership groups there’s the “Products” side of the coin and the “Politics” side… and its up to the leanings  and leading of each individual to come to an informed decision about which channel they want their $$$ to flow into and through.

Here’s the knock on AARP. They lobbied hard and heavy for “Obamacare”, but not without, shall we say, ‘mixed motives’. How so? Obamacare is slated to pull over $500 billion (Yes, that’s billion with a “B”) out of Medicare over the next 10 years to help foot the bill for itself. And what will seniors do who then have to go out and purchase more insurance coverage on their own to make up for that little “redistribution of wealth”? Yup, that’s right… turn to AARP to purchase such coverage from them. Can you say “Conflict of interest”?

This is precisely why alternatives to AARP have sprung up. Americans love freedom of association, but conversely, we hate being strong-armed into supporting political positions that we don’t agree with. Ask 66% of any and all union members how they feel about having their dues going to support Democrat politicians and policies and you’ll see why groups like AMAC and ASO now exist.

For those of you who want to dig a little deeper into the decision of what you want your membership dues going toward here’s an interesting interview done by radio show host Bill Bennett with the founder of AMAC.

Collection of Health related topics from around the web

Writing things down, with your actual hands, is just plain better at getting you to remember and execute good ideas. Here’s why:
http://www.fastcompany.com/1798782/when-pen-beats-phone-a-case-for-writing-things-out

How Handwriting Trains the Brain
http://online.wsj.com/article/SB10001424052748704631504575531932754922518.html?KEYWORDS=bounds

Collection of Health-Related Topics from Around the Web

Why Do I Need A Care ManagerHealth of Gums may predict the condition of your heart.
http://www.aarp.org/health/healthy-living/info-11-2011/teeth-gums-and-heart-attack-stroke-risk.html

Get Happy – Live Longer:
http://vitals.msnbc.msn.com/_news/2011/10/31/8565511-want-to-live-longer-get-happy-study-says; …and depression – chronic stress lowers life span
http://www.sciencedaily.com/releases/2011/11/111109093729.htm

New MRI technique to diagnose ALZ
http://www.sciencedaily.com/releases/2011/11/111116162238.htm

Walmart the next medical provider?
http://seniorjournal.com/NEWS/Features/2011/20111110-WalmartWants.htm

Which exercise is the best for you?
http://www.medicalnewstoday.com/articles/237374.php

Health care costs of caregivers of Alzheimer’s patients increases as disease progresses.  (PDF) http://www.caregiving.org/pdf/research/Alzheimers_Caregiving_Costs_Study_FINAL.pdf

Wanting to age in place – BUT stuck without options. 

http://t4america.org/docs/SeniorsMobilityCrisis.pdf

Adult Day Health ends in California – do we want the same here?
http://canhr.org/newsroom/newdev_archive/2011/GovernorAxesADHC.html

Older Men With Higher Testosterone Levels Lose Less Muscle Mass as They Age

ScienceDaily (Oct. 27, 2011) — A recent study accepted for publication in The Endocrine Society’s Journal of Clinical Endocrinology & Metabolism (JCEM) found that higher levels of testosterone were associated with reduced loss of lean muscle mass in older men, especially in those who were losing weight. In these men, higher testosterone levels were also associated with less loss of lower body strength. Read more…

Medicare change tied to safer weight loss surgery

Medicare impacts weight loss surgeries in more ways than expected.  http://news.yahoo.com/medicare-change-tied-safer-weight-loss-surgery-214200607.html

Risk Of Osteoporosis In The Elderly Increased By Obesity Hormone

Obesity Harmones – The magic potion that may have some unintended consequences http://www.medicalnewstoday.com/releases/237000.php

Defining Medicare: Part 2: Coverage Options

 

 

In the second part of this two-part series from Soundpath Health, we identify the coverage options available for those who are eligible for Medicare.

1. Original Medicare: Original Medicare is Medicare Parts A and B and includes coverage for Inpatient Hospital Insurance (Part A) and Outpatient/Physician Insurance (Part B). Eligible individuals are automatically enrolled in Part A, but must enroll in Part B at their social security office. There is a premium associated with part B and a penalty assessed if the individual does not enroll during their initial enrollment period.

2. Medicare Part D: Medicare Part D is prescription drug coverage. Part D is voluntary and is designed to supplement Parts A and B. This covers all drugs mandated by Medicare. There is a penalty assessed if the individual does not enroll in Part D during their initial enrollment period.

3. Medigap Plans – Medicare Supplemental Health Insurance: Medigap is Medicare supplemental health insurance sold by private insurance companies that helps pay some of the health care costs that Original Medicare doesn’t cover. Beneficiaries must have Medicare Parts A and B to purchase a Medigap policy. If a beneficiary is enrolled in the Original Medicare Plan and has a Medigap policy, then Medicare and Medigap will each pay its share of the health care costs. Medigap will not work with Medicare Advantage Plans. Beneficiaries pay a monthly premium for Medigap and must continue to pay their Part B premium.

4. Medicare Advantage Plans: Medicare Advantage (MA) Plans, also known as Medicare Part C, offer coverage that is more similar to the commercial and employer health insurance that most Americans are used to. In addition to Part A and Part B Medicare coverage, MA Plans often offer extra benefits such as vision, hearing, dental and/or health and wellness programs. Many MA Plans also cover prescription drug coverage.

5. Prescription Drug Plans: Medicare Prescription Drug Plans provide prescription drug coverage to beneficiaries who elect to enroll in a prescription drug plan. Anyone who has Part A and Part B and lives in a plan’s service area is eligible to join the plan. People with Medicare who do not have prescription drug coverage through other means may purchase prescription drug coverage by joining a (stand alone) Part D Prescription Drug Plan or joining a Medicare Advantage plan with prescription drug coverage. There is a penalty assessed if the individual does not enroll in Part D during their initial enrollment period.

Have questions? Submit a comment below. Look to future articles  on Medicare’s interaction with other health insurance, types of Medicare Advantage Plans and how Medicare Advantage Plans work.

Defining Medicare: Part 1: 10 Key Terms

Medicare can be confusing, with a wide array of terms and coverage options that are completely foreign to the average healthcare consumer. In part one of this two-part series from Soundpath Health, we’ll define some key terms. In Part 2, we’ll explain the different coverage options that are available. Below are 10 terms that are essential to understanding the basics of Medicare. Are there other terms you would like us to define? Comment on the article and we’d be glad to help you out with them.

1.  Initial Enrollment Period- The initial enrollment period for Medicare lasts from three months before the month an individual turns 65 to three months after. If you do not enroll in Medicare Parts B and D during the initial enrollment period, the seven-month window surrounding your birthday, certain penalties may be assessed. For those turning 65, this is the time to review the options and costs associated with each part of Medicare and to gauge whether a Medicare Advantage plan or another option is right for them.

2.  Cost-sharing – Cost-sharing refers to amounts that a member has to pay when drugs or services are received. It includes any combination of the following three types of payments: (1) any deductible amount a plan may impose before drugs or services are covered; (2) any fixed “copayment” amounts that a plan may require be paid when specific drugs or services are received; or (3) any “coinsurance” amount that must be paid as a percentage of the total amount paid for a drug or service.

3.  Exclusion – Items or services that are excluded from coverage and that neither Medicare nor any additional coverage covers. You are responsible for paying for excluded items or services along with any applicable cost sharing, co-payments, or coinsurance amounts.

4.  Late Enrollment Penalty – An amount added to your monthly premium for Medicare drug coverage if you go without creditable coverage (coverage that expects to pay, on average, at least as much as standard Medicare prescription drug coverage) for a continuous period of 63 days or more. You pay this higher amount as long as you have a Medicare drug plan. There are some exceptions.

5.  Low Income Subsidy/Extra Help – A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, such as premiums, deductibles, and coinsurance.

6.  Medicaid (or Medical Assistance) – A joint Federal and State program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

7.  Service Area – “Service area” is the geographic area approved by the Centers for Medicare & Medicaid Services (CMS) within which an eligible individual may enroll in a certain plan, and in the case of network plans, where a network must be available to provide services.

8.  Star Ratings – The Medicare Program rates how well Medicare health and drug plans perform in different categories (for example, detecting and preventing illness, ratings from patients, patient safety, drug pricing and customer service). The information is an overall plan rating of each plan’s performance and is available for all plans on www.medicare.gov.  

9.  Step Therapy – A utilization tool that requires you to first try another drug to treat your medical condition before we will cover the drug your physician may have initially prescribed

10. Out-of-Pocket Maximum – The maximum amount that you pay out-of-pocket during the calendar year, usually at the time services are received, for covered Part A (Hospital Insurance) and Part B (Medical Insurance) services. Plan premiums and Medicare Part A and Part B premiums do not count toward the out-of-pocket maximum

 

 

What You Pay Your Doctor Under Medicare Depends

If you have original Medicare, the doctor you visit can make a difference in how much you have to pay. While you can go to any doctor who accepts Medicare payments, if the doctor does not “accept assignment,” you can end up paying a lot more. (This does not apply to beneficiaries who are in Medicare Advantage, or managed care, plans.)

Medicare Part B recipients must satisfy an annual deductible. Once the deductible has been met, Medicare pays 80 percent of what Medicare considers a “reasonable charge” for the item or service. The beneficiary is responsible for the other 20 percent.

However, in most cases what Medicare calls a “reasonable charge” is less than what a doctor or other medical provider normally charges for a service. Whether a Medicare beneficiary must pay part of the difference between the Medicare-approved charge and the provider’s normal charge depends on whether or not the provider has agreed to participate in the Medicare program.

If your doctor participates in Medicare it means that the doctor “accepts assignment.” In other words, the doctor agrees that the total charge for the covered service will be the amount approved by Medicare. Medicare then pays the provider 80 percent of its approved amount, after subtracting any part of your annual deductible that has not already been met. The provider then charges you the remaining 20 percent of the approved “reasonable” charge, plus any part of the deductible that has not been satisfied.

If your doctor does not participate in Medicare and does not accept assignment, the rules are different. Non-participating doctors can charge 20 percent of the approved amount plus up to an additional 15 percent more than the Medicare-approved amount. Non-participating doctors can also charge you for the care upfront and request that you bill Medicare, while doctors who accept assignment cannot.