THE GOOD LIFE
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Mountain Views-News Saturday, May 21, 2016
SENIOR HAPPENINGS
HOW TO PICK A MEDICARE ADVANTAGE PLAN
Dear Savvy Senior,
I’m approaching 65 and am interested in a
Medicare Advantage plan to cover my health care
and medications. What tips can you provide to
help me pick a plan?
Medicare Shopper
Dear Shopper,
Medicare Advantage plans have become
increasingly popular among retirees over the past
10 years, as more than 30 percent of Medicare
participants are now enrolled in an Advantage
plan. Here are some tips and tools to help you
pick a plan that fits your needs.
First, let’s start with a quick review. Medicare
Advantage plans (also known as Medicare Part
C) are government approved health plans sold
by private insurance companies that you can
choose in place of original Medicare. The vast
majority of Advantage plans are managed-care
policies such as HMOs or PPOs that require you
to get your care within a network of doctors.
If you join an Advantage plan, the plan will
provide all of your Part A (hospital insurance)
and Part B (medical insurance) coverage. Some
plans even offer extra benefits like vision, dental
and hearing, and most plans include Part D
prescription drug coverage too.
You also need to know that the monthly premiums
for many Advantage plans are cheaper than if you
got original Medicare, plus a separate Part D drug
plan and a Medigap policy, but their deductibles and
co-pays are usually higher. That makes these plans
better suited for healthier retirees.
How to Pick
To help you pick a plan, a good first step is to
call the office managers of the doctors you use
and find out which Advantage plans they accept,
and which ones they recommend. Then go to
the Medicare Plan Finder tool at Medicare.gov/
find-a-plan and type in your ZIP code or your
personal information to compare health plans
with drug coverage in your area.
This tool also provides a five-star rating system
that evaluates each plan based on past customer
satisfaction and quality of care the plan delivers.
When comparing, here are some key points to
consider:
Total costs: Look at the plan’s entire pricing
package, not just the premiums and deductibles.
Compare the maximum out-of-pocket costs plus
the copays and coinsurance charged for doctor
office visits, hospital stays, visits to specialists,
prescription drugs and other medical services.
This is important because if you choose an
Advantage plan, you’re not allowed to purchase
a Medigap policy, which means you’ll be
responsible for paying these expenses out of
your own pocket.
Drug coverage: Check the plan’s formulary –
the list of prescription drugs covered – to be sure
all the medications you take are covered without
excessive co-pays or requirements that you try
less expensive drugs first.
Dental, vision and hearing: Some Advantage
plans come with dental, vision and hearing
benefits, but are often limited. Get the details on
what exactly is covered.
Coverage while traveling: Most Advantage
plans limit you to using in-network doctors only
within a service area or geographic region, so
find out what’s covered if you need medical care
when you’re away from home.
Out-of-network coverage: Check to see what’s
covered if you want to see a specialist in a
hospital that is not in a plan’s network. You can
get a list of doctors and hospitals that take part
in a plan on the plan’s website.
Retiree benefits: If you have employer-based
retiree health coverage, be sure you speak with
the benefits manager, because signing up for
Medicare Advantage may void your coverage.
How to Enroll
Once you’ve selected a plan you can enroll either
on the Medicare.gov website, over the phone at
1-800-MEDICARE, directly with your chosen
plan or through an insurance broker.
If you need some help choosing a plan
contact your State Health Insurance Assistance
Program (SHIP) at Shiptacenter.org. Also see
the HealthMetrix Research Cost Share Report
at MedicareNewsWatch.com that lists the best
Advantage plans based on health status.
Send your senior questions to: Savvy Senior,
P.O. Box 5443, Norman, OK 73070, or visit
SavvySenior.org. Jim Miller is a contributor to
the NBC Today show and author of “The Savvy
Senior” book.
HAPPY BIRTHDAY! …May Birthdays
Joann Serrato-Chi, Harriett Lyle, Jean Coleman, Birgitta Gerlinger, Donna
Mathieson, Dorothy Murphy, Linda Wochnik, Marian Woodford, Debbie Sheridan,
Joanne Anthony, Carole Axline, Kika Downey, Shirley Hall, Annie Scalzo, Janet Ten
Eyck, Jane Thomas, Ray Burley.
* To add your name to this distinguished list, please call the paper at 626.355.2737. YEAR of birth
not required but you must be over 60.
...................................................................
ACTIVITIES: Unless listed differently, all activities are at the
Hart Park House (Senior Center) 222 W. Sierra Madre Blvd., Sierra Madre
YWCA San Gabriel Valley - Intervale Senior Cafe
Seniors 60 years of age and up can participate in the YWCA Intervale daily lunch program held
at the Hart Park House Senior Center. Meals are served Monday through Friday at 12:00 pm
and participants are encouraged to arrive by 11:45 am. Meals are a suggested donation of $3.00
for seniors 60 and over or $5.00 for non-senior guests. Daily reservations are necessary, space is
limited. Please reserve your lunch by calling 626-355-0256.
Tech Talk: Held on Monday, January 25th from 1:30-2:30pm. Learn how to use your new
technology devises. Please reserve your space with the Hart Park House by calling 626-355-7394.
Hawaiian and Polynesian Dance Class: Every Tuesday morning from 10am to 11am. Join
instructor Barbara Dempsey as she instructs you in the art of hula.
Bingo: Every Tuesday beginning at 1:00pm. Cards are only $0.25 each! Everyone is welcome to
join. May be canceled if less than 5 people.
Free Blood Pressure Testing: 2nd Tuesday of the month from 11am to 12pm. No appt. is
necessary.
Brain Games: Thursday, January 21st, 10:30am - 11:30am, improve your memory and strengthen
your brain. Activities facilitated by Hugo, Community Liaison for New Wave Home care of
Pasadena.
Free Legal Consultation: Wednesday, January 27th from 10:30am to Noon. Attorney Lem
Makupson is available for legal consultation. He specializes in Family Law, Wills, Trusts, Estates,
and Injury. Appointment are required by calling 626-355-7394.
Balance Class: No Balance Class due to Martin Luther King Holiday.
Chair Yoga: Mondays and Wednesdays from 11:00 to 11:45 am. A suggested donation of $5 at one
of the classes is requested, but is not required.
Case Management: Meets the 2nd Thursday of the month. Case Management services are
provided by the YWCA and provide assistance in a variety of areas. Appointments are required
and can be scheduled by calling the HPH Office at 626-355-7394.
Birthday Celebrations: Every second Thursday of the month at the Hart Park House. The free
birthday cake is provided by the Sierra Madre Civic Club.
Game Day: Every Thursday starting at 12:00pm. (Please note the time change.) A regular group of
seniors play poker. Other games available for use.
Free Strength Training Class: Every Friday from 12:45pm to 1:30pm with Lisa Brandley. The
class utilizes light weights for low impact resistance training. All materials for the class are
provided.
Senior Club: Every Saturday at the Hart Park House Senior Center. Brown bag lunch at 11:30am.
Club meeting at noon. Bingo 12:30-3:30pm. Annual Membership is only $10.00.
KATIE Tse.....................This and That
COUNT DOWN!
“It’s the most wonderful time of the year!” That
song is typically played at Christmas, but if you
have school-age children or know people who
work at elementary schools, you’ve probably
heard them humming it lately. I have several
friends and relatives in education, but I draw most
of my information from my mom’s 30 plus years
of teaching third grade in a public school.
Some years, the count down to the last day
began the first week of school! My mom’s
district printed the calendar of the entire school
year on a single sheet of paper, with each week
represented by a small box containing five dots.
Holidays or “student free days” (a.k.a. professional
development) were represented by a minus or
pound sign. My mom highlighted all the non-dot
days, and every Friday she’d shear another week
off the page. My grandma used to tell her that she
was clipping her life away. But, as my mom put
it, “The time’s going to pass either way. Why not
celebrate it?”
That’s how a lot of people in education see
the countdown to summer. I’ve heard of many
creative ways teachers make the arrival of the
last day more exciting. Nearly every school has a
white board in the lounge, and the office staff start
numbering the remaining days starting from 20 if
it’s been a decent year, and maybe 30 if the year’s
been rough. Some people write the numbers on
squares of toilet paper and rip one off each day.
Other imaginative methods include attaching
small balloons, each with the number of remaining
days, to a corkboard and popping them with darts.
I like that idea, but with the heightened security at
schools, I somehow doubt that darts are allowed
on campus.
With all the excitement surrounding summer,
we can forget those people who start counting
the days until school starts again --parents! One
of my favorite television ads was for Staples and
first aired in the 90’s. The ad came out around
September, and featured an exuberant father
sailing down the aisle at Staples on a shopping
cart with two sullen school-aged children in
tow. They scowled at him as he flung notebooks,
pencils, and other school supplies into the
cart. People in education can identify with the
children, facing the year ahead of them. But for
the parents, it is “The Most Wonderful Time of
the Year!”
Mountain Views News 80 W Sierra Madre Blvd. No. 327 Sierra Madre, Ca. 91024 Office: 626.355.2737 Fax: 626.609.3285 Email: editor@mtnviewsnews.com Website: www.mtnviewsnews.com
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