The Good Life | ||||||||||||||||||||
Mountain Views News, Sierra Madre Edition [Pasadena] Saturday, February 18, 2017 | ||||||||||||||||||||
THE GOOD LIFE 10 Mountain Views-News Saturday, February 18, 2017 SENIOR HAPPENINGS HOW MEDICARE COVERS PREVENTIVE HEALTH SERVICES Dear Savvy Senior, Does Medicare cover 100 percent of all preventive health care screenings? I’m due to get a colonoscopy and a few other tests, but I want to find out if I’ll have to pay anything before I proceed. New to Medicare Dear New, Medicare currently covers a wide array of free preventive and screening services to help you stay healthy, but not all services are completely covered. You also need to be aware that the repeal of the Affordable Care Act (aka Obamacare) – which helps financially support Medicare – may very well cause these free preventive services to be eliminated in the future. But in the meantime, here’s how it works. Free Preventive Services Currently, most of Medicare’s preventive services are available to all Part B beneficiaries for free, with no copays or deductibles, as long as you meet basic eligibility standards. Mammograms; colonoscopies; shots against flu, pneumonia, and hepatitis B; screenings for diabetes, depression, and heart conditions; and counseling to combat obesity, alcohol abuse, and smoking are just some of Medicare’s lengthy list of covered services. But to get these services for free, you need to go to a doctor who accepts Medicare “on assignment,” which means he or she has agreed to accept the Medicare approved rate as full payment. Also, the tests are free only if they’re used at specified intervals. For example, prostate cancer PSA tests, once every 12 months for men over 50; or colonoscopy, once every 10 years, or every two years if you’re at high risk. Medicare also offers a free “Welcome to Medicare” exam with your doctor in your first year, along with annual wellness visits thereafter. But don’t confuse these with full physical examinations. These are prevention- focused visits that provide only an overview of your health and medical risk factors and serve as a baseline for future care. For a complete list of services along with their eligibility requirements, visit Medicare.gov and click on the “What Medicare Covers” tab at the top of the page, followed by “Preventive & screening services.” Hidden Costs You also need to know that while the previously listed Medicare services are completely free, you can be charged for certain diagnostic services or additional tests or procedures related to the preventive service. For example, if your doctor finds and removes a polyp during your preventive care colonoscopy screening, the removal of the polyp is considered diagnostic and you will likely be charged for it. Or, if during your annual wellness visit, your doctor needs to investigate or to treat a new or existing problem, you will probably be charged here too. You may also have to pay a facility fee depending on where you receive the service. Certain hospitals, for example, will often charge separate facilities fees when you are receiving a preventive service. And, you can also be charged for a doctor’s visit if you meet with a physician before or after the service. To eliminate billing surprises, talk to your doctor before any preventive service procedure to find out if you may be subject to a charge and what it would be. Cost Sharing Services Medicare also offers several other preventive services that require some out-of-pocket cost sharing. With these tests, you’ll have to pay 20 percent of the cost of the service, after you’ve met your $183 Part B yearly deductible. The services that fall under this category include glaucoma screenings, diabetes self-management trainings, barium enemas to detect colon cancer, and digital rectal exams to detect prostate cancer. Medicare Advantage Members If you have a Medicare Advantage plan, your plans are also required to cover the same free preventive services as original Medicare as long as you see in-network providers. If you see providers that are not in your plan’s network, charges will typically apply. 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! …February Birthdays* Beatrice DaRe, Cathrine Adde, Hilda Pittman, Anne-Marie Stockdale, Susan Henderson, Peter Lippincott, Georgia Lippincott, Allie Attay, Ursula El-Tawansy, Gladys Moser, Sylvia Lorhan, Ana Ptanski, Winifred Swanson , Marian DeMars, Vickie Vernon, Mary Beth Knox, Sharon Lefler, Gordon Caldwell. * To add your name to this distinguished list, please call the paper at 626.355.2737. YEAR of birth not required ................................................................... ACTIVITIES: Unless listed differently, all activities are at the Hart Park House (Senior Center) 222 W. Sierra Madre Blvd., Sierra Madre Hawaiian & Polynesian Dance Class: Every Tuesday morning from 10a.m. to 11a.m. Join instructor Barbara Dempsey as she leads you in the art of Hula. Bingo: Every Tuesday beginning at 1:00p.m. Cards are only $0.25 each! Everyone is welcome to join. May be canceled if less than five people. Free Blood Pressure Testing: 2nd Tuesday of the month from 11a.m. to 12p.m. No appt. is necessary. Brain Games: Thursday, January 19th, 10:30a.m. - 11:30a.m., improve your memory and strengthen your brain. Activities facilitated by Senior Volunteers. Free Legal Consultation: Wednesday, January 25th from 10:30a.m. to Noon. Attorney Lem Makupson is available for legal consultation. He specializes in Family Law, Wills, Trusts, Estates, and Injury. Appointments are required by calling 626-355-7394. Sing-A-Long: Music brings joy to the soul! Come join us Thursday, January 12th, 10:30a.m. to 11:30a.m. No music skills needed! Senior Club: Every Saturday at the Hart Park House Senior Center. Brown Bag Lunch at 11:30a.m. Chair Yoga: Mondays and Wednesdays from 11:00 to 11:45a.m. with Paul Hagen. Third Monday of each month, a variety of balance exercises are practiced. All ability levels are encouraged and welcomed. A suggested donation of $5 at one of the classes is requested, but is not required. Case Management: 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 Hart Park House Office at 626-355-7394. Birthday Celebrations: Every 2nd Thursday of the month at the Hart Park House, share some free birthday cake provided by the Sierra Madre Civic Club. Game Day: Every Thursday starting at 12:00p.m. (Please note the time change.) A regular group of Seniors play poker. Other games are available for use. Free Strength Training Class: Every Friday from 12:45p.m. to 1:30p.m. with Lisa Brandley. The class utilizes light weights for low impact resistance training. All materials for the class are provided. BEAUTY IS IN THE CAKE OF THE BEHOLDER I hope you had a fabulous week. I, for one, celebrated my birthday recently! Some people (usually women) despise their birthdays because it means they’re getting older. I love my birthday because it’s the only day I don’t feel guilty about shamelessly picking where my husband and I go out to dinner! Great stuff, for sure. Another thing I love about my birthday is the celebration with my family. We have a tradition that my dad always makes my birthday cake, and I always make his. My dad often infuses my cake with some sort of artistic flare. But this year he outdid himself! One of the many adjectives that characterizes my dad, is “creative.” A secondary characteristic, is “thrifty.” Notice I was nice and didn’t say “cheap!” The way my dad tells the story of my birthday cake this year is this: He knew I wanted chocolate cake with some sort of non-chocolate frosting; so he decided upon butter cream. The problem was that he already had some white frosting in a tube that he intended to use, but it didn’t contrast well with the off-white butter cream color. And he didn’t feel like paying over $5 for a second tube of frosting just to achieve a different color. “Ah ha!” he thought, “I’ll just dye the butter cream.” My mom, also very artsy and creative, bought some professional-grade food dyes a while ago in all sorts of exotic colors. My dad zapped the frosting in the microwave a couple of times, stirred in a few colors (not thoroughly mixing it, just enough to give it a swirly effect), and poured the resulting semi-liquid over the cake. The result was beautiful! I visited them the day before our family dinner and they showed me Dad’s “masterpiece.” Of course I think it was a masterpiece but they think it was funky. It reminded me of “Starry Night” or some impressionistic painting. The intricate details of swirls of colors captivated me, and I spent a good 15 minutes photographing sections of it from different angles. It is now the wallpaper on my phone. The only flaw (which I’ve actually now come to appreciate) was a meteor-looking thing off center which my dad said was an unmelted lump of frosting. The whole experience reminded me of “Herb & Dorothy,” a hilarious movie about an elderly couple who collected art. (Herb passed away in 2012). Though not formally trained in art, they were very passionate and opinionated about which art and artists they liked. They tended to favor more abstract and modern pieces. In one scene, Herb is praising a painter for his choice to impose a series of vertical and horizontal lines over his work, making it look as though the subject is behind a screen or cage. Later, the painter admits to the director that this “screen” is simply a grid to help him when he expands the piece onto a larger surface. Another great scene has Herb and Dorothy showing off their latest acquisition in their tiny New York apartment --a piece of rope nailed to the wall. It is very much like another of their prized pieces, a segment of wire suspended near the ceiling. The enjoyment they found in admiring the shadows cast by that piece of wire is truly a life lesson in the subtle art of “joie de vivre.” I think we all could use more of that in our daily lives. Life can be a drudgery sometimes, but even in those time (or rather, especially in those times!) we need to find and appreciate the beauty around us. Take a moment to study the intricate details of a flower, or marvel at the expanse of the night sky on one of these clear nights following a rain. Celebrate beauty when you find it because so often it is fleeting in nature. Even my beautiful cake is gone now! *In case you’re wondering, my picture this week is of a portion of my cake. This is the only time when I wish I could have it printed in color! 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 | ||||||||||||||||||||