Archive for the ‘Uncategorized’ Category

Preventing Falls at Home

Tuesday, April 5th, 2016

Preventing Falls at Home

Falls are not inevitable; it isn’t something that just happens as you get older. Falls are linked to a specific cause.  It could be that more than one underlying cause or risk factor is involved in a fall.

Falls can be linked to a person’s physical condition or a medical problem, such as a chronic disease. Other causes could be safety hazards in the person’s home or community environment.

What are some Risk Factors for falls?

  • Muscle weakness, especially in the legs, is one of the most important risk factors. People with weak muscles are more likely to fall than are those who maintain their muscle strength, as well as their flexibility and endurance.
  • Your balance and your gait — how you walk — are other key factors. Older adults who have poor balance or difficulty walking are more likely than others to fall. These problems may be linked to a lack of exercise or to a neurological cause, arthritis, or other medical conditions and their treatments.
  • Blood pressure that drops after you have been lying down or sitting can increase your chance of falling. This condition — called postural hypotension — might result from dehydration, or certain medications. It might also be linked to diabetes, neurological conditions such as Parkinson’s disease, or an infection.
  • Your reflexes may also be slower than when you were younger. The increased amount of time it takes you to react may make it harder to catch your balance if you start to fall.
  • Foot problems that cause painful feet, and wearing unsafe footwear can increase your chance of falling. Backless shoes and slippers, high-heeled shoes, and shoes with smooth leather soles are examples of unsafe footwear that could cause a fall.
  • Sensory problems can cause falls, too. If your senses don’t work well, you might be less aware of your environment. For instance, having numbness in your feet may mean you don’t sense where you are stepping.
  • Not seeing well or other vision problems can also result in falls. It may take a while for your eyes to adjust to see clearly when you move between darkness and light. Other vision problems contributing to falls include poor depth perception, cataracts, and glaucoma. Having poor lighting around your home can also lead to falls.
  • Confusion, even for a short while, can sometimes lead to falls. For example, if you wake up in an unfamiliar environment, you might feel unsure of where you are. If you feel confused, wait for your mind to clear or until someone comes to help you before trying to get up and walk around.
  • Some medications can increase a person’s risk of falling because they cause side effects like dizziness or confusion. The health problems for which the person takes the medications may also contribute to the risk of falls.

Most Falls Happen at Home

Although falls can happen anywhere, well over half of all falls happen at home. Falls at home often happen while a person is doing normal daily activities. Some of these falls are caused by factors in the person’s living environment. For instance, a slick floor or a poorly lit stairway may lead to a fall.

Other factors that can lead to falls at home include

  • loose rugs
  • clutter on the floor or stairs
  • carrying heavy or bulky things up or down stairs
  • not having stair railings
  • not having grab bars in the bathroom

Simple changes can help make your home safer.

If you do fall, what should you do?

Well, be sure to talk with your doctor if you fall. A fall could be a sign of a new medical problem that needs attention, such as an infection or a cardiovascular disorder. It could also suggest that a treatment for a chronic ailment, such as Parkinson’s disease or dementia, needs to be changed.

For the time immediately after a fall, here are some tips:

While you are still on the ground:

  1. Take several deep breaths to try to relax.
  2. Remain still on the floor or ground for a few moments. This will help you get over the shock of falling.
  3. Decide if you’re hurt before getting up. Getting up too quickly or in the wrong way could make an injury worse.

Once you are ready to get up:

  1. If you think you can get up safely without help, roll over onto your side.
  2. Rest again while your body and blood pressure adjust. Slowly get up on your hands and knees, and crawl to a sturdy chair.
  3. Put your hands on the chair seat and slide one foot forward so that it is flat on the floor. Keep the other leg bent so the knee is on the floor.
  4. From this kneeling position, slowly rise and turn your body to sit in the chair.

If you’re hurt or can’t get up, ask someone for help or call 911. If you’re alone, try to get into a comfortable position and wait for help to arrive.

For more information and resources, visit the NJ Dept of Human Services website: http://www.state.nj.us/humanservices/doas/services/fallprev/

 

 

Take the American Medicine Chest 5 Step Challenge

Tuesday, March 29th, 2016

Prescription Drug Safety and Disposal

Take the American Medicine Chest 5 Step Challenge

By: Angelo M. Valente

The American Medicine Chest Challenge (AMCC) is a community based public health initiative, with law enforcement partnership, designed to raise awareness about the dangers of prescription drug abuse and provide a nationwide day of disposal – at a collection site or in the home – of unused, unwanted, and expired medicine. AMCC provides a unified national, statewide, and local focus on the issue of children and teens abusing prescription medicine. It is designed to generate unprecedented media attention and challenge all Americans to take the 5 Step American Chest Challenge.

It is important for households across the state of New Jersey to understand how easy it is for children and teens to abuse prescription drugs. “AMCC encourages families throughout the state of New Jersey to take the 5-Step Challenge,” said AMCC CEO, Angelo M. Valente. “We have come so far and so much has been achieved – hundreds of permanent disposal sites have been installed and thousands of tons of prescription drugs have been collected. Yet, we are still in the midst of an opiate abuse epidemic and the need for this initiative has continued to expand ever since New Jersey held the first statewide day of disposal in the nation.”

“When AMCC began addressing this issue several years ago, the answer seemed simple, dispose of the unused medicine in your home and prevent it from being diverted and abused by the young people in your life. Safe disposal opportunities have expanded in New Jersey, and now, residents in over 200 communities from across our state have safe and convenient access to a medicine disposal location,” said Valente. “The DEA recently reinstated their Drug-Take Back Day to provide additional opportunities, and the partners we have in the media are working hard to get the message out about the dangers of abusing prescription drugs. We still know that these efforts are key steps in preventing prescription drug abuse, but now we must address the epidemic of opioid abuse on all fronts. Heroin overdoses are on the rise across the country and New Jersey is ground zero.”

According to a report released in 2015 by the Centers for Disease Control and Prevention (CDC), heroin use has increased across the US among men and women, most age groups, and all income levels. The report found that the strongest risk factor for heroin use is a history of prescription drug abuse. The greatest increases in heroin abuse have occurred in groups with historically lower rates of heroin use, including women, people with private insurance and higher incomes.

New Jersey has worked to address the issue in a 21 bill package, introduced by Senate Health, Human Services and Senior Citizens Committee Chairman, Joseph F. Vitale, to tackle the heroin and prescription drug epidemic that is sweeping our state. One measure requires practitioners to have a conversation with their patient about the risks of developing a physical or psychological dependence before prescribing. Another, which is now law, requires physicians to utilize the Prescription Drug Monitoring Program.

There are many ways we can work together to prevent opiate abuse, and stem the tide of this epidemic; we can start in our own homes. “Please encourage all of those in your community, workplace, family, and home to take the 5-Step Challenge,” said Valente.

  1. Take inventory of your prescription and over-the-counter medicine.
  2. Secure your medicine.
  3. Dispose of your unused, unwanted, and expired medicine at an American Medicine Chest Challenge Disposal site.
  4. Take your medicine(s) exactly as prescribed.
  5. Talk to your children about the dangers of prescription drug abuse… they are listening.

Information on locations to safely dispose of unused, unwanted, and expired medicine can be found on the American Medicine Chest Challenge website: www.americanmedicinechest.com or by downloading the AMCC Rx Drop mobile app.

This initiative is provided without cost to any community, government, or law enforcement agency in the country.

 

Income Taxes and Your Social Security Benefits

Monday, March 7th, 2016

It’s tax season, perhaps you know this because there is an accountant in your life who just got super busy or you’ve seen the increase in TV ads for Turbo Tax. Either way, we thought this timely information from our friends at the Social Security Administration might be useful.

Income Taxes and Your Social Security Benefits

Join the Millions! Create your own my Social Security account

at www.socialsecurity.gov/myaccount.

With tax season upon us, many of you have asked about Income Taxes And Your Social Security Benefits. Some people have to pay federal income taxes on their Social Security benefits. This usually happens only if you have other substantial income (such as wages, self-employment, interest, dividends and other taxable income that must be reported on your tax return) in addition to your benefits.

Note: No one pays federal income tax on more than 85 percent of his or her Social Security benefits based on Internal Revenue Service (IRS) rules. If you:

  • file a federal tax return as an “individual” and your combined income* is
  • between $25,000 and $34,000, you may have to pay income tax on up to 50 percent of your benefits.
  • more than $34,000, up to 85 percent of your benefits may be taxable.
  • file a joint return, and you and your spouse have a combined income* that is
  • between $32,000 and $44,000, you may have to pay income tax on up to 50 percent of your benefits
  • more than $44,000, up to 85 percent of your benefits may be taxable.
  • are married and file a separate tax return, you probably will pay taxes on your benefits.
  • Each January you will receive a Social Security Benefit Statement (Form SSA-1099) showing the amount of benefits you received in the previous year. You can use this Benefit Statement when you complete your federal income tax return to find out if your benefits are subject to tax.
  • If you currently live in the United States and you need a replacement form SSA-1099 or SSA-1042S, we have a new way for you to get an instant replacement quickly and easily. Using your online my Social Security account. If you don’t already have an account, you can create one online. Go to Sign In or Create an Account. Once you are logged in to your account, select the “Replacement Documents” tab.

Withholding Income Tax From Your Social Security Benefits

You can ask us to withhold federal taxes from your Social Security when you apply for benefits.

If you are already receiving benefits or if you want to change or stop your withholding, you’ll need a form W-4V from the Internal Revenue Service (IRS).

You can download the form, or call the IRS toll-free number 1-800-829-3676 and ask for Form W-4V, Voluntary Withholding Request. (If you are deaf or hard of hearing, call the IRS TTY number, 1-800-829-4059.)

When you complete the form, you will need to select the percentage of your monthly benefit amount you want withheld. You can have 7%, 10%, 15% or 25% of your monthly benefit withheld for taxes.

Note: Only these percentages can be withheld. Flat dollar amounts are not accepted.

Sign the form and return it to your local Social Security office by mail or in person.

If you need more information

If you need more information about tax withholding, read IRS Publication 554, Tax Guide for Seniors, and Publication 915, Social Security and Equivalent Railroad Retirement Benefits.

If you have questions about your tax liability or want to request a Form W-4V, you can also call the IRS at 1-800-829-3676 (TTY 1-800-829-4059).

 

Announcing NJFA’s 18th Annual Conference!

Monday, February 29th, 2016

Announcing NJFA’s 18th Annual Conference!

NJFA will hold its 18th Annual Conference on Thursday, June 2nd at the Crowne Plaza Monroe. The 2016 Morning Keynote Speaker will be Ruth Finkelstein, ScD, who is an internationally recognized leader of inspiring and creating strategies for aging friendly communities. She is Assistant Professor of Health Policy and Management at Columbia University Mailman School of Public Health where she also serves as the Associate Director of the International Longevity Center-Columbia Aging Center (ILC-CAC). At the Columbia Aging Center she currently leads the translation of interdisciplinary scientific knowledge on aging and its implications for societies into policy-focused practice in order to maximize productivity, quality of life, and health across the life course. The Luncheon Keynote is Karin Price Mueller. She writes the Bamboozled consumer affairs column for The Star-Ledger which often addresses senior scams. Karen is also the founder of a personal finance web site that offers smart and objective advice on everything money, NJMoneyHelp.com. She is the recipient of many national and local journalism awards.

The 2016 conference workshop speakers will include policy makers, direct care & clinical practice specialists. Topics include Hearing Loss, Dementia, Older Worker Programs and more.

More information and registration can be found on NJFA’s website at www.njfoundationforaging.org Limited vendor space and sponsorships remain, call us at 609-421-0206, email at office@njfoundationforaging.org  or check out the website for details.

The New Jersey Foundation for Aging (NJFA) is a public charity with the primary goal to empower elders to live in the community with independence and dignity.

 

To learn more about the work of the Foundation visit www.njfoundationforaging.org or call 609-421-0206. The New Jersey Foundation for Aging was established in 1998, its mission is promote policy and services that enable older adults to live in the community with independence and dignity.

Medicare Hospice Benefit

Monday, February 1st, 2016

Medicare Hospice Benefit

Hospice and other end of life issues are not things we often want to talk about. However, being prepared and knowing all your options is a good idea.

We should start by describing hospice. Hospice is a program of care and support for people who are terminally ill. The focus is usually on providing comfort instead of treatment. It is a choice a patient needs to make with their doctor and family. Hospice programs also offer assistance and services to family members during the process of caring for the patient.

If you have Medicare it will cover hospice services. The Medicare hospice benefit covers your care and you shouldn’t have to go outside of hospice to get care (except in very rare situations).

Once you choose hospice care, your hospice benefit should cover everything you need. All Medicare-covered services you get while in hospice care are covered under Original Medicare, even if you were previously in a Medicare Advantage Plan (like an HMO or PPO) or other Medicare health plan.

Medicare Part A (Hospital Insurance) covers Hospice care if you meet these conditions:

Your hospice doctor and your regular doctor certify that you’re terminally ill (with a life expectancy of 6 months or less).

You accept palliative care (for comfort) instead of care to cure your illness.

You sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions.

Palliative care means that the medical team will focus on relieving the patient’s pain and any other symptoms, including mental stress. Only your hospice doctor and your regular doctor can certify that you’re terminally ill and have 6 months or less to live.

To start the process you meet with your doctor to discuss all options. Medicare covers a one-time only hospice consultation with a hospice medical director or doctor to discuss your care options and management of your pain and symptoms. This one-time consultation is available to you, even if you decide not to get hospice care.

Medicare will cover the hospice care you get for your terminal illness and related conditions, but the care you get must be from a Medicare-approved hospice program.

Hospice care is can be given in your home. Although depending on your needs and wishes, there are also inpatient programs available. That is one of the things you will discuss with the hospice program (and your loved ones). Together you will create a plan of care that can include any or all of these services:

Doctor services

Nursing care

Medical equipment (like wheelchairs or walkers)

Medical supplies (like bandages and catheters)

Prescription drugs

Hospice aide and homemaker services

Physical and occupational therapy

Speech-language pathology services

Social worker services

Dietary counseling

Grief and loss counseling for you and your family

Short-term inpatient care (for pain and symptom management)

Short-term respite care

Any other Medicare-covered services needed to manage your terminal illness and related conditions, as recommended by your hospice team

You can find out more information at medicare.gov or by calling them at 1-800-Medicare. Hospice specific information and resources are available at https://www.medicare.gov/coverage/hospice-and-respite-care.html

You can also talk to your physician about your options and care available in your area.

This information is meant to inform you of coverage available to you should you need it. Don’t be afraid to talk openly with your family about end of life decisions.

 

Medicare Coverage

Tuesday, January 12th, 2016

Medicare coverage

What does Medicare cover? It’s a common, but also complex question. Medicare has 2 basic parts, Part A, which is known as hospital insurance (we’ll define that in a minute) and Part B, which covers services, such as lab tests, doctor visits, etc. Part A and Part B together are known as Original Medicare.

Medicare recipients also have the choice to enroll in a Medicare Advantage plan (also known as Part C) which is delivered by an HMO. This coverage differs from Original Medicare not only in the delivery of benefits but also what is covered. There are many different plan options under Medicare Advantage and you can learn more at medicare.gov

When it comes to Original Medicare, coverage works like this:

Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. To sum it up, Part A covers:

  • Hospital care
  • Skilled nursing facility care or Nursing home care (as long as custodial care isn’t the only care you need)*
  • Hospice (provided by a Medicare approved program, either at home or an inpatient setting)**
  • Home health services

**Keep a look out for a blog post on Medicare Coverage of Hospice Services coming soon.

*This is where some of the complexity of Medicare comes in. When a patient is sent to a nursing home/rehab facility for rehabilitation, Medicare covers your stay on a short term basis. Medicare does not pay for “long term care” or “custodial care”. If needed, Medicare will cover your rehab stay for 20 days at 100%, on day 21 (should you still need to be there) you will be responsible for a 20% copay. The maximum amount of rehab time Medicare will pay for is 100 days, so from day 21 to day 100 you would pay 20% of the cost. If you or a loved one are in a situation where you have to be in a rehab facility for more than 20 days, you should definitely be thinking about your options and what your plan for long term care is. At that point you should have already had a meeting with the discharge planner if not an interdisciplinary team at the facility.

Medicare Part B (Medical Insurance) covers certain doctors’ services, outpatient care, medical supplies, and preventive services. Part B covers 2 types of services:

  • Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
  • Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.

Preventive services include screenings such as, mammograms, colonoscopies, bone mass measurements, and other cancer screenings, if your doctor thinks you are at risk. You also get a Welcome to Medicare visit within your first 12 months of enrollment, during this visit you can talk to your doctor about screenings and review your medical history. In addition to the Welcome to Medicare visit, you are entitled to an Annual Wellness visit. You pay nothing for most preventive services if you get the services from a health care provider who accepts assignment.

Part B covers things like:

  • Ambulance services
  • Durable medical equipment (DME)
  • Mental health
    • Inpatient
    • Outpatient
    • Partial hospitalization
  • Getting a second opinion before surgery
  • Limited outpatient prescription drugs

The fourth part of Medicare is Part D, which is prescription drug coverage. With Original Medicare prescriptions are not paid for, therefore you should obtain a separate Medicare Part D plan.

To learn more about all the parts of Medicare and to explore your options, such as, Original Medicare (Part A & B), Medicare Advantage (Part C) and Prescription Drug Coverage (Part D) visit https://www.medicare.gov/ or call 1-800-MEDICARE (1-800-633-4227).

You can also contact your local SHIP (State Health Insurance Assistance Program) through you County- find their contact information at: http://www.state.nj.us/humanservices/doas/home/sashipsite.html or call the SHIP Information Center at 1-800-792-8820.

 

medicare

Fun Apps to Explore in 2016

Friday, December 11th, 2015

Fun Apps to Explore in 2016

You’ve probably seen articles listing useful apps or the best apps for seniors. You’ve probably even seen such a list in Renaissance Magazine. But what about apps that are just for fun? For those that don’t know, apps or applications are programs available on your smart phone or tablet that aim to make life easier by giving you directions or recipes, as well as making life more fun by offering games and other amusements. Here are some apps that we recently heard about that are just for fun!

ScatAbility (available on itunes) Are you a jazz fan? Have you always wanted to learn how to scat like the best? Well with the ScatAbility app, it’s easy. There are singing exercises, call & response and etudes with great jazz singers. Then practice your own with the backing tracks, and when ready, record yourself and listen back! There are: vocal demos by professional jazz singers, user-friendly. No knowledge of jazz theory (chords, scales, progressions) required, ability to record yourself singing with the backing track, hear it, and export your recording. Learn more at http://www.michmusic.com/product/sample-scatability-app-product/

Yummly (available on itunes, google play and windows store) If you saw the headline and thought “apps” was short for appetizers instead of applications and so now you are hungry, fear not. Yummly is a recipe discovery app that combines beautiful pictures with recipes from around the web. You can filter recipes by the ingredients you have on hand, create different recipe boxes, and build shopping lists for the week based on the recipes you choose. Learn more at http://www.yummly.com/

Figure (available on itunes and windows store) Not into scat or singing, but want to make a cool beat? Try out the Figure app. Technically you don’t really need to be able to read music or play an instrument, but it will help if you at least had a sense of rhythm and a feel for melody and harmony. Figure has three grids, for lack of a better word: one for bass, one for drums, and one for melody. As you touch the different grids, the app generates beats and bass lines and various synth melodies. Drag your finger around on the grids to alter the tones and add various effects. It seems most suited for playing techno or dance music. https://www.propellerheads.se/figure

Colorfy (available on itunes, amazon and google play) Are you interesting in the coloring trend, but don’t want to accumulate all the coloring books and colored pencils? Then the Colorfy app may be for you. It’s coloring therapy on your phone or tablet. This free app is the secret against anxiety. Choose your favorite color and give your special touch to lots of beautiful drawings. Let the colors fill your mind in a relaxing painting experience. In this app you can color beautiful florals, animals, mandalas, and more. You can choose your favorite color combinations, it’s easy to use, simply tap to paint and pinch to zoom. You can even share your creations with all your friends. http://colorfy.net/

We hope you explore these fun apps and have blast! We’ll keep searching for more entertaining things and share more with you soon!app photo

In the Fight Against Cancer: Is Collaboration Really a Conflict of Interest?

Tuesday, December 1st, 2015

Guest blog from NJFA Board Member: Dr. Rick Martinez

In the Fight Against Cancer: Is Collaboration Really a Conflict of Interest? 

Rick A Martinez. M.D.

These days, the collaboration between academic inventors and the pharmaceutical industry (where I used to work) is the reason for my hope.

Richard Nixon was President of the United States when the U.S. government declared its ‘war’ on cancer and now we are reading more about targeted therapies, good news for the 4500 Americans diagnosed everyday with cancer.

Last year I became one of them.

After my befuddlement, fear and tears passed, I wanted action and the right action requires experts.
I found my experts last September when I spent 17 hours on an operating room table for a procedure that removed a malignant tumor from my hip.

Our nation’s resolve to beat the disease was strengthened by the 1971 National Cancer Act which directed money to academic centers that encouraged graduate students to pursue research careers in medicine, biochemistry, molecular biology and genetics.

While cures remain elusive I personally encountered the fruits of this scientific progress a few months after my surgery when the tumor re-occurred and there wasn’t much else my doctors had to offer me, except one–a meeting of the minds called a ‘tumor board’.

The tumor board is a regular convening of the hospital’s cancer specialists and other experts in pathology, surgery and oncology. In my case they recommended that my surgeon perform genetic testing on my tumor.

Today, genetic testing of tumors is becoming increasingly routine.  I just understood that I have a disease that had no clear treatment; no “standard” therapy existed because the so- called evidence base to guide my physicians is shockingly meager.

As a former NIH (National Institute of Health) physician-researcher I have been an advocate of clinical trials for my entire career.

And during much of my research career I remember countless editorials and books written by critics of pharmaceutical companies and the academic inventors who worked with industry.  I joined the industry as a researcher and grew concerned that a focus on conflicts of interest had trumped a rational dialogue about the rights of contract between academic inventors and industry—the meetings of the mind are crucial to progress.

Here is what I believe: an exchange of ideas between industry and academia is the reason why I am able to participate in this clinical trial with a molecule that may be saving my life.

That tumor board and others like it throughout the USA are part of the legacy of the National Cancer Act and today the nation is the beneficiary of a coherent legal, regulatory and ethical environment that over the past four decades fostered the careers of countless graduate students and academic-industry collaborations that resulted in the birth of America’s biotechnology industry.  The ‘transfer’ of academic ideas into testing and development works well.

As a result, today the US is a global laboratory of innovation.

And should anyone reading this get a disease that has no standard treatment, you will want the advice of an expert— a clinician with work experience inside of academia and a participant in federal and industry-sponsored clinical research.

I am thankful for my doctors who recruited me to participate in the genetic testing and clinical trial.

I am thankful for the scientists at the pharmaceutical company who discovered the molecule that created my hope.

Today, the modern medical miracle happening with little fanfare is that cancer chemotherapies are slowly being replaced by so called genetic therapies with more ‘targeted’ effects.

I am thankful for today’s generation of experts working today in cancer research and the collaborations fostered by the National Cancer Act, Bayh-Dole Act and others.  The coherent legacy of this legislative history is the reason why hope is real for me and no longer stuck in a test tube on a laboratory shelf. Some call this a conflict of interest. I call it progress.

 

MEDICARE OPEN ENROLLMENT: WHAT ARE YOUR CHOICES?

Friday, November 13th, 2015

MEDICARE OPEN ENROLLMENT: WHAT ARE YOUR CHOICES?

By Charles Clarkson, Esq.
Project Director, Senior Medicare Patrol of New Jersey

Every year Medicare beneficiaries have a choice. Between October 15 and December 7, a period known as “Open Enrollment,” Medicare beneficiaries can switch their current Medicare coverage.

Why make a change? If you are in Original Medicare (Medicare Part A and/or B), and have a prescription drug plan, Medicare Part D, or if you are in a Medicare Advantage Plan, Medicare Part C, your plan can change how much it costs and what it covers. Even if they remain the same, your health or finances may have changed. The Senior Medicare Patrol of New Jersey encourages all beneficiaries to re-visit their coverage and decide whether or not to make any changes during Open Enrollment. The choices beneficiaries have are as follows:

1. If you are enrolled in Original Medicare, you can join a Medicare Advantage plan with or without drug coverage. These plans are private companies approved by Medicare and give you the services of Original Medicare. If you join a Medicare Advantage plan, you do not need (and are not permitted) to have a Medicare supplement insurance plan (also known as a Medigap policy) and if your Medicare Advantage plan has drug coverage, you will not need a Part D plan.

2. If you are in a Medicare Advantage Plan, you can switch to another Medicare Advantage plan or drop your Medicare Advantage Plan. If you decide to drop a plan and not switch to another plan, you will be enrolled in Original Medicare. You should then consider enrolling in a Medicare supplement insurance plan to cover the costs that Original Medicare does not pay for and enroll in a Part D plan for drug coverage.

3. If you are in Original Medicare with a Part D plan, you can stay in Original Medicare and switch your Part D plan.

4. If you are in Original Medicare and do not have a Part D plan, you can enroll in a Part D plan. If you join a Part D plan because you did not do so when you were first eligible for Part D and you did not have other coverage that was, on average, at least as good as standard Medicare drug coverage (known as creditable coverage), your premium cost will be penalized 1% for every month that you did not enroll. You will have to pay this penalty for as long as you have a drug plan. The penalty is based on the national average of monthly premiums multiplied by the number of months you are without coverage and this amount can increase every year. If you qualify for extra help (low income subsidy), you don’t be charged a penalty.

Why change Part D plans? Beneficiaries may want to change Part D prescription drug plans (PDPs) for a number of reasons: (i) the PDP has notified the beneficiary that it plans to drop one or more of their drugs from their formulary (list of available medications); (ii) the beneficiary is reaching the coverage gap (donut hole) sooner than anticipated and may want to purchase a PDP with coverage through the coverage gap, if one is available; (iii) the PDP has notified the beneficiary that it will no longer participate in the Medicare Part D program; (iv) the PDP will increase its premium or co-pays higher than the beneficiary wants to pay and a less expensive plan may be available and (v) a beneficiary is not happy with the PDP’s quality of service or the plan has received low rankings for a number of years. For 2016 beneficiaries in New Jersey they can expect to choose from a number of PDPs. A list of plans can be found online at the State Health Insurance Assistance Program (SHIP) website:
http://www.state.nj.us/humanservices/doas/services/ship/.

More information can also be found in the 2016 Medicare & You booklet https://www.medicare.gov/Pubs/pdf/10050.pdf

Compare plans each year. Beneficiaries should remember that PDPs will change every year and it is recommended that beneficiaries compare plans to insure that they are in the plan that best suits their needs. When comparing plans, keep in mind to look at the “estimated annual drug costs,” i.e. what it will cost you out of pocket for the entire year, from January 1 through December 31 of each year. Plans can be compared at the Medicare web site: www.medicare.gov. If you do not have access to a computer, call Medicare at 1-800-Medicare to assist in researching and enrolling in a new plan. Medicare can enroll a beneficiary over the telephone. When you call, make sure you have a list of all your medications, including dosages. Another resource for beneficiaries on Medicare eligibility and enrollment is the State Health Insurance Assistance Program (SHIP) at 1-800-792-8820. SHIP counselors provide one-on-one counseling, free of charge. You can also call the Senior Medicare Patrol of New Jersey at 732-777-1940. In addition, remember that using generic drugs whenever possible will save you money and usually you can save even more money if you buy your medication by mail if your plan has a mail order option. Some plans will deliver tier 1 generic medications free of charge.

 

medicare

 

NJFA Founding Trustee Given National Recognition

Thursday, October 1st, 2015

NJFA Founding Trustee Given National Recognition

Trenton— The New Jersey Foundation for Aging (NJFA) is pleased to announce that founding trustee, Carl West was recently recognized by the National Association of States United for Aging and Disabilities (NASUAD). In honor of the 50th Anniversary of the Older American’s Act, NASUAD honored more than 50 advocates who are dedicated to Aging and Disability Services. Carl West, who is a Founding Trustee and first Board Chair of NJFA, is also the former Executive Director of the Mercer County Office on Aging.

The honorees that were selected are featured in a publication from NASUAD titled, Celebrating 50 Years with 50+ Fabulous Older People, which is available online at http://www.nasuad.org/. Carl was recognized for his advocacy both in New Jersey and nationally. At the time of his retirement, Carl was the longest serving area agency on aging director in the country. In addition to being a founding member of NJFA, Carl has also been involved with and founding member of numerous other organizations. Locally, Carl was an integral part of the NJ Association of Area Agencies on Aging, serving as founding director, legislative chair and president. Nationally, Carl has been a long-standing board member of the National Caucus and Center on Black Aged, where he served as the Chairman of their National Board.

Even in his retirement, Carl continues to be involved, following important proceedings, such as the recent White House Conference on Aging. NJFA joins, NASUAD in saluting Carl for his dedication to the aging network, older adults and caregivers.

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