August 2015 Aging Tree Illustrated by Aging Tree

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letter from the editor

From the Roots Party balloons: $3.95 65th birthday cake: $55 Medicare cards, poison-purging and de-cluttering your life: PRICELESS

coReY sHeNK, editoR iN cHieF

EDITOR-IN-CHIEF Corey Shenk

ART EDITOR & GRAPHIC DESIGNER Mona Quinn

COPY & RESEARCH Cheree M. Albert Carol S. Grigas John Joslin Vickie Pleus

CONTRIBUTORS

Loren Fish Tekla Thornton

AD SALES

Janet Dixon

elcome to the hot, soggy summer days of August in the Sunshine State. For those of you turning 65 soon, I’m certain the promotional materials for Medicare and supplement insurance have begun arriving in your mailbox. The terminology is confusing, while the options for coverage and pricing -- seem infinite. You may feel overwhelmed, or are wondering where or how to begin. In this informative edition of Aging Tree Illustrated, we visit the world of insurance – namely, Medicare. Understanding and navigating these waters can be challenging. But, when you meet the challenge head on, you’ll find that the more you understand about our nation’s insurance plan the more quality care you can receive. Are there problems with Medicare? Of course. But, Medicare provides guaranteed equal coverage, something the private sector can’t. Have you ever heard the acronym “DME” or the term “Donut Hole?” No, the latter isn’t something you eat, but rather something you should ingest. Just a few years back, the typical Medicare beneficiary had many more benefits, paired with a much more relaxed qualification process. Today, obtaining care or products can be an extremely overwhelming process for even the most educated person. That’s why this month we take a look at where our national insurance came from, what the current rules are, some of its pitfalls and some of its strengths. (And remember, if you have any questions about any of the topics this month’s issue, you are welcome to come in

or call Aging Tree to help you navigate the information.) Also in this issue, we challenge you to “purge your poison.” How can we make sure our lives are how we envision them to be? How can we truly understand the people around us? We have the power to change what we don’t like. We can purge our poison! When you start eliminating unhealthy, shallow or unproductive thoughts, you start opening yourself up to bigger ideas and concepts. For example, people who want to confront issues talk in person, but people who want to create drama do everything but that. When you stop caving into others’ manipulation techniques, your life becomes so much simpler and drama-free. It’s a way of de-cluttering our minds and hearts, and focusing on what’s most important. Even being honest and sticking to a strong moral code has its pitfalls; there are always people willing to exploit them or manipulate others for their personal gain. But, it becomes a poison in your life when you allow people to make you feel less than worthy of all the love and happiness that the universe wants to bestow on you. I’m here to tell you: YOU ARE WORTHY. You also can choose voluntary simplicity. What does that mean? It means different things to different people, but I believe that for a lot of us, simplicity seems to be centered on purging the poison and de-cluttering. Make your days great…you’re in charge of them.

corey shenK CEO, AGING TREE, L.L.C. EDITOR IN CHIEF, AGING TREE ILLUSTRATED

How Can Aging Tree Help Me? Aging Tree is a unique company that provides one-stop solutions. Our Senior Care Store gives seniors and their families a place to start as they begin to confront the many aspects of senior living and elder care, providing seniors options and services in one place.

Aging Tree–The ONE-STOP Senior Care Store. AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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AUGUST 2015 EDITION

> CONTENTS <

Find us on Facebook. All articles available online at www.agingtree.com

FROM THE ROOTS 6 | Letter From the Editor

COMMUNITY EVENTS 5 | Save the Date for the Aging Tree Fall Festival

BUSINESS BRANCH 9 | Spotlight: Local Medical Practice Provides

BRANCHING OUT WITH VOTRAN 17 | Go Where Wou Wanna Go’ With Votran

Exceptional Healthcare

ASK THE EXPERT 19 | Getting Your Home Medical Equipment With

FEATURE ARTICLE 10 | Back to Basics: Medicare 101: What Medicare

Medicare Coverage

Covers & What it Doesn’t

SENIORS ON SUNRAIL 20 | The Winter Park Daycation and Dr. Phillips Center

LIVING WELL BRANCH 14 | Proactive Mind-Set and Medicare Preventative ON THE COVER 8 | Service Branch: Medications: Costs, Donut Hole A “donut hole” is a coverage gap found in most Medicare Prescription Drug Plans. This means there’s a temporary limit on what the plan will cover. The coverage gap begins after you and your drug plan have spent a certain amount for covered drugs.

For The Performing Arts, Explore Central Florida

Services–Add Life to Your Years

SENIORS RESOURCE DIRECTORY 24 | Screened Quality Trusted Providers

PRODUCT BRANCH 18 | Ease of Getting Medical Equipment Through

Medicare, How to Expedite the process, Helpful Tips to Get What You Need

OUT ON A LIMB 32 | Infographic: Medicare

HISTORY BRANCH 26 | “Medicare: What’s its origins, Future, and

QUICK TIPS 33 | What is Covered by Medicare

Funding?”

MENTAL HEALTH BRANCH 34 | Heart-Soul-Body-Mind: Entitlement vs. Gratitude: A

COVER PHOTO: BACK TO BASICS: MEDICARE 101

Solution to the Healthcare Crisis

ASK SAVVY SUE 38 | Preparing for Retirement DAYS OF THE MONTH 39 | August: Special, Wacky Days and Holidays STRONG ROOTS 40 | In the Garden with John: A Season for Reflection FROM OUR KITCHEN TO YOURS 42 | Hometown Recipe: Cranberry Chicken CLASSIFIEDS 44 | Used Medical Equipment For Sale, Items For Sale, Industry Jobs, Senior Personals

CALENDAR OF EVENTS 45 | Used Medical Equipment For Sale, Items For Sale, Industry Jobs, Senior Personals

MIND BENDERS 46 | Crossword Puzzle, Sudoku, & Cryptogram

For more information contact Aging Tree at 386-774-2446 | 985 Harley Strickland Blvd, Ste. 100, Orange City FL 32763. Aging Tree Illustrated is a publication owned, Copyright 2014 and published locally by Aging Tree LLC. Our goal is to provide the most current information and helpful articles for seniors and their families. You choose how to use us: In print, Online or In-Store.

serVice Branch

Medication Costs, Donut Hole

What Meds Are Covered?

ately, we at The Aging Tree have been seeing an increasing number of folks who come in quite worried about reaching the infamous “donut hole” much earlier this year than ever before. One culprit appears to be the rising cost in some very particular non-generic drugs. A “donut hole” is a coverage gap found in most Medicare Prescription Drug Plans. This means there’s a temporary limit on what the plan will cover.

Other ways to lower your prescription drug costs

• Look into generic drugs. Ask your doctor if there are generics that will work as well as your current brand-name drugs. • Ask your doctor about less expensive brand-name drugs. • Consider using mail-order pharmacies. • In Medicare.gov, use the Medicare Plan Finder to compare Medicare drug plans to find a plan with lower costs.

Coverage Gap

Starting on January 1, you begin the year by paying out-of- pocket drug costs until you have satisfied your deductible. Then you and your drug plan share the costs. The coverage gap begins after you and your drug plan have spent a certain amount for covered drugs. In 2015, once you and your plan have reached the $2,960 spending limit, you fall into the “donut hole.” The spending limit includes the deductible, your costs, and the drug plan’s costs. While in the coverage gap, patients pay 45% of the cost of brand-name drugs; the Medicare Part D plan pays 5%; and the drug company gives a 50% discount. For generic drugs, patients pay 65% and Medicare pays 35%. 95% of the costs of brand-name drugs and 65% of the cost of generic drugs count toward out-of-pocket expenses. Once your out-of-pocket expenses reach $4,700, catastrophic coverage begins, and Medicare pays 95% of drug costs. The numbers may vary by plan, and will change each year until 2020. Not everyone will have to enter the coverage gap. These are people with Medicare and Medicaid coverage or with Supplemental Security Income benefits. The Medicare Extra Help program is designed for people with low incomes. Sometimes those people who now find themselves in the coverage gap speak with their friends and neighbors who may be taking similar medications, but are not yet experiencing the coverage gap. So many factors are involved in this situation that comparisons are hard to make. Examples are, different Part D plans, Advantage plans, use of generics, and where prescriptions are dispersed. Every person’s plan is different.

Coverage Begins (Jan. 1st)

Initial Coverage By Plan

Donut Hole (Little or No Coverage)

Coverage Kicks Back in (Catastrophic Coverage)

Covered For Rest of Year (Dec 31st)

Resources:

Medicare.gov, or call 1-800-MEDICARE for details. SHINE (Serving Health Insurance Needs of Elders). A SHINE volunteer, who can be reached through the Elder Source program, can assist you with questions involving Medicare and insurance needs. 888-242-4464. The Aging Tree can refer you to other experts in the fields of Medicare and insurance.

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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Business Branch

Central Florida Medical Associates

SPOT LIGHT

Local Medical Practice Provides Exceptional Healthcare

entral Florida Medical Associates has been serving the West Volusia community for over 15 years. We opened our practice in 1999, and since then we have provided exceptional healthcare to thousands of patients. Our philosophy is to treat each patient with respect, consideration, and kindness.

For the convenience of our patients we offer several on site services such as bone density scans, ultrasounds, and a full service laboratory as well.

We offer comprehensive adult healthcare services including internal medicine, geriatrics, women’s health, and family medicine. We provide both preventive and chronic disease management with focus on diabetes, heart disease, COPD, hypertension, osteoporosis, kidney disease, thyroid, and many other chronic illnesses.

Our practice is built around you, the patient, and your needs. With convenient office hours 6 days a week and 24/7 access to our providers you can be assured that your healthcare needs can always be met. Please call us to schedule a time for you to come in and meet with us.

With the recent addition of Dr. Irizarry we are pleased to be able to offer bilingual healthcare for our communities’ Spanish speaking residents.

CENTRAL FLORIDA Medical Associates Syed- Bilal Ahmed M.D., Internal Medicine Mohammed Asif M.D., Family Medicine Tazeen Zaidi M.D., Family Medicine Belmar Irizarry M.D., Internal Medicine Shazia Ahmed M.D., Family Medicine Guylaine Legault, ARNP/MSN Andrea McIntosh, PA-C Office Hours: Monday –Friday 8am – 5pm (Wednesday Evening until 6:30pm) Saturday 8:30am – 1pm

386-774-0401

We promote a healthy lifestyle to maintain and improve quality of life. Our Center for Medical Weight Loss program has helped many of our patients achieve success in their goal of healthier living.

CENTRAL FLORIDA MEDICAL ASSOCIATES Warmly Welcomes Dr. Belmar Irizarry We offer comprehensive adult healthcare services including internal medicine, geriatrics, women’s health, and family medicine. Our staff is friendly, professional, and committed to providing excellent healthcare. Please call us to schedule a time for you to come in and meet with us.

We look forward to serving your healthcare needs.

2555 S. VOLUSIA AVE., ORANGE CITY, FL 32763

We accept most insurances. AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

386-774-0401

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Feature Article

Back To Basics: Medicare 101

What Medicare Covers...and What it Doesn’t

aving trouble deciphering the language of Medicare? Its informational abyss surely can leave you anything from mildly confused to downright overwhelmed.

services and some home health care. Medicare Part B covers certain services by doctors, outpatient services, preventative services, and medical supplies and equipment. (Read more about acquiring medical equipment

Medicare just turned 50 and we thought it would be the perfect time to celebrate its birthday and take readers back to the basics of the Medicare program. We’ll answer questions such as, “What does Medicare cover? What doesn’t it cover? Who qualifies? Who doesn’t?” And of course, “How much does it cost?”

through Medicare in a companion article in this issue of Aging Tree Illustrated.)

Our goal is to help you better understand what Medicare coverage you qualify for, and prepare you with educated questions you can ask your insurance provider in the future, should the need arise. If you’re 65 or older, you qualify for Medicare provided by the United States’ federal government. And if you’re younger than 65 and have a certain disability, or permanent kidney failure, you also may qualify.

What are the parts of Medicare?

Medicare has several parts, plus additional programs with varying names. Original Medicare, as it’s called, includes Part A (hospital insurance), and Part B (medical insurance). Part A covers your hospital stays (inpatient), your care in a skilled nursing facility (nursing home, assuming custodial care isn’t the only care you need there), hospice

To be covered by Medicare, these “medically necessary services” (or supplies) must be involved in your diagnosis or treatment, and must meet standards of medical practice. Medicare Part B also covers preventative services such as flu shots and early detection services.

Medicare Part A: Hospital Insurance

Most people don’t pay a monthly premium for Part A coverage if his or her spouse paid Medicare taxes while employed. This “premium-free Part A” is based on your or your spouse’s work records. People over 65 who are not eligible for premium-free Part A coverage are permitted to enroll and pay a monthly fee for comparable coverage. If you pay for Part A, you must also enroll in Part B, which costs and additional monthly premium. People over 65 who are not eligible for free Medicare Part A coverage can enroll in it and pay a monthly fee for the same coverage. The premium base rate depends on the number of work credits you’ve earned (retirement

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

By Vickie Pleus benefits from Social Security, for example). Medicare Part A premium increases by 10 percent for each year after your 65th birthday that you wait to enroll. If you purchase

Part A, you’ll pay up to $407 each month. A deductible of $1,260 per benefit period also applies. If you’re under 65, you may also be eligible for premium-free Part A coverage if you’ve received Social Security disability benefits for at least 24 months, or have end-stage renal disease and meet certain requirements.

Medicare Part B: Medical Insurance

Medicare Part B covers services such as clinical research; ambulance; inpatient, outpatient and partial-hospitalization mental health services; pre-surgery second opinions; and a limited variety of outpatient prescription drugs (drugs you typically wouldn’t give yourself, like a nebulizer or injections). People covered by Part B pay a premium of about $105 each month, and a $147 deductible per year. If your modified adjusted gross income is above a certain amount, you may pay an extra charge each month . If you have limited income and resources, the state may help you pay for Part A and/ or Part B. There are several documentation cont. pg 12 | 10 |

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requirements for this qualification. If you think you may qualify, research it online at www.medicare.gov or call Medicare at 1-800-633-4227.

Medical Health Care Plans: Medicare Advantage (MA) Plans (Medicare Part C)

Medicare doesn’t cover every medical service you may need or want, including acupuncture, hearing aids and fittings, cosmetic surgery, most dental care (including dentures), long-term care (custodial care), and eye exams relating to prescription glasses. This is where your Medicare Health Care Plan may come into play.

Prescription Drug Coverage (Medicare Part D)

Medicare Part D coverage is prescription drug coverage. Part D is added to Original Medicare, some Medicare Cost Plans, some Medicare private-feefor-service plans, and Medicare Medical Savings Account Plans. (As noted above, some Medicare Advantage Plans may also offer prescription drug coverage, so ask your provider for details.)

If you have limited income and resources, the state may help you pay for Part A and/or Part B. You may also qualify for Extra Help to pay for your Medicare prescription drug coverage. There are several documentation requirements for this qualification. If you think you may qualify, research it online at www.medicare. gov or call Medicare at 1-800-633-4227.

Usually, Medicare Health Care Plans are offered by private companies. They vary in scope, and include Medicare Advantage Plans (Medicare Part C), Medicare Medical Savings Account (MSA) Plans, Medicare Cost Plans, Demonstrations/Pilot Programs, programs of All-inclusive Care for the Elderly (PACE), or Medication Therapy Management (MTM) programs for complex health needs. (To learn more about these in detail, visit www.medicare.gov and search by keyword.) Medicare Advantage Plans are offered by private companies that contract to provide Medicare Part A and B benefits to their clients. These plans typically are HMO (health maintenance organization) or PPO (preferred provider organization), but also include private fee-for-service plans, special-needs plans and Medicare Medical Savings Account Plans. Medicare Advantage Plans can include prescription drug coverage, too.

What affects how much you pay out of pocket (Original Medicare)? • • • •

• • • •

Whether you have Part A and/or Part B. Most people have both. Whether your doctor, other healthcare provider, or supplier accepts assignment. The type of healthcare you need and how often you need it. Whether you choose to get services or supplies Medicare doesn’t cover. If you do, you pay all the costs unless you have other insurance that covers it. Whether you have other health insurance that works with Medicare. Whether you have Medicaid or get state help paying your Medicare costs. Whether you have a Medicare Supplement Insurance (Medigap) policy. Whether you and your doctor or other healthcare provider sign a private contract.

Source: Medicare.gov

What are the consumer’s costs in Medicare Part D? Typical payments include premiums, deductibles, co-payments or co-insurance, and a few others. Part D costs can vary greatly, depending upon what drugs you need, your plan, whether you chose an in-network pharmacy, the plan’s formulary, and others criteria. Contact your Medicare Part D provider for more details. If you have limited income and resources, you may qualify for Extra Help to pay for your Medicare prescription drug coverage. There are several documentation requirements for this qualification. If you think you may qualify, research it online at www.medicare.gov or call Medicare at 1-800-633-4227..

We’ve tackled most of the pieces and parts of Medicare, there’s always more…

Medigap - As mentioned above, Original Medicare doesn’t cover everything, including co-payments, co-insurance and deductibles, and healthcare if you travel outside the Unites States. Medigap, available from private companies, may help. Note, howev-

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

er, if you join a Medicare Advantage Plan, you can’t use Medigap insurance to pay for your plan costs (co-payments, deductibles, and premiums). But, in some cases, these private insurance companies must offer consumers certain Medigap policies. These are called “guarantee issue rights.” To learn more, search the term “Medigap” at www. medicare.gov for helpful publications, or contact your insurance provider. Medicare Medical Savings Account (MSA) Plans - Medicare MSA Plans have two basic parts: 1) a high-deductible insurance plan and 2) a medical savings account that you can use to pay for your healthcare costs. The first part is a special type of high-deductible Medicare Advantage Plan (Part C). The plan will only begin to cover your costs once you meet a high yearly deductible, which varies by plan. The second part is a special type of savings account. The Medicare MSA Plan deposits money into your account, and you can choose to use money from this account to pay your healthcare costs before you meet the deductible. *** If, after reading this, you’re feeling more informed about your Medicare coverage – or how you need to change it in the future – that’s great news! If, however, you’re still unsure about your coverage and what you need, follow these steps: 1. Check your red, white, and blue Medicare card 2. Check all other insurance cards that you use, and call the phone number on the cards to get more information about the coverage 3. Check your Medicare health or drug plan enrollment 4. Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. And remember: The senior living advisors at Aging Tree are available to help you; call upon their resources. Contact Aging Tree at (866) 3208803 or stop by from 9 a.m. – 5 p.m. Monday through Friday. Aging Tree is at 985 Harley Strickland Blvd. Suite 100, Orange City, behind Florida Hospital Fish Memorial. Sources: http://www.huffingtonpost.com/jim-t-miller/ essential-legal-documents_b_6833046.html http://www.thisoldhouse.com/toh/article/0,,519817,00.html | 12 |

O d

2015

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A copy of the official registration and financial information may be obtained from the division of consumer services by calling toll-free within the state 880-435-7352. Registration does not imply endorsement, approval, or recommendation by the state. CH 23115.

liVinG Well Branch

Plan For Health

Proactive Mind-set and Medicare Preventative Services– Add Life to Your Years

atching my sweet 92 year old mother in law at dinner last night I caught a glimpse of how it is possible to become severely malnourished even in the presence of a wholesome meal. Encouraging her throughout the meal together with nutrient dense snacks and smoothies throughout the day has allowed her to remain well-nourished but for so many the risks for illness and shortened lifespan after retirement is very real. How can it be that people who are otherwise healthy are becoming ill, even dying due to malnutrition?

good working order; prime timers in ”repair mode”, maybe not having taken the best care of their bodies and are motivated by the opportunity we all have for a second chance and lastly the young parents who want their parents to be in their lives, enjoying a long and healthful life.

By Cheree M. Albert MSN, ARNP, CPNP Wellness Wednesdays who are motivated to develop their personal plan for health. The families I serve often comment on the fact that this awareness resonates with the ebb and flow of their lives providing hope and encouragement.

It was alarming headlines about the future of Medicare and stories of people using all of their This proactive plan for savings to The proactive plan for health health dovetails nicely pay for their medical bills dovetails nicely with the preven- with the preventative services included in that prompttative services included in both both original Medicare For many years thought leaders in medicine ed Dr. Sears and healthcare have advanced the quality of to develop original Medicare and Medicare and Medicare Advantage Plan benefits. The Medihealth for Prime Timers which is generally the Prime care Advantage Plans, if Advantage Plan beneﬁts. considred to be the “second half of life”. Dr. Time plan available in your area, William Sears is one such visionary and his for health may offer extra coverage effort in the Prime Time health area is based which has on sound scientific research and a lifetime improved the quality of life for countless such as routine vision and dental, hearing benefits or membership in select health and of medical expertise. Prime Time Health is prime timers in the last decade. There are generally directed to three groups: the 40- other very good sources of information how- wellness programs, such as Silver Sneakers, 50+ prime timers who are in the “prevention ever, I have found a particular strength of at no charge. The Aging Tree Senior Specialist can provide you the contact info for mind set” so that their bodies will stay in this program is that it is both a life plan and a health plan, simply a number of experts in this area so that you constructed requir- can identify who and which plan may best suit your needs. ing a series of easy to manage strategies and tools. One such tool is Some preventative services have eligibility the “Pills and Skills” requirements and it is a good idea to write Summer Special for Workshop Participants Model which instead down your family history prior to your FREE Consultation to develop YOUR personalized of thinking “What can health visit. These preventative services typically include: Cardiovascular and abdominal I Take?” for a certain 8 week PRIME TIME HEALTH PLAN ($120 value) aortic aneurysm screening; Breast, cervical, condition think “What can I do? As we age it colorectal and prostate cancer screening; is not uncommon to Vaccinations; Osteoporosis screening; Direly on the belief that abetes screening; Obesity screening and counseling; Medical nutrition counseling; prescriptions and proHIV screening; Tobacco use and cessation cedures will be our best counseling; Alcohol misuse counseling and option for our health isDepression Screening. It is important to talk sues. Sadly this belief does not take into con- to your healthcare provider to determine sideration our ability which of these you are eligible to receive. to stock, as Dr. Sears Eligibility requirements can be confusing but shares, “our bodies important for your plan for health. We may Workshops include hands-on activities, be aware of increased risk situations in the own medicine cabinet workbooks, healthy snacks and recipes. “Prime-Time Health teaches with knowledge and presence of family history, for example in the how to add years to your life case of aortic abdominal aneurysm screen, and life to your years.” self-help skills. Some but if you are a man between age 65 and 75 -Dr. William Sears people manage to live and have smoked at least 100 cigarettes in long and well without many pills, but your life you too may be at risk. Preparing Schedule your workshop today! for your healthcare visits and writing down no one lives long and Contact Dr. Sears Certified your questions ahead of time will help to use well without self-help Prime-Time Health Coach this time effectively. From the MyMedicare. skills”. I am continually Cheree Albert at 407.902.8945 gov website you can track your preventative inspired by the people Cheree@integrityhealthsource.com I have met at the Agcont. pg 16 Boost Energy + Prevent Disease + Sharpen Thinking ing Tree during our

A Scientifically Proven Plan for Healthy Aging

TAKE CHARGE OF YOUR HEALTH!

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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Back-to-School

DeLand Bakery, Natural Market & Deli Guide for Parents, Grandparents and more... Many families are feeling the excitement of back to school–the morning rush, home-work, and the quicker pace of life. The ad-vent of the busier lifestyle, along with the new changes can all lead to increased stress, poor eating habits and illness. The carefree days of summer will come to a close. Change in the season and structural routines can create a more somber mood among kids, parents and grandparents. DeLand Bakery Natural Market & Deli will guide your family with helpful tips to make a smooth transition Back To School!! Before School Starts • Be sure your child is in good physical and mental health. • Review all of the information sent by the schools as soon as it arrives. • Mark your calendar with important dates, and visit new schools. • Make copies of all health and emergency information for later reference. • Buy school supplies early • Plan to re-establish bedtime and mealtime (especially breakfast) routines at least one week before school starts. • Encourage young children to play quiet games, do puzzles, flash cards, color or read as their early morning activities. This will help ease them back into the learning process and school regimen.

No-Fail 5-Days Healthy Lunch w/DeLand Bakery Natural Market & Deli!!! Monday – Deli Wrap (veggie, turkey, chicken) Tuesday – Pita Chips, Hummus & Carrots Wednesday – Millet Bread Sandwich (PB & Jelly) (Turkey & Cheese) Snap Peas Thursday – Chicken & Cheese Quesadillas Apples Friday – Bagel Lunch Sandwich (scrambled eggs, cream cheese & tomato slice) BACK TO SCHOOL LIST: Immune & Support • Vitamin C • Multi Vitamin • Calcium • Focus for Children • Children’s ACF • Kid’s Immune Protect • Cough Syrup Snacks • Chia Squeeze-1200mg Omega-3 • California Seedless Raisins-Potassium 105mg • Stretch Island Fruit Strip- ½ Serving of Fruit • Organic Apple Sauce-Contain flavonoids • Nut Butter-Good source of Protein • Organic Fruit Spread-Serving of fruit • Millet Bread-Clean Ingredients, Local • Chia Chocolate Brownie Muffins-After School Snack

Eco-Friendly Back To School List Tax Free Days are August 6 thru the 17th • Lunch Box/Lunch Zip Bag • Water Bottle • Hot Lunch Container • Sandwich Keeper • Snack Keeper • Lunch Box Ice Pack • Pencil Case • Highlighters • Recycled Rubber Erasers • Index Cards • College Ruled Paper • Natural Hand Sanitizer • Facial Tissue • Paper Snack & Sandwich Bags

Make Friday Night Pizza Night & Enjoy Family-Time Building a Pizza Ask Us For The Recipe!!

NASP Resources.

services and get a 2 year calendar of the Medicare covered tests and screenings you are eligible for. (see pg 32) You can also printout a personalized “on the go” report to take to your next healthcare appointment. This report details the current and upcoming services you are eligible for in a calendar format. This site also includes additional useful options such as a “Favorite Providers” list where you can evaluate various health care providers and institutions in your area and authorization tab to identify and document who is authorized to act on your behalf related to your Medicare benefits. The opportunity to stay healthy, avoid completely or delay the onset and severity of disease so that you can have the health you need to live a life of vitality rests on many factors. The choices we make each and every day matter. As you have heard me comment so often, it is never too late (or too early) to make that one simple change that will make the difference! At whatever age you may be at the present time, proactively designing your personal Prime Time plan for health and taking the opportunity to schedule your preventive and screening services will truly add life to your years. Cheree M. Albert MSN, CRNP, CPNP is the owner of Integrity Health Source LLC. You can contact Cheree by phone: 407-902-8945 or email cheree@integrityhealthsource.com

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AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City FHMMC-14-13562 Peninsula Rehab Aging Tree Half Page Ad Update.indd 1

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9/12/2014 3:26:20 PM

Branching out with “Go where you wanna go’ with Votran As the Mamas and the Papas once sang, “You gotta go where you wanna go, do what you wanna do.” If you have places to go, but you’re stuck without wheels, Votran can help. With 68 buses, 46 paratransit buses and 2,500 bus stops, Votran can take you to many locations in Volusia County. Want to go shopping? We’ve got you covered. Need to visit a friend in the hospital? No problem. In the mood for a movie or a museum? We’ll get you there. Planning your trip is easier than ever with our handy Trip Planner! Just visit Votran.org and click on the map under “Plan your trip” in the lower left corner, then click “Trip planner” from the list on the left. Plug in your current location and your destination, and you’ll get a map showing you the bus routes, transfer locations and departure times. Here are some of the places you can visit with a bus ticket.

WEST VOLUSIA

Enjoy a Vibrant, Active Retirement at The Cloisters of DeLand

Route 60 brings riders from the DeLand Wal-Mart to the DeLand YMCA and on to locations in East Volusia, including Daytona International Speedway, Volusia Mall, Daytona State College, Bethune-Cookman University and the Votran Transfer Plaza.

EAST VOLUSIA

Voted BEST Retirement Community 2 years in a row!

A Premier Rental Retirement Community

386-822-6900 or 800-738-1222

info@thecloisters.com

400 E. Howry Ave., DeLand, FL 32724 Retirement Housing Foundation

All aboard for SunRail! Votran offers three connector routes to the SunRail station in DeBary during peak hours.

CROSS-COUNTY CONNECTOR

Independent Assisted & ECC Lifestyles

www.thecloisters.com

Route 20 travels through DeLand and Orange City, stopping at Publix, Wal-Mart, Florida Hospital DeLand, Stetson University, downtown DeLand, Athens Theater, Victoria 6 Movie Theaters, Volusia County Courthouse, the DeLand and Orange City public libraries, and more. Routes 21 and 22 can take riders to Deltona City Hall, Deltona Regional Library, the Osteen Wal-Mart, Daytona State College’s Deltona campus, Florida Hospital Fish Memorial, and more. Route 23 provides access to the DeBary Municipal Complex, DeBary Public Library, the Orange City Wal-Mart, several shopping centers, the VA Clinic, and more.

ALF #8340

Route 1 allows riders to visit the beach, the Ocean Center, Ocean Walk Shoppes, Bellair Plaza, Ormond-by-the-Sea, and various restaurants and shopping centers. Route 17A takes riders to tranquil Ponce Inlet with stops at the Ponce Inlet Lighthouse and Marine Science Center. Routes 4 and 12 cover Port Orange, where riders can visit the Pavilion shopping center or grab connections to New Smyrna Beach, Edgewater and Oak Hill via Route 41. Route 10 stops at four popular destinations in Daytona Beach – Volusia Mall, Halifax Medical Center, Daytona State College and Bethune-Cookman University. Route 11 is a great choice if you’re going to the Daytona Beach Flea Market, Daytona International Speedway, Volusia Mall or the VA Clinic. Routes 18 and 19 make regular stops at Daytona Beach International Airport, Daytona Beach’s three colleges, Volusia Mall, Florida Hospital Memorial Medical Center, The Casements, Ocean Center and Ocean Walk Shoppes. For more information about Volusia County public transportation system, visit Votran.org.

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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Product Branch

Medical Equipment

Expedite the Process, Helpful Tips to Get What You Need

our gait is becoming increasingly unstable and it’s time to use a walker. You’ve developed Type II diabetes that you must continually monitor. Your mother, who now lives with you, needs some adaptive equipment for the bathroom. Is any of this covered by Medicare?

We’re glad you asked!

Aging Tree knows about medical equipment; we’re connected with a number of suppliers and can guide you through expediting the process of getting your durable medical equipment (DME). Call our senior living advisors at (866) 320-8803 to learn more, but in the meantime, freshen up on the Medicare DME coverage basics below:

What DME coverage is…and isn’t

Two criteria must be met in order for DME to be covered by Medicare. First, the equipment must be deemed medically necessary (and Medicare must deem it medically necessary, too) for your in-home use. Second, the equipment must be prescribed by a Medicare-participating healthcare provider. Durable medical equipment is typically long-lasting equipment used for medical rea-

sons. It’s the kind of equipment that’s only useful to someone who is sick or injured. Medicare’s categories of durable medical equipment are: air-fluidized beds and other support surfaces; blood sugar monitors; blood sugar (glucose) test strips; canes (however, white canes for the blind aren’t covered); commode chairs; continuous passive motion (CPM) machine; crutches; hospital beds; infusion pumps and supplies (when necessary to administer certain drugs); manual wheelchairs and power mobility devices; nebulizers and nebulizer medications; oxygen equipment and accessories; patient lifts; sleep apnea and Continuous Positive Airway Pressure (CPAP) devices and accessories; suction pumps; traction equipment; and walkers.

What and how Medicare pays

Do you have Medicare Part B coverage (part of Original Medicare)? If so, you are eligible to receive at least partial coverage for DME. If your equipment supplier accepts Medicare assignment (that is, they agree to be paid by Medicare for rates Medicare sets, and agree not to bill you above that amount), you’d pay 20 percent of the Medicare-approved amount. The deductible for Part B applies for your DME, too.

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

By Vickie Pleus Note that equipment suppliers can be enrolled in Medicare but are not participating. If that’s the case, they may choose not to accept assignments and can charge you any amount for DME. Minimize surprises by first checking with your insurance provider and supplier about the details of their arrangement with Medicare. Further, if you have private insurance that pays before Medicare does, that insurance company may require you to use a supplier that is not a contracted supplier with Medicare, though Medicare may make a secondary payment to that supplier. The smartest course of action, should you need DME, is to verify coverage with your benefits administrator, insurer or healthcare plan provider. Remember, too, oftentimes you can expedite the process by getting prior authorization from the supplier you want to use. Many medical suppliers work with most primary insurance companies and Medicare, but it’s smart to double-check.

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Ask the Expert

ABOUT HOME MEDICAL EQUIPMENT Spread the word…being proactive is the biggest thing you can do to get your medical equipment covered by Medicare. Bill Backer, a 19-year veteran in the medical equipment industry says people are surprised to ﬁnd out they play a key role in the process. The days of only needing a prescription from your doctor for a walker or wheelchair are over, said Backer, an employee of Colonial Medical Supplies. Colonial is a licensed Medicare distributor of durable medical equipment supplies located inside Aging Tree. Know what Medicare covers. “(Patients) are sometimes misconstrued thinking because my doctor wrote me an order this should be covered,” Backer explained. “Just knowing what is covered is a big thing and what’s not covered because that can save a lot of headaches.” How much of an item is covered. Many times patients are surprised to learn an item has a set limit or an item, such as bathroom safety equipment, is not covered at all by Medicare. “(Medicare has) set allowables for a piece of equipment,” said Backer. “If the person wants a four-wheeled walker with a seat, basket and brakes, and a doctor writes that specifically in an order, they still are only going to get a Medicare benefit of about $80. They are going to have to pay upgrade charges.” Ask your doctor to be speciﬁc in his notes and get copies. Backer stated, “We need a paragraph in the doctor’s file that says, ‘I have diagnosed this patient with such and such. They do need this wheelchair to get from one room of the house to another room in the house, to maintain their daily living necessities.’ If that is not noted

in the doctor’s chart then that doesn’t meet the Medicare criteria.” Obtain the necessary paperwork before you’re discharged. If you’re in the hospital, ask a family member to help. Medicare requires a Seven Element Order and a chart note or progress note from your physician. What is a Seven Element Order? Basically, it’s a one-page form asking for seven pieces of information; your beneficiary’s name, the date of your face-to-face meeting with your physician, a description of the medical equipment ordered, your diagnosis and conditions that relate to the medical equipment need, length of time the equipment is needed, and the physicians signature. The form is available from Colonial Medical. Getting the paperwork filled out and signed before you are discharged is important. Most times patients cannot be discharged without having the necessary equipment already at home, Backer said. Follow through. “Don’t wait more than a day or two; contact the doctor, contact the provider, contact both.” Be proactive and persistent. “Don’t rely just on the doctor or the (durable medical equipment) company. Get involved. Getting involved is the biggest thing to alleviate a lot of headaches and hassles,” said Backer. For more information, Backer can be reached at Colonial Medical Supplies, located inside Aging Tree, 985 Harley Strickland Blvd, Ste. 100, Orange City 386774-2446.

Com e in and Sea Our View So Mom can still play bridge every Wednesday. And you’ll have peace of mind.

So Dad can let out his inner kid again. And you won’t have to worry.

We are the only Assisted Living Community with an ocean view!

Seaside

Manor

Call to Schedule your personal visit and “Ocean View” today. Active adult lifestyle, and a warm, friendly home atmosphere. Offering Assisted Living and Memory Care options.

Saber HEALTHCARE GROUP

Caring for life Seaside Manor Assisted Living and Memory Care Neighborhood 1050 Ocean Shore Blvd., Ormond Beach, FL 32176 386-441-1771 | www.saberhealth.com LICENSE #8860

EXPLORE CENTRAL FLORIDA USING THE REGION’S NEWEST TRANSPORTATION JEWEL – SUNRAIL! Courtesy of Aging Tree – You or your group of participants will have a fun day out touring Winter Park with a variety of optional activities. Call 386-774-2446 for more information or to reserve your complimentary daycation pass. Trips are scheduled the 2nd and 4th Wednesdays of each month.

WINTER PARK - AGENDA 8:45am

Seniors Arrive at Aging Tree Resource Center and pick up their SunCards (Courtesy of Aging Tree) 9:15am Seniors depart for SunRail’s DeBary Station 9:25am Seniors arrive at SunRail’s DeBary Station (Free parking available) 10:00am SunRail train departs for the Winter Park Station 10:36am The train arrives at SunRail’s Winter Park Station for activity and lunch (not included) 2:11pm Seniors depart on SunRail for the DeBary Station 2:48pm Seniors arrive at SunRail’s DeBary Station and return home

Questions About Elder Law? Call Aging Tree 386-774-2446 with Senior Services to “SUN RAIL STATION” Doctors, Pharmacy, Lawyers, Hospital, Groceries, Airport

$2.00 off 12.00 trip

$5.00 off 25.00 & up

386-748-4092

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AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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August 19, 2015

Tour Central Florida’s Newest Performing Arts Center Courtesy of Aging Tree – Are You an Aging Tree Senior Savers Club Member? Membership is FREE. As a member, you or your group of participants will have a fun day out touring Dr. Phillip Center for the Performing Arts. Call 386-774-2446 for more information or to reserve your complimentary daycation pass.

ORLANDO - AGENDA 8:45am

Seniors Arrive at Aging Tree and pick up their SunCards (Courtesy of Aging Tree) 9:15am Seniors depart for SunRail’s DeBary Station 9:25am Seniors arrive at SunRail’s DeBary Station Free parking available 10:00am SunRail train departs for the Church Street Station 10:51am The train arrives at SunRail’s Church Street Station 11:15am Tour of Dr. Phillips Center for the Performing Arts begins and lunch (not included) 1:55pm Seniors depart on SunRail for the DeBary Station 2:48pm Seniors arrive at SunRail’s DeBary Station and return home

Now Accepting Reservations, Call Today!

Robert Cordero, M.D.

• • •

Kevin M. Barber, M.D.

Ryan T. Scruggs, M.D. Phillip J. Mackinder, O.D.

Bladeless Cataract Surgery Eyelid Reconstruction and Facial Rejuvenation Leaders in LenSx® Laser Cataract Surgery For an Appointment Call

386-734-2931

Visit our website: TheEyeSpecialists.com Four Convenient Locations: DeLand, Orange City, New Smyrna, and Winter Park

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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Living & Memory Care ChristineAssisted MacDonald One call for your 386-479-4000 insurance needs. One call for your (TTY: 711) • Health insurance • Vision coverage • Dental coverage • Life insurance

insurance needs.

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Assisted Living and Memory Care Limited Time Offer! 350 E. International Speedway Blvd., DeLand, FL 32724

Christine MacDonald 386-479-4000 •(TTY: Health insurance • Vision coverage 711)

• Dental coverage

Asst. Liv. Fac. Lic. # Pending

386-738-5200

The first 25 new residents to choose Grand Villawww.GrandVillaDeLand.com will become Charter Club members! Charter Club Members receive:

• Life insurance

Christine MacDonald 386-479-4000 (TTY: 711)

GHA0838ES1

GHA0838ES1Grounded in Service.

 Helping Seniors Make HOME ~ Real Estate Decisions

Sandra Otto, P.A.

• Up to $5000 on a private apartment • $250 for moving expenses • 6-mo. newspaper subscription • $25 gift certificate to our country store • 20 guest meal certificates ($200 value) • $50 gift certificate for beauty/barber salon • Group photo in our lobby • Charter Club wall plaque Plus, all the luxurious Grand Villa of DeLand services and amenities! * Private Apartment for 1 Year

Call 386-738-5200 Today!

Sky-High Results.

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386-804-0639 Direct Sandra@TotalRealtyCorp.com

2683 S. Woodland Blvd. DeLand Preview Cente r

Senior Night! 10% off the regular menu for seniors, Thursday only from 4pm - 8pm

NOW OPEN!

Grand Villa of DeLand BUY ONE* GET ONE

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Lunch

Monday - Friday 11am - 2pm 300 Plantation Club Drive, DeBary | 386-668-1705 *Not valid with any other offer* * Some restrictions may apply*

Assisted Living & Memory Care 350 E. International Speedway Blvd., DeLand, FL 32724 www.GrandVillaDeLand.com Asst. Liv. Fac. Lic. # Pending

Senior Resource Directory of Screened Businesses Elder Law: John B. Crowther, Atty. at Law Contact: John Crowther 386-775-6179

Home Modiﬁcation Design LLC Contact: Sheri Wilson 407-417-6031

Gary S. Wright Contact: Gary Wright 386-753-0280

Total Service Contracting Contact: Steve Delacerda 407-233-9500

Meeks Law Firm Contact: Coren Meeks 386-738-3900

Adult Daycare Centers: Sender Retreat Contact: Ana Randolph 386-734-4442 Stay For the Day Contact: Ana Randolph 386-851-0691

Aids for Daily Living: Captel Outreach Contact: Sandra Robertson 407-443-9409 Medical Alert (“Help” Button) Contact: Aging Tree 386-774-2446

Bracing: Colonial Medical Supplies Contact: Bill Backer 386-774-2447

Chiropractic: Lechmaier Family Chiropractic Center Contact: Dr. Chris Lechmaier 386-775-3600 Chi-Ro Family Wellness Chiropractic Contact: Diane Graves 386-532-3003

Dental Care: Implant Solutions Today Surgical Solutions Contact: Toni Valley 386-837-1236

Home Modification:

Financial Services: Edward Jones Financial Contact: Debbie McDonald 386-668-7028 Evershore Financial Group Contact: Timothy Haynes 321-287-9523 Greater Florida Life Settlements Contact: Greg Yaskovitch 1-888-222-9555 Miller Senior Services Contact: Marge Miller 386-479-0724

Hearing Screenings and Accessories: Hearing Aids Direct Contact: Fred Gilliam, H.A.S Phone: 386-561-9496 Hearing Healthcare Centers Contact: Lisa Jones, L.H.A.S Phone: 386-837-4849

Home Care-Private Pay Companions: Aging Tree, LLC Contact: Aging Tree 386-774-2446

Home Health Care Accepting Medicare & Insurance Florida Hospital Fish Memorial 386-917-5830 Greystone Healthcare Management Contact: Tiffani Cook 386-681-7253

Home Medical Equipment: Colonial Medical Supplies Contact: Bill Backer 386-774-2447

Hospice Care: Florida Hospital Fish Memorial 1-800-404-1133 Hospice of Volusia Flagler Contact: Chris Cardino 386-566-9232 Vitas Hospice Contact: Elizabeth Knowlton, LCSW 386-774-2446 Ext. 308

Insurance-Health: Carol Brown CSA Contact: Carol Brown 386-848-0543 CMD Insurance Agency Contact: Carmen Duffy 386-315-4846 Florida Health Care Plans Contact: Bissy Holden 386-676-7110 Humana Contact:Meg Hutson Christine MacDonald Phone: 386-663-1425 386-479-4000 Independent Insurance Professionals Contact: Carl Thompson 386-668-6203

Insurance-Long-Term: Capital Choice Financial Group Contact: Jeff Allebach 386-804-6171 CMD Insurance Agency Contact: Carmen Duffy 386-315-4846 Independent Insurance Professionals Contact: Carl Thompson 386-668-6203

Lab Work: Florida Hospital Fish Memorial 386-917-5155

Massage Therapy: Florida Hospital Fish Memorial 386-917-5160

Medical Imaging: Florida Hospital Fish Memorial 386-917-7500

Medical Services: Florida Hospital Fish Memorial 386-917-5000 Mid Florida Cancer Center Contact: Jill Jordan 386-774-1223

Medical Services Clinical Research: Covance Contact: Clinical Studies 866-429-3700 Other Inquiries: 386-366-6400

Mental Health: Fish Family & Associates Contact: Lauren Fish, LCSW 386-456-0008 Florida Hospital Fish Memorial 386-917-7610

Mobile Home Communities: Hidden Valley Park Contact: Richard or Jeane Schuler 386-985-4543

Non-Profit Organizations: DeLand Lions Foundation Contact: Wendy Wilson 386-738-1020 Division of The Blind Contact: Mike Watson 386-254-3810 ElderSource 888-242-4464 Mainstreet DeLand Association Contact: Wayne Carter 386-738-0649 Volunteers For Community Impact Contact: Catherine Johnson 386-320-3969

Aging Tree business partners have committed to providing premium products and services. When contacting a trusted provider be sure to ask for Aging Tree Premium Services. Nursing Facilities-Skilled:

Real-Estate Specialists:

Center for Health Care of the Alliance Community Contact: Annette Lynch Phone 386-747-7688

Century 21 Armstrong Team Realty Contact: Ray Armstrong 386-789-2100

Parkside Health and Rehab Contact: Heather Jackson 386-734-8614

Keller Williams Contact: Terri Misek 407-862-9700

Ridgecrest Nursing and Rehabilitation Contact: LeeAnne Gallagher 386-734-4334

State Farm, Amanda Agnew Contact Amanda Agnew 386-960-7878

University Center East Contact: Marie Gammero 386-734-9083

Occupational Therapy: Florida Hospital Fish Memorial 386-917-5160

Pharmacies: Accardi Pharmacy Contact: Dr. Roger Accardi 386-774-5800

Physical Therapy: Florida Hospital Fish Memorial 386-917-5160

Physicians - Acupuncture Debra Gaffney, Ph.D. Acupuncture Physician 386-734-4126 Pain Care and Wellness Contact: Eden Pollitz, RN BSN 386-259-9838

Physicians - Primary Care: Florida Hospital Fish Memorial 1-866-328-6417

Post Mastectomy Services: Colonial Medical Supplies Contact: Bill Backer 386-774-2447 Florida Hospital Fish Memorial 386-917-5852

Pre-Arrangement Services: Lohman Funeral Home Contact: Terry Chandler 386-860-5900

Total Realty Corp. Contact: Sandra Otto, SRES 386-804-0639 Total Realty Corp. Contact: Terry Bailey, CRS, GRI 386-801-9300

Retirement CommunityAssisted Living: Americare Assisted Living Inc. Waters Edge Contact: Eleanor Gustavsson 386-789-8848 Bishops Glen Retirement Community Contact: Linda Dixon 386-226-9112 Blossoms Assisted Living 1, LLC Contact: Paul Sturdgess 386-257-2162 Caring Hands Assisted Living Contact: Marie Timogene 386-259-4435 Claire Bridge Assisted Living Contact: Betty Worley 386-672-8800 Cloisters of DeLand Contact: Amanda McHugh 386-822-6900 x 203

Summerhaven Assisted Living Contact: Greg Hopcraft 386-668-3674 Woodland Towers Contact: Dorothy Myers 386-738-2700

Retirement CommunityContinuing Care: Alliance Community Contact: Annette Lynch 386-747-7688 Florida Lutheran Retirement Community Contact: Brian Harman 386-736-5872

Retirement CommunityIndependent Living:

Transportation ServicesNon-Medical/Public: Red Cab Contact: Monique Narr-Mevs 386-748-4092 Votran Customer Service Department 386-761-7700 (Daytona Beach) 386-424-6800 (Southeast Volusia) 386-943-7033 (West Volusia)

Wound Care: Florida Hospital Fish Memorial 386-917-5547

Villa Grande on Saxon Contact: Barb Hilton 386-774-1234

Relocation Services: Creating Divine Order Contact: Ann Hutchens 407-699-5600

Specialty Services: Jade Serenity Spa Contact: Margaret Crowther 386-775-0860

SPEECH THERAPY: Florida Hospital Fish Memorial 386-917-5160

Looking to Sell Your Home? Speak to a Real Estate Specialist Today. Call Aging Tree 386-774-2446

Horizon Bay Contact: Mary Sanguedolce 386-775-3518 Monastery Oaks Contact: Jerry Cutrona 386-456-0049 Saber Health/Seaside Manor Contact: Bonnie Ronning 386-262-4057 Sterling House of DeLand Contact: Erin McDonald 386-736-8100

The ONE-STOP Senior Care Store Call or visit Aging Tree today 386-774-2446.

history Branch

History of Medicare

“Medicare: What’s its Origins, Future, and Funding?”

appy Birthday, Medicare and Medicaid! You’re 50 years old and amazingly popular. As the twin foundations of government health insurance in the U.S., these programs make it possible for most Americans in poverty and old age to get medical care. While the 2010 Affordable Care Act (ACA) fills the gap for people who don’t qualify for help from those two programs.

Medicare’s Origins

From 1789 to 1900, U.S. medical care was simple to access, inexpensive, and inadequate – even primitive. Since 1900, American health care has achieved an unparalleled level of life-saving technology and care. Today while the quality of care is far better, the American health care is a hodge-podge, an inefficient system that is among the most costly in the world. How could the world’s superpower contrive such a convoluted system with health care costs annually passing 15% of GDP? The earliest government health insurance program was introduced in Germany in the 1880s, part of Otto von Bismarck’s social welfare reforms, David Austin Walsh pointed out in an article for History News Network. In the U.S., after World War I, the increasing complexity of health care sparked by the development of new technologies (like x-rays, electrocardiographs, and antibiotics), and a rise in medical knowledge, also caused a dramatic increase in health care costs. In the 1930s, Democrat Franklin D. Roosevelt tried to include some form of government health insurance in his New Deal reforms, but failed due to intense resistance from the American Medical Association (AMA). His successor, Democrat Harry S. Truman, in 1948, also lobbied for national health insurance but also fell to strong AMA resistance. However a similar effort succeeded in Britain, and led to uni-

versal health care in that country. In 1960, Republican President Dwight D. Eisenhower, although not interested in expanding the social safety net, did sign the Kerr-Mills Act. It created a federal program to subsidize individual state health care

By Carol S. Grigas, Ph.D.

Carol S. Grigas has a Ph.D. in history and writes about social and cultural topics for several publications.

President Franklin Roosevelt signs the Social Security Act of 1935 surrounded by key congressional sponsors of the bill. The only woman present was Frances Perkins, Roosevelt’s Secretary of Labor. Perkins was appointed in 1933. She was the first woman to hold a cabinet-level position. Like FDR, Perkins was a child of privilege, but became a strong advocate for the poor and working class. She served as head of Roosevelt’s Committee on Economic Security, set up in 1934. The Social Security legislation sprang from this committee. Credit: Social Security Administration.

programs for the elderly. John F. Kennedy called Kerr-Mills “grossly inadequate” in his 1960 campaign and proposed a program he called “Medicare.” Again, the AMA fiercely resisted, and signed up Hollywood star

pushed most of Kennedy’s social legislation through Congress, making it part of the Great Society programs. Moreover, public perception of government’s involvement in health care had changed: medical costs were skyrocketing and the U.S. population was aging. Medicare passed in 1965, along with the Medicaid program for low-income Americans, and it was needed. In 1965, the elderly made up 10 % of the population, up from four percent in 1900. In 2000, people 65+ represented 12.4% of the population but are expected to be 19% of the population by 2030, double the number in 1965.

After the passage of Medicare, which today covers 46 million Americans over the age of 65 and nine million younger disabled people, the political effort turned to expanding coverage to virtually all Americans – although not necessarily through expanding Medicare. That never happened, although polls between Credit: International Claim Association. 1999 and 2009 showed consistent majorities in favor of expanding Medicare to people between the ages of Ronald Reagan to act as spokesman against 55 and 64 to cover more of the uninsured. Medicare. In his ads for the AMA, Reagan called subsidized health care for the elderly a first step toward socialism.

In 1963, events overtook the healthcare debate. Kennedy was assassinated and his successor, Democrat Lyndon Johnson,

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

President Obama’s Affordable Care Act of 2010, did comprehensively expand health insurance to cover almost all Americans. The ACA did so through a combination of cont. pg. 28 | 26 |

Vibrant oils, powerful carvings with humanistic appeal Lisa Habermehl, Museum of Art - DeLand

“T

his is one of the finest collections of African art in private hands in Florida,” said Museum of Art – DeLand CEO George Bolge of a new West African Tribal Art exhibit, which opened in July for the public’s viewing at 600 N. Woodland Blvd. “It reflects an innate feeling for the aesthetics of African sculpture as well as a personal response to its humanistic appeal.” West African Tribal Art: Sculptures, Textiles and Artifacts opened in July, left, at the Museum’s main location alongside two other exhibits. Purvis Young: Art of Street (Selections from the Museum’s Permanent Collection) and Fred Staloff ’s Visual Poetry, and will be on view thru October 4, 2015. Museum visitors were inspired by the works of internationally collected Purvis Young (1943 – 2010), lower right, a historian, spokesperson, storyteller, poet, warrior, praise singer and interpreter who depicts the suffering, survival and resilience of Miami’s Overtown community. During the recent opening reception, Volusia County residents, visitors and Museum Members were equally inspired by the intimate colorful collection of oil paintings from American artist Fred Staloff, on loan from The Butler Institute of American Art, top right. “Staloff ’s work is a testament to the quality and staying power of American painting,” said Louis Zona, Director of The Butler Institute of American Art. “His approach to painting can be said to derive from the visually oriented work of Paul Cézanne, yet it also owes much to the emotional energies of both the European and the American brands of Expressionism.” Taking advantage of the Museum’s ongoing 1-2-3 Promotion, below, Museum visitors also viewed the exhibit Painted Black: The John H. Surovek Collection, which honors African Americans in art from pre-Civil War to Civil Rights, in the Museum’s downtown galleries at 100 N. Woodland Blvd. on display now thru September 20. For more information on related programming, such as Gallery Talks, Artist visits, Docent Tours and more, visit MoArtDeLand.org. END Sponsored in part by the State of Florida, Department of State, Division of Cultural Aff airs, and the Florida Council on Arts and Culture.

Museum of Art - DeLand 100 N. & 600 N. Woodland Blvd. DeLand, FL 32720 386.734.4371

Introducing DeLand’s Newest Assisted Living Option forged by the true caring hands that is Alliance Community.

various policies, most significantly and controversially through mandated purchasing of private insurance plans. Medicare has since developed, along with Social Security, into a “third rail of American politics” – if a politician touches it, he or she risks political suicide.

grow at a slower rate in the future than in the past—and even slower than was projected just a few years ago. And in a break from the historical pattern, net Medicare spending is projected to be a roughly constant share of the federal budget and the nation’s economy in the coming decade. This assessment published by KFF is also supported by figures released by the non-partisan Congressional Budget Office (CBO).

The Future of Medicare Funding

Medicare’s Achievement

The availability of Medicare has im- President Johnson signing the Medicare program into law, July 30, proved life expec- 1965. Shown with the President (on the right in the photo) are (left tancy and reduced to right) Mrs. Johnson; former President Harry Truman; Vice-President poverty among the Hubert Humphrey; and Mrs. Truman. Photo courtesy of LBJ Presidential Library. elderly, according to a recent editorial in the New York Times. Before Medicare, almost 50% of all Americans 65 and older had no health insurance. Today that number is two percent. Between 1970 and 2010, Medicare contributed to a five-year increase in life expectancy at age 65, by providing early access to needed medical care. Even compared with people under age 65 who have insurance, those on Medicare are less likely to miss needed care or have unmanageable medical bills.

Future Path of Medicare Spending

But with a population that continues to age and medical expenses that continue to climb, the future financial stability of Medicare must be considered. In 2014, the highly regarded Kaiser Family Foundation (KFF) issued a report on Medicare’s spending and financing. In terms of spending, the KFF stated that in 2013, spending on Medicare accounted for 14% of the federal budget, and

played a major role in the health care system. Medicare accounts for 20% of total national health spending in 2012, 27% of spending on hospital care, and 23% of spending on physician services.1 However Medicare spending growth has slowed in recent years and is expected to

While Medicare spending has slowed now than in the past, Medicare is likely to be a focus of future policy discussions about reducing the federal budget debt, as health care financing continues as a challenge posed by the aging of the population. Several changes to Medicare have been proposed, including these detailed in the KFF report: • restructuring Medicare benefits and cost sharing • eliminating “first-dollar” Medigap coverage • increasing Medicare premiums for all beneficiaries or those with relatively high incomes • raising the Medicare eligibility age • shifting Medicare from a defined benefit structure to a “premium support” system • accelerating the ACA’s delivery system reforms. How the recent slowdown in Medicare spending growth will affect the prospects for these proposals is unclear, but it could provide an opportunity for a thoughtful consideration of ways to bolster the program for an aging population. Whatever the shape of future debates over Medicare funding, with more and more voters comprising the older generation, the discussion will tread carefully around this 50 year-old program.

Sakowitz Eye Center Sakowitz Eye Center is a multi-specialty eye center providing comprehensive medical and surgical eye care. • Cataract Surgery • Advanced Multifocal Implants • High Performance LASIK • Glaucoma Treatment & Surgery • Corneal Transplants • Retinal Laser Surgery • Macula Degeneration Treatment • Comprehensive Eye Examinations

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AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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At VITAS, the focus is on LIFE When a loved one becomes seriously ill, it can be difficult to know what type of care is best, or where to turn for help. VITAS can help. The VITAS interdisciplinary team manages pain and other debilitating symptoms while focusing on quality of life for the patient and his or her family. Find out more. Visit us at our Aging Tree office 985 Harley Strickland Blvd., Suite 100, Orange City, FL 32763. Proud Sponsor of:

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out on a limB

Section 2: Preventive Services

Medicare Infographic

Preventive Services Checklist Preventive services checklist Keep track of the preventive services you need by using the chart below. You can also visit MyMedicare.gov to track your preventive services, get a 2-year calendar of the Medicare-covered tests and screenings you’re eligible for, and print a personalized “on-the-go” report to take to your next doctor’s appointment.

Page

Medicare-covered preventive service

I need (yes/ no)

Page

Medicare-covered preventive service

Abdominal aortic aneurysm screening

Diabetes self-management training

Alcohol misuse screening and counseling

Flu shots

Glaucoma tests

Hepatitis B shots

Hepatitis C screening test

HIV screening

Lung cancer screening

Bone mass measurement

Breast cancer screening (mammogram)

Cardiovascular disease (behavioral therapy)

Cardiovascular disease screenings

Medical nutrition therapy services

Cervical and vaginal cancer screening

Obesity screening and counseling

Colorectal cancer screenings

Pneumococcal shot

Fecal occult blood test

Prostate cancer screenings

Flexible sigmoidoscopy

Colonoscopy

Barium enema

Sexually transmitted infections screening and counseling

Multi-target stool DNA test

Tobacco use cessation counseling

“Welcome to Medicare” preventive visit (one-time)

Yearly “Wellness” visit

Depression screening

Diabetes screenings

I need (yes/ no)

https://www.medicare.gov/Pubs/pdf/10110.pdf AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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mental health Branch

Heart-Soul-Body-Mind

Entitlement vs. Gratitude: A Solution to the Healthcare Crisis

he days of doctors making house calls, and then getting paid with eggs and a pair of woolen mittens, are a thing of the past. I have spoken with many who remember such times with fondness, and the bond that a small town and their doctor experienced was priceless. Today, healthcare is insurance driven. Whether you are a provider or a consumer, your healthcare relationships are dictated by insurance. The bottom line is what decides how long your bottom stays in a hospital bed, a rehab bed, or on a counselor’s couch. Don’t get me wrong, as a provider it is nice to have assurance of payment by insurance. I imagine that the small town doctor, returning home from his rounds, when asked by his wife what he got paid that day, may have been reluctant to acknowledge the 3 dozen eggs, 2 pairs of woolen mittens, 4 bars of lye soap, and one pound of salt pork. But those were also the days when the small town lawyer and doctor went to church together and sat on the same town council together. Likely, there were also a few wealthy clients that actually paid the doctor in cash. Truth is, people usually paid what they could afford, And, the doctor could afford to get paid what people could afford to pay. Those days are long gone. So, besides some nostalgic reminiscing, what’s my point? The clients (rich or poor) of the small town doctor were grateful for the services provided, and showed their gratitude as best they could. My wife accompanied a group of doctors and nurses on a mission trip to Ethiopia last year. While she was there, she experienced culture shock from the lack of healthcare available. She broke down in tears while touring a hospital when she realized that the patients who were in the “emergency department” waiting room, had been waiting for days, and some even weeks, to be helped by a medical professional. The lack of equipment and medicine and cleanliness throughout the hospital was deplorable. I would be remiss if I did not also mention that when my wife and the doctors and nurses on the mission trip provided services at a rural clinic, the people came from miles around, walking or being carried by others; And they were very gracious and appreciative of any little help that they were able to receive.

By Loren Fish, LCSW patients who may not have the preferred insurance, or the perceived ability to pay if the insurance does not.

Diana Fish on a mission trip with Florida Hospital’s, Global Mission Initiatives at Kalala Learning Village Clinic Now the above relating is from a third world country, and so it may not be appropriate to make comparisons, yet I would like to point out some differences that may have gone unnoticed. Whether rich or poor in our first world country, there is a certain sense of entitlement when it comes to healthcare. If we have to wait more than a few minutes in the emergency room or doctor’s office, we become indignant. If our medication or procedure is not completely covered by our insurance and there are more out of pocket expenses than expected, we feel taken advantage of. If the hospital food services department sends Salisbury steak instead of prime rib, we come unglued. These may be exaggerations, yet the presence of entitlement, and the absence of gratitude is at epidemic proportions within our modern western medicine. And this is evident in regards to healthcare providers as well. For example, some providers refuse to serve

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

About 2,600 miles (4,273km) north of Ethiopia, and about 1,985 years ago, there was another group of entitled and ungrateful people, the Jewish nation of the 1st Century. When Christ healed the sick, raised the dead (Mark 5) and even fed 5,000 plus people with a sack lunch (Mark 6:30); the people got confused about his mission, and thought that His skills would make a great addition to their military campaign plans against their subjugators, the Romans. Just think of it: when someone got injured, Christ could heal them; when rations ran low, Christ could multiply them; if someone was killed, Christ could raise them from the dead. They couldn’t lose. They wanted Christ to fix their economic issues, heal their healthcare crisis, and help them get dominion over the hated Romans. Yet, they wanted all this with little investment of their own. There are accounts of those healed by Christ, who were not grateful, sometimes as much as 90%, as in the story of the healing of the ten lepers, when only one returned to express his gratitude (Luke 17:11-19). Those who

were grateful when healed by Christ were willing to give up all earthly possessions to cont. pg. 36 | 34 |

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follow the One who had made them whole (physically, cognitively, emotionally and spiritually). During another mission trip to Honduras, my wife noticed the sincere appreciation of the people being helped, and asked one of the doctors if it was, ”hard to go back home and hear all the ingratitude and complaints?” The doctor’s answer made an impression on her. He stated, “Everyone needs compassion” Our current medical system is not sustainable. Ronald Loeppke, MD puts it this way: “Healthcare systems in the USA, as well as internationally, are on the verge of witnessing the inadequate levees of old cost containment strategies breaking apart from a flood of chronic illness that could lead to a profound change in the economic landscape for business and industry, and ultimately for governments.” And, “The main driver of increasing healthcare costs is greater utilization of health services due to the growing burden of health risk and chronic illness.”

While working at the hospital I have witnessed many doctors become frustrated, because their patients are non-compliant (not willing to do for themselves what it takes to get better). The patient will beg the doctor to “save” their leg (keep it from being amputated); and yet the patient in turn is not willing to make the simplest lifestyle changes to help their own cause. There is so much research available today about the benefits of healthy lifestyle choices, we really have no excuses. As a nation, and individually, we need to be more grateful, and less entitled. We need to appreciate the healthcare opportunities we do have, and to be mindful of the benefits of preventative medicine. Those who choose to improve their health by making positive lifestyle changes, may be able to see and feel results almost immediately. We need to be willing to be made whole; physically, cognitively, emotionally and spiritually. And this reversal of fortune starts with a reversal of attitude, from entitled to one of gratitude.

David seems to have been addressing gratitude and whole health when he wrote the following verses in Psalms 103:

1 Bless the LORD, O my soul; And all that is within me, bless His holy name! 2 Bless the LORD, O my soul, And forget not all His beneﬁts: 3 Who forgives all your iniquities, Who heals all your diseases, 4 Who redeems your life from destruction, Who crowns you with loving kindness and tender mercies, 5 Who satisﬁes your mouth with good things, So that your youth is renewed like the eagle’s.

Loren Fish, LCSW is a Christian Counselor and Whole Health Educator. His private practice: Fish Family & Associates. Call for an appointment: 386-456-0008. Email: ﬁshfamilyassociates@gmail.com; or address 2425 S. Volusia Ave Ste #B2 Orange City, FL 32763. Oak Park Counseling Services, at John Knox’s new Senior Services Center, is now accepting counseling clients with Medicare and Florida Healthcare insurance. Call 386-456-1500 for an appointment.

a Re Ne b n w t ov l h y e at r e a d py U n

In other words, people are making a lifetime of poor lifestyle choices, that has it’s compensation in chronic illness, and then they are wanting a quick fix, saying, “make me better, give me my life back”; and usually

with little willingness to themselves invest, in themselves.

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AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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dear saVVy sue

Ask Savvy Sue

Honey Are You Awake?

es, I admit it. I recently tried to wake a blissfully sleeping spouse because I had a bad dream. I was running through the mist in a dark and frightening forest. Something was chasing me. It was ominous and the faster I ran - maybe I should correct that - the faster I limped along, the closer it came. I have arthritis in my knees and have watched enough Mutual of Omaha and Discovery Channel shows in my time to know anything scary always goes for the weak or injured first and this thing was ready to overtake me for sure. In my dream I wanted to stop, turn around and confront it, but we all know that never works out well. So what was this coming after me? Something from the Jurassic period, or even zombies? No, it was worse; it was the specter of retirement looming over me.

money in 2008, lack of pensions and yes the swamp land we actually bought during the real estate boom. We had a few catastrophic medical emergencies. Our savings were depleted. There is a lot of work involved in just getting ready to retire. File for social security; navigate the alphabet soup of Medicare benefits. You have parts A, B, D, and countless other letters. You have supplements, advantage plans, drug plans that require getting your prescription lists down pat and hoping no new or horribly expensive drugs are needed down the road. Other decisions come along as well. We need to downsize for sure, but should we keep the house and possibly become overwhelmed by upkeep, or move to an apartment? Should we try to stay inde-

I had to wonder how retirement could suddenly become frightening. As a kid I looked at retirement as the best possible time of one’s life. I equated retirement with my grandparents and their comfortable life. I spent some of my school vacations with them and envied their lifestyle. They could stay home when it was pouring and palm fronds were hitting the windows, or unseasonably cold, or even if it was just too darn hot to go outside. They could stay in slippers, drink coffee or juice, watch TV news and the farm report, read the newspaper and plan. They had the entire day to plan where they were going to go, what they were going to do and even what they would have for dinner. They volunteered at their church, visited friends, and ran errands to the hardware or grocery store. They also got to travel and that meant taking pictures or slides, sending postcards and going to wonderful places and coming back with great stories to tell.

pendent, or will we need assisted living? Do we stay here because some of our children and grandchildren are here, or become snow birds allowing us to visit our other offspring up north?

My grandfather retired from the railroad and my grandmother raised seven kids. They had been frugal and certainly deserved to enjoy this time in their life. So why is my retirement now a worrisome issue? Perhaps because despite saving I now wonder if it is enough. My husband and I evaluated our nest egg and feared it might not make as many omelets as had we had planned (We like to eat breakfast out). There was the loss of 401k

It’s also time to look at our advance directives and legal documents and update them with our final wishes which may have changed as we aged and we now have a clearer picture of what we want and do not want. We also need to add someone to be our health care surrogate and power of attorney. We have great kids and wonderful friends, but who do you approach with this responsibility? We instinctively know which child will be

I’m Back! our choice; he is the one most grounded and attentive to everyone in the family. He has a cool head and asks good questions while gathering facts, but I worry he is also very kind-hearted and never quite got over Old Yellow having rabies or Bambi’s mom being killed in the forest. He might be overcome with grief and not be able to function. So I need everything set in place with few decisions to lie in his lap. The last decision I was forced to make was that regarding funeral plans, something my husband put entirely in my hands as he was uncomfortable with it. I guess he figured so far I had not picked a bad piece of furniture, wall color or rug during our marriage, so I could do this, which I did. Once done, one of my friends saw what would be our final resting place and shared she might visit as it was on the way to shopping. Location, location, location. I had an enormous amount of help from The Aging Tree staff making these decisions and received wonderful referrals to experts in their field, and most of what I need to do is done. However I can’t tell you what I would give to be back in the early 50’s lying on the rug in my grandparents’ house trying to get the comic strip to come up on my silly putty and thinking retirement must be the best time in anyone’s life. Please email any comments or questions you may have about senior living, senior products or senior services to customerservice@ agingtree.com with Comments for Savvy Sue in the subject line. Or you can contact me or one of the other compassionate senior living advisors at Aging Tree, 985 Harley Strickland Blvd., Unit 100, Orange City, Florida 32763. Either way this is free! Let Savvy Sue help you. I’m looking forward to your comments. Sincerely, Savvy Sue

You’re invited! Long-Term Care Insurance Seminar

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September 24, 2015 at 3:30 pm Aging Tree 985 Harley Strickland Blvd, Suite 100 Orange City, FL 32763 Space is limited. Please RSVP to 386-960-7878. Amanda Agnew, Agent 301 N Volusia Avenue Orange City, FL 32763 Bus: 386-960-7878 Fax: 844-612-8886 amanda@insurewithamanda.com

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National Mustard Day first Saturday National Raspberry Cream Pie Day Girlfriends Day Friendship Day - First Sunday in August International Forgiveness Day - First Sunday in August National Ice Cream Sandwich Day Sisters Day - First Sunday in August National Watermelon Day U.S. Coast Guard Day Assistance Dog Day Social Security Day Underwear Day Oyster Day Work Like a Dog Day Wiggle Your Toes Day Fresh Breath Day Root Beer Float Day National Lighthouse Day International Beer Day Odie Day Garage Sale Day International Cat Day Rice Pudding Day Book Lover’s Day Lazy Day National S’mores Day World Lion’s Day Duran Duran Appreciation Day Play In The Sand Day Son and Daughter Day Middle Child’s Day International Youth Day World Elephant Day Left Hander’s Day National Creamsicle Day World Bee Day Corn On The Cob Day Relaxation Day - now this one’s for me!

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

16 16 17 17 18 19 19 19 20 20 20 21 21 22 22 23 24 24 25 25 26 26 27 27 27 28 28 28 29 29 29 30 30 30 30 31 31

National Tell a Joke Day Rollercoaster Day National Thriftshop Day Black Cat Appreciation Day Bad Poetry Day Aviation Day Photography Day World Humanitarian Day Chocolate Pecan Pie Day World Mosquito Day Lemonade Day Senior Citizen’s Day Poet’s Day Be an Angel Day Take Your Cat To The Vet Day Ride the Wind Day Vesuvius Day Knife Day Kiss and Make Up Day Whiskey Sour Day National Dog Day Women’s Equality Day Global Forgiveness Day Just Because Day Burger Day Race Your Mouse Day Around The Icons Day Bow Tie Day Radio Commercials Day More Herbs, Less Salt Day Franchise Appreciation Day Individual Rights Day Toasted Marshmallow Day International Whale Shark Day Slinky Day Pony Express Day National Trail Mix Day Love Litigating Lawyers Day

| 39 |

GardeninG Branch

Strong Roots

A Season For Reflection

f you have ever lived on a farm you know there is always something to do. Even right now during the hot Florida summer, typically our slow season, there is much to do to get ready for the coming season. There is soil to prepare, supplies to put in and plans to be made. Soon it will be time to start planting. But just for a few weeks life is a bit slower. Our winter residents have all gone home to escape the heat. The schools are out and the roads are less traveled until the next school year. Even the college students have all gone home for a few months. I find myself enjoying this quiet time in the summer more and more each year. I don’t know if it is a measure of my age or just the fact I have a little time to pause, but during this time of the year I also find myself reflecting and remembering more. Sometimes I get nostalgic for the days of my childhood. Having grown up here in Florida in the sixties and seventies I have many memories of a Florida that has long since disappeared. For those of you who have not lived here very long, you don’t know what you missed. In the pre-air conditioning era there was no mad rush to live here. The towns were small and friendly. The roads were less traveled and safer. The beaches were unspoiled and easy to get to. It was a different time and a different place. I imagine that if you are like me you find that certain sights and sounds take you back to your childhood and the place you grew up. It is funny the things that trigger my memories. For me the hot summer breeze as I sit on my porch reminds me of those hot days we would get a group of kids in the neighborhood together and play baseball. The breeze would blow across the field and offer us what little relief it could. No parents to supervise. No uniforms. Everyone brought what they had and we would play for hours in the nearby school yard. I can

still see the faces of those friends long ago forgotten except in moments like these. The sound of the cicadas in the trees coming and going in waves in the summer heat brings back memories of our favorite swimming hole tucked under the trees where we went to cool off. Our lunches packed in the latest lunch box by moms who lovingly made them

if for no other reason than to get a few hours of quiet to themselves. Crickets chirping stir my memories of my best friend and I sitting on the side of a small hill at night watching the stars in the sky and the planes taking off from the local airport. All the time talking about urgent matters in life like which girl we wanted to ask out or what we were going to do the next day. The memories are fond ones but I find myself feeling a bit sad that our children will never experience some of these simple pleasures in this high tech gadget filled world. I bring this up to ask how about you? In this seemingly eternal quality of slowing down in the summer have you taken time to get still and reflect. You don’t have to live on a farm to do that. Brave the summer heat and go out to a local park or even your back porch

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

 and just get still for a little while. Listen to the sounds and take in the smells of summer. Give yourself time to reflect and remember. It is times like these that remind us of who

we are and nourish our souls. It gives you a sense of hope in a time when things seem bleak. I hope you will take the time to try it. It will refresh you and you will be the better for it. Until next time remember today is a good day to have a good day. (With the season starting in September we will be talking about soil and how to grow vegetables here in Florida.) For more information or for any questions you can contact John Joslin at the Common Ground Farm 386-7409141, 1330 E. Taylor Rd, DeLand, FL 32724 or e-mail any questions to strongroots. agingtree@gmail.com

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from our Kitchen to yours

Hometown Recipe

Cranberry Chicken

By Tekla Thornton

This is such a simple and easy recipe but so delicious. There are several versions but I think this is one of the best. With only four ingredients, it’s great for those days when you have to get dinner done quickly. Enjoy!

Tekla

6-8

8 chicken pieces of your choice 1 can whole berry cranberry sauce 1 cup Sweet Honey Catalina dressing 1 package Onion soup mix (Lipton or store brand)

PREPARATION: Preheat oven to 350 degrees. Mix together the sauce, dressing and soup. Place chicken in a lightly sprayed 9 x 13 inch pan. Spread cranberry mixture over top. Bake uncovered for 45 - 50 minutes or until chicken is cooked.

Minimally Invasive Options. Premier Care. Right Here in DeLand. See how the Digestive Health Center at Florida Hospital DeLand provides access to the latest and most advance treatments and procedures available by visiting FloridaHospitalDigestiveServices.com

For more information call (386) 943-3270 or take our online quiz to determine your risk for colon cancer.

FHD-15-14121 Aging Tree GI Q3 Ad.indd 1

Where Life Begins Again

VARIATIONS: -Remove skin from chicken before cooking to reduce fat content. -I use Kraft Sweet Honey Catalina dressing. Regular Catalina can be substituted.

• Premier retirement community • Relax in your own private apartment • Many interesting and fun-ﬁlled activities • Free transportation

Healthy Morsel Before getting up out of bed to greet the morning sun; Sit on the edge of your bed • Take in 5 deep breathe slowly, releasing each breath to the count of 5! Repeat this exercise Monday, Wednesday & Friday. • As you become accustomed to your breathing, increase each breath count towards 10.

7/22/2015 10:38:44 AM

Schedule a tour today.

113 Chipola Ave., DeLand FL 386-738-2700 There are no entrance or endowment fees required for moving into Woodland Towers -- a fully refundable security deposit is all that is needed.

Security

Transportation

Friendly

Activities

refreshfitness4life.com

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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• • • • • • •

classifieds Industry Jobs: Home Maker/Companion Jobs available, experience preferred, reference and backgrounds checks. Qualiﬁed individuals call: 386774-9090 Nursing, Dietary, Activities, Rehab, Maintenance, and Administration Departments positions open at Orange City Nursing & Rehab Center Port Orange Nursing & Rehab Center Please visit these websites to view all of our current open positions and available employment opportunities within both facilities. These websites are updated daily for. EEO/AA Employer M/F/V/D https:// www.EmployFlorida.com http://www. FLjobconnections.com

Have Used Items to sell?

RE! SELL IT HE

Aging Tree Illustrated offers free classified ads for those needing to sell their used items. You may list your ad by submitting information to: customerservice@agingtree.com or mailing to 985 Harley Strickland Blvd., Suite 5, Orange City, FL 32763 Attention-Classifieds (50 word maximum per ad).

Volunteer Opportunities: Looking for volunteers to patrol our streets, only 4 hours a week, we do house watches, traffic control. 18 years up. Please call Sonia Cortes the recruiter, at 386-4732601 or pick up the application at the nearest sub-station (Sheriff Dept.) The West Volusia Tourism Bureau is looking for volunteers to work a 4-hour shift in our Visitor Center at least once a week Monday-Friday. Friendly outgoing people with a good knowledge of the West Volusia region are encouraged to apply in person at 116 W. New York, DeLand or email info@visitwestvolusia.com. Friends of Deltona Library Used Book Store Open daily with great bargains including large print, magazines, books on CDs, movie DVDs and books for the Grandkids 25-50 cents. Ask about free classes.386-624-8767

Used Medical Equipment: Aging Tree - 386-774-2440 NEW! Pride Silver Star Boom 250 $1500 Enhanced Vision Merlin LCD CCTV, Model # MRVE19A-VA 19” screen, includes manual. Nearly new condition, $600. Pick up in S. DeLand or local delivery available. Contact: Susan 386-383-9156. Jazzy Power Chair 614HD $1200, Heavy Duty 14” wheels, Supports 450 lbs. Extra Lg. Seat 24” x 24”, Contact: Ed 386-774-1107 2005 Pride Legend 4 Wheel Scooter. Good Condition, needs batteries, has basket. $500.00 Firm. Contact: 386-747-7181 Invacare Power Chair $2000 Hoyer Lift, Automatic Hospital Mattress, Bathroom Chair w/toilet bucket - Call for price, Contact: Bob 386-860-3774

Healthy Morsel Always start your morning with an 8 oz. glass of water refreshfitness4life.com

WELLNESS Wednesday

Join the conversation! No, Not Another Pill:

Learn strategies that could make the difference in your plan for health.

Items For Sale: 4 Side by Side Cemetery spaces, Garden of Memories, Perpetual Care,Tampa, FL $6,000 (valued at $12,900).Contact: Judy 386-956-5613 2 CEMETERY LOTS Side by Side In the Garden of Prayer @Forest Lawn/Lauderdale Memorial Gardens Cemetery Fort Lauderdale, Florida, Asking price $1500.00 OBO for both lots (includes transfer fee) Cemetery value $1995.00 each. Contact: Sandra 386804-6354 Two Mausoleum Crypts Abbey of Faith, space 13 and 14 Deltona Memorial Gardens, Orange City FL. Valued at $12,000 will sell for $6,000.00 Prayer Level Contact: William 386-789-6419 QUILT LOVERS: 2 antique quilts that can be purchased at half price, 1 Amish twin-bed (yellow nine patch pattern); 1 pink & white, standard (cathedral window pattern) Pictures can be sent, Contact: Shirley, 228-4041 Zingo Electric Panel Box Breakers Used: Singles $25, Doubles $45, 15 - 20 - 30 & 40 Amps. Contact: Larry 386-801-5837 Electric Piano on stand for sale $200 or Best offer. Contact Karen: 386-259-5193 Leave message. 22 Pieces Crystal Stemware, over 60 years old, clear/ gray ﬂoral on bowl & foot (6 water goblets, 8 iced tea glasses, 8 sherbet/champagne glasses), $200. Worth over $300. Contact: Judy 386-956-5613 Items for Sale - Brass Disc - For Wall or Table $50, Various Original Oil Painting Tropical Landscape - Cuban Painter from Bella Artes/Havana from $150.-$900, Two Ottomans - $20 Each Artiﬁcial House Plants in Baskets - $10, 16” TV or Desk Computer Screen - $45, Upscale Vintage Clothing and Jewelry - All or Part, Please leave message - Contact: Cira at 386-532-1777

Wanted Items: Wanted: CASH PAID Looking for Fishing Reels, Lures,Rods, Tackle, Duck Decoys, Fishing & Hunting Stuff of all kinds. Contact Bob in DeLand 321-220-8154

August 5, 2015 8:30 AM RSVP Today!

985 Harley Strickland Blvd., Ste. 100, Orange City, FL 32763

386-774-2446

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

To have your ad removed please call 386-774-2446 or e-mail graphics.agingtree@gmail.com

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Calendar of Events August SENIORS ON SUNRAIL DAYCATION Winter Park Daycation: Every 2nd & 4th Wednesday of Each Month

Dr. Phillips Center for the Performing Arts: Every 3rd Wednesday of Each Month

_________________________________________________________

EDUCATIONAL SUPPORT

DeLand Bakery/Natural Market Education - 386-736-7919 Call for Class Information Please Contact Orange City Senior Center Wava Hall August Schedule of Events - 386-775-3121 Free Wellness Wednesday Seminars by Cheree Albert, MSN, ARNP, CPNP Join Us Today at Aging Tree August 5, 8:30 - 9:30 AM RSVP 386-774-2446

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HEALTH SCREENINGS & SUPPORT GROUPS Monthly Health Screenings Summit Medical Ofﬁce Building 386-917-5155 2nd Tuesday of each month, Ste. 211 - 7 - 9:00 AM August 11 (12 hour fasting required for some screenings) Osho Meditation Bamboo Arts Center – 386-956-1329 or 386-277-2069 7 – 9:00 AM Call for Dates Zumba Orange City Wava Bldg - 386-775-3121 9:15 – 10:00 AM August 6, 13, 20 and 27 Support Groups located at Florida Hospital Fish Memorial Cancer Institute RSVP or Questions 386-917-5852 Breast Cancer Support Group – 5 – 6:00 PM August 11 Men’s Cancer Support Group – 2 - 3:00 PM August 9 Cancer Support Group – 5 – 6:00 PM August 20 Cancer Survivorship Support Group – 5 – 6:00 PM August 25 Support Groups Located at Florida Hospital DeLand Cancer Center RSVP or Questions 386-943-7160 Men’s Cancer Support Group – 2 - 3:00 PM August 4 Cancer Survivor Support Group – 5 - 6:00 PM August 11 Cancer Support Group – 5 – 6:00 PM August 19 Breast Cancer Support Group – 5 - 6:00 PM August 24 Support Groups located at Aging Tree Vitas Healthcare Memorial Service – 3 - 4:00 PM August 5 Bereavement Support Group – 2 – 3:00 PM August 18 Alzheimer’s Support Group – 11 AM - 12:00 PM August 19 Coffee and Conversation – 11 AM– 12:00 PM August 26

er e! d r n O nli O

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! Health Care

Health Care You Can Health Control! Care rdline On O

YouYou CanCan Control! Control! Because we are what we eat, we can literally transform our bodies and minds by choosing an inspiring diet.

Because we are what we eat, we can literally Because we are we eat, can literally transform our bodies and minds bywhat choosing anwe inspiring diet. Rainbow Tuesday

Save 20% transform our bodies and minds by choosing an inspiring diet. 1st Tuesday of Every Month. 20% off all regularly priced items.

Senior Discount Day! Save 0% EVERY Thursday and Sunday on 1 all regularly priced items. Orange City

Port Orange

862 Saxon Blvd. Orange City, FL

3850 S. Nova Rd. Port Orange, FL

Open Daily

386-775-7002

386-763-7046

www.DebbiesHealthFoods.com

Mind Benders

AUGUST 2015 | The ONE-STOP Senior Care Store | Aging Tree.com • 866-320-8803 | Kohl’s Plaza-Orange City

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HAVE YOU EVER THOUGHT ABOUT PARTICIPATING IN A CLINICAL RESEARCH STUDY? You may: • Help Advance Medicine • Receive Compensation for Time and Participation • Meet New People Just Like You At Covance, we do studies for healthy seniors and people with certain medical conditions such as high cholesterol, osteoporosis, diabetes, and arthritis. Go to CovanceClinicalTrials.com or call 1-866-429-3700 for information on our current studies. 1900 Mason Ave., Ste. 140 Daytona Beach, FL 32117

We Keep you dancing...

Pharmacy

Outpatient Therapy

386 456 1500

Clinic

701 Monastery Rd., Orange City, FL 32763