Life Planning Guide 2023

LIFEPLANNING GUIDE 2023

Estate planning is a key component in making sure that your wishes are followed, and that your remaining family isn’t caught off guard by final expenses. It can also help ensure that entitlement issues don’t arise in your absence.

So, how do I get started?

Find an attorney.

You’ll need to consider what will be given to individual beneficiaries first. Once you’ve mapped out a general plan, then it’s time to choose an attorney to guide you through what can be a complicated, emotional process.

When you choose Kimber Monroe, you are getting a reputable, accredited lawyer who specializes in this field. In the end, this becomes an issue of trust, as you’ll be sharing highly personal information in order to structure the estate plan properly. Discuss financials. The first step to building an estate plan is to discuss all current assets and liabilities. This helps your attorney calculate net worth, which in turn

dictates estate taxes.

Frank discussions about debt will reveal whether — or how much — family members will have to deal with after you pass away. Choose an executor. An executor is someone you implicitly trust to act in your best interest at the time of your death — or, even before, should you become incapacitated. Some of the pressure of this decision can be alleviated when you have a trusted advisor like Kimber Monroe to assist you in choosing the right person as they’ll have to make a series of major decisions on your behalf. Rest easier.

Developing a detailed estate plan might be one of the most important elements of end-of-life planning, and in some cases it’s a very difficult journey. At Kimber Monroe Law, she will guide you through the planning process which in turn provides peace of mind that your final wishes are being followed and your loved ones provided for.

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Selecting An Attorney

What exactly is your estate and why is it important to plan what happens to it after your death?

Your estate is made up of all of your personal property, real estate, retirement accounts, investment accounts and other assets. While the law contains an official chain of events related to the disposing of these properties, it is best to figure out the details of what happens to your assets well before the task falls to the courts.

This is where an estate planning attorney is key. You want your will and trust to be written in a way that covers all your bases. This can be a complicated issue, so it’s best to leave it in the hands of a licensed professional.

RESEARCH

When looking for an estate planning attorney, be prepared to invest significant time and energy to find the right fit for you. This is an important decision that requires diligent research on your part. Start by visiting your state or local bar association’s website, where you will find an active list of members that can be searched by specialty. You also can call a local attorney’s office for an initial

consultation to go over your specific needs. Some attorneys will charge you for this session, while others won’t. Be sure to ask up front so you know what kind of investment will be required.

BOARD CERTIFIED SPECIALISTS

Some states allow attorneys to become certified special-

ists in a particular area of law, such as trusts and estates. If professional certification is available in your state, the bar association will have information about the requirements. Before applying for certification, an attorney must have a certain number of years of experience practicing law in a particular area, usually at least five. To become certified,

ESTATE & PREPLANNING GUIDE | THE LEGAL PROCESS

Getting Started

an attorney must submit a number of professional references, take additional courses in that area of law and pass a lengthy written exam.

ASK AROUND

There are no better referrals than trusted friends and family members. Ask the people around you if they or someone you know has had a great

experience with an estate planning attorney.

Be sure to get all of the pertinent details from your connections, including cost of the estate planning process, the length of time it took to build the necessary documents and their thoughts about the attorney’s professionalism and communication skills.

Getting your affairs in order ahead of your consultation ensures a smooth introduction and time-efficient discussions.

DOCUMENTATION

The first step in preparing for your attorney is gathering all pertinent documentation materials. The more time you spend on this task now, the quicker your attorney will be able to sort and reference them.

Locate and organize all your financial statements for retirement, investment and person-

al accounts. If you have one, locate your will, as well as any other documents that show the value of your home and business. It also is helpful to make a complete list of your assets and liabilities. This will save time for both you and your attorney. Your list should include what you own, including financial accounts, real estate and life insurance. Don’t forget to list how you own the assets. For example: sole name or in joint names with your spouse, friends or family mem-

bers.

Put together this type of information in an organized, cohesive manner. Your attorney will thank you.

INHERITANCE QUESTIONS

One of the biggest things to prepare for ahead of your attorney visit is determining who will inherit your estate after you die. This can be a tough decision — and one that actually intimidates many people into delaying the development of a solid estate plan. Here are a couple of key

questions your attorney might ask you in regards to your inheritance. Again, preparation is key to make sure you maximize your time with your lawyer: Who do you want to inherit your estate? Consider all your items and family members who may be interested in inheriting them. Maybe you want your son to have your house and your daughter to have the bulk of your savings account. This decision is entirely up to you and, depending on your family

dynamic, can be simplified through honest conversations. When would you like them to inherit property? This is another interesting question that has a lot of flexibility. You can pass on your properties to your beneficiaries outright or in stages. For gradual payments, you can distribute them to a grandchild after they get married or to one of your siblings at other specific milestones. This is another choice that is entirely up to you and can require some creative planning.

Planning what to do with your estate is no easy task. There are emotional and financial decisions that go into creating a solid estate plan, so hiring an attorney should be among your first steps.

Once you decide to use an attorney to help you through the process of planning your estate, it’s time to prepare for your initial meeting.

Dealing With Medical Costs

Juggling Medicare, insurance and out-ofpocket expenses can be daunting

Unfortunately, health issues tend to become more common in our seniors years — and then the accompanying bills begin to pile up. Managing it all can start to feel like a return to full-time employment, in particular for those with chronic illnesses. Here’s how to deal with medical costs.

HEALTH SAVINGS

Consider putting away pretax money in order to cover the inevitable medical expenses that will come up later. Health savings account are an idea way to do it. This personal account allows you to save and then withdraw your money tax free, as long as it’s used for qualified medical expenses including co-payments and deductibles, among other things.

Eligibility for an HSA is based on being covered by health plans with deductibles that are deemed “high.” The monthly premium on these plans is usually lower, but you end up paying more in out-ofpocket expenses before the insurance company takes over. HSAs are designed to fill that gap, potentially saving thousands. You aren’t eligible, however, if you have Medicare or a non-deductible insurance plan.

MEDICARE

As with Social Security, this benefit can be leveraged higher

Q:When is the right time for Hospice?

— if you know how to manage your account. Don’t simply auto-enroll, of you may end up higher out-of-pocket payments and less coverage for prescriptions. Part A and Part B cover hospital insurance and outpatient services, respectively. Be aware, however, that you can expect annual changes to your prescription drug benefit so

When treatment focus shifts to comfort care and you determine that the patient’s life expectancy is six months or less, it is time for a hospice referral. Hospice care is not just for those patients who are close to death. In fact, the more time a patient can receive hospice care, the more benefit they and their family will receive.

There are key indicators for when the choice of hospice is appropriate or close. Some of these may include:

• Multiple and frequent falls

• Excessive loss of weight

• Multiple infections

• Non healing wounds

• Limited or no treatment options

explore multiple Part D options. It pays to shop around. Part C, meanwhile, is the so-called Medicare Advantage plan. This allows you to consolidate elements of Parts A, B and D through private insurance companies. Part C may include options not available through original Medicare plans, including dental, hear-

ing and vision. Critically, Plan C also has an annual limit on your out-of-pocket expenses.

OTHER CONSIDERATIONS

Take the time to look into long-term care plans as soon as possible. Set aside reserves specifically for this often-needed health option, or consider a

Life Planning Guide 2023

Heart and Soul

• Medications are no longer of assistance

• Utilization of concentrated oxygen is no longer helping

• Life limiting or chronic illness has run its course

Studies have shown that some people on hospice services actually live longer than projected. In these cases, the patient may remain on hospice with recertification by the hospice medical director.

Q: How does hospice care benefit your loved one at the end of life?

Often families are upset to hear this recommendation because, to them, it means that we are “giving up on Mom.” But what it really can mean is a shift of perspective, from

curing Mom’s illness to providing comfort and quality of life.

• The hospice team will collaborate with other healthcare professionals to coordinate treatment and care.

• Hospice will help build a support

hybrid insurance plan that combines life and long-term insurance products. In the meantime, become an active patient. Ask plenty of questions, in particular about tests that may be unneeded but tend to run up your bill. Consider generics when filling prescriptions, which can also turned into huge savings.

system to meet the needs of you, your family, and your loved one.

• The hospice team will visit your loved one anywhere they call home.

•Medications related to your loved one’s terminal illness will be covered.

• Medical equipment will be provided if it’s related to your loved one’s terminal illness.

• Hospice provides different levels of care to help manage your loved one’s symptoms.

• Your loved one will have access to a comprehensive team that addresses his or her physical, mental, emotional, and spiritual needs.

• Hospice will provide bereavement follow-up for you and your family.

Traery Noubarian, RN

Adopting a New Pet

Seniors are at higher risk for isolation and depression, the National Institutes of Health confirm. Pets can help fill the void.

They provide companionship for those whose children have moved far away, or comfort for others who may have lost a spouse or close friends. Their loyalty, compassion and joy can also lift our spirits on even the worst days.

Seniors with pets also get one more very important health benefit from pets: They often help us remain more active.

GETTING OUT THERE

People who are 65 and older should get at least 150 minutes of moderate activity on a weekly basis, according to the Centers for Disease Control and Prevention. Pets will often help encourage a more active lifestyle. Dogs like to walk, for instance, and any kind of pet will require regular trips out to the pet store or local veterinarian’s office. Even playing with your cat inside is its own kind of exercise.

ENJOYING THEIR COMPANIONSHIP

Animals are the very best kind of roommates, because they love us unconditionally.

Studies have consistently shown that having a pet will significantly reduce loneliness and symptoms of depression. This form of unwavering companionship has even been shown to reduce stress and lower blood pressure for some pet parents.

LIVING IN THE PRESENT

Many of us to spend a lot of

time thinking about the past or worrying about the future, while pets tend live in the here and now. Their needs, wants and happiness are occurring in real time, and this encourages those around them to live in the present. Similarly, becoming such a central figure in another living creature’s life automatically leads to a shared existence. As you feed, pet or

walk them, a sense of being valued and useful inevitably follows. In time, many find that these regular routines aid in reducing anxiety and lead to better sleep patterns.

BEING MORE CONNECTED

Do your research before committing to any pet, since they all have unique needs that

FINANCE FOR SENIORS | PLANNING

you may not be able to address. Those who are less active, for instance, may not want a largebreed dog. Younger pets of any variety require more attention, too. But whichever you choose, you’ll likely see an increase in socialization. Animals are ice-breakers, whether you’re out and about on a walk or when friends come over to visit.

Retiring the Right Way

Smart financial planning starts early and never stops

More than a third of us don’t have enough saved for our golden years, according to the National Association of Personal Financial Advisors. That will force many to keep working past the point where they’d like to retire.

Here’s how to get organized, overcome common issues and hire a professional to make sure you’re set to retire the right way.

ORGANIZING IT ALL

Regularly re-evaluate your future in the years leading to retirement, then be prepared to keep a close eye on market-connected sources of income. It’s admittedly a lot to manage, since most people leave the workplace with a stack of retirement-related investments to sort through. Begin by taking a close look at your various mutual funds or stocks, pensions or other benefit programs, and various savings accounts.

Consolidating all of it into one neat package will give you a new perspective on where you stand going forward. You’ll also be more prepared to react to market changes that often have such a huge impact 401(k) benefits in the future.

SETTING GOALS

Obviously, you’re trying to amass enough savings and

income to live comfortably outside of the daily work environment. But life has a way of surprising us. So after you’ve determined what you’ll need to cover regular expenses, add a contingency on top of that in case of emergencies. Be aware of the tax implications if you decide to continue working, or elect to return to work, in order to

continue building your nest egg. Contact a financial advisor who you can trust to help guide the way.

FINDING A PROFESSIONAL

Ask family and friends for recommendations before partnering with an investment pro, and pay close attention to online reviews.

The National Association of Personal Financial Advisors also provides a search function to expand the vetting process. Consider discussing your retirement with several potential candidates, and don’t be afraid to ask probing questions — beginning with their credentials. Your advisor should be a certified public accountant or certified

financial planner. Determine how long they’ve been involved with financial services, while asking for personal references. Discuss their compensation, which may be fee- or commission-based — or both. Keep searching until you find someone whose experience, skill set, pricing and approach match your goals.

Furry friends can provide needed physical, emotional and mental health benefits

Q: Why would I want to move to a retirement community now?

Research on aging tells us that people who live in a community of friends live happier, healthier lives. Socialization, exercise, good nutrition and having the peace of mind that comes from knowing they have a secure plan for the future all contribute to overall wellness, which can improve anyone’s quality of life. Those who live independently at a senior living community benefit from all this, plus they’ve eliminated the burden of home maintenance while having more freedom and encouragement to pursue whatever makes them happy. Hobbies, travel, volunteering, family — whatever you love to do, living in a Presbyterian Manor senior living community gives you the opportunity to do more of it.

Q: Do I have to be Presbyterian to become a resident?

Since 1949, Presbyterian Manors has provided quality retirement living for seniors of many Christian denominations, including Presbyterian, Methodist, Lutheran, Roman Catholic, Episcopal, and also some from non-Christian faiths. Presbyterian Manors of Mid-America’s mission is to provide quality senior services guided by Christian values.

Q: How do I start downsizing?

If you think about it, you most likely spend themajority of your time in only a few rooms of your house. So downsizing probably won’t present any really big changes in the way you currently live, other than giving you

Presbyterian Manor

Q: How do I talk to my loved one about their health?

We understand the idea of broaching this subject with a loved one can cause you a lot of anxiety. If you’re concerned about their health and safety, then starting the conversation is an important thing to do. Often, we find that their primary care doctor is an excellent resource for opening the subject. After all, they have a history of discussing private health matters with each other. We can also help begin this conversation. Regardless of how you get started, keep one idea in the forefront of your mind—important family discussions should be grounded in dignity, respect for each other and keeping an open mind. After all, the goal is for everyone to lead happier, healthier, more fulfilling lives.

access to our entire community of people, common areas, services and amenities you don’t currently have. A good way to start downsizing is to choose the new residence you would move into so you can start imagining — and measuring — how you’ll arrange the furniture you actually use now. As you might imagine, we’ve helped many, many people work through this issue, and we’ll be more than happy to personally work with you, too.

Q: What’s the difference between assisted living & health care?

As you begin to learn more about various issues that impact long-term care, you’ll start hearing the phrase activities of daily living. This list can vary depending on the source you’re referencing, but generally these are the basic tasks we all need to be able to handle in order to live independent lives. Tasks such as dressing, bathing and eating;

more broadly, they might include being able to manage medications, prepare meals, and maintain a clear awareness and understanding of the world around us. Anyone who consistently needs a little help with some of these activities may benefit from the care level provided in an assisted living setting. Skilled nursing care, on the other hand, refers to a higher level of daily nursing and rehabilitative care that must be provided by trained medical professionals, including nurses, doctors and physical therapists.

Q: How Does Medicare Part A help cover skilled nursing care?

Many Medicare beneficiaries believe that Medicare Part A will cover any stay that they may need in a skilled nursing center. The fact is, there are a number of conditions that must be met for inpatient services in a skilled nursing center to be covered byMedicare Part A. In addition, a qualifying skilled nursing

stay may involve co-payments, coinsurance and deductibles. Although these considerations can be complicated, at Presbyterian Manors, we are familiar with Medicare’s rules for these services and we’ll be happy to help you work through your own personal situation. When it comes to anticipating what the future might be like, everyone has their own unique questions.We encourage you to visit www.presbyterianmanors. org and review our Frequently Asked Questions page. Or better yet, call our nearest community and start your own personal conversation with someone who will work closely with you. Whether you’re curious about the freedom our independent living lifestyle might provide or seeking information about how to handle the care needs of someone you love, we can help you ask the right questions and find the right answers that work best for you.

Senior Gardening

That’s one reason to consider gardening as a senior. It also provides enough physical activity to increase blood flow, strengthen muscles and keep your mind engaged. Routine activity like gardening every day also reduces our risk of stroke, while opening the door to a longer, healthier life, according to the British Journal of Sports Medicine. Here’s how to feed your mind, body and soul — without ever going to the store:

BETTER NUTRITION

Gardening is, of course, a cinch in suburban or rural communities. But even in urban areas, box gardens offer an every day alternative to processed, packaged and fast food which is loaded with unhealthy additives and health-impacting negatives like cholesterol and salt. Consuming fresh, organic produce in the form of healthful vegetables and fruits addresses a myriad of endemic health issues for seniors, and you’re saving money while participating in this sustainable activity.

DON’T HAVE A YARD?

Condo or apartment living can be ideal for busy seniors, but gardening becomes diffi-

cult if not impossible. That’s where local senior centers and gardening clubs come in. Many are funding programs meant to spark interest in gardening, building stand-alone projects in the community and providing educational classes on nutrition and cooking to help people turn their new hobby into finished meals.

TAKE IT EASY

Gardening doesn’t have to be hard. Try raised beds, or large planters and pots, since they can be tended without having to bend over. There are also a variety of tools that make the process easier for seniors: Purchase a garden cart to make hauling supplies, fertilizer and tools easier. There are handheld blades that are specially

hooked for weeding. Drip irrigation systems and soaker hoses eliminate the need for dragging a garden hose around.

PERFECT EXERCISE

You’ll often see seniors walking through the local mall or neighborhood in a bid to stay active. Gardening provides similar benefits, and there’s a delicious payoff at the end.

SENIOR LIVING | STAYING ENGAGED

You’ll have to water, rake, pull weeds and pick fresh produce, just the kind of light exercises that help keep us fit without wearing us down. And you’ll have to maintain a regular exercise schedule, because the plants require every day attention. Afterward, you can gather around a table stuffed with organic foods to unwind and enjoy.

Finding a New Hobby

You’ve retired after a lifetime of work — now what?

Our golden years are certainly an opportunity to relax, but you might find yourself with a little too much extra time.

Going back to the endless bustle of a five-day work week isn’t the answer. But neither is being bored silly. That’s when finding a new hobby might be smart.

You can keep yourself engaged and entertained, make new friends and maybe help your community through meaningful volunteer hours that simply weren’t possible before.

TRY NEW THINGS

As busy parents raising a family, building a career and trying to find time for one another, there probably wasn’t much calendar space left for things like becoming artsy or trying a new recipe. Things are different into retirement, as time now allows you an opportunity to express yourself through painting, woodworking projects or sewing. You’ll be sparking your imagination and keeping your mind sharp while creating one-of-a-kind objects to enjoy or gift to others. Beer or wine making are growing trends, or consider old standbys like gardening or crochet.

JOIN A CLUB

Seek out local chapters of nationwide clubs, or ask

around. You can create fast new friends among people with common goals. If established clubs like those aren’t nearby, or don’t exactly dovetail with your interests, consider starting one yourself. People in your friend and family group may have suggestions about unaddressed needs in your community. Aim toward those goals then, once you’ve

begun building a foundation base of members, begin work on a new project together.

A VOLUNTEER

BECOME

If you’ve always believed in certain causes but weren’t able schedule time to get involved, now’s the time to volunteer. These efforts are also great way to meet new friends, while also creating a

sense of civic pride and enriching your community through services provided to schools, rights groups, health care or other nonprofits.

SAVING MEMORIES

As we get older, we naturally become more interested in documenting and saving memories for future generations. Consider writing projects or

© ADOBE STOCK

scrapbooking as a way to turn your stories into lasting creative ideas. These hand-crafted stories and inventively collected images will become a treasure trove of family history, fun vacations, personal milestones and favorite moments. If you find yourself particularly interested in writing, let your imagination run wild through novels, poetry or short stories.

Good nutrition is such an important part of wellness, but it can be difficult to find healthy choices.

Picking a Final Resting Place

Consider your family’s needs and preference because, after all, they are the ones who will be visiting your gravesite or, likely, possess your urn. Don’t think of the decision as unsettling or even scary, but rather as necessary to help your family members choose your final resting place.

BURIAL

The burial process comes with plenty of issues to consider, the first being convenience.

Families choosing burials may do to ensure they can visit the body for years to come. Nature also is an important part of the cemetery experience, so finding one with beautiful landscaping or expansive forestry can help provide a peaceful, natural environment for family members and friends to visit.

CREMATION

The cremation choice is popular because of its convenience and the opportunity for family members to display a decorative urn holding the ashes of their loved one.

If an urn isn’t your top option, you could always plan a special day that includes the spreading of your ashes across the ocean, mountaintop or river.

When planning such an event, consider who in your family will be able to attend and if anyone may be upset about not having an exact place to pay respects to the body. You should also pay attention to any local,

Q: Is it possible to have a public visitation before my cremation?

A: Yes. You can have a viewing and/or funeral while using a rental casket, usually made of Oak or Cherry. We have a package plan that includes everything that is required for this type of service. After the viewing and/or service we will then make preparations to transport you to our crematorium.

Q: Do all funeral homes have dedicated staff for just prearrangements?

A: No. However, at Boyer Funeral Homes we do have a dedicated staff member just for prearrangements. Stephanie

state and federal regulations that may govern the distribution of your ashes.

CONSIDER A MARKING

Whether the body has been buried or cremated, a marker that bears the

name, dates of life and loving inscription will help loved ones reminisce over fond memories and shared experiences.

You can also plan ahead of time to customize a marking with specific colors, shapes and sizes. And don’t

Life Planning Guide 2023

Boyer Funeral Home

Roesslein is a licensed funeral director and has close to 30 years of experience in the industry. Her primary job is to see to the needs of the community, making sure their wishes are recorded and to make sure they have used the correct financial path to prepay/preplan their funeral.

Q: Can I use my personal life insurance to prepay my funeral?

A: Yes, you can utilize your existing life insurance to secure your funeral. We use the word secure, because you remain the owner of the policy. It is against the law in Missouri for a funeral home to be an owner of an insurance policy. The funeral home would become an

assignee or assigned beneficiary of the policy.

Q: How do I know that the pre-paid plans I make with Boyer Funeral Home are secure?

A: The funeral industry, including Boyer Funeral Homes is heavily regulated by the state and federal government. Every 5 years we are entitled to receive a full audit of our entire pre-arrangement program which includes the funding avenues we utilize. This is a lengthy and thorough process, ensuring that all pre-arrangements are being completed correctly.

Q: Does Boyer Funeral Home own a crematory?

A: Yes, Boyer Funeral Home

forget to get creative with the marker’s design.

Find out if your funeral director knows of local production companies and make an effort to work with them to ensure a special maker.

owns and operates our own crematory. Your loved one does not leave our care during this process.

Q: I don’t own cemetery property. Does Boyer Funeral Home own a cemetery?

A: Yes, we do. Hillview Memorial Gardens and Mausoleum is located in Farmington. It is a beautiful, very well maintained cemetery, that offers both above ground and burial options for cremains or casket.

Many people choose burials; others cremation. Either way, you should be comfortable with your final resting place.

Healthy Aging

Retirement used to mean riding off into the sunset. Nowadays, seniors live richer, fuller lives filled with friends, family and new adventures.

Having the right mindset is a big part of this active way of life. So is maintaining your own particular sense of grace and style. Here’s more on the art of aging gracefully.

YOUR MINDSET

Attitude plays such an important role in how we feel. Of course, that’s true of any age, but it’s particularly true for seniors. You are, as the saying goes, only as young as you feel. Staying positive helps us get through tough times, when family members may be having growing pains or a friend suffers health issues. But it also helps others, as your engagement with the world around you becomes contagious. Growing older brings its own unique set of challenges; approaching it all with an upbeat demeanor is one of the key elements in aging gracefully. Smile, and the world smiles with you.

YOUR ENVIRONMENT

Spend time with a social circle that helps keep you focused on the good things in life. Remember that habits become our destiny. So, pick activities that foster a sense of well being

and accomplishment, whether it’s joining the local gym, a civic or nonprofit organization, or a church group. Search out articles, websites and books that explore self actualization and fulfillment. Enjoy life for the adventure it always has been. Don’t be afraid to try that new

look, or visit that new spot. Surround yourself with positivity and you’ll be bolstered by all of it when things get more difficult.

YOUR SCHEDULE

Find a new passion, and you’ll feel young again.

Exercise, makeup or other beauty regimens offer the chance for a healthy glow, but so does living with purpose. Explore a hobby like gardening or crochet, make the local bingo night a regular stop, take up some form of crafting that brings you joy. Whatever you

Life Planning Guide 2023

choose, leave the rocking chair behind. Meaningful activities help us age gracefully by ensuring that we don’t experience boredom or isolation. Bring a friend when you start these activities, or make new ones while you’re there. You can turn back the clock together.

Washington County Memorial Hospital

Q. Who is Cognitive Stimulation Therapy for?

Anyone who is having cognitive issues such as memory deficits, dementia, COVID brain, etc.

Q. What is Cognitive Stimulation Therapy?

CST is a program of combined cognitive, social, balance, and exercise activities.

The program is 14 sessions long with the first 7 sessions being one-on-one and the last 7 sessions being group.

The group sessions allow for social interaction with stimulating group conversations.

There will be an optional

Maintenance program if the patient would like to continue participating in group therapy.

Q. What results are expected?

Cognitive stimulation has been around for a long time and the results have been proven but cannot be guaranteed.

Results typically are improved memory, decreased depression, feelings of overall improved quality of life.

Studies show that exercise helps with brain function and cognition.

Q. How does someone enroll in the Cognitive Stimulation Therapy program?

A physician referral for

Q. Does insurance cover CST?

Insurance does cover the service; however, the amount of coverage depends on what type of insurance and the patient’s individual plan. Our office staff will contact the patient’s insurance company and inform the patient/caregiver of the coverage benefits prior to the evaluation.

therapy and physical therapy is required Contact Potosi Sports &

Therapy at 573-438-1800 for an appt

Starting Your Own Business

Growing older doesn’t have to mean losing your entrepreneurial spirit

More and more Americans aged 55-64 are starting their own businesses, giving meaning and purpose to a period that used to be defined by rocking chairs and sunsets. But as always, smart financial planning and a solid business forecast are a must.

LOOK AT THE BIG PICTURE

The first thing to do, even before deciding whether to bring your new goods or services to market, is putting your future plans in perspective. How active do you intend to be, in particular once you reach retirement age? Do you have any health concerns? Did you have plans to see the world, or were you planning to stay closer to home? Will you ultimately downsize or move into a shared-living situation? How do you plan to disperse your estate? Are there family members who would ultimately take over? All of these decisions will have a direct impact when embarking on a start-up operation and on how you set up the company itself in terms of management and ownership.

THE NUMBERS

INSIDE

Leveraging a lifetime of experience and improved financial means, seniors are

actually more likely to start their own business, the U.S. Global Entrepreneurship Monitor confirms. In fact, new business activity has consistently risen on a year-toyear basis among this age group. The same rate has declined among younger Americans, who may be less apt to take financial risks because of budget pressures

relating to new families or building their careers. In some cases, seniors have amassed enough wealth that they can being these ventures without taking out a significant loan — or any loans at all. Seniors with higher aspirations have also had longer to build up significant reserve funds that can smooth the way during the lean early years of

The Care You Trust, In a Brand New

a new business.

WHY NOW?

Seniors have decades of learned skills that can now be put to use to further their own financial goals. They’ve also made key connections over the years that can ease the start-up process, including long-held banking relationships, previous work with var-

ious contractors and familiarity with local government permitting and regulations. If they pair this new business with smart lifestyle changes like downsizing, they may also have significantly lower personal expenses. Finally, they usually have lots of experience with planning and executing a comprehensive business plan.

Life Planning Guide 2023

fromRecovering an Injury

SWITCH IT UP

As you may have already discovered, as we age, it’s not as easy to bounce back from an injury as it once was.

Especially if that injury forces you to sit out from your regular activities for any length of time. If you injure yourself while exercising, it can be tempting to abandon your new health routine. But stick with it. Here are some tips for recovering from injury from Helen Branthwaite, a senior lecturer in clinical biomechanics at Staffordshire University in Great Britain.

GO SLOW

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Just like when you started your exercise routine, you want to take your return to working out slowly, allowing your muscles to completely recover between each session. Gradually increase the number and type of exercises you do so that you don’t get too tired and sabotage the good form that helps keep you from getting injured in the first place.

STAND UP

Part of restarting your exercise regimen is just getting back on your feet, literally. Long periods of sitting significantly reduces muscle activity and muscle mass. Stretch well and move around as often as you can, even if you’ve taken to working from home during the pandemic. Focus on improving your posture and balance while you move.

Don’t just work on the same exercises every time, even though you may be comfortable with them. This can lead to repetitive strain injuries. Challenging yourself works both your brain and your muscles, improving not just your strength but also your balance, mobility and overall wellbeing. Make sure you’re not working the same muscle groups, either. Small, postural muscles like the tiny ones in your feet, play just as much of a role in keeping you healthy as the big muscles in your glutes. Use activation and control exercises — small muscles, small movements — to help prevent injury.

TALK TO YOUR HEALTH CARE PROFESSIONAL

As always, talk to your doctor before starting or restarting an exercise routine. This is especially true if you sought treatment for your injury or changed medications during your time off. You need to make sure it’s safe for you to exercise before you get started again, and follow your doctor’s recommendations about how much you tackle at a time. Keep them posted as you progress and have them recheck the injury at the first sign of trouble.

Reverse Mortgage Basics

Reverse mortgages are all over television these days as providers push products on to cash-strapped seniors.

They could be a great way to pay off debt, supplement income or pay for medical expenses. But reverse mortgages are complicated tools and may not fit every situation. Keep reading to learn more about how they can work for you.

WHAT IS A REVERSE MORTGAGE?

When you have a regular mortgage, such as when you bought your home, you pay a lender every month to buy your home over time. In a reverse

mortgage, the lender pays you. They take part of the equity in your home and convert it to payments to you, usually tax-free.

When you die, sell the home or move out, you or your estate would repay that loan, sometimes by selling the home.

There are three kinds of reverse mortgages — single-purpose reverse mortgages, private loans and federally insurance reverse mortgages, which may also be called home equity conversion mortgages.

THINGS TO CONSIDER

Just like any other real estate transaction, there are fees and other costs. There’s usually an origination fee and closing costs, and there may also be servicing fees and mortgage insurance premiums to pay. Most reverse mortgages also have variable rates, which mean you may owe more depending on what the interest rate is on a given day. That interest isn’t tax deductible like on a traditional mortgage, either, and because that interest adds up, it means the loan grows the longer you have the reverse mortgage. You will also still have to pay costs related to your home, including taxes and maintenance.

WHAT CAN YOU LEAVE YOUR ESTATE?

Reverse mortgages use up the equity in your home. Most of them have a non-recourse clause that means that you or your estate, in the event that you die, can’t owe more than the value of your home when the loan becomes due and the home is sold.

So if you and your heirs want to keep the home rather than sell it, you wouldn’t have to pay more than the appraised value of the home, according to the Federal Trade Commission. It would be possible for your children or other heirs to purchase the home for themselves provided the loan is paid.

WE WANT TO BE THE BANK OF YOUR FUTURE!

Q: What is hospice care?

A: Hospice is a philosophy of care. It treats the person rather than the disease and focuses on quality of life. It surrounds the patient and family with a team consisting of professionals who not only address physical distress, but emotional and spiritual issues as well. Hospice care is patient-centered because the needs of the patient and family drive the activities of the hospice team.

Q: When is the best time to start hospice care?

A: Most patients and families who receive hospice care say they wish they had known about it earlier, that they needed the help much sooner than they received it. Research has shown that hospice can increase both the quality of life and how long a patient lives. Families who receive hospice near the very end–just a few days to a week–have been shown to have a harder time adjusting during the bereavement period than do those whose loved one received hospice care for weeks and months prior. At Serenity HospiceCare, we specialize in caring for those in the last 6 months of life. If you wait to get hospice until the last few days or weeks of your loved ones life, you will not get the full benefit of having a team of specialists help you through the process. Hospice works best when there are months rather than days to establish relationships and provide support. If you choose hospice now, you can always change your mind at any time in the future.

Serenity Hospice

Q: What specific assistance does hospice provide home-based patients?

A: Hospice patients are cared for by a team consisting of a physician, a nurse, social workers, spiritual care providers, and volunteers. Each one provides assistance based on his or her own area of expertise. In addition, as the hospice care provider, we will provide medications, supplies, equipment, and other services related to the terminal illness.

Q: If the patient is eligible for Medicare, will there be any additional expense to be paid?

A: The Medicare Hospice Benefit covers the full scope of medical and support services for a life-limiting illness. Hospice care also supports the family and loved ones of the person through a variety of services. This benefit covers almost all aspects of hospice care with little to no expense to the patient or family. In the very rare instance that a service, medication or supply is

required and is not covered, there is no need to worry. We will never bill you. Because we are a nonprofit organization, no one is or ever will be turned away for their inability to pay. All expenses for uninsured or underinsured patients are taken care of, all thanks to the generosity of our Serenity HospiceCare donors.

Q: If the patient is not covered by Medicare or any other health insurance, will hospice still provide care?

A: The first thing hospice will

do is assist families in finding out whether the patient is eligible for any coverage they may not be aware of. In the very rare instance that a service, medication or supply is required and is not covered, there is no need to worry. We will never bill you. Because we are a nonprofit organization, no one is or ever will be turned away for their inability to pay. All expenses for uninsured or underinsured patients are taken care of, all thanks to the generosity of our Serenity HospiceCare donors.

Choosing a Hospice

Finding a provider for end-of-life care, difficult though it may be, is one of our final acts of love for anyone who’s been enduring debilitating health issues.

There are a range of important questions to ask before choosing a hospice, and finding the answers will go a long way toward easing this final decision.

WHAT IS HOSPICE?

Hospice care focuses on quality of life for those who are experiencing the last stages of incurable disease. The philosophy is to make patients as comfortable as possible through this difficult time, treating symptoms rather than the disease itself. Caregivers concentrate on giving these remaining days a sense of dignity, offering family centered options so everyone can be together to say goodbye.

WHAT TO ASK

Properly researching your options can be daunting, but the National Association of Home Care and Hospice offers free resources to help guide the way. They recommend asking a series of basic questions before deciding: Will the patient and family members be included in development of a care plan?

Does the provider have a Patient Bill of Rights? Will you be given your own copy of a comprehensive plan? They also urge you to discuss training procedures for hospice employees, whether supervisors will be onsite to ensure quality care, and confidentiality guidelines. Make sure care-

givers are available all day, every day.

DON’T WAIT TOO LONG

Hospice care is required when illnesses become so advanced that doctors can no longer control or cure them. In general, the decision to switch to this form of pallia-

tive care is made when life expectancy is roughly six months or less, based on the disease running its usual course. Studies show, however, that hospice care is often not started early enough. Patients and family members may see hospice as a form of giving up hope. But returning

FINANCE FOR SENIORS | SAFETY NET

comfort and family support to those who are suffering through end-of-life issues can provide a much-needed sense of closure, making the best of every day in these last stages. At the same time, if patients improve, they can always leave hospice and return to active treatment.

Making the Most of Social Security

There are ways to maximize your return on this investment

Rather than providing all you’ll need to retire, think of Social Security as a foundation for our golden years. If you’d like the make the most off this benefit, however, you’ll have to follow certain guidelines while sorting through the sometimes complicated process of applying.

WHEN TO BEGIN

Benefits can kick in as early as 62 years old for those who’ve paid into the program, but with reduced payouts. Retirement age for most Americans is pegged at 66. Your particular monthly payout is based on your income. If you want until turning 70, however, your monthly benefit grows. Those who enjoy their work or who’ve started their own business may consider this option. If you begin Social Security payments and then return to work, you will see your benefit shrink. Want to learn more? The U.S. Social Security Administration includes a retirement-estimating feature on its website where users can look up key details, including the age in which they’ll be eligible for full benefits and estimated monthly stipends.

HOW TO APPLY

You will need your Social Security number, of course, but also your birth certificate

and paperwork detailing your income from the previous year, like a W-2 form or self-employed tax return.

You’ll also have to update your status with the Social Security Administration should you decide to move, change your name, get married or divorced, begin receiving additional retirement income

including pensions, expand your family through adoption or if there are any changes in your citizenship. Calling the national toll-free number at 1-800-772-121, or visit your local Social Security office.

FAMILY BENEFITS

If you qualify through disability, members of your fam-

ily may also be eligible for their own benefits, without cutting into your individual payments. Children must be minors, full-time students who are 18-19, or have a childhood disability. Spouses may also be eligible if they are 62 and older, but the payment may be reduced if they are also earning their own

benefit. Spouses are also eligible if they reached retirement age but have not paid into the Social Security system. Both spouses and children may receive up to half of your full retirement payout each month. If you are divorced, your ex-spouse may qualify — even if you’ve remarried.

Senior Vacation Ideas

Many people spend the bulk of their work lives dreaming of golden years spent relaxing.

There’s more to retirement, however, that lounging on the couch. Travel planning can build in plenty of free time, and there’s just a much better view. Here’s a few senior vacation ideas to get you up and out of the house.

DAY TRIPS

The easiest way to start traveling is to experience the wonders that are literally all around you. You might be surprised by how much adventure awaits within a day’s drive of your front door. Visit parks and museums and quaint area downtowns. You might find places to eat, shop and enjoy local entertainment that you’d never heard of, while acting as a tourist in your home state. And best of all, these trips are affordable for everyone, especially those on a fixed income.

BUS TRIPS

Want someone else to do the driving? Bus tours are a terrific option for seniors, because you don’t have to worry about getting there. These tours often take care of all of the planning and scheduling, as well. You can bring people from your circle of friends or make new ones along the way. Churches, senior centers and local tour-

ism organizations can tell you more about what’s available in your area.

DREAM TRIPS

Everyone has that one place, either domestic or international, where you’ve always wanted to visit. Now’s the time. Begin budgeting

early, and save — then look for bargains. Budget airline travel and special package deals can smooth the way, if you’re patient and persistent in searching for them. Traveling is a great way to meet new friends, discover new things and unwind in a new setting.

FAMILY TRIPS

If you’re like most seniors, you have family members scattered all over, as siblings, children and cousins followed their career and relationship paths. Why not schedule one long trip to see each of them, visiting one relative at a time for short spare-bedroom

Life Planning Guide 2023

Staying Mentally Sharp

One of the biggest challenges as we age is keeping our minds sharp.

We’ve learned a lot of things over the years, but the joy of living is that there’s always something more. Our body ages, but your brain doesn’t necessarily have to. Here are a few key ways to stay sharp as you age.

STIMULATE YOUR BRAIN

The brain is similar to a muscle in that it needs to be regularly exercised and given proper nutrition in order to stay strong. Turn off the television, and try something a little more strenuous: Games, puzzles and word and math problems are like trips to the local gym for your

mind. Hobbies can be very effective, too, as they challenge us in different ways. If you’re more into the arts, try painting, drawing or a favorite craft. Time spent listening to music can stimulate your brain as well, sparking memories while creating new ones.

EXERCISE HELPS, TOO

Exercising your body actually has a positive impact on your mind, as a number of studies have linked physical exercise with healthy brains. These activities serve as natural stress reducers, but they also help get more oxygen-rich blood to your brain — and that gets your cognitive gears turning. Exercise can even help spark new growth in the brain, including

synapses and nerve cells. While you working out, you’re also addressing other common issues associated with aging like diabetes and heart health. Talk to your doctor before starting any new exercise routine.

WATCH WHAT YOU EAT

Diet is linked to better mental health at any age, but it’s particularly important as we grow older.

You’re probably already watching your caloric intake in order to deal with wellness and weight issues, but consider the brain benefits of eating healthier, too: Foods that are high in saturated fats and cholesterol have been linked to mental decline for seniors. Health experts also

stays? When it’s all said and done, you may have seen a good bit of the country. Before you go, call local chambers of commerce to find out more about regional attractions, and ask for their event calendars. There might be some solo adventures awaiting, as well.

recommend a regimen of B12, folic acid and B6. They reduce homocysteine levels, and your risk of dementia.

BE SOCIAL

Strong ties to a group of friends has long been linked with health benefits like lower blood pressure, and that leads to longer lives. Local clubs, volunteer opportunities and church events also spark mental activity — and best of all, these kind of non-profits and charity organization are always in desperate need of volunteers, in particular seasoned helpers like you.

Your Care Is Our Calling

Support Groups Can Help

We all need sources of strength in times of great adversity, and that’s exactly what a grief support group can offer.

Support groups give you the chance to share your story openly and without fear of what someone close to you may think about your feelings. You can find these types of groups through your local healthcare

providers and community organizations.

Free to join and relatively short on time demands, a grief support group may be exactly what you need in your time of pain.

WHAT IS A SUPPORT GROUP?

Support groups usually comprise 10 or more people

who are going through similar experiences. In the case of a grief group, all of the participants will likely have recently lost a loved one and are reaching out for pillars of support. By joining, you will have the opportunity to share stories about your late family member or friend with a group of people who are also dealing with grief issues.

WHAT YOU CAN GAIN

support in a safe setting. by interacting with people dealing with similar issues. through the grief and healing process.

will help you get through the tough days.

people who are willing to listen and happy to help you. other people deal with their grief.

questions of professional counselors and health care staff members.

Financial Strategies for Every Age

Money serves different purposes during one’s life. Spending, saving habits and career choice factor into these different stages of life.

As individuals progress through life, their financial strategies often change. Monetary needs of a 20-yearold are different than that of a 50-year-old.

This Q&A will help individuals achieve financial independence regardless of his or her age.

Q: How do you track your spending?

A: Inventory your expenses. Write down what you spend and

where. This can be recorded in a notebook or on a phone or tablet. Once you see an overview of your finances, you can reduce costs if necessary. This will also give you the opportunity to set financial goals.

Q: How do you establish – and maintain -- a financial foundation?

A: The quickest way to do this is to open checking and savings accounts. These accounts are your core tools to manage your money. You can use your checking account to track your spending to help with your budget. Tracking your money can be done online using a smart phone or computer. This process will help you map your income to match your expenses so you aren’t living

beyond your means.

Q: As I get older, should I adjust my financial goals?

A: Priorities change, so you’ll need to adjust your financial goals. From buying a house to planning for your children’s college tuition, these long-term plans factor into your financial goals. You’ll also want to eliminate as much debt as possible, such as student loans or credit cards, before you take on other debt, like a home mortgage or loan to start a business.

Q: When is the right time to retire?

A: Most people retire when they’re in their 60s. You’ll need to make the decision to retire after

assessing your funds to see if you have achieved your retirement savings goal. Consider when – or if – you want to stop working and start collecting social security. You’ll also need to calculate when to start spending your retirement savings, including the tax consequences and other factors. You’ll need to revise your household budget to accommodate your life in retirement, including adjustments for cost of living and expenses such as travel.

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The loss of a loved one can cripple the lives of family members, friends and acquaintances. It is an experience that can cause great ranges in emotions and may even leave you feeling alone and without anyone to talk to.

Cozean Memorial Chapel and Crematory

Planning your own funeral may be a difficult task for you, but imagine your loved ones’ relief when they find out it’s already done. You’ll give them peace of mind and lessen their burden of having to make difficult decisions during their time of grief.

Here are helpful answers to common questions regarding funeral preplanning:

Q: Why is it important to plan funeral arrangements ahead of time?

A: The main reason to prepare your own funeral is to take the burden of the decision-making from your loved ones at the time of need. Another reason is to lock in the price of services at the time of planning.

Q: How can individuals make this process easier for their loved ones?

A: When you complete your preplanning at Cozean Memorial Chapel & Crematory, you’ll receive a preplanning guide to complete. This details your vital information which is used when filling out a death certificate or writing an obituary. This also outlines the type of service you’d like, whether it’s a traditional one with a viewing and funeral or a direct cremation. Final details such as song selections, officiant’s name, clothing choice and cemetery for burial are also included. These answers help your family make the final decisions when they are experiencing grief. The major perk of preplanning is taking the financial burden away from your family.

Q: What are the first steps to complete in this process of preplanning?

A: You should begin the preplanning process by deciding which type of service best suits you. Do you prefer a traditional service with viewing and funeral, cremation with memorial service, or simply a direct cremation?

Q: What are important areas to consider when planning one’s own funeral arrangements?

A: The most important aspect to consider when planning your own funeral is what you want for your final disposition – cremation or burial? Be sure to keep in mind what your family may need for closure.

Q: How does an individual pay for funeral costs?

A: When you preplan, the money you put toward your service either goes into a trust or into an insurance policy. There are benefits for both avenues. There are payment plans up to 20 years, if needed. But whatever plan you select, the price of services will be locked in at that point so your loved ones will be able to give you the service you deserve.

Q: What is the best way to share preplanning arrangements with one’s family?

A: It is always encouraged to share your preplanning decision with your family as it gives them a sense of relief from the financial and emotional burdens later. The Cozean Memorial Chapel staff will advise you to file this paperwork with other important documents. You’ll also be provided with a card for your wallet which states you

have prearrangements with Cozean Memorial Chapel.

Q: What happens to an individual’s money if the funeral establishment goes out of business?

A: Prearrangements are perpetual and are purchased and consumed by any purchaser of the funeral establishment.

Q: What happens to funds if the funeral home relocates to another state?

A: Most pre-arrangement plans can be transferred or claimed by another funeral home if a beneficiary of the plan moves to another area. But it’s a good idea to check on your pre-arrangement with a funeral establishment in the place where you are relocating.

Q: What happens if the cost of the funeral goes up after it has been prepaid?

A: If you have a pre-paid funeral plan, the cost of the funeral goods and services are frozen, or locked in. Third-party items such as cost of death

certificates, grave opening and closing charges, cemetery charges, etc. that are known as “cash advances” are subject to increases. Because these services are paid to third parties, the law does not allow funeral homes to freeze thirdparty items.

When you decide to complete your funeral preplanning, you’ll want to see one of the professional staff members at Cozean Memorial Chapel & Crematory. They’ve been in business since 1864 and have always been family-owned. Their reputation proves their staff is committed to providing the absolute best for you and your family.

Cozean Memorial Chapel & Crematory 217 W. Columbia Street, Farmington 573-756-4541

Business hours:

Monday through Friday, 7:30 a.m. to 5 p.m. Saturday 7:30 a.m. to 3:30 p.m.

217 W. Columbia St., Far