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Find Local Resources

Call the Eldercare Locator: 1-800-677-1116

Visit: eldercare.gov Email: eldercarelocator@USAging.org

The National Aging Network, headed by the Administration on Aging, includes 56 state Agencies on Aging, 622 Area Agencies on Aging, and more than 260 Native American aging programs. All individuals age 60 and older are eligible for services through this network. Most services are delivered on the local level by Area Agencies on Aging (AAAs).

AAAs are public or private nonprofit agencies designated by a state to address the needs and concerns of all older persons at the regional and local levels. AAAs operate in specific service areas that may include a city, county, or multi-county districts. AAA is a general term—names of local AAAs may vary

AAAs coordinate and offer services that help older adults remain in their homes or stay engaged in the community. Services vary widely, but a list of typical offerings is included below. By making a range of supports available, AAAs make it possible for older individuals to choose the services and living arrangements that suit them best.

To help individuals find services, the federal government established the Eldercare Locator. The Eldercare Locator is a nationwide service that connects older Americans and their caregivers with trustworthy local support resources.

Older adults and caregivers should tap into these federal, state and local resources to get the help they need to age well or to care for an aging loved one.

See the table with information for local AAAs on the following page.

Services Provided by Area Agencies on Aging (AAAs)

• Adult Day Care is available for individuals who need daytime supervision.

• Case Management Services are conducted by professionals who can assess needs and arrange for services to encourage continued independence.

• Elder Abuse Prevention Programs provide investigative services and intervention in cases of abuse.

• Financial Assistance and benefit counseling is conducted by professionals.

• Home Health Services provide needed care in the home environment.

• Home Repair Programs help older adults complete needed repairs to avoid major problems.

• Home Modification Programs provide renovations to make the home safer and more secure for individuals who choose to age in place.

• Legal Assistance is available for individuals aged 60 and older with legal problems involving government benefits, tenant rights and consumer issues. • Nutrition Services Programs provide home delivered meals to homebound individuals and congregate meals in specified locations in the community. • Respite Care provides caregivers with a much needed break from the constant care and supervision of their elderly loved one. • Senior Centers offer educational, recreational and social activities for older adults. • Transportation Programs can provide doorto-door transit for individuals who do not have private transportation and/or cannot use public transportation.

To find services near you, visit n4a.org.

AREA AGENCIES ON AGING

PHONE WEBSITE

DISTRICT OF COLUMBIA

Department of Aging and Community Living (DACL) 202-724-5626 dacl.dc.gov

MARYLAND

Allegany County Human Resources Development Commission 301-777-5970 Anne Arundel County Department of Aging and Disabilities 410-222-4257 Baltimore City Division of Aging and Care Services 410-396-4932 alleganyhrdc.org www.aacounty.org/departments/aging-and-disabilities health.baltimorecity.gov/programs/seniors

Baltimore County Department of Aging Calvert County Office on Aging Carroll County Bureau of Aging and Disabilities Cecil County Department of Community Services 410-887-2109 410-535-4606 baltimorecountymd.gov/departments/aging calvertcountymd.gov/113/Office-on-Aging

410-386-3800

carrollcountymd.gov/aging-and-disabilities 410-996-5295 ccgov.org/government/community-services/aging-and-disability-services

Charles County Aging and Human Services Frederick County Senior Services Division 301-934-9305 charlescountymd.gov/services/aging-and-senior-services 301-600-1234 frederickcountymd.gov/54/Senior-Services

Garrett County Area Agency on Aging Harford County Office on Aging Howard County Office on Aging and Independence

301-334-9431 410-638-3025 410-313-6410 MAC, Inc. (Dorchester, Wicomico, Worcester Counties) 410-742-0505 Montgomery County Department of Health and Human Srvs. 240-777-3000 Prince George’s Department of Family Services 301-265-8450

Queen Anne’s County Area Agency on Aging

410-758-0848 St. Mary’s County Department of Aging & Human Service 301-475-4200 Upper Shore Aging (Caroline, Kent, Somerset, Talbot Counties) 410-778-6000 garrettcac.org/index.php/aging-and-nutrition-services harfordcountymd.gov/651/Office-on-Aging howardcountymd.gov/aging macinc.org montgomerycountymd.gov/hhs princegeorgescountymd.gov/1644/Older-Adult-Services qac.org/155/Area-Agency-on-Aging-Senior-Centers stmarysmd.com/aging uppershoreaging.org

Washington County Commission on Aging 301-790-0275 wccoaging.org

NORTHERN VIRGINIA

Alexandria Division of Aging & Adult Services Arlington Agency on Aging Fairfax Area Agency on Aging Loudoun County Area Agency on Aging Prince William Area Agency on Aging Shenandoah Area Agency on Aging 703-746-5999

alexandriava.gov/Aging 703-228-1700 arlingtonva.us/Government/Departments/DHS/Aging-Disability 703-324-7948 fairfaxcounty.gov/familyservices/older-adults

703-777-0257 loudoun.gov/1104/Area-Agency-on-Aging

703-792-6374 pwcva.gov/department/area-agency-aging

540-635-7141 shenandoahaaa.com

Treating Movement Disorders

Continued from page 32

Dr. Falconer noted that since its founding five years ago, the Inova center has grown dramatically and is focused only on movement disorders. Last year, the center provided care for more than 2,800 Parkinson’s patients alone.

The evolution of treatments

In addition to being more accessible, treatments for Parkinson’s disease and related disorders have also become more advanced and reliable.

“Parkinson’s is a problem of a chemical being low, and that chemical is dopamine,” Dr. Falconer explained. “These patients are a car driving around, and their tank of gas is empty. The gas we have to give them to fill up their tank is dopamine. It’s very much akin to your type 1 diabetics who need insulin to function.”

Traditional medications for Parkinson’s provided dopamine, but they were unable to provide consistent levels of the chemical. Patients would be left experiencing dopamine highs and lows. For instance, when patients have too much dopamine in their system, they may experience dyskinesia, or uncontrolled, involuntary muscle movements. New medications can deliver dopamine in more predictable and consistent ways— giving patients more symptom relief and fewer side effects, Falconer noted.

Beyond more advanced medications, movement disorder specialists can offer other treatments including Deep brain stimulation (DBS), a procedure in which a device that works much like a pacemaker for the brain is implanted and delivers targeted electrical impulses to interrupt faulty brain signals. Specialists can also provide botulinum injections to help treat muscle tightness and dopamine intestinal gel to consistently deliver treatment.

If you or a loved has been living with a movement disorder or were recently diagnosed, a specialist can develop an individualized care plan to meet your specific needs. There is no need to rely on outdated therapies or to settle for inadequate symptom management.

Client Services Director

Financial Planning For Senior Healthcare

Evaluate Needs and Calculate Options

Few things are guaranteed in the game of life. Healthcare costs just might be one of them.

At some point, most people will face ongoing and potentially large healthcare costs. The odds increase dramatically with age.

Now is the time to prepare for healthcare costs as you age. Follow this simple path for planning.

Lifestyle

• Do you have a plan to get to the store and doctor appointments when you stop driving? • Have you considered having services come to your home when you stop driving? • Do you know how your health conditions will progress with age? • Have you thought about staying in your home versus moving elsewhere as you age? • Do you know the senior services support organizations in your community? • Do you have a support system in place if you are caring for a loved one with

Alzheimer’s Disease or another form of dementia?

Cash Flow

• Do you have social security and if so, do you know your monthly income? • Do you have a pension and if so, do you know your benefit income? • Do you understand social security and pension survivor benefits? • Do you know the direct and indirect costs of your health insurance? • Are you saving to cover for emergency healthcare costs? • Do you understand what Medicare will and will not pay for? • Do you understand the three qualification areas to apply for Medicaid financial assistance? • Do you know how your monthly income will change if one spouse dies?

Taxes

• Do you know the kinds of expenses that could be considered deductible when faced with a chronic illness? • Have you consulted with your tax preparer to optimize deductions relating to increased healthcare costs for this year? • Do you know how the SECURE Act affects your retirement?

Financial Institutions

• Do you work with a financial professional? • Do you know when to change your investment strategy (cash, CDs, bonds, stocks, etc.) based on an increase in healthcare costs? • Have you considered if it still makes sense to have accounts at multiple financial institutions versus simplifying or consolidating? • Can family members access and understand your accounts to help when needed?

Long Term Care Insurance (LTCI) Contracts

• Do you understand what your LTCI policy will and will not pay for? • Do you know if your policy has a maximum payout? • Do you know your options if asked to pay a higher premium? • Do you know the criteria for submitting a claim? • Are you aware of the actual cost of care compared to your LTCI reimbursement amount?

Planning Where to Live

• Do you plan to stay in the same area, move closer to family, or move to warmer weather? • If you want to age in place in your home, have you had your home assessed by a healthcare professional for livability? • If you are planning to work with an agency to provide help in the home, have you researched the hourly/daily fee? • If you are considering moving to a retirement community, do you have an idea of the services offered and pricing models? • Are you or your loved one in need of 24-hour care? • Are you familiar with all of the senior housing options?

Finish

If the answer is YES to all of these questions, welcome to a financially feasible retirement.

If the answer is no to some of these questions, then start planning now: lifecareaffordability.com

BOLD LISTINGS & HIGHLIGHTS = PAID UPGRADES

MONEY MATTERS

DAILY MONEY MANAGEMENT C.Dolan & Associates Financial Organizing

Help Unlimited, Inc. TLC DAILY Money Mentor, LLC

MEDICARE Medicare Portal

PLANNING FOR CARE Lifecare Affordability Plan

REVERSE MORTGAGES Senior Lifestyle Mortgage - Bill Hornbeck

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WEBSITE

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We’ve got you covered for Memory Care, Skilled Nursing & Rehabilitation, Hospice and Palliative Care.

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Daily Money Management

Money matters. And money matters can be complicated. Medical bills, insurance invoices, mail, bank statements, and retirement account information can pile up—and something important can easily be missed. But there are professionals who can help.

What is a Daily Money Manager?

Daily Money Managers (DMMs) are financial professionals who handle daily money matters for clients including paying bills, establishing budgets and keeping records. DMMs serve older adults, people with disabilities, busy professionals, high net worth individuals, and small businesses.

DMM services provide value in monitoring medical bills, ensuring that Medicare and other health insurance have paid their share before the client pays any balance due. Additionally, DMM assistance in assembling papers needed for income tax preparation and in documenting medical and charitable contributions often means the client will pay lower taxes each year.

Since Daily Money Managers often work with elderly persons living in their homes, they can provide recommendations to other seniorserving professionals as needed. If they see that a client is in any way “at risk” due to impaired vision, physical limitations, or confusion, they can make referrals to community resources, including care managers, attorneys, and accountants.

Daily Money Managers can help:

 Older adults who need help paying bills and managing accounts  Individuals with disabilities who need assistance with personal finances  Victims of identity theft or fraud  Adult children who are stepping in to help a parent manage finances following a hospitalization or because of declining mental or physical abilities  Family members who are managing finances following the death of a loved one  High net worth individuals and small business owners who need help keeping accounts updated or preparing information to file taxes.

How do I find a Daily Money Manager?

Because finances are a highly personal matter, hiring a DMM is an important and individual decision. Referrals from a friend, colleague, or other professional are a good place to start.

The American Association of Daily Money Managers’ website (www. aadmm.com) can also provide valuable information that will help consumers learn more about daily money management and find a reliable DMM. The association represents professionals in the field by providing information and education to members and the public and maintaining a network of dedicated

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Discussions

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Daily Money Managers

Visit positiveagingsourcebook.com to view previous recordings or register for upcoming events.

professionals. The website includes a “Find a DMM” search function that can help consumers find qualified professionals in their area.

Schedule your free, no-obligation consultation to learn more about how we can help.

703.868.8664

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Relax and let us handle your financial paperwork with our personalized, in-home money management services.

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Medicare Basics

Understand the program

Medicare is complicated. It is also a vital component of the U.S. healthcare system that every citizen should understand. Enrolling in Medicare is a major milestone that for many individuals means better healthcare and lower costs. Before picking a Medicare option, consumers should familiarize themselves with some key facts. WHAT IS MEDICARE? Medicare is a federal program that offers health MEDICARE TO DO LIST insurance to American citizens and legal residents over the age of 65 and those with qualifying disabilities. Learn the basics. Research costs. Use online resources: Medicare has four parts: A, B, C, and D. www.medicare.gov Part A – Covers hospital stays, limited skilled nursing Medicare and You Handbook 2022— and rehabilitation care, limited home health care, and available at www.medicare.gov hospice care. There is no cost for this coverage for www.ssa.gov — to confirm your eligibility most Americans over the age of 65. Parts A and B are sometimes known as Original Medicare. Get FREE counseling and assistance to find Part B – Covers doctor visits, surgeries, labs, tests, the right plan: emergency room care, urgent care, medical equipment, VA Insurance Counseling and Assistance and a variety of other services not covered under Part A. Consumers pay premiums and co-pays and must Program (Virginia only): gov/vicap.htm www.vda.virginia. meet deductibles before Medicare pays. Premiums State Health Insurance Assistance Programs are based on income and change annually. (all states): www.shiptacenter.org Part C – Frequently called Medicare Advantage Plans, these provide an alternative for those who want more Medicare Portal (select states) — Staffed by licensed insurance agents who can provide assistance and complete enrollment: coverage than what Part A and Part B offer. Medicare www.medicareportal.org

Advantage plans are operated by private insurance companies and provide benefits that meet or exceed Learn what your Medicare enrollment options are if you are working past 65 and choose those found in Original Medicare, as well as additional to maintain your employer or union-provided benefits for dental, vision, hearing and other health needs. health plan.

Plans usually include Part D coverage as well. Care is Set a reminder to apply for Medicare under delivered by an approved network of providers. your Initial Enrollment Period (IEP), which Part D – Prescription drug coverage administered by Medicare. It gives beneficiaries the opportunity begins 3 months prior to your 65th birthday and lasts until three months after your birthday. This can help you avoid penalties.to purchase retail prescriptions at an affordable, discounted rate. Provided as a stand-alone plan or as part of a Medicare Advantage plan. Continued on page 107

Discover Our PATH to Success

Your PATH to Medicare Success

Medicare Portal helps you navigate Medicare, so you feel more confident in your decisions. Our team of local, independent agents help you explore, choose and enroll in a Medicare insurance plan that’s right for you. Receive our support at no cost throughout your lifetime!

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