Milestones: News & Possibilities for Older Adults - October 2021

NEWS AND POSSIBILITIES FOR OLDER ADULTS

A Publication of

HEALTH CARE FOR ALL

OCTOBER 2021 • FREE

IN THIS ISSUE

PA MEDI HELPS YOU NAVIGATE MEDICARE

P4 HELPING HANDS IMPROVE HEALTH CARE ACCESS

P7 CELEBRATE HISPANIC HERITAGE AND HOPE

P13

Medicare’s Open Enrollment begins Oct. 15.

Milestones’ annual health care issue features articles on accessibility and wellness.

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OCTOBER 2021

Accessibility to health care should be a universal right

By Najja R. Orr,

WHAT IS PCA?

Philadelphia Corporation for Aging (PCA) is a nonprofit agency dedicated to serving Philadelphia’s older adults and people with disabilities.

PCA publishes Milestones and offers: • Care in the home • Home-delivered meals • Home repairs and modifications • Protective services • Senior centers • Caregiver support • Employment and volunteer programs • Legal services • Transportation • Ombudsman services

PCA president and CEO

• Health education • Information and referral For more information, call the PCA Helpline at 215-765-9040 or visit pcaCares.org.

Published by Philadelphia Corporation for Aging

Najja R. Orr, President and CEO PCA Board of Directors 2021-22 Katherine E. Galluzzi, D.O., F.A.C.O.F.P., Chair Judee M. Bavaria, Vice Chair Satya B. Verma, O.D., Secretary Glenn D. Bryan, Treasurer Louis A. Bove, Esq. Nora Dowd Eisenhower, Esq. Lynn Fields Harris Angela Foreshaw-Rouse Sandra McNally Fran Miller Victor M. Negrón Jr. Eloise N. Young Jaqueline S. Zinn, Ph.D. Emeritus: Arthur E. Helfand, D.P.M.

Call 24/7 to report suspected elder abuse. PCA Helpline: 215-765-9040 Outside Philadelphia toll-free: 888-215-765-9041 (TDD) pcaCares.org

Milestones is published monthly and distributed at more than 1,100 locations throughout Philadelphia, Lower Bucks and Eastern Montgomery counties.

Check us out online: pcaCares.org/Milestones Editor: Alicia M. Colombo 215-765-9000, ext. 5081 PCA, 642 N. Broad St. Philadelphia, PA 19130 Email: MilestonesNews@pcaCares.org Advertising: Teresa Heavens 215-765-9000, ext. 5053 Email: Teresa.Heavens@pcaCares.org Subscriptions & Distributions: 215-765-9000, ext. 5081 Email: MilestonesNews@pcaCares.org Home delivery: $12/year

The views expressed in Milestones are not necessarily those of Philadelphia Corporation for Aging (PCA). Milestones will not knowingly accept or publish fraudulent or misleading advertising. Milestones reserves the right to edit, revise or reject ads. Milestones assumes no responsibility for errors, misprints, omissions or misinformation; for failure to publish an ad; or for any damages of any kind.

Neither the publisher nor any other party is rendering expert advice in this publication. No part of this newspaper may be reproduced without the permission of PCA. ©2021 Philadelphia Corporation for Aging. All rights reserved.

As a society, we know that medical and preventive care are vital to everyone. Yet for many, disparities in diverse populations can create barriers to accessing health care. Unfortunately, the effects of the COVID-19 pandemic have exacerbated these disparities, including access to the COVID-19 vaccine.

As a leading local provider of programs and services that work to enhance the lives of individuals as they age, Philadelphia Corporation for Aging (PCA) remains a committed advocate for health care access for all in the communities that we serve and beyond. Likewise, PCA is proud to support vaccine accessibility for older Philadelphians.

We believe it is important for those who wish to be vaccinated to have that opportunity, and we have partnered with the Department of Aging’s PACE program to increase accessibility to the COVID-19 vaccine for older adults. With the emergence of new COVID variants, PCA reminds all individuals 60 and older who want to be vaccinated to contact PACE’s COVID-19 Vaccine Hotline at 1-800424-4351. Working closely with PCA, the Pennsylvania Department of Aging’s PACE program developed the COVID-19 Vaccine Hotline for older Philadelphians.

This convenient, toll-free hotline assists older Philadelphians with scheduling vaccine appointments at vaccination sites within Philadelphia County. Older Philadelphians can take advantage of PACE’s COVID-19 Vaccine Hotline service Mon-

day through Friday from 8:30 a.m. to 5 p.m. PCA supports the guidance from the Pennsylvania Department of Health, the Philadelphia Department of Public Health, and the Centers for Disease Control and Prevention on vaccination and disease prevention.

“The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.”

– Constitution of the World Health Organization

In this month’s Milestones, we bring you the annual health care issue to coincide with Medicare’s Open Enrollment period that begins Oct. 15. As part of our work advocating for health care accessibility, this month’s issue includes a variety of articles focused on recent health-related information.

PCA also provides resources and program information through our Helpline call center at 215-765-9040. We encourage everyone to reach out if you are experiencing barriers to health care access or would like to learn more about PCA’s health and wellness programs that provide information, education, skill building, screenings and support for older adults.

Health care is a vital factor in the quality of one’s life and well-being. PCA will continue to find creative ways to advocate for the underserved among our communities.

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OCTOBER 2021

Access for vulnerable older adults seeking health care

By Jay Nachman David J. Johnson is on the front lines of helping older adults, vulnerable and otherwise, who are seeking needed health care.

The barriers to receiving health care are many, including affordability, transportation inaccessibility and complicated insurance issues. As the CARIE LINE Supervisor, Johnson provides resources and information that assist older adults to become more healthy and independent.

Johnson can, for example, explain that Pennsylvania has prescription assistance programs to help pay for medicines. He provides referrals for other benefits, programs and subsidies. He can also help people work through issues related to receiving Medicare and Medicaid benefits that can be enormously complex.

“Older adults often feel overwhelmed with just how many different people are involved to resolve, on paper, fairly simple issues,” Johnson explains. “They say, ‘I need to go see the doctor, but I need to be able to afford to see the doctor.’ I would encourage people that reaching out for help is perfectly okay and validating. Many people first try to resolve these issues on their own, but they may need an advocate to help them through the process.”

Hikma Elmi, a health programs manager at the African Family Health Organization (AFAHO), also provides information about access to health care for the African and Caribbean immigrants and refugees the organization serves. (For information, call 215-546-1232 or visit AFAHO.org.)

“It all comes down to knowledge,” Elmi said. “A lot of people are unaware of the services that are available to them, whether they are documented or undocumented. For all our clients who need health care, we connect them to the dif-

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ferent health care institutions in the city of Philadelphia.”

Often, undocumented immigrants are afraid of jeopardizing their immigration status, Elmi said, but the health centers operated by Philadelphia’s Department of Public Health serve people who are uninsured and undocumented. (For more information, call 311 or visit phila.gov/ services/mental-physical-health/cityhealth-centers.)

AFAHO also has cultural health navigators who provide language assistance and ensure that their immigrant clients receive culturally appropriate care. Prior to the pandemic, the navigators would accompany the clients to doctors’ offices and advocate for them.

“There’s a strong trust in the relationships that we have built with our clients,” she said. “They know whether they are documented or not, and they have this language barrier, our cultural health navigator is there to accompany them, and assist them and advocate for them. They feel a lot more comfortable going to these city health centers and getting evaluated

when it comes to their health and getting the treatment that they need.”

Rose Ann DiMaria-Ghalili, Ph.D., the associate dean for interprofessional research and development at Drexel University’s College of Nursing and Health Professions, offers a big picture look at barriers to health care. She co-authored the study, “Disrupting Disparities in Pennsylvania: Retooling for Geographic, Racial and Ethnic Growth,” which showed that “health inequities are most acute among those living in rural and low resourced areas of the state, and among underrepresented populations (particularly Black/African American and Latino), who lack access to health care, experience digital divide and face persistent local healthcare workforce shortages.”

The report estimated that 14% of Pennsylvanians live in a medically underserved area, and 22% live in an area that is both medically underserved and designated as a health professions shortage area. Further, in the state, 11% report not seeing a doctor because of cost, and 15% of those living in Philadelphia reported

not being able to see a doctor in the past year because of cost.

One small start to address these issues would be for all health care providers to be trained in providing care for older adults. “We think about health care only as going to see your provider but there’s a lot we can do to remain healthy and to age in place, to help older adults get the resources they need to live in the community,” DiMaria-Ghalili said.

Local area agencies on aging, such as Philadelphia Corporation for Aging, offer services to help older adults remain functional in their homes, such as personal care, home-delivered meals, minor home adaptations, and caregiver support. For more information, call the PCA Helpline at 215-765-9040 or go to pcaCares.org.

The Center for Advocacy for the Rights and Interests of the Elderly (CARIE) can assist with Medicare/health insurance, health resources, nutritional support and more at 215-545-5728 or CARIE.org.

Jay Nachman is a freelance writer in Philadelphia who tells stories for a variety of clients.

OCTOBER 2021

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Older Philadelphians navigate Medicare options with PA MEDI

By Shannon Reyes As Medicare open enrollment nears, state health insurance assistance programs (SHIP) are gearing up around the country to help Medicare-eligible individuals make crucial decisions about their health insurance. According to Kaiser Family Foundation, there are 1.5 million Medicare beneficiaries in Pennsylvania.

Previously, Pennsylvania’s SHIP program was referred to as APPRISE, but was renamed Pennsylvania Medicare Education and Decision Insight (PA MEDI) in July. PA MEDI is a free counseling service for individuals who qualify for Medicare and is funded through Area Agencies on Aging (AAAs) within the commonwealth.

“Pennsylvania’s Medicare beneficiaries will receive the same services under the same program, just under a different name that aligns more with what the program does and how it assists older adults,” said Pennsylvania Secretary on Aging Robert Torres in a statement. “The new brand presents a unique opportunity for the program to grow, innovate and connect with beneficiaries and organizations; tap into new populations; and better accommodate the needs of beneficiaries. PA MEDI also supports the vision to be the known and trusted community resource for unbiased Medicare information.”

Philadelphia Corporation for Aging (PCA), which provides PA MEDI services for residents of Philadelphia County, is gearing up to serve approximately 1,000 Medicare-eligible adults throughout the annual Medicare Open Enrollment period (Oct. 15 through Dec. 7). During open enrollment, local counselors assist

Medicare beneficiaries with health insurance plan selections for 2022.

PCA contracts with two community-based organizations, CARIE and Einstein Medical Center, to deliver these services, which are currently being provided via telephone or video conferencing. PA MEDI counselors are available to answer questions about Medicare, as well as Medigap (Medicare supplemental insurance) and Medicare Advantage Plans (an all-in-one alternative to original Medicare, known as Part C). Counselors also assist individuals with evaluating and comparing plans and offer guidance on which plans will best fit the participant’s needs.

In addition, PA MEDI counselors can evaluate whether individuals qualify for the Medicare Savings Plan, which can offset the cost of the Medicare Part B premium, or for Extra Help, which allows income-eligible participants to offset their Medicare prescription drug costs through subsidies or savings plans.

Medicare-eligible individuals can schedule an appointment by calling the following PA MEDI providers: • CARIE: 215-545-5728 (South, West and North Central Philadelphia) • Einstein Medical Center: 215-4567600 (Northeast and Northwest Philadelphia) • Statewide PA MEDI Helpline: 1-800783-7067 (Pennsylvania residents, outside of Philadelphia) Prior to each scheduled appointment, Medicare beneficiaries should have their Medicare card on hand.

Shannon Reyes is the public relations specialist at Philadelphia Corporation for Aging.

The eviction moratorium has ended: Resources available to assist renters On Aug. 26, the Supreme Court ruled to overturn the federal eviction moratorium issued by the Centers for Disease Control and Prevention. This ruling invalidated the federal eviction moratorium in most parts of Pennsylvania. Landlords may now evict tenants for non-payment of rent, and some local courts have limited restrictions on lockouts for tenants who have applied for back-rent assistance.

Money to pay back-rent is available.

The Emergency Rental Assistance Program (ERAP) helps tenants who were unable to pay rent due to the pandemic.

Philadelphia residents can apply at PHLRentAssist.org or by calling the City of Philadelphia at 215-320-7880.

Legal services are available to assist tenants facing eviction. Tenants in Philadelphia should call the Philly Tenant Hotline at 267-443-2500. Pennsylvania tenants 60 and older can call SeniorLAW Center at 1-877-727-7529.

Landlord-tenant mediation programs are active in 12 Pennsylvania counties, including Philadelphia. For information, go to HousingAlliancePa.org/eviction-prevention or call the Housing Alliance of Pennsylvania at 215-576-7044.

In Philadelphia, landlords are required to apply for the ERAP and participate in mediation before they can file an eviction for nonpayment in the Philadelphia Municipal Court.

After the Supreme Court ruling, the White House released additional information on how it is trying to prevent evictions through U.S. Treasury updates to ERAP and programs administered by other government agencies, including the U.S. departments of agriculture and veterans affairs. For information, go to home.treasury.gov/policy-issues/coronavirus and click on “Assistance for State, Local and Tribal Governments” then “Emergency Rental Assistance Program.”

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OCTOBER 2021

Recipe Box

The versatile sweet potato Often associated with sugary holiday side dishes, sweet potatoes can also be used in a variety of other delicious dishes.

Incorporating sweet potatoes into your meals will add nutrients and increase the flavor profile. This orange, fiber-laden vegetable is high in antioxidants, manganese and other minerals, and vitamins A and C. Sweet potatoes can replace their more traditional, starchy white counterpart in just about any side dish, but they can also be the star of the show. These recipes highlight the sweet potato and its versatility in stand-out main dishes.

Stay sa fe , sec ure a n d well- c a red- f or with PCA. Philadelphia Corporation for Aging has nearly 50 years of experience helping older adults 60+ get the care they need to stay in their own homes.

For service coordination you can rely on, choose PCA.

215-765-9040 pc aCa res. org

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Spicy Sweet Potato Kale Cannellini Soup Ingredients: 2 tbsp. olive oil 1 medium onion, finely chopped 3 garlic cloves, minced 3 lbs. sweet potatoes (about 5 medium), cubed 2 medium Granny Smith apples, peeled and chopped 1 tsp. honey 1 tsp. rubbed sage ¾ to 1 tsp. crushed red pepper flakes ½ tsp. salt ¼ tsp. pepper 3 cans (14.5 oz. each) vegetable broth 2 cans (15 oz. each) cannellini beans, rinsed and drained 3 cups fresh kale, chopped ½ cup heavy whipping cream Optional toppings: Olive oil, giardiniera

(pickled vegetables in vinegar or oil) and shredded Parmesan cheese Directions: In a 6-qt. stockpot, heat oil over medium-high heat. Add onion; cook and stir until tender, 6-8 minutes. Add garlic; cook 1 minute longer. Stir in sweet potatoes, apples, honey, seasonings, and broth. Bring to a boil. Reduce heat; simmer, covered, until potatoes are tender, 25-30 minutes.

Puree soup using a blender, or cool soup slightly and puree in batches in a blender; return to pan. Add beans and kale; cook, uncovered, over medium heat until kale is tender, 10-15 minutes, stirring occasionally. Stir in cream. Serve with toppings as desired.

Continued on page 14

OCTOBER 2021

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Staying healthy during cold and flu season amid COVID-19

By Mary Anna Rodabaugh As the weather gets colder, autumn ushers in cold and flu season. Last year, Philadelphians may recall how the COVID-19 pandemic overshadowed the traditional cold and flu season. This year, we’re faced with new COVID-19 variants on top of cold and flu season. Currently, the Centers for Disease Control and Prevention (CDC) does not have a strong stance as to whether this year’s flu season will be more severe than in the past. However, it is important to protect yourself and stay healthy.

Get vaccinated

“I recommend getting the flu vaccine in early fall – certainly by the end of October,” says John Cacciamani, geriatrician, and President and CEO of Chestnut Hill Hospital. “It may take two weeks to get the full antibody response and the peak of flu is usually December to February, so you want to have the most protection when the virus is at its highest prevalence.”

If you have not already, please consider receiving the COVID-19 vaccine. Cacciamani also recommends older adults listen to the news for guidance regarding a COVID-19 booster shot and its availability this autumn.

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Disinfect surfaces

Cold and flu germs can be spread on frequently touched surfaces. Using a disinfectant spray or wipe that can kill 99% of germs is recommended to clean hightouch surfaces, including doorknobs, light switches, countertops, keys, cell phones or tablets, faucets, and door handles found on refrigerators and microwaves. Set a daily schedule for wiping down these surfaces.

Wash hands often

“The most important thing older adults should do to protect themselves from the cold and flu is to properly wash their hands or use hand sanitizer,” says Joel D. Pomerantz, M.D., chair of geriatrics at Einstein Medical Center Philadelphia.

Pomerantz offers the following handwashing recommendations. Be sure to wash your hands for at least 20 seconds, paying close attention to in between your fingers and under your fingernails. Keep a bottle of hand sanitizer handy for moments when you need to clean your hands but do not have access to soap and water.

Choose a hand sanitizer that is at least 60% alcohol. As you rub in the hand sanitizer, be sure to cover the entire surface of your hands. Make sure your hands are dry

before resuming activities.

Limit exposure

As we age, our immune systems age as well. This can make older adults more susceptible to colds or the flu. Therefore, it is important to avoid encountering others who may be sick. This includes family members, friends and neighbors. Consider using video chat to “visit” with ill loved ones until they feel better and are no longer contagious.

Wearing a mask in public or when in close contact with others who reside outside your home is a good idea as well.

“Continue to mask up,” Cacciamani recommends. “We saw a drop in flu cases last year and most attribute that to the masking [requirement] that was in place for COVID.”

What to do if you have flu-like symptoms In the event that you start to get chills, nausea, fever or other

flu-like symptoms, seek medical attention immediately. “A nasal or throat swab can detect the flu and medication can be prescribed to decrease symptoms and shorten the course if started within 48 hours of symptoms,” Pomerantz says.

After visiting the doctor, stay home and stay hydrated. When it comes to staying healthy, stick to the basics: use caution and practice preventive measures.

Mary Anna Rodabaugh is a writer, editor and writing coach.

October 2021

Events

Send your calendar items to MilestonesNews@pcaCares.org by the 25th of the month (for publication in month after next) Questions? 215-765-9000, ext. 5081

*MASKS ARE REQUIRED FOR ALL IN-PERSON SENIOR CENTER EVENTS* FRIDAYS STARTING OCTOBER 1 SILVER SNEAKERS

This in-person fitness class is specifically designed to increase strength and fitness for those age 65+. Cost: $3. 11:30 a.m. West Philadelphia Senior Community Center.

Register: 215-386-0379, ext. 7325

MONDAYS AND WEDNESDAYS STARTING OCTOBER 4 BINGO

Enjoy in-person Bingo with great prizes. Cards cost 10 cents each, per round. 10:45 a.m. St. Edmond Senior Community Center. Register: 215-790-9530

MONDAYS AND WEDNESDAYS STARTING OCTOBER 4 ENHANCED FITNESS

Get moving with this in-person fitness class. 9:30 a.m. West Philadelphia Senior Community Center. Register: 215-386-0379, ext. 7325

OCTOBER 2 REVOLUTIONARY GERMANTOWN FESTIVAL AT GRUMBLETHORP

Costumed characters re-enact the Battle of Germantown, the only military battle ever fought in Philadelphia. An Oktoberfest celebration follows. 10 a.m. to 4 p.m.

Cliveden of the National Trust.

Details: RevolutionaryGermantown.org

MONDAYS STARTING OCTOBER 4 VIRTUAL CIRCUIT LIVING: MUSCLE TONE

Join Philadelphia Senior Center – Allegheny in this virtual fitness class that uses light weights and stretching techniques to enhance flexibility and stability. 11 a.m. Register: 267-286-1455. Zoom Meeting ID: 275-166-4679 • Passcode: CIRFIT

Breast Cancer Awareness Month Remember to schedule your mammogram! No health insurance?

Free breast and cervical cancer screenings services available at health.pa.gov or 215-985-3300.

TUESDAYS STARTING OCTOBER 5 POTTERY CLASS

This in-person class teaches techniques to mold and craft handmade objects and figurines. 10 a.m. Philadelphia Senior Center – Allegheny. Register: 267-286-1455

OCTOBER 7 BLACK ANCESTRAL HEALING AND HISTORIC REMEDIES: FIRE CIDER

Join Nyambi Naturals Urban Farm for this in-person class to learn an ancestral recipe using ingredients from your pantry and garden. 3-4:30 p.m.

Cecil B. Moore Library. 215-685-2766

Celebrate the fall season with this event featuring music, dancing and games. 10 a.m. to 2 p.m. West Philadelphia Senior Community Center.

Register: 215-386-0379, ext. 7325

Join author Jim Wright in this virtual presentation exploring the identity of the real James Bond, a Philadelphian who served as inspiration for the iconic spy character. 2 p.m. Register: https:// bit.ly/UncoveringJamesBond

OCTOBER 11

INDIGENOUS PEOPLES’ DAY OCTOBER 11-15 DINE LATINO RESTAURANT WEEK The Greater Philadelphia Hispanic Chamber of Commerce shines a spotlight on more than 20 authentic Latin eateries throughout the city. Learn more: http:// PhilaHispanicChamber.org/ restaurant-week

OCTOBER 7 VIRTUAL WELLNESS SELF-CARE WORKSHOP

Join Philadelphia Senior Center – Arts for a virtual presentation on enhancing the quality of your life. 11:30 a.m.

Zoom Meeting ID: 826-0243-4868 Dial in by phone: 929-205-6099

OCTOBER 28 OCTOBER FAIR

OCTOBER 8 UNCOVERING THE REAL JAMES BOND

OCTOBER 13 MAKE YOUR OWN POSTER

Drop in for a free, hands-on screen printing workshop and make your own poster in the style of the New Deal-era Work Projects Administration. 4-6 p.m.

Parkway Central Library. 215-685-5405

OCTOBER 16 BLOKTOBERFEST

OCTOBER 28 TIPS FOR ONLINE HOLIDAY SHOPPING

This autumn-inspired celebration in Graduate Hospital features craft beer, food, music and crafts from local vendors. Noon to 8 p.m. Washington Ave. from 15th to 17th streets. More: http://Bloktoberfest.org

Join Philadelphia Senior Center – Arts and representatives from the Pennsylvania Department of Banking for this virtual presentation on cybersecurity and holiday shopping.

1 p.m. Zoom Meeting ID: 826-7286-9449 Dial in by phone: 929-205 6099

OCTOBER 21-31 PHILADELPHIA FILM FESTIVAL

OCTOBER 29 COSTUME GALA

OCTOBER 25 CENTENNIAL CELEBRATION OF THE RETURN OF THE UNKNOWN SOLDIER

OCTOBER 30-31 HEAD OF THE SCHUYLKILL REGATTA

Join the Philadelphia Film Society for 11 days of film screenings and events throughout the city. This year features special screenings at the PFS Drive-In at the Navy Yard. More: https://filmadelphia.org/festival

A special ceremony commemorates the 100th anniversary of the return of the unknown soldier, an American World War I fighter whose remains were brought to Philadelphia from France aboard the Olympia cruiser.

2:15 p.m. Independence Seaport Museum. 215-413-8655

Get your costume together and enjoy this celebration with music, games, prizes and grab-and-go meals. 10 a.m. to 12:30 p.m. St. Edmond Senior Community Center. Register: 215-790-9530

Rowers of all levels converge on the Schuylkill River for this two-day race that attracts fans from around the world. Kelly Drive and Boathouse Row. 8 a.m. to 5 p.m. More: http://hosr.org

OCTOBER 31

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OCTOBER 2021

Telemedicine provides quality health care in your home

By Kathleen Harte Simone Imagine this: You meet with your doctor from the convenience of your smartphone or personal computer, pay no additional costs, and, as always, leave the claim filing to the health care provider.

It’s called telemedicine. It’s how millions of Americans of all ages have been receiving quality health care since the onset of the COVID-19 pandemic.

Changed perceptions of telemedicine

“Members are responding favorably to the safety, convenience and [quality of] medical care they are receiving with telemedicine; perceptions have really changed,” said Justin Davis, president and CEO of PA Health & Wellness. “This means our members can get medical advice, a prescription and, in some cases, a diagnosis by video or phone. We want to make sure all of our members are aware of this service so they can still have access to high-quality care while in their home.”

A March 2021 Sykes marketing research survey showed that 61.5% of all Americans have received telemedicine care in the last year. That’s a vast increase over the 19.5% that used telemedicine in the prior year. The older adult communi-

Crossword Puzzle Solution (See page 15 for clues)

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ty has embraced this change. Americans 65 and older have scheduled more telemedicine appointments than any other age group, according to a survey used by the National Center for Health Services.

Now that connecting with a doctor – whether it be a primary care physician or specialist – is easier than ever, why are some older adults still reluctant to try telemedicine?

“For older adults who do not use telemedicine, it can be because they are unsure which services are covered by their insurance, and how much is covered,” said Marie Strasser, a Philadelphia-area independent insurance agent. “We need to continue to educate [older adults] on this so that every patient can get the care they need from the comfort of their home or homecare facility, if they choose.”

What medical services are provided with telemedicine?

According to the U.S. Centers for Medicare and Medicaid Services’ Medicare.gov website, you can use telehealth services for medically reasonable services, including virtual appointments with doctors, nurse practitioners, clinical psychologists, physical and occupational therapists, and licensed clinical social

workers. Preventive services are also covered through telemedicine, including depression screenings, diabetes self-management training, medical nutrition therapy, and intensive behavioral therapy for cardiovascular disease or obesity.

And, telemedicine coverage extends to providers you’ve never seen before, both in and out of your home state.

Although telehealth services typically require both audio and video technology, you can use only the audio on your phone for certain evaluation and management services, such as periodic assessments and counseling sessions.

An expansion of telemedicine coverage was enacted with the Medicare and Medicaid 1135 Waiver, effective March 2020, in response to COVID-19 public health emergency declaration. Prior to this waiver, telemedicine was approved for only a very small segment of the rural population with limited access to health care.

What telemedicine services does Medicare cover?

Your Medicare benefits will be the same whether you see a doctor in person or through telemedicine. This applies whether you are at home or at a health

care facility. This provision will apply for the duration of the COVID-19 Public Health Emergency, as specified by the federal government.

Keep in mind, you will still pay 20% of the Medicare-approved amount for your health care provider’s services, and the Part B deductible applies. But there is good news: the Health and Human Services Department gives health care providers the option to reduce or waive cost-sharing for telemedicine visits. At least one major insurance company is waiving copays, deductibles and coinsurance for in-network medical or behavioral health telemedicine visits for Medicare Advantage beneficiaries until the end of December 2021.

Are there any Medicare telemedicine benefit exclusions?

At this time, you can rest assured that your Medicare benefits will be the same if you see your doctor in-person or with the help of your computer or phone. Exceptions, which are outlined in every health insurance policy, generally are visits that absolutely require a patient to be in person, such as transfusions and dialysis.

Though rare, some plans may also restrict the doctors you can see. When making your appointment, be sure to verify that telemedicine services are covered. If you have any questions about your insurance coverage, contact your provider directly.

These days, it’s easier than ever to see your primary doctor or a specialist with the added benefit of telemedicine. The bonus of no additional cost or paperwork for you makes being well even brighter. *** For more information about Medicare and covered services, go to Medicare.gov or call 1-800-MEDICARE (1-800-6334227).

Kathleen Harte Simone is a Philadelphia-based journalist.

Milestones 11

OCTOBER 2021

Striding into autumn with healthy joints

By Constance Garcia-Barrio “Motion is lotion,” as physical therapists say. Activity this autumn can help strengthen your joints and get them “welloiled” before winter.

“Consider getting clearance from your doctor or physical therapist before starting an exercise regimen, especially if you’ve been inactive,” says Ben Norton, doctor of physical therapy with MossRehab in Elkins Park. “They can also develop an exercise program tailored to your needs.”

Norton suggests starting the day by loosening up while still in bed. “I do gentle stretches when I wake up,” he says. “I rotate my ankles and stretch my calves and back to limber up my body. It also strengthens the hips to lie on one side while doing leg lifts with the opposite side.”

Your kitchen can be a good place to work out a bit more. “Hold onto the counter while you do mini-squats where you go

halfway down,” Norton says. “The squats can strengthen your glutes, quads and calves, and improve circulation to muscles and joints. Start with one or two and do more as you feel stronger. Keep a chair behind you so you can rest as needed.”

While at the counter, which can help with balance, push up on your toes.

“Walking is good for muscles and joints, and it’s free,” Norton says. “Start slowly.

Go maybe one block the first week and slowly increase [the distance]. Try keeping a journal of your progress from week to week. You’re more likely to continue if you’re exercising with someone. Join Silver Sneakers or other exercise programs at gyms (and senior centers).”

Take quick movement breaks during the day, Norton advises. “Go up and down the stairs during TV commercials, and get up to stretch if you’ve been sitting.”

He also favors yoga for gentle stretches.

Join a class or check out YouTube.com’s

“Chair Yoga for Joint Mobility and Strength” and “Chair Yoga: Joint Freeing Sequence: Pain Relief.”

“If you have access to a swimming pool, try walking in the shallow end of the pool,” Norton says. “The water provides resistance, which strengthens the body, and buoyancy, which cushions joints.”

When cold weather arrives, the kitchen-counter exercises and stair climbing can help see you through the season.

Diet and exercise work in tandem for healthy joints. Exercise strengthens muscles and joints and helps control weight, while nutritious food helps to heal the body and keep your weight down.

A plate bright with green – kale, collards, chard, arugula – and orange – car-

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rots, squash, pumpkin – fights inflammation that may cause painful joints, notes Megan Carrier, a dietician with the Einstein Healthcare Network.

Fats may be your friend or foe. Fried foods taste good but have lots of calories and may cause inflammation. Diets high in healthy fats, such as nuts, seeds, avocado, fish and olive oil, help lubricate the joints and tamp down inflammation.

Continued on page 14

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Colonial Penn Life Insurance Company 399 Market Street Philadelphia, PA 19181

*Limited benefit 1st 2 years. Available to ages 50-85 in most states. In NY, to ages 50-75. **Contact us for details on rates, benefits, limitations & exclusions.

Colonial Penn Life Insurance Co (399 Market St, Philadelphia, PA 19181) is licensed in 49 states, DC, VI, PR. Colonial Penn Life Ins Co is not licensed in and does not solicit business in the state of NY. NY residents will receive info from Bankers Conseco Life Insurance Co, licensed only in NY (Home Ofc: 350 Jericho Tpk, Jericho, NY 11753). This describes coverage currently available, but is not a contract. An insurance agent may contact you. Grp Policy Form #12-82-043 or Individual form Series 12-82045, 15-82-020 or ICC15-045. Free gift not available in MA. CA Residents: We collect personal information from you in order to offer products, services, and information we think will be of interest to you. As a California consumer you have the right to opt out of the sale of your information. Please see colonialpenn.com/privacy to learn more about the information we collect, how we use it, and exercising your rights.

Milestones 12

OCTOBER 2021

Tips for fostering new friendships as an older adult

By Mary Anna Rodabaugh Good friends are an important addition to a happy and healthy life. But as we age, our social circle may get smaller. For some older adults, making new friends can be a challenge. However, the benefits of regular socialization make the effort worthwhile.

A significant lack of social outlets may increase feelings of loneliness in older adults. According to a report from the National Academies of Sciences, Engineering and Medicine (NASEM), nearly one-fourth of adults 65 and older are socially isolated. The same study determined that social isolation was associated with a 50% increased risk of dementia and other serious medical conditions.

Such research indicates that having good friends may be just as important as routine medical appointments, good nutrition and exercise.

While engaging in social activities may seem daunting, especially during the COVID-19 pandemic, Philadelphia has many different outlets and opportunities for older adults to meet new peers and develop lasting friendships.

Socialize at centers Philadelphia Corporation for Aging (PCA) funds 28 senior community centers throughout Philadelphia. In addition, there are faith-based community centers that offer programming for older adults. Senior community centers are full of recreational opportunities, including exercise classes, art instruction, current events discussions, trivia and dance classes. There are also educational programs that encourage learning new skills at any age. Many older adults attend centers on their own and make new friends while doing so.

Tip: If you’re new to the center, ask the front desk if there is a long-time member

who can show you around the facility and introduce you to others. A peer-to-peer orientation is a great way to start a new friendship. To find a senior center near you, call the PCA Helpline: 215-765-9040 or go to pcaCares.org/senior-centers.

Volunteer in the community Philadelphia offers many different volunteer opportunities from urban greening to administrative work to helping other older adults. PCA’s Senior Companion Program is a person-to-person service program for older adults. Through the program, companions 55-plus are paired with homebound, isolated older adults who need some assistance to remain in their homes. Companions provide socialization and assist with daily tasks, which can include preparing light meals, running errands and accompanying the older adult to medical appointments.

Interested in a lower-physical impact opportunity to meet new people and donate your time? Volunteers are often needed to help at the polls during elections, staff soup kitchens, stuff backpacks for school supply drives, read to children at the library, assist with local food pantries, and support thrift store operations.

Tip: To search for volunteer opportunities close to home, visit VolunteerMatch.org, idealist.org, or 211SEPA.org.

Residents in Southeastern Pennsylvania can also dial 2-1-1 to reach the United Way’s hotline for health and human services resources, which includes hundreds of volunteer opportunities in the region.

Get crafty Whether you’re just learning how to knit or crochet, or you’ve been doing it your entire life, the Philly Knits Meetup is for you. This city-wide, community group of knitters hosts events in libraries and cafés for crafters of different ages to unite and create beautiful works with

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yarn. Philly Knits also posts requests for volunteers and in-kind knitting projects so you can create, make new friends and give back to your community at the same time.

Tip: To see the upcoming Meetup schedule, visit the website meetup.com/ Philadelphia-Knitting-Meetup.

Explore your existing social network

Sometimes, the chance to make a new friend is right under your nose. Consider getting to know your immediate neighbors. Introduce yourself and learn a little bit about them and their families.

Tip: Don’t be afraid to ask your neighbors if they know anyone in the area who is around your age and might want to go for a walk or just chat sometime.

If you are internet-savvy, try searching for old colleagues, classmates or friends

on social media or reunion websites, such as Classmates.com. These technology tools can help you reconnect and restart long-lost friendships. Milestones editor Alicia Colombo credits Facebook with bringing a high school friend back into her life after losing touch more than 10 years prior. The two are now the very best of friends, who take vacations together and participate in each other’s family events.

For those who prefer to meet and interact with people in person, check out Philadelphia’s greatest social network for older adults: senior community centers.

For a list of senior centers throughout Philadelphia, call the PCA Helpline at 215-765-9040 or go to pcaCares.org/senior-centers.

Mary Anna Rodabaugh is a writer, editor and writing coach.

Milestones 13

OCTOBER 2021

Celebrating Hispanic heritage and hope

By Shannon Reyes As Hispanic Heritage Month (Sept. 15 through Oct. 15) continues to be recognized throughout the nation, individuals and organizations in Pennsylvania reflect on the achievements and contributions of Hispanic Americans. This year’s theme, “Esperanza: A Celebration of Hispanic Heritage and Hope,” honors Hispanic Americans and their culture with an emphasis on looking to the future.

“This year’s theme … brings to mind the rich diversity of the Latino senior centers across the commonwealth and the important role they play in the local communities they serve,” Pennsylvania Secretary of Aging Robert Torres said in a statement.

Many Philadelphia senior centers, including Norris Square Senior Community Center, offer resources and bilingual programming to the older Latino adults

who live in the area. Norris Square Senior Community Center is in North Philadelphia at 2121 N. Howard St. and is currently open to participants from 9 a.m. to 1 p.m., with activities beginning each day at 9:30 a.m. The center offers games, such as bingo, Pokeno and dominos; music or vocal serenade; group meetings; and fitness classes.

As with most senior centers across the city, Norris Square serves grab-&-go meals in place of the hot meals senior centers served in congregate settings prior to the pandemic. In July, Norris Square Senior Center also opened an on-site food pantry that is stocked with both fresh and shelf-stable food items. La Placita (The Little Plaza) is a supermarket-style pantry, where senior center participants can “shop” for five free food items each week.

To wrap up Hispanic Heritage Month, Norris Square will host a day-long event

on Thursday, October 14 from 9 a.m. to 1 p.m. Performers will celebrate Hispanic cultures and their contributions. Older adults who would like to attend are asked to register in advance by calling Norris Square Senior Community Center at 215423-7241.

In addition to supporting activities and resources for Hispanic older adults at se-

nior community centers, Philadelphia Corporation for Aging (PCA) offers yearround programming for all older Latino Philadelphians and the professionals who serve them. For more information on upcoming cultural events, contact the PCA Helpline at 215-765-9040.

Shannon Reyes is the public relations specialist at Philadelphia Corporation for Aging.

No nonsense, just extra Medicare Advantage benefits.

Welcome to Wellcare We’re working hard to improve the Medicare experience for our members.

That’s why we’ve simplified our plans and streamlined our benefits. So now when you switch to our Medicare Advantage Plan for 2022, you’ll enjoy: • $0 or low monthly premiums • $0 copay for most common prescriptions • Free telehealth appointments

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Cosmetic procedures are not covered under this benefit. Plans vary by region and not all benefits are covered on all plans. ‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. and Centene, Inc. is an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal. Contract services are funded in part under contract with the State of Arizona. Such services are funded in part with the state of New Mexico. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/Medicaid. Notice: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits.

Y0020_WCM_80071E_M CMS Accepted 08102021

NA2WCMADV80071E_0000 ©Wellcare 2021

Milestones 14

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OCTOBER 2021

Sweet potatoes • continued from page 6

Southern Loaded Sweet Potatoes Ingredients: 1 boneless pork loin (2 to 3 lbs.) ½ cup Dijon mustard, divided 1 tbsp. brown sugar 1 tbsp. garlic powder 1 tsp. cayenne pepper ½ tsp. salt 1 cup reduced-sodium beef broth 8 medium sweet potatoes (about 5 pounds) 3 cups coleslaw mix ½ cup fat-free plain Greek yogurt ½ cup reduced-fat mayonnaise 2 tbsp. cider vinegar ½ tsp. celery seed ¼ tsp. garlic salt Directions: Place pork loin in a 3-qt. slow cooker. In a small bowl, mix 1/3 cup mustard, brown sugar, garlic powder, cayenne and 1/4 tea-

Healthy joints • continued from page 11

Consuming colorful veggies and healthy fats provide other health benefits, according to Carrier. These categories of foods have been connected to a lower risk of Alzheimer’s disease and dementia and also help prevent cardiovascular disease, renal disease and diabetes.

Wendy Romig, doctor of clinical nutrition and founder of Sage Integrative Health Center in Mt. Airy that specializes in nutrition, herbal medicine and wellness coaching, has more dietary pointers for older adults. “Buy organic foods to limit your exposure to pesticides,” she says. “If that’s not possible, use a good produce wash.”

The Environmental Working Group lists produce items that are most likely to have chemicals: strawberries; spinach; kale, collard and mustard greens; nectarines; apples; grapes; cherries; peaches; pears; peppers; celery; and tomatoes.

Do yourself a favor by going easy on

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spoon salt; brush over pork. Add broth; cook, covered, on low until meat is tender, 6-8 hours.

Meanwhile, preheat oven to 400°. Scrub potatoes; pierce several times with a fork.

Bake until tender, 45-50 minutes.

Place coleslaw mix in a large bowl. In a small bowl, whisk yogurt, mayonnaise, vinegar, celery seed, garlic salt and remaining mustard and salt; pour over coleslaw mix and toss to coat.

Remove roast; cool slightly. Shred pork with 2 forks; return to slow cooker.

With a sharp knife, cut an “X” in each potato. Fluff pulp with a fork. Using a slotted spoon, place pork mixture and coleslaw over each potato.

Source: Taste of Home

sweets, junk food and sugary beverages, says Romig, who practices “functional medicine that addresses the root cause of health concerns.” These foods have lots of calories and cause spikes in blood sugar which can trigger inflammation.

“Make sure you’re getting enough fiber,” Romig adds. “It helps with good elimination.” Beans, whole grains and vegetables are good fiber sources.

“Water intake is key,” says Romig, who recommends at least eight cups a day.

“Moisture is required throughout the body. Dehydrated cells can cause the joints to stiffen and become achy.

“I’m a ‘food-first’ practitioner, but some supplements can be useful for (relieving) painful joints,” says Romig “Turmeric, ginger, glucosamine and chondroitin may help manage joint pain. In case of discomfort, rub arnica oil onto the joint for relief.”

Don’t let pain keep you sedentary. Keep moving to maintain healthy joints.

Native Philadelphian Constance Garcia-Barrio writes about many topics, including Black history.

Milestones 15

OCTOBER 2021

Health Brief

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Crossword

Solution: The solution can be found on page 10.

Memory Lane Across

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Medicare basics: Learn the ABCs The annual Medicare open enrollment period runs from Oct. 15 through Dec. 7. During open enrollment, those eligible for Medicare can join, drop or switch Medicare plans. Coverage for new plans will begin on January 1, 2022, if the request is received by the Dec. 7 deadline.

Confused about Medicare? Here are the basics to get you started.

What is Medicare?

Medicare is the federal health insurance program for people who are 65 or older and younger people with certain disabilities. Generally, Medicare recipients pay a set amount for their health care (known as a deductible) before Medicare pays its share. Then, costs are split between Medicare and the recipient for covered services and supplies (also known as coinsurance or copayment).

In general, Medicare recipients don’t need to file claims for covered services and supplies. The law requires providers to do so on their behalf. Providers include doctors, hospitals, skilled nursing facilities and home health agencies.

There are three main parts of Medicare, which help to cover specific medical services: • Medicare Part A: Hospital insurance – Inpatient hospital stays, care in skilled nursing facilities, hospice care and some home health care services.

• Medicare Part B: Medical insurance – Certain doctors’ services, outpatient care, medical supplies and preventive services.

• Medicare Part D: Drug coverage – Prescription drugs and preventive med-

ications, including many recommended vaccines.

Medicare Part C Medicare Advantage plans (also known as Medicare Part C) are Medicare-approved plans from private companies that offer an alternative to original Medicare for health and drug coverage. These bundled plans include Part A, Part B and usually Part D. Medicare Advantage plans may offer some extra benefits that original Medicare does not cover, including vision, hearing and dental services. Medicare Advantage open enrollment is separate from Medicare open enrollment and runs from Jan. 1 through March 31 each year.

Benefits counseling It’s understandable that many people have questions about their Medicare coverage options, especially during the open enrollment period. Philadelphia Corporation for Aging (PCA) administers the Pennsylvania Medicare Education and Decision Insight program (PA MEDI, formerly known as APPRISE) in Philadelphia. PA MEDI is a federally funded health insurance counseling program for Pennsylvanians who are eligible for Medicare. Trained PA MEDI counselors can answer questions about all aspects of Medicare eligibility and enrollment and offer objective, easy-to-understand information. For more information, see article on page 5, visit pcaCares.org/PAMEDI or call the PCA Helpline at 215-765-9040.

Source: Medicare.gov

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24 Huron’s neighbor 25 Asian holiday 26 First communications satellite 30 “The ___ in the dell” 34 Table or place ______

35 Mars: comb. form 36 Came down to earth 37 Place for some sports 41 Rushes, with along 44 Small satellite 45 Ruff’s mate 46 Scattered: her.

47 Pretentious performer

52 Sitcom of 1955 56 Physicist Isidore 57 Fleet-footed steed 58 ___ Bulba 59 Earl of ___ 60 Ms. Carter, of TV 61 Have ___ day!

62 Graffiti word 63 Aline 64 Some hooks

10 Certain general 11 Caviar’s makeup 12 Rebekah’s son 13 Gull’s relative 21 Road leading to Rome 22 Sword handle 27 Mah-jongg piece 28 Blue dye 29 Divisions of the Army: abbr.

30 Avoir ___: to be hungry in Paris 31 Florence’s river 32 Go over 33 Illegal whiskey 38 Bread spread 39 Piece goods sale 40 Pilot, for example 41 Prickly bush 42 ___ dynamics 43 Check the check

48 Vacuous 49 Part of some letters 50 Religious pamphlet 51 Feminine endings 52 Trolley 53 Own 54 Black 55 Korean border river

Down 1 Common weight in Tiffany’s 2 Worship 3 Island of the Philippines 4 Another time 5 Apprehending 6 Seals 7 Yours, in Versailles 8 Fish eating seabirds 9 London film studio

Our Community. Our Health.

PA Health & Wellness is focused on whole health care, reflecting on a person’s total well-being and meeting each person’s unique needs.

PA Health & Wellness exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.

Transforming the Health of the Community, One Person at a Time.

PAHealthWellness.com 1-844-626-6813