Urban Call Humana Medicare

Page 1

URBAN CALL — HEALTHY LIVING EVERY DAY!

URBAN CALL — HEALTHY LIVING EVERY D

PAGE 12

Medicare options Get help now! Review your$75 monthly allowance for groce

CMS (Centers for Medicare & Medicaid Services) publishes the official U.S. government handbook, “Medicare & You.” It answers many detailed questions. To get a printed copy visit your nearest Social Security office. You can view the handbook online at (medicare.gov/medicareand-you). Medicare’s toll free telephone number is (800) 633-4227.

Inside...

• • •

For more information Charlotte Neighborhood Center The ABC’s of Medicare.... 4-5

Dolly Parton

Get Started

8

Champions for Our Children

Oprah Winfrey

Gen. Colin Powell

6

important dates! This may be the only If you are new to Medicare: chance you have each year toprovides make Learn about your Medicare choices. The Healthy Foods Card money to purchase approved foo changes to your coverage. There are two main ways to get your participating stores October 1: Start comparing your Medicare coverage – original Medicare and Medicare advantage. Page 3 provides current coverage with other options. Sandra Miller Jones You may be able to save money. Visit more information on these choices. Segmented Marketing Services, Inc. Founder & CEO Medicare.gov/plan-compare You should find out how and when Lafayette Jones October 15 to December 7: Change you can sign up. If you are just turning Publisher, Urban Call; SMSi-Urban your Medicare health or prescription drug 65, you can enroll in Medicare up to Call Marketing, Inc. President & CEO coverage for 2020, if you decide to. This three months before your birthday includes returning to Original Medicare month, during your birthday month, and With the additional health challenges For qualified members, Humana Gold H1036-168, or joining a Medicare Advantage Plan.Plus SNP-DE up to three months after your birthday that are being caused byH1036-167, COVID-19, itH1036-27 a Healthy Card tobegins helpifpay at participating January Foods 1: New coverage you for isgroceries month. It’s important to know ifinclude you more important than ever for usstores. to have Medicare Part A (hospital insurance) made a change. If you kept your existing have good health insurance and to know Each month, the Healthy Foods Card is automatically loaded with $75; unspent d coverage and your plan’s costs or benefits and Part B (doctors insurance). To learn our Medicare benefits. That’s why we changed, those changes will also start on more and get help, talk to a licensednext month. are pleased to partner with concerned date. insurance agent or call 1-800-Medicare. companies Walmart, like Humana,Food who are Shop atthis participating stores, including Walgreens, Lion and others January 1 to March 31: If you’re in working to increase health insurance Scan the barcode on the back of the Healthy Foods Card at the checkout to pay f a Medicare Advantage Plan, you can If you already have Medicare: information and availability, especially for You don’t need to sign up for Medicare make a change to a different Medicare older adults. For example, if you have a Advantage Plan or switch back to each year. However, you should review income and resources, you may Call aOriginal licensed Humana sales agent limited Medicare (and join a stand-alone your Medicare health and prescription qualify for extra help to reduce the cost drug coverage and make changes if it no Medicare Prescription Drug Plan) once of some healthcare benefits, prescription Asheville Neighborhood Greensboro N longer meets your needs or if you could during this time. Any changes you makeCenter drugs, deductibles and other costs. The lower your out-of-pocket expenses. will 828-772-3090 be effective the first (TTY: of the month more you understand Medicare the 711) 336-547-2701 Mark your calendar with these afterMonday the plan gets your request. greater your health benefits will be. – Friday, 9 a.m. – 4 p.m. Monday – Frida

on your 980-262-6555 (TTY: 711)

Medicare

Medicare

Raleigh Mark options919-465-1367

Monday – Friday, 9 a.m. – 4 p.m. Monday – Frida Call: (366) 759-7477 Text: (336) 414-0905 E-mail: SMSiPartners@smsi-net.com

 For a digital copy of Urban Call visit: http://Issuu.com/SmsiUrbanCallMarketing.com

Humana is a Coordinated Care plan with a Medicare contract and a contract with the Me Humana plan depends on contract renewal. Applicable to Humana Gold Plus SNP-DE H1


PAGE 2 URBAN CALL — HEALTHY LIVING EVERY DAY!

Licensed Medicare Agent Team

SilverSneakers health tip: Plan a monthly date with accountability buddies

Sandra Miller Jones (336) 414-0905 smjones@smsi-net.com Talaya Loyd (336) 734-9196 taloyd5@gmail.com Sharon Lyles (336) 451-1328 SharonKLylesbusiness@ gmail.com Yvette Canty 336-491-4552 ycanty62@gmail.com John Wall (704) 905-4451 jfwall50@hotmail.com Constance Baker Harris (336) 965-4140 constanceharris@live.com Natalie Nicholson (336) 624-3183 natnic25@gmail.com Debra Shore (336) 813-2049 shoreweb@bellsouth.net

This image is the sole property of Humana, Inc. and is made available for editorial use only.

“For the past few years, a group of friends and I have chosen a fun activity like going for a walk, seeing a movie,
or attending a yoga class together to do first, and then we each make a promise to
the group that we will work on one behavior for the four weeks that follow,” says Katie A. Rickel, Ph.D., a clinical psychologist based in Durham, North Carolina. It’s important that everyone selects a behavior over which they have complete control (“I will walk for 10 minutes at least three times each week,” for example) rather thanan

outcome (“I will lose 10 pounds”), she says. “Before we part ways, we make a plan to repeat the same activity exactly four weeks from now and promise to share our experience,” Rickel says. “It’s a given that we’ll
all encounter obstacles and struggles, so we always return to the follow-up confident that we will be embraced, accepted, and encouraged regardless of our success in meeting our stated goals.” Reprinted with permission from SilverSneakers and Tivity Health

Health Association Directory Aging Life Care Association (520) 881-8008 AgingLifeCare.org Alzheimer’s Assoc. (800) 272-3900 (866) 403-3073 TDD Alz.org Alzheimer’s Foundation of America (866) 232-8484 Alzfdn.org American Academy of Home Care Medicine (AAHCM) (847) 375-4719 Aahcm.org American Cancer Society (800) 227-2345 (866) 228-4327 TTY Cancer.org American Diabetes Assoc. (800) 342-2383 Diabetes.org American Geriatrics Society (212) 308-1414 Americangeriatrics.org

American Heart Assoc. (800) 242-8721 Americanheart.org Arthritis Foundation (800) 568-4045 Arthritis.org Assoc. of Black Cardiologists (800) 753-9222 Abcardio.org Center for Disease Control and Prevention (800) 232-4636 Cdc.gov International Society on Hypertension in Blacks (703) 351-5023 Ishib.org Leukemia & Lymphoma Society (914) 949-5213 Lls.org Lupus Foundation of America, Inc. (202) 349-1155 Lupus.org

The SMSi Companies Corporate Offices 51 E. Fourth St., Suite 1702 Winston Salem, N.C. 27101-4257 Office: (336) 759-7477 Fax: (336) 941-3547

SMSi & Urban Call Community Outreach Office Goler CDC Center 899 North Liberty Street Winston Salem, NC 27101 Office: (336) 759-7477

Issuu.com/Smsiurbancallmarketing.com SegmentedMarketing.org n

SMSi-Urban Call Marketing, Inc. President and CEO; Urban Call Publisher: Lafayette Jones Executive Editor: Alan Cronk Production Manager: Jodi S. Sarver Digital Services Director: Jimmy Davies, Every.Black

Video Production Manager: Chris Downey, Downey Digital, LLC Photographer/Videographer: Donevan Cherry, CherVeli Media Financial Services: Roslyn Hickman Warehouse, Collation & Shipping Manager: Vincent Harris

SMSi Healthy Living Solutions Inc. SMSi Founding Chair and CEO: Sandra Miller Jones National Project Manager: Constance Baker Harris National Logistics Manager: Camille Allen Director, Financial Services: Roslyn Hickman

Agent Ambassadors: Charlie Bethea, Alvin Borders, Yvette Canty, Constance Baker Harris, Talaya Loyd, Sharon Lyles, Natalie Nicholson, Debra Shore, John Wall

SMSi Community of Networks


Advancing Health Care 2020 PAGE 3

URBAN CALL — HEALTHY LIVING EVERY DAY!

The American Heart Association has a proud history of working to improve health care. In 1993, the Association first issued principles for access to health care, and continued to build upon and refine the principles in 2008 and 2020.

Principles for Access to Health Care

Principles for Health Care Reform

Principles for Equitable, Accessible and Affordable Health Care

1993

2008

2020

To ensure adequate, accessible and affordable health care for everyone in the United States, the following principles must be met: 1. Everyone should have comprehensive, understandable and affordable health coverage. 2. Everyone should receive high-quality, affordable, patient-centered health care. 3. Everyone should have access to evidence-based preventive services at minimal cost. 4. Health disparities and inequities in the health care system must be eliminated. 5. The health care system should be improved to adequately respond to social determinants of health and eliminate inequities. 6. The health care system should invest in the recruitment and training of a diverse workforce across gender, race, ethnicities and geographies. 7. Public and private funding investments are needed to support biomedical research.

2024 Impact Goal Every person deserves the opportunity for a full, healthy life. As champions for health equity, by 2024, the American Heart Association will advance cardiovascular health for all, including identifying and removing barriers to health care access and quality.


PAGE 4 URBAN CALL — HEALTHY LIVING EVERY DAY! 5

Your Medicare options When you first enroll in Medicare and during certain times of the year, you can choose how you get your Medicare coverage. There are 2 main ways to get Medicare:

Original Medicare

Medicare Advantage

• Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). • You can join a separate Medicare drug plan to get Medicare drug coverage (Part D). • You can use any doctor or hospital that takes Medicare, anywhere in the U.S. • To help pay your out-of-pocket costs in Original Medicare (like your 20% coinsurance), you can also shop for and buy supplemental coverage.

(also known as Part C)

Part A

• Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These “bundled” plans include Part A, Part B, and usually Part D. • In most cases, you’ll need to use doctors who are in the plan’s network. • Plans may have lower out-of-pocket costs than Original Medicare. • Plans may offer some extra benefits that Original Medicare doesn’t cover—like vision, hearing, and dental services.

Part B

Part A

You can add:

Part B

Part D Most plans include: You can also add:

Supplemental coverage This includes Medicare Supplement Insurance (Medigap). See Section 5 (starting on page 75) to learn more about Medigap. Or, you can use coverage from a former employer or union, or Medicaid. See Section 3 (starting on page 57) to learn more about Original Medicare.

Part D Some extra benefits

SECTION 7

Get help pay health & dru

Get Extra Help paying your M

If you have limited income and resource for some health care and drug coverage

Extra Help is a program to help people resources pay Medicare drug costs. Yo yearly income and resources are below

Yearly in Single person

less than $1

Married person living with a spouse and no other dependents

less than $2

These amounts may change in 2022. Yo a higher income (like if you still work, liv dependents living with you). Resources savings account, stocks, bonds, mutual Accounts (IRAs). Resources don’t inclu items, burial plot, up to $1,500 for buria insurance policies.

If you qualify for Extra Help and join a s Medicare Advantage Plan with Medicar • You’ll get help paying your drug cove • You won’t pay a late enrollment pena

Note: Extra Help isn’t available in Puert Guam, the Northern Mariana Islands, or information about programs available in

Some plans also include:

Lower out-of-pocket costs See Section 4 (starting on page 61) to learn more about Medicare Advantage. Note: See pages 121–124 for

SOURCE :Medicare & You 202The offi


109

91

URBAN CALL — HEALTHY LIVING EVERY DAY!

SECTION 9

Get more information

ying your ug costs

Get personalized help 1-800-MEDICARE (1-800-633-4227) TTY users can call 1-877-486-2048

Medicare drug costs

Get information 24 hours a day, including weekends

es, you may qualify for help to pay e costs.

• Speak clearly and follow the voice prompts to pick the category that best meets your needs. • Have your Medicare card in front of you, and be ready to give your Medicare Number. • When prompted for your Medicare Number, speak the numbers and letters clearly one at a time. • If you need help in a language other than English or Spanish, or need to request a Medicare publication in an accessible format (like large print or braille), let the customer service representative know.

e with limited income and ou may qualify for Extra Help if your these limits in 2021:

ncome

Other resources

19,320

less than $14,790

26,130

less than $29,520

ou may qualify even if you have ve in Alaska or Hawaii, or have s include money in a checking or funds, and Individual Retirement ude your home, car, household al expenses (per person), or life

separate Medicare drug plan or re drug coverage (Part D): erage costs. alty.

to Rico, the U.S. Virgin Islands, r American Samoa. See page 96 for n those areas.

PAGE 5

Important!

If you need someone to be able to call 1-800-MEDICARE on your behalf You can fill out and mail a “Medicare Authorization to Disclose Personal Health Information” form, so Medicare can give your personal health information to someone other than you. Medicare must process the form before the authorization becomes effective. Visit Medicare.gov/medicareonlineforms to find the form or call 1-800-MEDICARE.

If your household got more than one copy of “Medicare & You” If you want to get only one copy of this handbook in the future, call 1-800-MEDICARE. If you want to stop getting paper copies in the mail, visit Medicare.gov/gopaperless.

If you need a new copy of your Medicare card

If you need to replace your card because it’s damaged or lost, visit Medicare.gov to log into (or create) your secure Medicare account to print or order an official copy of your Medicare card. You can also call 1-800-MEDICARE and ask for a replacement card to be sent in the mail. If you need to replace your card because you think that someone else is using your Medicare Number, call 1-800-MEDICARE.

If you moved

If you recently moved or plan to move, update your address to continue getting important information from Medicare. Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778. If you get Railroad Retirement Board (RRB) benefits, call the RRB at 1-877-772-5772. TTY users can call 1-312-751-4701. definitions of blue words.

icial U,S.Government Medicare Handbook

Note: See pages 121–124 for definitions of blue words.


PAGE 6 URBAN CALL — HEALTHY LIVING EVERY DAY!

Save money by using these senior discounts at restaurants • Applebee's: 10-15% off (varying by location) and may require a Golden Apple Card (60+). • Arby's: 10% off (55+). • A&W All American Food: 10% senior discount, varies by location. • Ben & Jerry's: 10% off for seniors (60+), varies by location. • Bonefish Grill: AARP members get 10% off. • Boston Market: Senior discounts vary by location (65+). • Bubba Gump Shrimp Company: 10% off for AARP members. • Burger King: 10% off (60+) plus additional discounts on coffee and soft drinks. Varies by location. • Captain D's Seafood: Happy Wednesday Offer where seniors (62+) can enjoy one of 8 meals including a drink for $4.99 or less at participating restaurants. • Carrabba's Italian Grill: 10% off an entire meal for AARP members. Varies by location. • Carrows Restaurant: Has

• • • • •

• • •

• • •

a Golden 55 menu where seniors (55+) can get discounted breakfast, lunch, and dinner. Chick-fil-A: Free refillable senior drink, not including coffee. Varies by location. Chili's: 10% off (55+) CiCi's Pizza: Many stores offer senior discounts but they vary by location. Denny's: 15% off for AARP members, all other senior discounts vary by location. Dunkin' Donuts: AARP members receive a free donut with the purchase of a L or XL beverage at participating restaurants. El Pollo Loco: 10% senior discount (60+). Fazolli's: Join Club 62 for special senior menu items (62+). Friendly's Restaurant: 10% off a meal with free coffee at breakfast or a free sundae during non breakfast hours. Golden Corral: Senior discounts vary by location. IHOP: Discounts on senior menu items (55+). Krispy Kreme: 10% off

(55+), varies by location. • Long John Silver's: Various discounts at participating locations (55+). • Landry's Seafood: 10% off for AARP members (50+). • McCormick & Schmick's: 10% off for AARP members (50+). • McDonald's: Senior discounts on coffee (55+). • Mrs. Field's: 10% off (60+), varies by location. • The Oceanaire Seafood Room: AARP members save 10%. • Outback Steakhouse: AARP members save 10%. • Old Country Buffet: Daily discounts for seniors (55+). • The Old Spaghetti Factory: Discounts on senior menu items. • Papa John's: Senior discounts vary by location. • Perkins Restaurants: 55+ menu offers special deals for seniors. • Ponderosa Steak House: Senior discounts vary by location, also a senior menu may be available (60+). • SaltGrass: AARP members

save 10% (50+). • Shoney's of Knoxville: Join the Shoney's Golden Age Club for 10% off (60+). • Sizzler: Offers Honored Guest Menu (60+), varies by location. • Sonic: 10% off or a free beverage, varies by location (60+). • Subway: 10% off, varies by location (60+). • Sweet Tomatoes: Senior meal deals MondayThursday from 2pm until 5pm $7.99 all you can eat including fountain beverages. All other times 10% off (60+). • Taco Bell: 5% off and free beverages for seniors (65+). • TCBY: 10%off (55+). • Uno Pizzeria & Grill: Join their Double Nickel Club and receive 25% off on Wednesdays (55+). • Wendy's: Discount and age limit vary by location. Ask your local restaurant for details. See more discounts at bradsdeals.com.

Champions for Our Children We salute the late Four Star General Colin Powell, who led the Alliance for Youth campaign to improve the lives of 2 million of the nations 15 million at-risk youth.

Media Star & Owner Oprah Winfrey uses her personal money to fund education, learning and leadership development projects for youth globally.

Entertainer Dolly Parton established the Imagination Library in 1995, which sends one book per month to children from the time of their birth until they enter kindergarten.


PAGE 7

URBAN CALL — HEALTHY LIVING EVERY DAY!

Senior Services offers help, info to older adults Senior Services is a nonprofit organization that helps older adults living in Forsyth County remain at home, living with dignity and aging with purpose through a variety of supportive programs and services. The Meals-on-Wheels and Senior Lunch programs are designed to help meet the nutritional and social needs of participants. Senior Services’ Home Care program assists older adults living at home with personal care activities, while Living-at-Home, is a Medicaid waiver

program that helps bring nursing home levels of care to participants in their own homes through care management. The Aging Resources department provides referrals and valuable community resource information to older adults and their families through our Help Line. And our award-winning Elizabeth and Tab Williams Adult Day Center provides a safe and loving place for people living with Alzheimer’s and dementia during the day, five days a week. We also have several initiatives, operated through

American Heart Association champions Actress and activist

Angela Bassett

Angela Bassett, who stars in the TV show “9-1-1” and in recent blockbuster movies “Black Panther” and “Mission: Impossible – Fallout,” is AHA spokesperson for the For Your SweetHeart awareness campaign, “Losing my mother, the person who encouraged me to pursue my lifelong dream of becoming an actress, was a wake-up call to start talking about the risk of heart disease with my family members.”

Coronavirus vaccine scientist

Dr. Corbett

Dr. Kizzmekia Corbett is saving the world as a leading force behind the COVID-19 vaccine. A North Carolina native and UNC graduate, she is the National Institute of Health’s (NIH) lead scientist for coronavirus vaccine research. She is part of a team that worked with the biotechnology company Moderna on its safe and effective COVID-19

Chief medical advisor to U.S. president

Dr. Fauci

Dr. Anthony Stephen Fauci an American physician-scientist and immunologist serving as the Director of the National Institute of Allergy and Infectious Diseases (NIAID) and the Chief Medical Advisor to President Biden. During the COVID-19 pandemic, he has served as one of the lead members the White House Coronavirus Task Force and its COVID-19 Response Team.

our Aging with Purpose pilot, aimed at reducing social isolation among program participants. Senior Services’ vision is to be a national model of service provision and volunteerism, as well as a valuable resource for all in the community. The agencies’ programs have the support of more than 2,000 community volunteers. Its mission is to help older adults remain at home for as long as possible and to help them live with dignity.

Wake Forest Sticht Center The Wake Forest Baptist Sticht Center for Healthy Aging and Alzheimer’s Prevention philosophy: Create an environment where dedicated professionals work together to discover new ways to achieve and maintain both body and brain health for older adults. Our goal is the support older adults: Live safely and independently, • Remain engaged and productive, and • Enjoy the highest quality of life possible on their terms! To learn more about: • Studies focused on achieving and maintaining a healthy body, call: 336-713-8539 • Studies focused on preserving brain health and preventing Alzheimer’s disease, call: 336-716MIND (6463) • The Memory Counseling Program, call: 336-713-2213

Age-Friendly Forsyth is a community initiative that connects, informs, and engages aging adults and community partners to create a livable community through collaborative planning and action, with the vision that aging adults in Forsyth County are living their best lives. The initiative structure is intended to be highly collaborative, inclusive, and wellconnected to other groups in the County with similar priorities, with resident input playing a heavy role in setting priorities. ForsythFutures.org 336.701.1700


PAGE 8 URBAN CALL — HEALTHY LIVING EVERY DAY!

If you’re carrying these cards Carry this one—for more simplicity and more benefits Humana Gold Plus (HMO SNP)

A Medicare Health Plan with Prescription Drug g Cove Coverage

MM/DD/YYYY CARD D ISSUED: MM

MEMBER NAME

Member ID: HXXXXXXXX XXXXXXX X Plan (80840) 9140461101 91 0461101 RxBIN: XXXXXX RxPCN: CN: XXXXXXXX XXXXXXX xGRP: XXXXX XXXXX RxGRP:

Copayments C OFFICE VISIT: $XX SPECIALIST: $XX HOSPITAL EMERGENCY: $XX CMS XXXXX XXX

A Humana Medicare Advantage Dual Eligible Special Needs Plan has everything Original Medicare has—and benefits you might not get with Medicare Part A and Part B alone. Your Humana Dual Eligible Special Needs Plan works with your Medicaid benefits, so you can get the benefits you need—and more—like:

• $4,000 dental coverage annually for exams, X-rays,

• Vision benefit includes annual exam, fitting and $400

• Hearing benefit includes annual exam and $0 copay

• $250 over-the-counter allowance every three months* • Rides to your doctors—48 routine one-way trips**

cleanings, fillings and more

for advanced TruHearing® hearing aids

Call a licensed Humana sales agent

allowance for contact lenses or eyeglasses

Asheville Neighborhood Center 828-772-3090 (TTY: 711) Monday – Friday, 9 a.m. – 4 p.m.

Greensboro Neighborhood Center 336-547-2701 (TTY: 711) Monday – Friday, 9 a.m. – 4 p.m.

Charlotte Neighborhood Center 980-262-6555 (TTY: 711) Monday – Friday, 9 a.m. – 4 p.m.

Raleigh Neighborhood Center 919-664-1755 (TTY: 711) Monday – Friday, 9 a.m. – 4 p.m.

A more human way to healthcare™ *Available only through participating retailers and Humana’s mail‑order pharmacy, Humana Pharmacy® always consult with your doctor or medical provider before taking over‑the‑counter medications. **This benefit is not to exceed 50 miles per trip. Humana is a Coordinated Care plan with a Medicare contract and a contract with the North Carolina Medicaid program. Enrollment in this Humana plan depends on contract renewal. Applicable to Humana Gold Plus SNP‑DE H1036‑168 (HMO D‑SNP). At Humana, it is important you are treated fairly. Humana Inc. and its subsidiaries comply with applicable Federal Civil Rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, marital status or religion. English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-877-320-1235 (TTY: 711). Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-320-1235 (TTY: 711). 繁體中文 (Chinese): 注意:如果您使用繁體中文 ,您可以免費獲得語言援助服務 。請致電 1-877-320-1235 (TTY:711) 。 Y0040_GHHJJ8ATE_22_AD_M


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.