Northwest 50 Plus Marion Polk October 2019 Edition by Northwest50Plus

LOCAL news for boomers and seniors

THE NORTHWEST’S OLDEST AND LARGEST PUBLICATION FOR OLDER ADULTS

MARION POLK | OCTOBER 2019

Oregon’s SCAM JAMS Page 6

The power of

nutrition

Page 8

L A U ANN

E D I U G E R A

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Northwest

50 Plus

VOLUME 22 | NUMBER 10

OREGON’S OLDEST & LARGEST 50+ PUBLICATION 3 Editions serving adults aged 50 and older Portland-Metro-Vancouver, Marion-Polk-Coast, South Valley: Linn-Benton Lane P.O. Box 12008, Salem, OR 97309 4923 Indian School Rd. NE, Salem, OR 97305 503-304-1323 | 1-877-357-2430 | FAX 503-304-5394 info@northwest50plus.com Northwest50Plus.com Subscriptions $26/year | $49/2 years

MICHELLE TE General Manager & Managing Editor mte@northwest50plus.com CONTRIBUTING WRITERS Maggi White, Mary Owen, Vanessa Salvia, Barry Finnemore, Pat Snider, Grace Peterson, and B. Lee Coyne EAGLE MEDIA LAB Design production@eaglemedialab.com DOREEN HARROLD Office Manager/Sales Assistant dharrold@northwest50plus.com

editor’s note

E COULDN’T BE MORE excited about our annual Medicare Guide, starting on page 12 of this month’s issue.

Health insurance carriers in your coverage area provide information so you can compare Medicare Advantage plans to find the right fit for you. To help you in the process, please contact one of the health insurance agents found on these pages. They are a knowledgeable resource and there is no outof-pocket expense. Another resource is SHIBA, a state-funded agency that provides free and objective information on health and drug plans. So much information, right at your fingertips! I also want to let you know about a big change in our distribution. Through a local vendor, Northwest 50 Plus contracts with local retailers to put our

OUR OCTOBER ISSUE

JOAN RILEY Advertising Sales, Portland-Metro joan4freedom@comcast.net LARRY SURRATT Advertising Sales, Portland-Metro-Vancouver lsurratt@northwest50plus.com ROBYN SMITH Advertising Sales, Marion-PolkLinn-Benton-Lane counties rsmith@northwest50plus.com Printed by Eagle Web Press, Salem, OR Northwest 50 Plus is published monthly and locally owned and operated by Eagle Newspapers, Inc. The entire contents of this publication are copyrighted by Northwest 50 Plus. Any use of all or any part of this publication is prohibited without written consent of the publisher.

magazine on racks inside the stores. Kroger, the parent company for Fred Meyer, has decided to no longer contract free rack publications. By Oct. 15, we will not be allowed to put our magazine inside the front entrance of any Fred Meyer store. This affects not only our magazine, but many others. If this upsets you, as it does us, please reach out and let Fred Meyer know that you don’t agree with this decision. Let them know that it hurts local businesses. We are actively seeking new locations to place our free publication, including many Safeway and Albertson’s stores. Please check our website for updates, so you don’t miss a single issue. Happy reading! Michelle Te General Manager/Editor

DEPARTMENTS 12 Yard & Garden 17 Healthy Living 20 -21 Service Directory 20 Puzzle Page 23 Classifieds

MARION POLK | OCTOBER 2019

10 6 MARION POLK | OCTOBER 2019 NORTHWEST 50 PLUS 3

NORTHWEST LIVING | YOUR HEALTH

In-home care . s v Home health care By M I C H E L L E T E

WHY IT’S IMPORTANT TO UNDERSTAND THE DIFFERENCE Last month, we helped explain the different levels of continuing care available through independent and assisted living, as well as in memory care, adult foster homes and retirement communities. This month, we help explain the differences between in-home care and home health care. Whether due to illness, injury or aging, in-home care helps people live independently, often in their own homes or in independent living communities, for as long as possible. In-home

Home care provides: ▶ Hourly visits ▶ Partners with home health and hospice ▶ No homebound requirement ▶ No medical eligibility required ▶ No physician order required ▶ Length of service is determined by the client or

caregivers help with activities of daily living, such as bathing and getting dressed, grocery shopping and meal preparation, transportation to doctor appointments and errands, light housekeeping and laundry, and medication reminders. Home health care differs in that it focuses on medical services done in the home, such as wound care, injections, catheter care, IV infusions and physical therapy. It is not uncommon for people to use both home care and home health at the same time. In fact, the services often complement each other, says John Hughes, owner/administrator of ComForCare Home Care. “There are many people who don’t know the difference between home health care and in-home care,” he says. “There

Home healthcare provides: ▶ Episodic visits ▶ Partners with home care ▶ Must be homebound ▶ Medical eligibility required ▶ Physician order and physician-signed Plan of Care required

family

▶ Length of service determined by the diagnosis/

with long term care insurance

▶ Paid for by Medicare and private health insurance

Services: Personal care, medication administration, meal prep and light housekeeping

Services: Skilled nursing, occupational therapy, physical therapy, wound care and speech therapy

The goal of home care is to assist and empower an individual and their family to meet their identified needs to stay in their own home

The goal of home healthcare is to treat an illness or injury that will aid an individual in regaining strength and independence, typically a short duration.

▶ Paid for privately, Medicaid waiver, VA benefits or

4 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

need

are many differences, but at a high level home health care is ‘clinical care’ and in-home care is ‘non clinical.’” Home health allows patients to discharge from the hospital to their home, assists with faster recovery and reduces future hospital admissions. Home health agencies have a physician overseeing all aspects of care. Home health visits are typically scheduled a few times per week with different members of a team. It is billed to Medicare or other medical insurance. In-home care is provided by caregivers who are trained to understand the nuances of senior care. “Home care aides can help older adults with activities of daily living, or just offer some friendly companionship,” Hughes says. Unlike home health, in-home care is classified as personal care or companion care and is considered “unskilled” or “non-clinical” in nature. This type of care allows a person who needs help with bathing, grooming, dressing and general help around the home to age in place without the need to move to a higher level of care. “This type of service helps people by reducing the likelihood of falls, medication errors, malnutrition and it also helps reduce isolation with older adults, too,” Hughes says. In-home care visits are one-to-one care that can range from a couple of hours per week up to 24 hours per day depending on client needs/requests. The care is usually private pay, but some people qualify for Medicaid Waiver programs, VA benefits or use long term care insurance to cover the costs. Hughes says that in Oregon there are four levels of in-home care licensing with “comprehensive” being the highest level. At this level, an agency can do medication management for the client and also do RN delegated tasks, like an insulin shot. “A delegated task is when the RN will teach a caregiver one-on-one how to do a task for a specific client and then observe them completing the task to ensure they are capable of doing it unsupervised,” he says. ☸

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MARION POLK | OCTOBER 2019 NORTHWEST 50 PLUS 5

NORTHWEST LIVING | SECURITY

scam jams By M A RY OW E N

GET UPDATES ON THE LATEST SCAMS AND HOW TO AVOID BECOMING A VICTIM

CAMS ARE IN ABUNDANCE, FROM FREE TRIal offers, door-to-door sales pitches, price gouging and everyone’s most annoying nightmare — telemarketing.

“Every year, thieves and con artists cheat thousands of Oregonians out of their hard-earned money and valuable personal information,” says Attorney General Ellen Rosenblum on DOJ’s Consumer Protection brochure. Rosenblum asks the public to “help stop the fraud before it starts and alert others so they can avoid becoming victims.” According to the DOJ, American consumers lose billions of dollars to frauds and scams each year. Studies show the hardest hit are often age 55 and over. To help protect these losses the DOJ has partnered with AARP Oregon and the Oregon Department of Consumer and Business Services to present an ongoing series of “Scam Jams” hosted throughout the state. “We just held a series at the coast in August,” says Ellen Klem, director of consumer outreach and education Rosenblum’s office. “Sometimes we’ll have speakers or PowerPoint presentations, while other times we might play a game. It’s always a little different.” Klem calls the programs “educational and entertaining,” 6 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

offering advice about scams and schemes, including insurance and investment fraud; online and door-to-door scams; identity theft; and other scams targeting older consumers. “The jams take place in senior centers, libraries and convention centers all over Oregon,” Klem says. “Mostly people learn we’re a resource for them. We give tips on how to spot a scam as well as give-away bags and brochures.” According to the DOJ website, there are six signs to watch out for that a scam is happening. Scammers: ▶▶Contact you “out of the blue” ▶▶Claim there is an “emergency” ▶▶Ask for your personal information ▶▶Want you to wire money ▶▶Tell you to keep it “secret” ▶▶Make it sound too good to be true Several scams circulating on the internet, especially Facebook, or via email, phone or snail mail include Medicaid fraud, free trial offers, gift cards, timeshares, employment scams, fitness clubs, health spas and price gouging. “The IRS is a really big scam,” Klem says. “The Social Security number ‘compromise’ is also very popular, or ‘your computer is running slow.’” Klem says it is difficult to trace how many people are hit by these pitches. “People are embarrassed and don’t want to report it, or they don’t even know they’ve been a victim,” she says.

Looking to be Entertained?? YOU won’t want to miss these Fun, Informative, Free

OPEN HOUSE EVENTS at Willamette Lutheran Retirement Community

Where does history end and folklore begin? Southern Oregon University Professor Tom Nash will tell us, in his narration of: “True Stories and Other Fictions in Northwest Oral History”. Thursday • Oct. 3, 2019 • 2:00PM

According to the DOJ, to protect you and your family, you need to become educated, reduce junk mail and telemarketing calls, check out a business before you buy, read the fine print, sleep on it, and report fraud. Understand that wiring money is like sending cash and order your free annual credit report. All tips are explained fully on the website. The DOJ website also has links to Federal Trade Commission resources, including stopping unsolicited mail, phone calls and emails; prize scams; job scams; and multilevel marketing. Scam Jams are free, but seating is limited. Registration is required. Most are held in the morning from 9 a.m. to noon. The next jam is on Oct. 24 at the Salem Convention Center. “They are a lot of fun,” Klem says. “We usually serve food. It’s a good event that everybody should come to.” To be notified of emerging scams, frauds and other consumer threats as they arise, join the Oregon Scam Alert Network. The DOJ has a Scam Alert archive accessible at doj.state.or.us. The site also offers victims a way to report scams and fraud, as well as searching other consumer complaints. For other information or to sign up for a Scam Jam, contact the department online at oregonconsumer.gov, by phone at 1-877-877-9392, or by email at help@oregonconsumer.gov. ☸

You’ll also want to mark your calendar for our upcoming Special Tribute to Veterans presented by Oregon’s New History Minstrels. Friday • Nov. 8, 2019 • 2:00PM And for those who have already been asking about our Christmas Around the World Celebration. This year will be a New Orleans Style Christmas featuring the trio of ‘Jass Two Plus One’. Thursday • Dec. 19, 2019 • 6:00PM

Willamette Lutheran Retirement Community

For more information about these and other upcoming events, contact Kay Hayes. Please RSVP, limited seating.

503-393-1491

7693 Wheatland Rd. N • Keizer, OR 97303 Follow us on Facebook

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McGinty Belcher & Hamilton, Attorneys, PC MARION POLK | OCTOBER 2019 NORTHWEST 50 PLUS 7

CATEGORY | SUB CATEGORY

Power

of nutrition By M A RY OW E N

STUDY SHOWS MALNUTRITION CAN HINDER HEALING ABILITIES

HE POWER OF NUTRITION IN IMPROVING health is clear, especially among older adults living in care situations, according to a recent study.

Even more, the study’s author Dr. Suela Sulo says malnutrition is a hidden condition that is significantly impacting people’s health and causing a financial burden on healthcare systems. When looking to move to a care facility, be sure to consider your own nutritional needs and what the care facility can offer. “Without the right food options, the resident will fail to thrive,” says Gretchen VanDerBosch, a lead registered dietician at Advocate Health Care. “You should consider realistically your needs with the meal plan, your ability to shop and walk to the dining room. If you do delivery service, can you unpack the box and put the groceries away, or put the box outside the door? What happens if you miss a meal? Can food be delivered to the room? Are snacks available throughout the day? It’s also nice to offer a continental breakfast as seniors have different sleep schedules.” To help residents at Redwood Heights Assisted Living in Salem stay happy and healthy, dietary director Ray Current 8 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

holds resident food meetings every Tuesday. “This gives residents a chance to sit down with me and help plan out the weekly menu two weeks in advance,” Current says. “Before we discuss the menu itself, we discuss two topics — food and service. This is really enjoyable because residents give me a lot of Dr. Suela Sulo feedback.” Current sometimes finds it hard to please everyone, especially with about 80 residents, so he also offers an “everyday” menu that provides two alternative choices. “I’ll usually have a sandwich and/or a salad, which is a good choice for healthy eating,” he says. “We also offer a few items not on the menu. We serve baked potatoes every day and mashed potatoes for residents who have issues with chewing or swallowing. We precut items for people who have lost their dexterity, or finely chop or puree food when necessary.” Midday meals — or dinner to many of the residents — consists of a meat, starch and vegetable. “They look forward to pot roast on Sundays,” Current says. “To mix it up, we’ll do pork or ham. We try to alternate so we don’t serve the same meat two days in a row.” If residents are not receptive to a food item, that item gets deleted from the menu options. Menus provide a variety of healthy food choices that most residents enjoy, Current says. CO U RT ESY P H OTOS

“We’re here for them,” he says. “This is their home.” Sulo’s study, which followed more than 1,500 home health patients for 90 days, found that some facilities may fall short of the nutritional needs of clients. “When it comes to patients’ health, nutrition is not always top of mind,” Sulo says. “However, research shows that identifying those who are malnourished or at risk and providing nutrition support, including nutritional drinks and education, can help improve their health.” According to Sulo, malnutrition often goes unrecognized as it can be invisible to the eye and can occur in both underweight and overweight individuals, she says. “As many as one in three home health patients, some living in assisted living facilities, are malnourished or at risk, which can impact their recovery or cause further health issues,” she says. “If health systems or healthcare providers find and address malnutrition, they can significantly impact patients’ health and help keep them out of the hospital, as this study demonstrated.” The study was conducted by Advocate Health Care and Abbott, and demonstrates that prioritizing nutrition across different settings of care can help healthcare providers give their patients the best chance of recovering and help keep them out of the hospital. “Nutrition processes, like the one implemented in this study, can be adopted by any health system or even assisted living facilities to improve the nutritional status of their patients or residents to potentially help improve outcomes,” Sulo says. VanDerBosch says good nutrition is important for the older adult population, in part because it supports their strength and independence, and wards off frailty. “It allows them to combat diseases like heart failure, diabetes, obesity, hypertension, heart disease, and promotes bone health,” she says. For older adults looking for resources to supplement their nutritional needs,

Gretchen VanDerBosch grabs a nutritional shake from a stockroom. As a clinical dietitian at Advocate Health Care, she screens hospital patients for malnutrition and says implementing a structured nutrition care plan in different healthcare settings helps patients recover faster and stay out of the hospital.

she recommends looking into community meals, financial assistance and food insecurity programs. “Eatright.org has an entire section devoted to senior nutrition, education for seniors and referrals to dieticians near you,” VanDerBosch says. “The U.S. Department of Health has information on community living.” VanDerBosch advises that a registered dietician or medical advisor can accommodate tastes by easing what you can eat. “My favorite diet is the Mediterranean diet or the DASH — dietary approach against hypertension — diet,” she says. “It is loaded with fruits, vegetables, whole grains — which are high in vitamins, minerals and antioxidants and help repair the damaged cells — lean meats, dairy for bone health, and some healthy fats. Start your meal with the protein.” VanDerBosch also suggests older adults consider lutein foods for eye health — kale, sweet potatoes strawberries and salmon. “If your appetite isn’t so great, consider using milk or a nutritional supplement, instead of water, to take your pills,” she says. Mistakes older adults make include “skipping meals, splitting the protein at meals, and not eating protein servings

at each meal or skimping on the protein source. Protein is muscle and your strength, balance and independence depend on them. Try to avoid foods with little nutritional value. Make the most of every calorie you consume.” ☸

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modern

NORTHWEST LIVING | TRAVEL

lodging

By M I C H E L L E T E

A REDMOND HOTEL GETS A MAJOR FACELIFT INTO SOMETHING STYLISH

HE DRIVE OVER THE western Cascades takes you through winding roads lined with pine trees and pristine lakes before dropping down into long stretches of scrub brush, wide open fields and sparse vegetation. As you enter the central Oregon towns of Sisters and Redmond, you instantly notice how the cites have kept their small-town, historic feel. It’s a marketing strategy that has worked well, bringing large amounts of tourists trying to escape the big-city Bend. Now, a $7 million renovation in downtown Redmond seeks to retain that historic charm while providing visitors with a trendy lodging experience The New Redmond Hotel features a Neo-Georgian design that operates on simplicity in its look and feel.

“for people who value personal wellness, social good and the environment.” The New Hotel Redmond, developed by Soul Community Planet in partnership with the city of Redmond, is a stylish, modern version of the central Oregon aesthetic and lifestyle. A grand staircase leads visitors to the 49 guest rooms and suites, all of which are located on the second and third floors. The 13,600-square-foot first floor includes a “vegan forward” market, a creative working space, and a two-story workout room that offers health and wellness classes. But perhaps the hotel’s signature feature is a rooftop garden with amazing panoramic views of the Cascade Range, Black Butte and Smith Rock State Park. Its restaurant offers a locally-inspired small plate menu, along with handcrafted cocktails featuring herbs, fruit and spices — some of which are grown organically in The Rooftop’s own gardens. The renovation is an outgrowth of Redmond’s decade-long redevelopment plans to spur investment projects in the downtown core. The city provided

10 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

a $3.53 million urban renewal investment in the project, made possible by a public-private partnership between the city and the developer — a partnership managed by Alpha Wave Investors and RevOZ Capital. “We are confident the catalytic nature of this important project will continue to have positive impacts on our economy for years to come,” says Redmond Mayor George Endicott. “The anticipation of the hotel opening has spurred other investment and redevelopment projects downtown.” Built in 1927, the New Redmond Hotel is listed on the National Register of Historic Places. Portland designer Kelly Ogden led the project’s design, transforming the hotel into a modern lodge that includes the use of green materials, eco-friendly products and signature hand-painted murals throughout. The two-year renovation took the vintage structure down to its historic bones, replacing outdated infrastructure with modern and efficient plumbing, electrical and HVAC systems. “In the revival of this historic property, we were inspired by the

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A n n u a l Fa l l

Neo-Georgian architecture and elected to merge its classical design with elements of SCP’s trademark mindful, Contact the Waitlist Department at 541-743-7164 minimalist style, including the use of regionally-sourced materials,” Ogden says. “For example, the Douglas fir floors have been fully restored throughout the property, along with the windows, and we’ve chosen a material palette of warm Friends of the Salem Public Library S u p p o r t i n g P r o g r a m s at t h e S a l e m P u b l i c L i b r a r y wood, crisp warm whites, and earth tones to bring the natural More than 20,000 A�� F�� beauty of Oregon inside.” books sorted by A n n u a l Fa l l subject. Plus the The New Hotel Redmond has a full brick exterior, and each Specialty Collection! guest room is “thoughtfully detailed to be functional for 2 0 , 0 0 0 + b o o k s s o r t e d b y s uPlusb ajsilent e c auction! t adventure seekers exploring the region, as well as for those Hardcovers $1.25 • Paperbacks 75¢ • Children’s/Teens 50¢ looking for a restful retreat,” according to promotional mateAudio Books $1 • Audio/Visual 50¢ (CDs, Records, DVDs, VHS) and * Bag rials. ☸ Day - $4 bag of books Includes 5¢ bag charge I n d i v i d u a l l y p r i c e d ra r e a n d c o l l e c t i b l e b o o k s fe a t u rOct. i n g 17 a Members M a r k Twa i n•c4otol l e8:30 c t ip.m. on Thursday, Night

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Of note

The New Redmond Hotel is slated to open this fall. It’s located at the corner of 6th and Evergreen, at the intersection of Highways 97 and 126. Opening room rates will start at $125 per night. Learn more at scphotel.com/Redmond.

Plus silent2Sunday, auction 0 , 0 0 0 +Oct. bof o20 omiscellaneous k(bag s so r t e•d1 to b y4:30 s uitems, bp.m. j e c t artwork, day) and retired Children’s Discovery Room items Salem Public Library

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MARION POLK | OCTOBER 2019 NORTHWEST 50 PLUS 11

Fall is the

second

Spring By G RAC E P E T E R S O N

NORTHWEST LIVING | YARD & GARDEN

RAKE LEAVES, PULL PLANTS AND FIND THE NEAREST PLANT SALE — STAT

ERE WE ARE IN OCTOber, already. Where does the time go? I am always sad to say goodbye to the warmth of summer days with blue sky and sunshine. Well, this summer’s weather wasn’t exactly never-ending blue skies. Kind of strange, wasn’t it? But I’m not complaining. It was nice to experience cooler days with only a few brief heat waves. I think the plants appreciated it, too. I noticed that blooms on several plants lasted much longer than in the heatscorched summers of the past few years. October is typically the transition month and we can count on the drizzle as the clouds roll in and hold position. The upside for gardeners is that October is our second spring. The chores we thought about all summer are now doable without too much stress on the gardener or the plants. The soil is moist and friable making it easier for us to dig, divide, replant or pull and toss in the case of weeds. Hopefully there is time to get everything settled before a frost. I lost two big shrubs this summer. My 11-year-old Sambucus nigra ‘Black Lace’ succumbed to some kind of no-see-um borer while my 19-year-old Wintersweet (Chimonanthus praecox) bit the dust for no apparent reason. After lamenting their respective demises, I spent a lot of time thinking about how I wanted to redesign the spaces that they had occupied. Since I have almost as many plants in containers as I do in the ground, there is a plethora to choose from without going Grace’s Sambucus nigra ‘Black Lace’ was such a pretty plant until it died this summer. (Photo by Grace Peterson)

to the nursery to spend a bunch of money. But wait, October is the best time to go to the nursery and spend a bunch of money. Fall plant sales are abundant and you’re likely to get a whole lot more bang for your buck than you could during spring and summer. Most nurseries send out regular emails with details of their events. If you aren’t signed up be sure to do it, so you’ll be alerted to the specifics of their sales. Among the many ideas to inspire you, you’ll find plants to dress up your containers for winter. Traditional things such as kale and pansies are nice as are the more exotics like pretty-leafed coral bells, dwarf conifers or ornamental grasses and hardy sedums. And don’t forget spring blooming bulbs, also for sale now. I’ve mentioned many times the hefty October chore of leaf raking. With three large sweet gum trees in my front yard, I’ve got a regular storm of dropping leaves and, believe me, the task can be quite daunting, but also good exercise. I’m sure you can remember the bygone days, when the merits of organic matter eluded us and we burned our leaf piles. No more. The municipal yard debris people will take them off our hands. Or better yet, we can assign a designated, out-of-sight area for storing leaves over the winter so they can break down for use next spring. Even now I’ll be spreading some of them to cover bare dirt. This will hold back the weeds, keep the soil moist and insulate plant roots from impending frost. And doing so now will make things much easier in the spring when baby weeds look for every opportunity to thrive. Now is also the time to move pots of frost-sensitive, tender plants into protected areas, such as a sunny window, green-house or garage. Check for critters first, cut back foliage as needed and keep the soil damp. ☸

Medicare2020

Medicare Guide MARION POLK EDITION | OCTOBER 2019

INSIDE

on the next 8 pages:

▶ COMPARE PLANS FROM MAJOR HEALTH INSURANCE CARRIERS ▶ FIND A LOCAL HEALTH INSURANCE AGENT TO HELP YOU THROUGH THE PROCESS

Open Enrollment: Oct. 15 - Dec. 7, 2019

MEDICARE GUIDE 2020

Looking for a high-quality Medicare health plan? Look no further. Reasons to choose a Kaiser Permanente Medicare health plan:

Get in touch to learn more Call 1-855-357-5105 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

It’s a great value with a $0 annual deductible and $0 copays for preventive care It’s comprehensive coverage with Medicare Part A hospital care, Part B medical services, and Part D prescription drug coverage, all in one plan You can choose the Kaiser Permanente doctor who’s right for you and switch to another available Kaiser Permanente doctor at any time, for any reason

Visit kp.org/seminarfinder to learn more RSVP for a FREE1 Straight-Talk Seminar

Visit kp.org/seminarfinder for more seminars.

Join us for a FREE1 Straight-Talk Seminar near you Kaiser Permanente Keizer Station Medical Office 5940 Ulali Dr. NE Conf. Room A Keizer, OR Oct. 4 at 10:00 am Oct. 16 at 10:00 am Oct. 22 at 10:00 am Oct. 30 at 1:00 pm Kaiser Permanente Skyline Medical Office 5125 Skyline Rd. S Conf. Room 1 Salem, OR Oct. 7 at 10:00 am Oct. 15 at 1:00 pm Oct. 23 at 10:00 am

Salem Center 50+ 2615 Portland Rd. NE Meeting Room Salem, OR Oct. 8 at 10:00 am Kaiser Permanente West Salem Medical Office 1160 Wallace Rd. NW Conf. Room A Salem, OR Oct. 9 at 1:00 pm Oct. 17 at 10:00 am Oct. 29 at 10:00 am

Kaiser Permanente North Lancaster Medical Office 2400 Lancaster Dr. NE Conf. Room A Salem, OR Oct. 10 at 10:00 am Oct. 24 at 10:00 am Oct. 31 at 10:00 am

1Free with no obligation. Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll. For accommodations of persons with special needs at meetings, call 1-855-357-5105 (TTY 711). Y0043_N00013214_NW_M

MEDICARE GUIDE 2020

Get help with Medicare LICENSED HEALTH INSURANCE AGENTS WORK ON YOUR BEHALF TO GET YOU WHAT YOU NEED A licensed Medicare health insurance agent can help you select the best insurance product that fits your budget and healthcare needs. They are licensed by the state and they are paid commissions for a sale by the insurance companies. Their commissions have no direct impact on your benefits or plan premiums — they’re the same if you buy your policy directly from the company or from an agent. Their job is to help you understand benefits and how they differ between plans and ultimately — enroll you in a plan. Most good health insurance agents continue to advocate for you after you enroll, helping you to understand things about

Questions about Medicare? I CAN HELP! Medicare Questions • Plan Options • Enrollment 2020 United Healthcare Medicare Sales Meetings Broadway Coffeehouse -Stayton Room 1300 Broadway St. NE, Suite 100 • Salem, OR 97301

Tuesday, October 22 • 10 a.m. to noon Tuesday, October 29 • 10 a.m. to noon Tuesday, November 5 • 10 a.m. to noon Tuesday, November 12 • 10 a.m. to noon Space is limited • Please RSVP to reserve a seat

Becky Lippmann

Independent Medicare Broker/Agent Licensed in Oregon and Washington

Call today

541-914-6263 beclippmann@yahoo.com

your claims and how they process them. The downside may be that they’ll only present you with options from companies they are licensed and certified to sell. In other words, it may not be all that’s available in your area.

Medicare insurance agent rules The rules for Medicare health plans state that health insurance agents or members of the insurance plan cannot contact you by coming to your home, call you unless you are already a member or you contacted them, make an appointment to talk to you about their products unless you contacted them first and agreed to such an appointment, or market their plans or enroll you in any educational event. As you can see, it’s hard for them to get in touch with you to offer you their services. CONTINUED ON PAGE 6

GET TO KNOW ME

Becky Lippmann My name is Becky Lippmann and I am an independent Medicare broker/agent, which means that I work with numerous Medicare insurance companies. My service area includes Oregon and Washington and most of my time is here in the Willamette Valley. Services I provide are always at no cost and my goal is to assist you in any way I can. Medicare is complex and confusing! I can explain and answer your specific questions in a clear and simple manner. We can review plan benefits, enroll into a new plan, locate in-network doctors, specialists, and pharmacies, search drug formularies, advocate for you when the need arises, keep you up to date with changes to Medicare and more. I am accessible every day of the week and will continue to advocate and work for you year-round.

becky-lippmann-independent-medicare.business.site MARION-POLK LANE | OCTOBER 2019 NORTHWEST 50 PLUS 3

20% of the cost for each one way trip

Ambulance

Prescription

In-network: $0 per day for days 1-20; $125 per day for days 21-100 Out-of-network: $125 per day for days 1-100

Salem Hospital, OHSU, Santiam Memorial Hospital, Silverton Hospital, West Valley Hospital, Legacy Hospitals, PeaceHealth Hospitals. This is not a complete list of all of our contracted Hospitals. For a complete list, please see our Provider Directory.

Choice of Hospitals

Skilled Nursing Care

In-network: $300 per day for days 1-6; $0 per day for days 7 and beyond* Out-of-network: $300 per day for days 1-6; $0 per day for days 7-90 *Unlimited number of days for an acute inpatient hospital stay

ER: $90; Worldwide coverage

Primary Care: $15 in-network/$35 out-ofnetwork Specialist: $35 in-network/$50 out-of-network

5,000+

$3,900 for services you receive from in-network providers. $5,500 for services you receive from any provider.

$75

Hospitalization

Emergency Care, USA/ Foreign

Routine Physical Exams

Per Doctor Visit

Choice of Doctors

Maximum Out-of-pocket (MOOP)

Monthly premium

ATRIO Silver Rx (Willamette) (PPO)

In-network: $0 per day for days 1-20; $125 per day for days 21-100 Out-of-network: $125 per day for days 1-100

15% of the cost for each one way trip

ER: $90; Worldwide coverage

Primary Care: $15 in-network/$30 out-ofnetwork Specialist: $20 in-network/$40 out-of-network

5,000+

$3,500 for services you receive from in-network providers. $5,500 for services you receive from any provider.

$190

ATRIO Gold Rx (Willamette) (PPO)

Days 1-20 at $0 copay per day, Days 21-100 at $170 copay per day

$350 copay

Salem Health, Santiam, Legacy Silverton

Days 1-20 at $0 copay per day, Days 21-100 at $170 copay per day, In-Network/ Days 21-100 at $220 copay per day, Out-of-network

$325 copay

Salem Health, Santiam, Legacy Silverton

$450 copay per day for days 1-4, In-network/ $550 copay per day for days 1-10, Out-of-Network

Worldwide Emergency coverage up to $50,000 with $0 copay

$370 copay per day for days 1-5, $0 copay for days 6-90

Emergency Room $90 copay,

Worldwide Emergency coverage up to $50,000 with $0 copay

$0 copay

$15 copay In-Network/$40 Out-of Network for Primary Care, $35 copay In-network/$50 Out-ofnetwork for Specialist

Over 5,000 network providers

$6,700 In-Network / $8,700 Combined In and Out-of-network

$32

Health Net Violet 2 PPO

$0 per day, days 1-20 $50 copay per day, days 21-100

$200 copay per trip

Kaiser Sunnyside Medical Center, Kaiser Permanente Westside Medical Center, Legacy Salmon Creek Medical Center and Salem Hospital

$265 copay per day, days 1-6 $0, days 7-90

$90 copay worldwide coverage

$20 copay for primary $35 copay for specialist

Over 3,000 network providers

$4900

$44

Kaiser Permanente Senior Advantage Basic (HMO)

$0 per day, days 1-100

$150 copay per trip

Kaiser Sunnyside Medical Center, Kaiser Permanente Westside Medical Center, Legacy Salmon Creek Medical Center and Salem Hospital

$200 copay per day, days 1-6 $0 days 7-90

$120 copay worldwide coverage

$10 copay for primary $25 copay for specialist

Over 3,000 network providers

$2500

$127

Kaiser Permanente Senior Advantage (HMO)

Tier 1 - preferred generics,

days 1-20 $0, 21-100 $160

$250 one way

Providence and other community hospitals, including, Tuality, Peace Health Southwest, Salem Hospital, Silverton Hospital, Santiam Hospital, Sacred Heart Medical Center, West Valley Hospital, Cottage Grove Hospital

$325 copay/day, days 1-6, then $0

Emergency room $90 copay, Worldwide coverage $50,000

Primary Care $0, Specialist $35

Providers in network: 10,000+

$4,900

$40

Providence Health Assurance Bridge 2 + Rx (HMO) $40

Tier 1 - preferred generics,

days 1-20 $0, 21-100 $172

$250 one way

$450 copay/day, days 1-4, then $0

Emergency room $90 copay, Worldwide coverage $50,000

Primary Care $0, Specialist $40

Providers in network: 10,000+

$5,500

Providence Health Assurance Timber + Rx (HMO) $0

Hereâ&#x20AC;&#x2122;s what some major providers have to offer

Emergency Room $90 copay,

$0 copay

$10 copay for Primary Care, $50 copay for Specialist

Over 5,000 network providers

$4,600

Health Net Ruby HMO

Medicare Plans

MEDICARE GUIDE 2020

Website & Other Phone Numbers

Service Areas

Other Details

Members

Mental Health Therapy

Hearing Exams & Hearing Aids

Vision

Prescription Drug Copay/ Deductible

Drug Plan

atriohp.com 877-672-8620; TTY 800-735-2900

Marion & Polk Counties

Fitness reimbursement *Routine vision exam & hardware + preventive dental are available as an Optional Supplemental Benefit package for $33 per month.

18,000 +

20% in-network/50% out-of-network

Medicare-covered hearing exam: $35 copay in-network/50% out-of-network Routine hearing exams & hearing aids not covered

Routine vision exam: $35 in-network/$35 out-ofnetwork Eyewear: $100 allowance every 2 years *See "Other Details"

$200 Deductible Preferred Generic: $6; Generic: $15; Preferred Brand: $40; Non-Preferred Brand: $85; Specialty: $29%; Select Care: $0 3 month discount

Includes Part D drugs

atriohp.com 877-672-8620; TTY 800-735-2900

Marion & Polk Counties

No deductible, preventive dental, fitness reimbursement, routine foot care

18,000 +

$20 in-network/50% out-of-network

Medicare-covered hearing exam: $15 copay in-network/50% out-of-network Routine hearing exams & hearing aids not covered

Routine vision exam: $15 in-network/$15 out-ofnetwork Eyewear: $150 allowance every 2 years

No deductible Preferred Generic: $4; Generic: $10; Preferred Brand: $35; Non-Preferred Brand: $75; Specialty: $33%; Select Care: $0 3 month discount

Includes Part D drugs

or.healthnetadvantage.com,

1-800-949-6192

Marion & Polk counties

Plan includes $195 medical deductible (Combined In and Out-of network), Silver & Fit includes membership at multiple gyms throughout the United States, Dental buyup packages available

29,000+

$35 copay In-network/$50 Out-of-network for outpatient rehab session

Medicare Covered Hearing Exam copay $30 In-network/ $50 Out-of-network

$10 copay for Medicare Covered vision exam, $10 copay for Routine Vision Exam, $250 Eyewear allowance every 24 months

Deductible: $150 applies to tiers 3-5 only, Tier 1: Preferred Generic $5, Tier 2: Generic $15, Tier 3: Preferred Brand $37, Tier 4: Nonpreferred Brand $90, Tier 5: Specialty 30%, Tier 6: Select Care $0

Integrated Part D Benefit

or.healthnetadvantage.com,

Marion & Polk counties

Silver & Fit includes membership at multiple gyms throughout the United States, Dental buyup packages available

36,000+

$40 for outpatient Rehab session

Medicare Covered Hearing Exam copay $30, $0 copay for routine hearing exam each year, 2 hearing aids (1 per ear, per year)

$10 copay for Medicare Covered vision exam, $10 copay for Routine Vision Exam, $250 Eyewear allowance every 24 months

Deductible: $125 applies to tiers 3-5 only, Tier 1: Preferred Generic $3, Tier 2: Generic $8, Tier 3: Preferred Brand $37, Tier 4: Nonpreferred Brand $90, Tier 5: Specialty 30%, Tier 6: Select Care $0

Integrated Part D Benefit

www.kp.org/medicare Members: 1-877-221-8221 Non-Members: 1-877408-3496 (TTY: 711)

Oregon counties: Benton*, Linn*, Clackamas, Columbia, Marion, Multnomah, Polk, Washington, Yamhill. Washington counties: Wahkiakum*, Clark, Cowlitz * partial county

Advantage Plus - Dental, eyewear and hearing aid package for $44 per month. Email your doctor's office and order prescription refills online.

30,000+

$20 individual session copay

Routine hearing exam: $35 copay. Hearing aids not covered. See "Other Details"

Routine eye exam: $35 copay. See "Other Details"

No deductible Generic: $5 preferred/$10 non-preferred; Brand: $45 preferred/$90 non-preferred; Specialty: 33%; Vaccines: no charge; Generic & vaccines covered thru the gap

Integrated Part D drug benefit

www.kp.org/medicare Members: 1-877-2218221 Non-Members: 1-877-408-3496 (TTY: 711)

Oregon counties: Benton*, Linn*, Clackamas, Columbia, Marion, Multnomah, Polk, Washington, Yamhill. Washington counties: Wahkiakum*, Clark, Cowlitz * partial county

Silver & FitÂŽ fitness program which includes no-cost membership to participating local health clubs. Advantage Plus - Dental, eyewear and hearing aid package for $44 per month. Email your doctor's office and order prescription refills online.

35,000+

$10 individual session copay

Routine hearing exam: $25 copay. Hearing aids not covered. See "Other Details"

Routine eye exam: $25 copay. See "Other Details"

No deductible Generic: $5 preferred/$10 non-preferred; Brand: $45 preferred/$90 non-preferred; Specialty: 33%; Vaccines: no charge; Generic & vaccines covered thru the gap

Integrated Part D drug benefit

503-574-5551; 800-4576064; TTY: 711; Oct. 1 through Dec. 7, 8 a.m. to 8 p.m., 7 days a week (Pacific Time); ProvidenceHealthAssurance.com

Clark, Columbia, Lane, Marion, Polk

Other plans also available. RX deductible waived on generic tiers; Silver & Fit no-cost gym membership; $0 online video visit with Providence Express Care Virtual; optional dental plans start at $29.40/ mo; 24-hr nurse hotline.

New plan for 2020

$35

$35 exam, $399$699 per aid

$0 copay routine exam, $75 allowance, $150 for eyewear (every year)

Drug deductible: $200, Tier 1: $0*^, Tier 2: $10*^, Tier 3: $47, Tier 4: $100, Tier 5: 29%, *pref. pharmacy 3 mo. Discount ^no deductible.

Tier 2 generics, Tier 3 - preferred brand, Tier 4 non-preferred drugs, Tier 5- speciality; Gap Coverage: this year, you'll pay 25% of the cost of select brand-name drugs & 25% of generics

503-574-5551; 800-4576064; TTY: 711; Oct. 1 through Dec. 7, 8 a.m. to 8 p.m., 7 days a week (Pacific Time); ProvidenceHealthAssurance.com

Clark, Columbia, Lane, Marion, Polk

345+

$40

$40 exam, $499$799 per aid

$0 copay routine exam, $75 allowance, $100 for eyewear (every year)

Drug deductible: $270, Tier 1: $0*^, Tier 2: $10*^, Tier 3: $47, Tier 4: $100, Tier 5: 28%, *pref. pharmacy 3 mo. Discount ^no deductible.

Tier 2 generics, Tier 3 - preferred brand, Tier 4 non-preferred drugs, Tier 5- speciality; Gap Coverage: this year, you'll pay 25% of the cost of select brand-name drugs & 25% of generics

MEDICARE GUIDE 2020

Medicare can be confusing

SHIBA is here to help

help...

Publicly-funded resource Free and objective information and assistance Help you compare Medicare health and drug plans Offers local classes year-round

December 7

nge Medicare drug plans.

Call: 800-722-4134 Visit: shiba.oregon.gov

ompare plans ment changes.

Use our online Locator Tool to 134 (toll-free) find local help oregon.gov near you

ed counseling s year-round. ud, waste ow!

ant from the ACL.

So, if you do decide to go to an agent and are worried that you might get pressured into a plan or pressured into signing up before you are ready to consider your options, you shouldn’t worry. Medicare has also made rules for what can and cannot happen during your meeting with an agent. When meeting with an agent, they can give you plan materials and tell you how to get more plan information, tell you about plan options that you agree to discuss, give you enrollment forms, collect your completed enrollment form, and leave you with business cards for your family or friends. What they cannot do is pressure you — whether it’s into a plan or ask for your friend’s or family’s information. They cannot charge you to enroll you into a plan, steer you toward a plan, give you incorrect or misleading information, pressure you by telling you that you won’t have coverage, or ask you to sign an enrollment form before you are ready. They also cannot tell you about other plan options you haven’t agreed to discuss. This requires a separate appointment form.

Ready to enroll in a Medicare plan?

We also educate consumers about how to protect, detect and report Medicare fraud, waste and abuse. Ask us how!

Make sure that you only sign an enrollment form when you feel confident in your choice of the health insurance plan that best meets your needs. Understand what you are financially responsible for as a premium per month and if you have any

“I love helping my clients with all aspects of health insurance. I love that so much of my business has come from referrals. I am still the very passionate, very purple health insurance agent.” — KAREN FRASCONE

Thank You! Karen Frascone Co-owner, Pfaff-Karren Insurance

for entrusting me with your Medicare and health insurance needs

(503) 838-1155 | pkindependence.com 1327 Monmouth St | Independence, OR 6 NORTHWEST 50 PLUS MARION-POLK | OCTOBER 2019

MEDICARE GUIDE 2020 deductibles that must be met before having coverage. After the meeting, the plan will contact you to make sure you want to join and make sure you understand how the plan works. The agent may contact you to discuss other health plan options. Some insurance companies have pop-up centers that offer you information on their plans specifically just before and during open enrollment. Sometimes they’re staffed by “captive” agents which are fully licensed and certified, but they only sell that company’s products. You can go to these offices to find out the difference between the plans that they offer, find out about their network of doctors and pharmacies, check their formularies for your medications, and ask any questions you may have about their plans. In a market where there is little competition for most of the Medicare Advantage clients, these centers can help the undecided make decisions without an insurance agent.

The takeaway So, do you need a health insurance agent? Around 75% of all Medicare Advantage enrollments happen through an agent. It’s a personal question only you can answer for yourself. If you are in a market with many different options, cannot seem to narrow down plans, or don’t understand the features (like whether a plan with a deductible is best for you, or you are better served with a higher premium) or you have any other questions that you cannot seem to find the answers to, you may benefit from a health insurance agent. If you decide you want to go it alone or do your own research, you can check Medicare.gov. (This article originally appeared on prepareformedicare.com.)

GET TO KNOW ME

Michael Bredimus

Ten years ago when my father turned 65, he asked me for help to understand his Medicare options. He was comparing the benefits offered to him as a PERS retiree to what he could find on the individual market. As the family insurance professional, I was happy to help and confident that I could make a suitable recommendation with ease. Much to my surprise, Medicare is not easy to understand. I remember thinking, “This is alphabet soup! How does anyone figure this out?” I reached out to a friend who specialized in Medicare for the three of us to go over my dad’s options. I

learned two important things that day as my friend explained his choices: 1. Medicare is very complex. (My inner insurance nerd was intrigued and fascinated.) 2. It is best to talk with an independent broker. (My friend did not sell the plan that was the best fit for my dad.) Clients pay the same price whether they choose to figure it out themselves or lean on my years of expertise as a local, independent Medicare insurance broker. For me, it’s an honor and a privilege to educate and guide seniors through this process.

Changes coming to 2020 Medicare CALL TODAY for a FREE policy review! Serving Marion, Polk & Lincoln Counties

Michael Bredimus

503-540-0042 780 Commercial SE, Suite 201 | Salem, OR 97301

MARION-POLK | OCTOBER 2019 NORTHWEST 50 PLUS 7

MEDICARE GUIDE 2020

For all your big plans, we have a plan. $0 Premium Medicare Advantage Plans for your True Health

Learn more at mytrueplans.com/advantage or call 1-866-713-2186 (TTY: 711) 8 a.m. to 8 p.m. (Pacific Time), seven days a week. Pharmacy Benefits and Affordable Dental Options | 1000â&#x20AC;&#x2122;s of In-Network Providers Providence Medicare Advantage Plans is an HMO, HMO-POS and HMO SNP with Medicare and Oregon Health Plan contracts. Enrollment in Providence Medicare Advantage Plans depends on contract renewal. H9047_2020PHA34_M

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We are MG INSURANCE SERVICES , a full service Medicare Insurance brokerage agency with over 30 plus years of experience has Brokers ready to help you all over the Northwest. We are a great source for all your Medicare Insurance needs. Email us:MARION medicareplanoptions@gmail.com POLK | OCTOBER 2019 NORTHWEST 50 PLUS 13

NORTHWEST LIVING | SECURITY

be careful with your dna By VA N ESSA SA LV I A

SCAMMERS WANT YOUR INFORMATION WITH LITTLE EXPLANATION AS TO WHY THEY WANT IT

E TEND TO THINK OF our DNA as belonging to us alone. After all, DNA, or scientifically speaking, deoxyribonucleic acid, is what defines us as individuals. At their most basic level, the chromosomes on DNA describe whether we are male or female, and they also provide directions for our genes to express our hair color, skin color, eye color and a host of other traits. In recent years, the field of DNA testing, particularly for ancestry research, has exploded. Because the information in our DNA can tell us so much about ourselves, our ancestral history and our potential medical issues, it also has potential to be misused. Our personal DNA “definition,” so to speak, is now the target of fraud. Scammers are offering cheek swabs for genetic testing for identity theft or fraudulent billing purposes. There are many ways that these scammers are targeting individuals, such as through telemarketing calls, booths at public events, health fairs and even door-to-door visits. The scam might go something like this: Scammers might visit senior-living communities or low-income

neighborhoods and offer gift cards in exchange for DNA tests. A booth at a casino could offer free chips in exchange for your personal info along with testing. They might offer you information about “your family’s risk of cancer” while at the same time describing their sophisticated technology but no mention of any physicians involved in their testing. Bloomberg.com described low-income residents in Louisville, Kentucky

“There are many aspects that should be discussed before someone would proceed with genetic testing.” NICOLETA VOIAN

being approached by people operating out of a van who were offering to pay Medicaid recipients $20 for DNA swabs and their health insurance information. Investigators in Nebraska have received reports of people visiting senior living communities, assisted living communities and senior centers offering to swab the cheeks of seniors for genetic material in exchange for testing for cancer risks. Some consumers have been taken advantage of by being offered genetic testing through fairs. Sometimes they were incentivized to take the test with a monetary reward of some kind, then the information was used to

14 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

fraudulently bill Medicare. “Tests in this type of situation are not medically necessary, and those individuals did not receive any type of genetic counseling,” says Dr. Nicoleta Voian, MD, MPH, a clinical cancer geneticist at Providence Genetic Risk Assessment Clinic. “And they were asked for their Medicare number and a lot of medical information that could be used in different ways.” To protect yourself, Voian recommends not using any genetic testing kit unless it is ordered by your doctor and you get the kit straight from them. Typically, when you’re working with a physician or genetic counselor, the samples are sent to a trusted laboratory for testing, and your ordering provider will explain the results. When this is not possible, and you are appropriate for genetic testing, your medical provider will discuss options. There is a “hybrid” form of genetic testing which the patient can initiate, she says. In that case, a physician must be listed on the test, but the genetic counseling can be done over the phone. “When we offer genetic testing, it is a complex process,” Voian says. “In the pre-testing counseling we discuss the medical history, family history, the appropriateness of the genetic testing. We discuss the extent of the testing. We discuss the implications of a positive, negative or variant results of uncertain significance (inconclusive). We discuss genetic privacy. There are many aspects

that should be discussed before someone would proceed with genetic testing.” Further, Voian says there are many different types of genetic tests so many individuals may not be aware of what kind of test they’re actually taking. And because many consumers go into this testing unaware, people can take advantage of that information. In February, GenomeDxBiosciences Corp., settled civil claims connected to genetic testing for nearly $2 million. In March, the Center for Human Genetics in Cambridge, Massachusetts paid $500,000 to settle the attorney general’s allegations that the company had overbilled MassHealth for genetic tests. More recently, a New Jersey man was sentenced to 50 months in prison for luring seniors into providing saliva samples and then passing along the samples to his employer, a testing lab. Voian says Providence can’t endorse direct-to-consumer genetic testing such as those offered by Ancestry.com or 23andme. These usually involve the consumer spitting into a tube, which is then sealed and mailed back to the company. The company tests for genetic markers to help the customer learn more about their cultural ancestry, and even some modern relatives. What most consumers don’t know, Voian says, is what happens to their sample once the testing is done. Your personal information could be resold to a thirdparty for instance. Will the sample be destroyed or stored

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indefinitely? Who has access to the storage facility? There are all kinds of questions that many genetic testing companies are just not answering. Some may worry about the costs of genetic testing. Keep in mind, though, that if a test is medically necessary and is ordered through a physician’s office, the testing is generally covered by the patient’s insurance.

Protect yourself

The U.S. Department of Health and Human Services Office of the Inspector General offers steps to protect yourself from these types of scams. If you suspect Medicare fraud, contact the HHS OIG Hotline at oig.hhs.gov/fraud/report-fraud. ☸

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YOUR HEALTH | SALEM HEALTH

Fall prevention By K E L L EY C L A R K , D PT

F YOU’RE AGE 65 OR OLDER, YOU FACE AN INcreased risk of falling down: one out of four fall every year. After falling once, your chances of falling again doubles. Falls can cause serious injury — to the brain or hip — and significantly impact mobility. Each year, 2.8 million people over age 65 are treated in emergency departments for fall-related injuries, and 800,000 are hospitalized.

▶▶Loss of feeling in feet Falls usually occur due to a combination of factors. For this reason, our assessment is thorough, and examines your strength, vision, ocular motor response (how your eyes work), sensation in your feet, vestibular system (how you hear and control internal balance), balance and home set up. Once screened for risk factors, you will receive an individual exercise program to develop strength and body awareness. Your therapist will also offer advice for home safety improvements. Our goal is to keep you safe and participating in activities you enjoy.

Identifying risks

Golden rule to reduce fall risk

IDENTIFY THE RISKS OF FALLING AND HOW TO PREVENT THEM

To know if you are at risk of falling, first talk with your primary care physician and discuss your concerns. They will assess your risk of falling and can refer you to a physical therapist. At Salem Health physical therapy, we assess a person’s risk for falling on a daily basis and educate them on how to avoid future falls. Our assessment looks at risk factors including: ▶▶Weakness in legs and lower body ▶▶Difficulty with walking and balance ▶▶Use of medications affecting your balance or causing dizziness ▶▶Vision changes or impairments ▶▶Poor footwear or pain in feet ▶▶Symptoms of dizziness ▶▶Home hazards such as rugs or uneven steps

16 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

Staying active is the key for reducing the risk of falling. Many people become fearful after falling once or losing some balance. Some avoid community outings, walks with family or participating in activities they would normally enjoy. We strongly recommend safe activities such as walking, aquatic therapy, yoga and tai chi. If you have questions about what activity may be right for you, ask your physician or physical therapist for guidance. We offer a fall prevention fair from 9 a.m. to noon Oct. 19, Salem Health CHEC in Salem Hospital’s Building D, 939 Oak St. SE. Check out interactive booths and classroom activities ranging from balance assessments with a therapist, tai chi demonstrations, and nutrition information that benefit older adults. ☸

Stage to yours!

From our

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commupeople from your nal soloists and by highlighting professio on Nov. 2 with works nity. begins the seasonBrahms and Mendelssohn. t, Eugene Vocal Arts masters: Schuber & Orchestra the great German demand, on Dec. 16 the ECC ” version of Back by popular s with a fully staged “musicalmelodies will will delight audiences Carol. On Feb. 24, gorgeous ey’s McCartn Paul Christma from A ion Dickens’ to Music. Requiem, Celebrat soar with Fauré’sand Vaughan Williams’ Serenade celebration of a for Stone 12 April Standing Vocal Arts on Join the Eugene Peace of Wild Things. with a bang, The Earth Day with concludes the concert season Hollens and American Style Brabham, Evynne celebrities Vicki featuring local Smith. ◊ at 541-682-5000. Calvin Orlando call the Hult Center For season tickets, season with its 44th concert Big Band and Choir presents to Eugene Concert from sacred masterworks the at Retallack music a collection of With Artistic Director Diane Eugene Vocal a and Oscar Wilde’s Broadway tunes. Choir & Orchestrfrom around the world, Concert on Eugene helm, s with inspirati Arts present program

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MARION POLK | OCTOBER 2019 NORTHWEST 50 PLUS 17

October 2019 THINGS TO EXPERIENCE THIS FALL

2—

“WE WILL ROCK YOU,” 7:30 p.m., Elsinore Theatre, 170 High St. SE, Salem. 503-375-3574. STAYTON RED HAT STRUTTERS LUNCHEON, Scio Covered Bridge Coffee House, 38765 N. Main St. 503900-0051 to RSVP. Halloween hats encouraged.

1195. RYAN HAMILTON-LIVE, 7:30 p.m., Elsinore Theatre, 170 High St. SE, Salem. Elsinoretheatre.com. SATURDAY NIGHT DANCE AND POTLUCK, 7 to 10 p.m. Saturdays, Keizer/Salem Area Seniors, 930 Plymouth Dr. NE, Keizer. $5.

3 — FLU SHOT CLINIC, 9 a.m., Silverton Senior Center, 115 Westfield St. 503-873-3093.

ESSENTIAL WELLNESS WITH DR. ANDREA GREINER, 1 p.m. Thursdays, Silverton Senior Center.

SKETCHING IN THE GARDEN WORKSHOP, 10 a.m. to 4 p.m., Gaiety Hollow, 545 Mission St. SE, Salem. pam@lordschryver.org. OREGON’S BOUNTY: A FALL FESTIVAL AT THE CAPITOL, 10 a.m. to 2 p.m., Oregon State Capitol, 900 Court St. NE, Salem. Oregoncapitol. com. IDA’S GHOST WALK, 7 to 9 p.m., downtown Independence. 503-837-

JAKE SHIMABUKURO, 8 p.m., Elsinore Theatre, 170 High St SE, Salem. $41+. Etix.com.

10 a.m. to 3 p.m., Polk County Fair, 520 S. Pacific Hwy. W, Rickreall. 503-6233048.

HAPPY HOUR PAINT NIGHT AT BLUE HERON, sponsored by Art Accelerated, Tillamook. 503-8099172.

5 — (THROUGH OCT. 6)

SENIOR WELL-BEING, 10:30 a.m., Silverton Senior Center, 115 Westfield St. Free.

12 — WAGON WHEEL DOLLER’S,

4 — PRECAUTIONS AND BENEFITS OF GENETIC TESTING, 3 p.m., Salem Public Library, 585 Liberty St. SE. 720-301-3993 or linda@ mydnahealthtests.com.

BINGO, 12:30 to 3:30 p.m. Wednesdays, Keizer/Salem Area Seniors, 930 Plymouth Dr. NE, Keizer. $5.50.

10 — DISCOVER THE SECRET TO

11 — (THROUGH NOV. 3) “THE ROCKY HORROR SHOW,” 7:30 p.m., Salem’s Historic Grand Theatre, 187 High St. NE, Salem. $25. Enlightenedtheatrics.org.

SHIBA PRESENTATION ON MEDICARE, 1 to 3 p.m., Silverton Senior Center, 115 Westfield St. Free.

(THROUGH OCT. 6) WE EXPLOREGON, 7 a.m. to 5 p.m., Oregon State Capitol, 900 Court St. NE, Salem. 503-581-4325.

WEDNESDAY FILM SERIES: “ROPE,” 2 p.m., Elsinore Theatre, 170 High St SE, Salem. $6.

THURSDAY

A DAY AT THE OREGON COAST A trip through the Silverton Senior Center, leaving at 8 a.m., 115 Westfield St. $23/$26 with lunch on your own. 503-873-3093.

6 — SIDEWALK SHINDIG, all day in downtown Silverton. Free music. GRAND RE-OPENING OF SILVERTON SENIOR CENTER’S THRIFT STORE, 207 High St.

7 — SILVERTON SENIOR CENTER TRIP: COLUMBIA RIVER GORGE, 7:45 a.m. Lunch on your own. $23/$26. 503-873-3093.

9 — CAREGIVER SUPPORT GROUP, 4 to 5:30 p.m., Hidden Lakes, 400 Madrona Ave. SE, Salem. Free. 800-272-3900.

18 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019

13 — SONS OF NORWAY THOR LODGE 2-042 FOUNDATION MONTH, 6:30 p.m., Masonic Temple, 1625 Brush College Road NW, Salem. 503-302-7973. POLK COUNTY COIN SHOW, 10 a.m. to 4 p.m., Polk County Fair, 520 S. Pacific Hwy. W, Rickreall. 503-6233048.

16 — DEEPWOOD ANNUAL MEETING, featuring photographer Ron Cooper, 6 to 8 p.m., 1116 Mission St. SE, Salem. $10. 503-363-1825.

17 — MAKING APPLESAUCE, 3 p.m., Silverton Senior Center, 115 Westfield St. Free. SANTIAM HOSPITAL AUXILIARY’S ANNUAL FASHION SHOW, “Hooray for Hollywood,” 6 p.m., Stayton Community Center. $25. 503-7695221, 503-769-2696 or staytonevents. com. TAKE ME TO THE RIVER LIVE!, 7:30 p.m., Elsinore Theatre, 170 High St SE, Salem. Elsinoretheatre.com.

18 — (THROUGH NOV. 5) “MOTHERS AND SONS,” 7:30 p.m.,

Pentacle Theatre, 324 52nd Ave. NW, Salem. Pentacletheatre.org.

19 — STANDING “O” OPEN MIC FUN, 7 p.m., Silverton Senior Center, 115 Westfield St. Free. HAM RADIO FAIR, 9 a.m. to 3 p.m., Polk County Fair, 520 S. Pacific Hwy. W, Rickreall. 503-623-3048. BARN DANCE AND BARBECUE, 5 to 11 p.m., The Oregon Garden, 879 W. Main St., Silverton. 503-874-2519.

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23 — WEDNESDAY FILM SERIES: “PSYCHO,” 2 and 7 p.m., Elsinore Theatre, 170 High St., Salem. $6. 25 — BEETHOVEN’S FIFTH, 7:30 p.m., Smith Auditorium, 900 State St., Salem. $35. Orsymphony.org.

29 — WILLAMETTE UNIVERSITY CHAMBER ORCHESTRA, “Hauntcert,” 7 p.m., Hudson Hall. $10/$5. willamette.edu/go/musicstore. 31 — HALLOWEEN PARTY, 1 p.m., Silverton Senior Center, 115 Westfield St. Free. NOV. 1 — 40TH ANNUAL HOLIDAY BAZAAR, 9 a.m. to 7 p.m., with spaghetti dinner from 5 to 7 p.m. Friday; 9 a.m. to 2 p.m. Nov. 2 and 9, Stayton United Methodist Church, 1450 Fern Ridge Road SE, Stayton. Staytonumc.org. Have a submission for the November calendar? Submit to mte@northwest50plus.com by Oct. 7.

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MARION POLK | OCTOBER 2019 NORTHWEST 50 PLUS 21

Home again NORTHWEST LIVING | CHRONIC CONDITIONS

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AND READY TO HELP ALZHEIMER’S FAMILIES

ROWING UP IN EUGENE, I chased butterflies and scurrying bugs. I wanted a closer look at their anatomy, behavior and habitat.

My days outdoors convinced me I was on the road to entomology. After all, what little girl can resist a caterpillar crawling up her arm? Along the way, my interest in science veered toward the human mind, fascinated by its complexity and power, yet also its fragility. The amateur entomologist transitioned to biology, then neurology. I became aware of the toll Alzheimer’s disease was taking. I realized that prevention or a cure for Alzheimer’s was as elusive as a butterfly with the wind as its ally, as entrenched as any disease I would study. I was drawn to the challenges it presented and the possibilities it

offered a young researcher. From my physician and scientist mentors in New York and southern California, I learned much. I realized I wanted to work Aimee Pierce with patients and families affected by Alzheimer’s and I became a geriatric neurologist. Families share burdens, and caregivers are heroes. What a tragedy it is when those afflicted can’t connect with those taking care of them. Specific memories and personalities are unique in humans. When those are taken, we lose something essential to who we are. Now I find myself needed by families in the Alzheimer’s abyss, and I’m frustrated that I can’t beat this monster we work so hard to topple. A colleague once told me that even if a clinical study fails, if it was conducted properly it still has value. What we

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learn in failure helps. Our collective reaction to failure: What have we learned about the disease? What’s next? To get there, we’ll need clinical trial participants, vital to the cause. Anyone who has an incurable disease should be aware of clinical trial options. They should also know they are contributing to science. My story took a twist when I returned to Oregon last year, as director of Clinical Care and Therapeutics for the Layton Aging and Alzheimer’s Disease Center at Oregon Health and Science University. I loved my time elsewhere, but I yearned to come home. I missed the trees, and the rain. When Dr. Jeffrey Kaye, the director of our center, recruited me, I was ready. His groundbreaking and much-admired work in technology that makes ongoing patient measurement more continuous and less intrusive is fascinating. It fired up the science geek inside me. Now I’m near family and friends, and recently gave birth to my first child, a daughter. I’m connecting with patients and families, and working on clinical trials that excite me, such as a new study we call T2 Protect AD, seeking to slow or stop memory problems in those with mild to moderate Alzheimer’s. As much as we want prevention, we can’t forget the millions already living with this disease. For more information on participating in a clinical trial at Oregon Health and Science University, visit ohsu.edu for more details. ☸ (Aimee Pierce, MD, is an associate professor of neurology at Oregon Health and Science University.)

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MISCELLANEOUS BRIARWOOD CHRISTMAS BAZAAR, November 16, 2019, 9:00am-3:00pm. Clubhouse entrances 1400 Candlelight Dr or 4800 Barger Dr, Eugene. Bake sale & many gift items. Lunch will be served 11:00am-2:30pm. Vendors table info call 541-222-0295. NEED A WILL? CALL Sal Catalano, “The Lawyer That Makes House Calls,” for an appointment in your home. 541-525-2884. Powers of Attorney-Advance DirectivesTrusts. www.CatalanoLawPC.com.

CEMETERY PLOTS IN SUNSET HILLS IN EUGENE, a double depth plot in lovely location. $850. Contact Pat Spicer at pspicer@sonic.net for details.

CASH FOR PRE 1980 sport & non-sport cards, model kits, comic books, pre 1960’s magazines. Private collector. 503-3137538. CASH FOR GOOD CONDITION reloading equipment & supplies. 541-905-5453. BASEBALL & SPORTS MEMORABILIA wanted. Buying old cards, pennants, autographs, photographs, tickets, programs, Pacific Coast League, etc. Alan, 503-481-0719. DIABETIC TEST STRIPS WANTED. Paying top dollar! Free local pickup. Call Sharon, 503-679-3605.

54 YEARS YOUNG, HANDSOME single man. ISO full figure lady for fun and adventure! Searching for LTR! N/S and N/D please. Picture please! Call Dan, 541-221-6490 or write.#5739

FRIENDSHIP ADS

Up to 30 words.

HOW TO SUBMIT AN AD: Mail your verbiage with payment to: Northwest50Plus, P.O. Box 12008, Salem, OR 97309 or email to classifieds@Northwest50Plus.com or call 1-877-357-2430.

*Punctuation not included in word count. Phone numbers count as 1 word. Ad must be in our office by the 6th of the month PRIOR to publication. Ads cover Vancouver, WA to Lane County.

EQUAL HOUSING OPPORTUNITY

All real estate advertising in this magazine is subject to the Fair Housing Act which makes it illegal to advertise “any preference limitation or discrimination based on race, color, religion, sex, handicap, familial status, or national origin, or an intention to make any such preference, limitation or discrimination.” Familial status includes children under the age of 18 living with parents or legal custodians; pregnant women and people securing custody of children under 18. This magazine will not knowingly accept any advertising for real estate which is in violation of the law. Our readers are hereby informed that all dwellings advertised in this magazine are available on an equal opportunity basis. To complain of discrimination, call HUD toll-free at 1-800-669-9777. Toll-free for the hearing impaired is 1-800-927-9275.

55+ Community

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TO RESPOND TO A FRIENDSHIP AD: Write the number of the ad you are responding to on the OUTSIDE of the envelope and mail to: Northwest50Plus, PO Box 12008, Salem, OR 97309.

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Up to 20 words. $2.50 per extra word.

CEMETERY PLOTS

LTR = Long Term Relationship WW = Widowed White WB = Widowed Black WA = Widowed Asian WH = Widowed Hispanic LGBT= Lesbian/Gay/ Bisexual/Transgender

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Hours: M-F: 6:30 am - 6:30 pm Sat: 8 am - 2:30 pm PST, Closed Sun

Suite 338 7360 137 St Surrey, BC, V3W 1A3 Canada

24 NORTHWEST 50 PLUS MARION POLK | OCTOBER 2019