Senior Living 10-2015

C M SG page 1 Y K

SENIOR LIVING GUIDE • Fall 2015

• Medicare or Medicaid: Which is right for me?

• The new focus on end-of-life counseling • What you need to know for open enrollment • Medicare’s Part D prescription drug program • Queens aging meeting and senior centers

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 2

C M SG page 2 Y K

PARTICIPATING ADVERTISERS

©2015 M1P • QCHR-067974

Acousticon of Flushing Around The Clock Lock & Key Atria Senior Living Castle Senior Living at Forest Hills CISCRP Elder Care Services Fidelis Healthcare Flushing House Hospice of New York Madison York Margaret Tietz Nursing Parker Jewish Institute Healthcare Parker at Your Door Plattduetsche Home Queens LI Renal Institute St. John’s Episcopal Hospital St. Michael’s Cemetery Stairglide NY USA Vein Clinic

CONTENT Medicare or Medicaid?

Page 4

End-of-life counseling

Page 6

Navigating open enrollment

Page 10

Medicare Part D costs

Page 14

Queens forum on aging

Page 14

Senior centers in Queens

Page 18

Publisher - Mark Weidler Section Editor - Peter C. Mastrosimone Marketing Coordinator - Debrah Gordon Cover Design - Ella Jipescu Layout - Theresa Nusspickel

STRUGGLING WITH STAIRS?

A DIVISION OF TK WHITAKER

NEW YORK

TKWI-066688

STARTING AT

$

2,795

NEW & INSTALLED SENIOR LIVING GUIDE • Fall 2015

Stair Lifts • Wheel Chair Lifts • Ramps Straight, Curved, Narrow Staircases Folds Up Against Wall • Factory Direct Pricing Installed within 48 Hours New, Reconditioned and Rentals • Sales 24-Hour Service Over 20 Years Serving the New York Tristate Area

631-647-8855

FREE ESTIMATES

www.StairGlideNY.com Licensed MARG-067923

Insured

C M SG page 3 Y K Page 3 QUEENS CHRONICLE, Thursday, October 1, 2015

A Total Care Environment With All The Comforts of Home

A 240-Bed Facility Providing 24-Hour Comprehensive Care To Adults of All Ages.

Elmhurst Care Center has been named one of the nation’s best nursing homes by U.S. News & World Report, reflected in health inspections, nurse staffing and medical care. Only nursing homes receiving five stars from the federal government’s Centers for Medicare and Medicaid Services were considered.

The care you need in the comfort of your own home.

Affordable Assisted Living in Queens; three facilities where residents can benefit from a comprehensive care environment while still enjoying an independent lifestyle. Let us show you HOW you can afford quality care; WHAT services are available; WHERE to find answers.

Providing you with the highest quality service in your time of need.

Our Assisted Living Program Offers 24-Hour Home Care Services in a Congregate Care Environment.

For more information about our three facilities please call:

718-699-4100

100-17 23rd Avenue East Elmhurst, NY 11369 Tel: 718-205-8100 Fax: 718-507-7503 www.ElmhurstCare.com Elmhurst Care Center is licensed by the Department of Health and is certified to participate in Medicare and Medicaid programs.

Aliah Home Care is a Licensed Home Care Agency.

Learn more about how Aliah Home Care can help you and your family.

Call 718.879.1414 • Fax 718.799-1056

www.aliahhomecare.com

CORONA, NY

REGO PARK, NY

112-14 Corona Ave. Corona, NY 11368

61-80 Woodhaven Blvd.

Rego Park, NY 11374 www.madisonyorkalp.com

www.madisonyorkalc.com

EAST ELMHURST, NY 100-30 Ditmars Blvd.

East Elmhurst, NY 11369 www.elmyork.com

©2015 M1P • MADY-067935

SENIOR LIVING GUIDE • Fall 2015

98-04 ASTORIA BOULEVARD EAST ELMHURST, NY 11369

SENIOR LIVING GUIDE • Fall 2015

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 4

C M SG page 4 Y K

Senior Living Guide

Medicare, Medicaid and the new dual plan

by Mark Lord Chronicle Contributor

Navigating the complex world of health insurance can be a daunting task. When it comes to the selection of coverage, the first step, as in life, is generally the most challenging.

In an effort to simplify the decision-making process, the Queens Chronicle consulted with several attorneys at law, elder care experts and websites whose advice we hope will be of assistance.

A good starting point might be to ask yourself: What is the difference between Medicare and Medicaid?

According to Medicare.gov, Medicare is the federal health insurance program for people who are 65 or older and for certain younger people with disabilities.

The site indicates that there are two main ways to get your Medicare coverage. These are original Medicare (also known as parts A and B) or a Medicare Advantage Plan (or part C).

Most individuals get parts A and B automatically (if they’re getting benefits from Social Security or if they’re under 65 and have disabilities). If you’re not collecting Social Security, as in cases where people are still working, you need to sign up for Medicare.

Part A covers hospital insurance and includes inpatient care at a hospital, skilled nursing facility or hospice. It also covers several services, including laboratory tests, surgery, doctor visits and home healthcare. According to the site, you usually don’t pay a monthly premium for part A if you or your spouse paid Medicare taxes while working. If you have to buy part A, you will pay up to $407 per month.

Part B covers medical insurance, and it covers doctors’ and other healthcare providers’ services, outpatient care, durable medical equipment, home healthcare and some preventive services. Most people pay a premium of $104.90 per month for part B if they sign up when first eligible. The amount is generally deducted directly from a person’s Social Security. There is also a yearly deductible of $147.

Be aware that Medicare doesn’t cover everything. If you need certain services that Medicare doesn’t cover, you will have to pay for them yourself — unless you have other insurance or you’re in a Medicare health plan that covers those services.

Even if Medicare covers a service or item, you generally have to pay your deductible, coinsurance and co-payments.

Among the items Medicare does not cover are long-term (or custodial) care, most dental care, eye exams related to prescribing glasses, dentures, cosmetic surgery, acupuncture, hearing aids and routine foot care.

According to Jack Lippmann, president of Elder Care Services, Inc. in Forest Hills, Medicare covers 80 percent of medical bills and, to cover the difference, many elderly individuals opt for Medicare supplement insurance, generally at a cost of $200 to $300 per month.

Another option, Lippmann said, is a Medicare Advantage Plan, which replaces regular Medicare and the supplemental insurance.

Signing up for part C places an individual in a health maintenance organization, or HMO.

Jack Lippmann of Elder Care Services, Inc. in Forest Hills warns to protect savings and income PHOTO BY MARK LORD before the need for long-term care arises.

Members of HMOs must generally get a referral from their primary care physician in order to see a specialist or other doctors.

Medicare.gov indicates that each Medicare Advantage plan can charge different out-ofpocket costs, which depend on many factors, including whether the plan charges monthly premiums; whether it pays any of your Medicare part B premium; whether it has a yearly deductible or any additional deductibles; and how much you pay for each visit or service.

Medicare part D offers various forms of prescription drug coverage, with each plan having its own list of covered medications.

Lippmann pointed out that taking out Medicare and supplemental insurance or a Medicare Advantage plan does not cover home care services or nursing home care.

“If a person requires home care services, it could be a pretty penny,” Lippmann said, estimating that fees generally run around $23 per hour. A stay in a nursing home could run as high as $12,000 to $15,000 per month, he added. “It could deplete life savings in a short period of time,” he said.

According to elder law attorney Ronald Fatoullah of Forest Hills, Medicare pays in full for the first 20 days in a nursing home and partially for an additional 80 days, leaving the patient responsible for what he called a “pretty significant” co-payment. In addition, he pointed out, to be eligible, an individual must have a skilled-care need, such as physical therapy.

Fatoullah recommended long-term care insurance, which, he said, covers home care, assisted living care and nursing home care.

Unfortunately, many people are not able to take out insurance, he pointed out, due to cost or an existing physical condition.

Lippmann suggested that the only way to get around paying privately for such services is through Medicaid.

Many among the elderly have become discouraged by the process of applying for Medicaid. But, according to Lippmann, “The system i s f le x i ble , c a r i n g , s u p p o r t ive a n d sympathetic.”

Medicaid is the federally and state-funded program run by the state and the county which

provides medical insurance and long-term care to middle- to low-income persons, including the elderly and disabled, according to P&P Medicaid Consulting, Inc. of Massapequa Park, LI. It differs from Medicare, which is available to anyone 65 and over who has worked and paid into the Social Security system.

Long-term care generally refers to care in a nursing facility or home care with attendant services. According to Brady & Marshak, LLP, attorneys at law with an office in Howard Beach, “insurance benefits generally do not cover such long-term care. Medicare benefits will provide financing only for the short-term care in a facility or at home. Once those benefits are exhausted, there are limited means to finance continued long-term care — with longterm care insurance or with one’s savings.”

As Lippmann describes it, Medicaid is “the third insurance. What Medicare and supplement insurance don’t pay, Medicaid pays.”

To be eligible for Medicaid, an individual must meet certain income and resources requirements.

According to Lippmann, there are two types of Medicaid applications.

The first, he said, is Community Medicaid, which “at its core, is health insurance.” Once an individual is on Community Medicaid, he or she can also apply for home care services, Lippmann said.

In order to be eligible for Community Medicaid, an individual must have a maximum amount of resources (or assets) of $14,850. The maximum allowed income is $825 per month.

If someone has greater resources than the maximum, he or she “can transfer any amount of the assets and become eligible the following month,” Lippmann said.

If one’s monthly income is greater than $825, the individual must either surrender the so-called surplus income to Medicaid or join a Medicaid-approved pooled income trust, or MAPIT. Pooled income trusts are vehicles that allow a person to deposit surplus income into an account that is then available for the Medicaid recipient to pay bills in his or her name.

“Use that money rather than losing it,”

Lippmann suggested.

Once income is placed into the trust, the member can submit any non-medical bills to it that are in his or her name. These include such items as rent, power, telephone, cable, auto insurance, new credit card charges and food.

B&M cautioned, however, that “while pooled income trusts are an effective tool for many clients, they do not make sense for everyone.”

The second type of Medicaid application is Nursing Home Medicaid, which involves what is known as a five-year look-back on one’s financial status.

Any assets that were transferred out of your name or your spouse’s name to a third party “must be noted and explained with documentation,” B&M said.

Lippmann cautioned that as far as gift taxes are concerned, tax laws and Medicaid laws “don’t mix.”

Transfers or gifts may lead to a penalty period, during which time Medicaid will not pay for the nursing home, B&M added.

“We can’t change the past,” Lippmann said, so planning in advance of needing any type of long-term care is advisable to protect one’s savings and income.

Even if no advance asset protection planning has been done, a portion of one’s assets can be protected from having to be spent on care. But “planning in advance can result in protection of most or all of one’s assets from having to be spent on the cost of care,” advised B&M. According to Lippmann, “Medicaid eligibility is possible for anyone who is willing to comply with Medicaid’s rules and regulations.

With proper and professional assistance, elderly and disabled applicants can achieve Medicaid eligibility and receive Medicaid medical assistance, while at the same time protecting their income, life savings and homes.”

Lippmann pointed out that “many individuals make transfers of assets that end up disqualifying them from Medicaid for a significant length of time.”

Lippmann said Medicaid recipients 21 or older who are dual eligible, have both Medicare and Medicaid and receive either home care services or nursing home care through a Managed Long Term Care Agency are eligible to join a Fully Integrated Dual Advantage program, which came into existence this year.

According to Lippmann, FIDA plans combine under one managed care plan Medicare Advantage, Part D prescription drugs and Medicaid MLTC. “Basically,” he said, “FIDA members will trade in all of their insurance cards and replace it with one health plan.”

While Lippmann recommends joining a FIDA plan, not all experts agree. Paul Mertz, founder of P&P, said by joining, “you lose a little control over where you can go and who you can see.”

Similarly, Fatoullah said joining a FIDA plan “reduces the choice of medical vendors.”

Still, Lippmann suggests that “for a lot of people, FIDA is a lifesaver,” and, he pointed out, “everyone has the option to dis-enroll from FIDA at any time and go back to their original Medicare or Medicare Advantage or your forQ mer MLTC plan.”

C M SG page 5 Y K Page 5 QUEENS CHRONICLE, Thursday, October 1, 2015

EVERYONE is W e r e h elco ce W a l me P A

PLATTDUETSCHE RETIREMENT HOME and W ell Taken Care of

OPEN HOUSE Saturday, October 10, 2015 From 1:00 pm. - 4:00 pm

y o j En

e d n e p e d n I y t • • i l y D t i i i n g b a A f fo r d

! e nc

FEATURING:

“The BEST Kept Home on Long Island” 1150 Hempstead Turnpike, Franklin Square, NY 11010 (516) 352-4252 Visit us on the web at www.Plattduetschehome.com

PLAD-067943

SENIOR LIVING GUIDE • Fall 2015

• Private Apartments with Balcony • Delicious Daily Meals • Nurse’s Aides & Security • Housekeeping Services • Medication Supervision • Beauty Parlor & Barber Shop • Personal Care Assistance • Shopping/Cultural Outings • Social & Recreational Activities • Indoor Pool, Jacuzzi & Exercise Room • On-site banking, bi-weekly with Ridgewood Savings Bank Bus

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 6

C M SG page 6 Y K

Senior Living Guide

Doctors to be reimbursed for end-of-life care

by Anthony O’Reilly Associate Editor

Although end-of-life discussions between doctors and their patients are not new, the practice is about to take a huge step forward.

Medicare is planning to reimburse doctors for the time they spend talking about healthcare options in people’s final days. That is slated to begin in 2016.

Dr. Maria Torroella Carney, chief of geriatric and palliative medicine at North ShoreLIJ Health System, called that decision “an important step” toward recognizing the importance of health professionals having the discussions with their patients.

“It takes a lot of time to be done well,” she said of the talks. “By getting reimbursed, it shows an important value to it.”

And though Carney praised Medicare’s decision, she wants people to think of the discussions as something that everybody — not just those nearing the end of their life — should engage in.

“All parts of these decisions impact many people and these discussions are time-consuming and difficult,” she said, suggesting such decisions should be made at 18.

“I am of the belief that any adult 18 and over should have a healthcare proxy,” Carney said, referring to a person who is legally designated to make healthcare decisions for someone who is unable to. “I have a

healthcare proxy and I’m a healthy woman.

You never know when I might fall and hit my head.”

Carney’s definition of end-of-life care seems to differ from that of the Mayo Clinic’s website, which describes end-of-life care as deciding whether a dying loved one “should remain at home, move to a nursing home or other facility, or seek hospice care.”

What Medicare will define it as, she said, is still up in the air.

It is unknown if doctors will only be reimbursed for talking to patients who are near death or if they can have those talks with people well before that time comes.

“I think it should be all of these,” she opined.

Other issues being ironed out, Carney added, are how doctors need to document the discussions they have, what is talked about with the patients and their families and who is in the room when the subject is being discussed.

Carney added those will also be issues when it comes to private insurers determining if they want to follow Medicare’s lead on reimbursing doctors for the discussions.

“I think the details on how to meet the reimbursement will be important,” she added.

The details, however, seem to be clearer than they were just a few years ago.

As the discussions over the Affordable Care Act — also known as Obamacare after the president who pushed for the legislation’s passage — heated up in 2009, farright political pundits claimed “death panels” would be created as part of the federal system to determine which patients would receive care.

Since those debates were had and fought over, the discourse over end-of-life care has become much more civil, Carney said.

“The topic has come up in the papers and been discussed more readily. These are different times,” she said.

One turning point in the discussion, she added, was “Being Mortal,” a New York Times bestseller released last October that advanced the talks of end-of-life care.

“Full of eye-opening research and riveting storytelling, ‘Being Mortal’ asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end,” the description of the book on Amazon.com reads.

Carney said the book has “gotten a lot of attention” and affirms that end-of-life care is something that should be discussed well before someone is dying.

“It’s not about death. It’s about helping people live for as long as possible with the quality of life they want,” she said.

But improving the quality of life of dying patients is something that has been discussed in the medical profession for a while.

It was thrust to the forefront with feeding tubes in the 1970s and continued with inventions such as the defibrillator.

Before those, there wasn’t a way to make sure some patients were getting proper nutrients or to jump-start a failing heart.

Just like the technological advances of today, Carney said, talks about how those tools should be used were had decades ago.

“All of these technological advances have risks and benefits and we sometimes don’t know how to best utilize them. Doctors alone can’t make these decisions. It has to be shared decision-making,” she said.

Today, at North Shore-LIJ, doctors are receiving training by first practicing end-oflife discussions with actors before talking to patients and families.

They are also going out to different communities to urge people to think of end-oflife care before it comes a reality through a program called Conversations: Health and Treatments, or CHAT. The health system also has been named a Palliative Care Leadership Center, of which there are only 11 nationwide.

The center trains healthcare professionals in how to care for aging patients nearing Q death.

CLINICAL RESEARCH EDUCATION EVENT FREE EVENT

SATURDAY OCTOBER 3, 2015 11 AM - 2 PM

SENIOR LIVING GUIDE • Fall 2015

D’Angelo Center St. John’s University

REGISTER NOW

www.awareforall.org 877-633-4376

8000 Utopia Parkway, Jamaica, NY 11439

HIGHLIGHTS OF THE DAY • Free and Open to All • Free Food and Giveaways • Free Health Screenings and Information • Hear from Study Volunteers About Their Experiences • Meet Local Area Doctors and Researchers

Email: awareforall@ciscrp.org

First 75 to pre-register will receive a $20 Walgreens gift card at the end of the event!

Hosted in partnership by:

Arrive early to receive Assessments of BMI, Blood Pressure, Glucose, Cholesterol and more!

Toll free: 877-633-4376

Local assistance: 617-725-2750 CISC-067535

C M SG page 7 Y K

A HEARING AID SIZE AND STYLE TO FIT EVERYONE’S BUDGET.

Margaret Tietz

– ADVERTORIAL–

Proudly serving the Flushing community for over 50 years!

39- 01 Main Street, Suite 206 Flushing, NY 11354 ACOF-067865

T

he Margaret Tietz Nursing and ratory and heart disease. Each Rehabilitation Center is proud resident and their family is looked of its dynamic rehabilitation at uniquely and assessed by the department where on any given Speech Language Pathologist with CenterLight Health System day you will see 60 individuals on regard to their present ability as a specialized rehabilitation program gaining strength well as their goals for communication and swallowing and working towards their goal of returning home as (eating) to determine what is needed to help them soon as safely possible. The rehabilitation depart- achieve their highest level of function. Long-term ment is comprised of Physical Therapy, Occupational residents are also monitored for changes in these Therapy and Speech Therapy. When thinking of reha- areas where our goal is to maintain the highest level bilitation most put an emphasis on Physical and Occu- of function over the lifespan of each individual. pational Therapy which is of vital importance to an indiSwallowing disorders can encompass all different vidual’s recovery. However, key members of the Team stages of eating, beginning from when the food or approach at Margaret Tietz is the Speech Language liquid enters your mouth and ending when it enters Pathology contribution to the healing process. your stomach. The primary goal of swallowing Extensive Speech Language Pathology services therapy at Margaret Tietz is to train and strengthen are offered at Margaret Tietz. Most people are safe swallow function to help maintain adequate surprisingly unaware of the importance of this vital nutritional intake, promoting healing and sustaining rehabilitation service. Rehabilitation Patients are life. At Margaret Tietz we realize how important food seen at Margaret Tietz when they are faced with and sharing it with our loved ones is to our sense of communication and swallowing disorders (speaking family, culture and community. We work with families and eating). At Margaret Tietz we have a small team to help them be able to safely feed their loved ones of certified and licensed Speech Language Patholo- over the course of their illness and recovery and in gists who are trained to work with adult and geriatric some cases throughout palliative and hospice care. populations and specialize in medically complex Speech and language disorders involve restoring and cases using the most advanced treatment tech- maintaining our ability to communicate our thoughts, niques and practices. express our preferences, as well as understand what When a new patient arrives at Margaret Tietz is told to us in order to be actively engaged with our they are screened by the three rehab disciplines: peers, family and caregivers.

Occupational Therapy, Physical Therapy and Speech Margaret Tietz Nursing and Rehabilitation Center Language Pathology. Our patients in most cases is a 200 bed not-for-profit residential healthcare arrive having just been discharged from the hospital facility located in Jamaica Hills Queens. For further to rehab where the real work of their recovery information about our Speech Pathology services begins. Some of the most frequent diagnoses we at Margaret Tietz or for any other questions please treat include: stroke, Parkinson’s disease, cancer, do not hesitate to contact Linda Spiegel, director of dementia, weakness/fatigue, pneumonia, and respi- Public Affairs at (718) 298-7838.

IF YOU OR A LOVED ONE: • Frequently ask others to repeat themselves • Turn the TV up loud to hear it • Miss parts of conversations when you are with family and friends

Give Us A Call Today At (718) 619-4757 For A FREE Hearing Test!

Page 7 QUEENS CHRONICLE, Thursday, October 1, 2015

EXPERIENCE YOUR BEST HEARING THIS FALL!

Unique Speech Language Pathology services at the Margaret Tietz Nursing and Rehabilitation Center

We specialize in fitting Invisible Hearing Aids

FALL HEARING AID SPECIAL

$500 OFF

A SET OF PREMIUM HEARING AIDS *Offer cannot be redeemed for cash. Good only towards the purchase of a pair of premium hearing aids. Coupon not valid with any other offers.

Offer expires 10.16.15.

* div *Ind ivid v duall re results resu res lts sm ma ay v ay var va a ary r .

Inv Inv visib ibilitty ty m may ay y vary ba base se ed on you ourr ear’ ear s an ea a at atom ato tom omy y.. © 2015 2015 Sttark arkey. ey y. Al y.

All A lll Rig Righ Ri ghts gh s Re eser se se ved. 9/ 9/15 15 5 3530 353 35 3011-15 15 5

FREE

HEARING SCREENING AND OTOSCOPIC EXAM A $150 VALUE!

*Coupon not valid with any other offers. Offer expires 10.16.15.

www.ihearyounow.com

MARG-067951

Q&A About Memory Care with Nancy Sondag – Life Guidance Director at Atria Kew Gardens

The Truth About Medicaid

This October, senior living community Atria Kew Gardens will unveil its newly expanded and enhanced Life Guidance® memory care neighborhood, allowing them to help even more families find a better way to manage the challenges of Alzheimer’s and dementia.

Nancy Sontag is a Certified Dementia Practitioner and holds several certifications to train other dementia care professionals. Nancy says her 15 years’ experience serving people with dementia has been a privilege and loves the opportunity to help them live a joyful, purposeful life.

Q: WHEN SHOULD FAMILIES CONSIDER MOVING A PARENT Q: INTO A MEMORY CARE COMMUNITY?

A:

What I often find is that families have already been considering it, but haven’t suggested it because they feel guilty. It’s a sensitive topic. But when safety issues arise, or when parents begin to need help with proper hygiene or eating, it’s a good time to explore the benefits of a memory care community.

Q: WHAT SETS MEMORY CARE AT ATRIA KEW GARDENS

IS THAT LIKE THE VIDEOS I’VE SEEN RECENTLY SHOWING OLDER ADULTS WITH DEMENTIA REACTING TO THEIR FAVORITE SONGS? HOW DOES THAT WORK? Think about a tune you loved as a kid. When you hear that song now, what happens? A flood of memories comes back; you immediately recall faces, places and experiences attached to that song. It’s like taking a trip back in time.

Individuals with dementia have the same experience.

Research shows music lives deep within our minds, beyond the reach of memory loss, and we tap into that power to help our residents have more present moments.

There is a common belief held by the elderly population that Medicaid cannot help them. That the process is inflexible and uncaring. We want to reassure you that with guidance and support, there is no reason for failure.

Call today for a FREE Consultation

Q: WALK ME THROUGH THE REDESIGNED MEMORY CARE to know each resident as an individual, and their extensive training in dementia care gives them the skills and confidence they need to take the journey with them. Second, our ongoing research and program development and work with renowned Alzheimer’s experts has helped us find better approaches to caring for people with dementia. For instance, our new music therapy program, Legato SM, helps residents have more present moments.

NEIGHBORHOOD. WHAT’S NEW?

Elder Care Services, Inc.

A: First of all, we have added more apartments to meet the growing need for our memory care services. We have also added more social spaces, like a secure outdoor terrace where residents can safely enjoy fresh air and sunshine.

We’ve also remodeled our common areas, which add a lot of warmth and brightness to the neighborhood. Of course, the best way to experience the space is to come by and see it for yourself. It’s always a pleasure to welcome guests into our community.

For more information about Atria Kew Gardens or to schedule a tour, call 718.705.4526 or visit www.atriakewgardens.com

• Over 18 years experience filling Medicaid Home Care and Nursing Home applications • Full service including challenge denials, recertification representation and much more Jack Lippmann

718-575-5700 ATRS-067866

A: Our staff makes the biggest difference. Our team gets

108-18 Queens Blvd., Suite 801 Forest Hills, NY 11375

“Protect your life savings, your monthly income and homes, and at the same time apply for Medicaid medical assistance at home or in a nursing home.”

www.eldercareservicesny.com

SENIOR LIVING GUIDE • Fall 2015

APART?

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 8

C M SG page 8 Y K

Plattduetsche Retirement Home

EMPLOYMENT OPPORTUNITES COMMUNITY HOSPICE NURSES (RN) MEDICAL SOCIAL WORKERS (LMSW, LCSW)

Located on seven beautiful acres, the park-like setting provides a serene, restful area for residents and their visitors. The modern, fireproof building is planned for the safety, security and convenience of the residents.

Apartments with a housing complex for retired individuals aged 65 and older features 51 individual private balconies, consisting of studios, one bedrooms, junior t wo bedrooms and two bedrooms, in a three level building, and 80 single bedrooms in a separate supportive living area. The monthly fee includes maintenance of all common areas, security, electricity, gas, weekly housekeeping and laundering of bed linens, daily meals (3 for the Adult Home, 1 for the Enriched Housing) served in the communal dining room and a secure storage bin for personal belongings. Each unit is wired with a telephone jack, cable ready, and each unit has at least two emergency pull cords connected to the Nurses Aide’s station. Heating and air conditioning are individually controlled. Amenities include lounges on each floor, library with an enlarger for residents with low vision, hobby room, beauty/barber shop, gym,

billiards, private party room, coin operated laundry, indoor pool/Jacuzzi and elevator.

Our chapel features regularly scheduled prayer and nondenominational Christian as well as Lutheran and Catholic services.

Outdoor facilities include gardens, seating areas, a gazebo, pavilion, pond, shuffleboard and bocce.

Located within walking distance of two banks, a liquor store and a pizzeria. The Ridgewood Banking Bus visits the propert y ever y other week . T he development has 2 cars and an addi t ional 15-passenger van that runs scheduled shopping and recreational trips. If the vehicles are available, transportation for medical appointments is arranged.

Our Ladies Society, a completely voluntary club, organizes holiday parties and monthly birthday celebrations. The development offers other activities including crafts, bingo, movies, word games and various trips off the premises.

Plattduetsche Retirement Home is located at 1150 Hempstead Turnpike in Franklin Square. We can be reached at (516) 352-4252 or visit us on the web at plattduetschehome.com.

–ADVERTORIAL–

PLAD-067950

Bilingual English/Spanish; English/Mandarin; English/Cantonese.

Reliable automobile & valid driver’s license are preferred.

Competitive compensation and benefits package.

Hospice of New York is an Equal Opportunity Employer.

FORWARD RESUME TO: JUDITH GAYLE judith.gayle@hospiceny.com or Fax: 718.784.1413

VOLUNTEER OPPORTUNITES

Come Make a Difference New training groups each month!

SENIOR LIVING GUIDE • Fall 2015

Patient Care Volunteers: Support patients and their loved ones in your community Bereavement Volunteers: Support families who have lost a loved one Administrative VoluNteers: Assist personnel in our Long Island City office

NASSAU & QUEENS Contact Angela Purpura angela.purpura@hospiceny.com or 516.222.1211

MANHATTAN, THE BRONX & BROOKLYN Contact Sandra Nielsen sandra.nielsen@hospiceny.com or 718.472.1999

BEREAVEMENT SUPPORT SERVICES Free bereavement support services for adults who have had a loss (Loved one is not required to have had hospice care) Contact our Bereavement Department at 347.226.4823 HOSP-065269

108-25 Horace Harding Expressway Forest Hills, NY 11368 (718) 760-4600

Castle Senior Living: Homelike community for seniors There’s no doubt that Americans, on the average, are living longer. Advances in medical science are preventing illness, curing disease and healing wounds to the point where reaching 80 isn’t a rare event anymore.

Still, bodies inevitably wear out and aging baby boomers may be faced with difficult and emotional decisions when that starts happening. From annoying aches and pains to life-altering illnesses, they may be faced with the reality that their lifestyles must change.

Those changes do not have to be traumatic. Many seniors will remain independent for years and will find security and comfort in the home-like environment at Castle Senior Living at Forest Hills.

Designed for those who do not need acute care, but need a little help doing everyday things, Castle Senior Living at Forest Hills is a perfect environment for many seniors.

Castle provides sparkling clean accommodations, vibrant activity programs and gourmet meals prepared in our Kosher from-scratch kitchen. For those with Alzheimer’s or other memory impairments, Castle’s Country Cottage is ideal with a 24-hour staff, separate dining room and specially designed activities in a secure environment. And for families who wish to try out our services, our Trial Stay program is for you.

Castle accepts Medicaid admissions and provides care through our on-site Licensed Home Care Services Agency.

See the full range of services provided by Castle Senior Living at Forest Hills by visiting www.chelseaseniorliving.com.

– ADVERTORIAL –

CASS-066516

C M SG page 9 Y K Page 9 QUEENS CHRONICLE, Thursday, October 1, 2015

Your Center for Customized Health Care Short-TermRehabilitation Rehabilitation Short-Term Long Term Care Care Long-Term HomeHealth HealthCare Care Home Hospice Hospice Medical & Social Adult Day Care Medical & Social Adult Day Care Medical Transportation Medical Transportation Inpatient & Outpatient Dialysis Inpatient & Outpatient Dialysis Managed Long Term Care Managed Long-Term Medicare AdvantageCare Plan LAKEVILLE LAKEVILLE AMBULETTE

AMBULETTE TRANSPORTATION TRANSPORTATION

Parker Jewish Institute HEALTH CARE AND REHABILITATION

WHERE EXCELLENCE IS THE STANDARD

271-11 76th Avenue, New Hyde Park, NY 11040 877.727.5373 www.ParkerInstitute.org PARJ-067947

SENIOR LIVING GUIDE • Fall 2015

QLIR-067306

SENIOR LIVING GUIDE • Fall 2015

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 10

C M SG page 10 Y K

Senior Living Guide

Medicare: open enrollment, annual questions

by Michael Gannon Editor

An annual rite of fall for seniors and people with certain disabilities is the open enrollment period for Medicare, the federal program of insurance for medical visits, prescription drugs and hospital care.

The period runs between Oct. 15 and Dec. 7, during which time people may change or update their plans that include hospitalization and nursing care (Part A), doctor visits and outpatient care (Part B), Medicare Advantage (Part C) and prescription drugs (Part D).

Even in a day and age when information is available online — and in 18 different languages — the task of navigating the process can appear daunting.

Many questions can be answered online at the website medicare.gov., which among other things has Medicare & You 2016, a 127-page guide that can be read or downloaded in various formats.

Christopher Widelo, assistant state director for the AARP, formerly the American Association of Retired Persons, in New York State, said there are no major changes on a national scale this year.

“But it is a very serious thing,” he said.

“You are choosing your health coverage for a year and you can’t change it until the next open enrollment. Your circumstances may have changed in the last year. You might need different medications. We think it’s a good practice to at least review your coverage every year.”

Widelo said while it can be a complex process, AARP has found that there is a genuine effort from the federal government down to the Department of Aging in the five boroughs to make the process as customerfriendly as possible.

“In the city, just dial 311 and tell them you are interested in changing your coverage,” he said. “They will connect you to someone who will work with you either over the phone or in-person to assist you.”

People seeking information on premium and deductible amounts this coming year are invited to check either medicare.gov or call 1 (800) MEDICARE (633-4227).

Widelo said they recommend either as a good means of comparison shopping.

Officials say Oct. 1 is a good benchmark for beginning to review one’s options, allowing them time to compare their existing plans and coverage with new or just different ones.

Among the changes are an increasing number of preventive services that are eligible for payment under the Affordable Care Act. When choosing coverage, particularly Medicare Advantage — supplemental care or so-called Medigap plans that are available through commercial providers — both the federal government and commercial providers say that due diligence in selecting plans should be tailored as closely as possible to the individual and his or her particular circumstances, including: • Which plan is my current doctor in?

• Which hospitals are in my provider

Officials and advocates appear to agree that the Medicare application process, though serious and a bit complex, is geared to make thigs as user-friendly as possible for those coming up on PHOTO ILLUSTRATION BY ELLA JIPESCU the annual open enrollment period between Oct. 15 and Dec. 7.

“These aren’t a company representative trynetworks?

• What regular fees are associated with a ing to sell you something.”

For those who need assistance, competing given plan, and can I accommodate those companies that offer commercial plans have into my budget?

• Will I save money on doctors’ visits and people explaining their companies’ plans to hospital stays if I enroll in Medicare prospective clients.

While the government-run plans are Advantage?

• Do I need certain medications covered, administered by either the state or federal either brand-name or generic? If so, which agencies, many community-based groups and organizations offer assistance to help pharmacies can I use?

Under the regulations, some Medicare people slog through the booklets and appliAdvantage plans do not cover drugs, at cation forms.

Congresswoman which point a person Grace Meng might need to apply (D-Queens) said her for Medicare D. t comes down to what we o f f i c e r o u t i n e l y It is also recomoffers help for mended that a person call the four Cs — cost, constituents. assess where they Not a small effort live or are planning coverage, convenience ... when one considers to live in the near and customer service.” that Meng’s 6th Disf ut u r e or i f t hey trict has people who move around a great — Christopher Widelow, hail from more than deal, as one might AARP New York State two dozen countries have to take meaand speak a virtual sures to cover themUnited Nations of languages. selves outside of their region.

Still, Meng, in an email, said the process Many plans have restrictions outside of does not appear to be an overly burdensome the United States.

“It comes down to what we call the four challenge.

“We’ve gotten approximately 100 constitCs,” Widelo said. “Cost, coverage, convenience — you don’t want to have to go from uents over the past two-and-a-half years Queens to the Bronx to see your doctor or who have had problems with their Medicare fill a prescription; and customer service. coverage, and our staff has assisted them,” There are consumer satisfaction ratings she said.

“There are no language barriers with our available on just about every plan out there, office since we have the staff that speak and customer service is a large part of that.

“What we like about the [city and federal other languages.”

Generally that entails assisting nonMedicare] websites and phone numbers is that you get unbiased assistance,” he said. native English speakers with forms printed

“I

in English.

The forms are available in 17 languages at medicare.gov/about-us/other-languages/ information-in-other-languages.html.

Those include Spanish, Korean, Chinese, Vietnamese, Russian, Tagalog, French, Haitian Creole, Italian, Polish, Portuguese, Armenian, German, Farsi, Arabic, Greek and Japanese.

Meng said, nevertheless, that her office still sponsors medicare forums. The last one was in May at the Selffhelp Senior Center in Forest Hills, and one before that at the Peter Cardella Senior Center in Ridgewood.

Staffers at the office of Congressman Joe Crowley (D-Bronx, Queens) also said they receive very few calls, and that those are usually for small, individual difficulties rather than the process itself.

They too either work to resolve the problem or connect the person with an expert who can help.

Hilda Rodgers, director of the Alpha Phi Alpha Senior Citizens Center in Cambria Heights, also said her group sponsors workshops to address Medicare questions and answers, but that the demand is not an overwhelming one.

“Our members seem to be well-versed in the process; we don’t get a lot of requests for help from them,” Rodgers said.

When they do, it generally is a referral from the city’s 311 program, which will guide a senior to a local agency.

Rodgers said her staff does not have a person who regularly works on such matters, and that they will works to connect a person in need with those trained to provide the necessary assistance.

She said the Community Service Society will provide such help, and in the past has had large programs with Alpha Phi Alpha.

A s s e m bl y wo m a n B a r b a r a C l a r k e (D-Queens Village) also sponsored a Medicare assistance program at the center during last month’s Senior Week.

Joanne King, spokeswoman for the Queens Library, said on Monday that the system does not at the moment have any programs or workshops scheduled to coincide with the open enrollment period, but has done so in the past.

“Generally speaking, we rely on speakers from the Social Security Administration to do these kinds of programs,” King said in an email to the Chronicle.

She did say that as enrollment goes through Dec. 7, it is at least possible that a meeting or workshop could come up in the near future.

The booklet “Medicare and You 2016” is available at medicare.gov/medicare-and-you/ different-formats/m-and-y-different-formats. html.

Forms for Medicare Part A and Part B can be found at medicare.gov/forms-helpa nd-resou rces /for ms /med ica re -for ms. html#collapse-4882.

For ms for Par t D can be found at medicare.gov/part-d.

The website also offers lists of Medigap Q programs available by ZIP code.

C M SG page 11 Y K Page 11 QUEENS CHRONICLE, Thursday, October 1, 2015

WE ARE ST. JOHN’S HERE FOR YOUR HEALTH

Head and neck

•

Orthopedic surgery, including minimally invasive joint replacement

•

Otolaryngology or ear-nose-throat (ENT)

•

Pediatric surgery

•

Plastic and reconstructive surgery, including facial surgery

Minimally Invasive Surgery

•

Surgical oncology, the surgical approach to treating and managing cancers

Under Chief of Minimally Invasive Surgery Jackie Battista, DO, MPH, the Depar tment offers a wide range of minimally and less-invasive procedures, including those that use laparoscopic and endoscopic techniques. Surgeons use the smallest incisions possible or the body’s natural openings XS MRWIV X XLMR ¾I\MFPI MRWXVYQIRXW ERH XMR] GEQIVEW XS perform video-assisted surgery. Minimally invasive surgery results in fewer complications, shor ter hospital stays, quicker recoveries and less scarring.

•

Vascular laboratory, which provides non-invasive testing to pinpoint areas of vascular blockage and disease

•

Wound care, including hyperbaric therapy in which a TEXMIRX FVIEXLIW MR TYVI S\]KIR MR E TVIWWYVM^IH GLEQFIV Hyperbaric therapy is a useful approach to treating serious infections and wounds that aren’t healing well.

The Depar tment of Surgery at St. John’s Episcopal Hospital, led by Interim Chairman Javier Andrade, MD., FACS, provides comprehensive surgical care, including many minimally invasive procedures for a wide range of conditions.

Surgical Subspecialties

For more information on Surgery at St. John’s Episcopal Hospital, call 718-869-7256.

In addition to general surgery, the Depar tment of Surgery EX 7X .SLR´W )TMWGSTEP ,SWTMXEP SJJIVW I\TIV XMWI MR XLI following surgical subspecialties: •

Breast surgery, suppor ted by an active breast clinic and including stereotactic and sentinel node capability

•

Cardiothoracic surgery, which treats conditions in the chest, lungs and hear t and includes the lessinvasive video-assisted thoracic surgery

ST. JOHN’S EPISCOPAL HOSPITAL E P I S C O PA L H E A LT H S E R V I C E S I N C .

(718) 869- 7000 | WWW. EHS.ORG

SENIOR LIVING GUIDE • Fall 2015

•

GENERAL SURGERY AT ST. JOHN’S EPISCOPAL HOSPITAL

You Don’t Have to Live with Varicose Veins E liminate painful, unsightly varicose veins, skin changes or even ulcers with Endovenous Laser Therapy (EVLT).

Advantages of Endovenous Laser Therapy (EVLT): ▶ Relief of Symptoms and Leg Pain ▶ Short procedure (15 minutes) ▶ No surgery ▶ No down time ▶ No general anesthesia ▶ No hospitalization required. The procedure is performed at our clinic. ▶ Resumption of normal activities right away ▶ Covered by Medicare and most insurance plans

Dysfunctional veins can also increase the risk of blood clots. Patients may experience a swelling in the leg, which may indicate a blood clot. Left untreated, these clots can travel through the bloodstream and lodge near the heart or lungs, causing potentially life-threatening health problems.

If you have already decided you’d like to receive vein treatments or would like to get a diagnosis, simply schedule an appointment with USA Vein Clinics today by calling (718) 732-3670 or visit www.usaveinclinics.com

T

Do Not Postpone Treatment

USAV-067860

Varicose veins can start out as a seemingly small problem, but left untreated, can become much more serious.

Complications of varicose veins may include ulcers. These may form on the skin near the affected veins, particularly near the ankles. They are caused by fluid build-up in the dysfunctional veins, and can be extremely painful.

Feel better and get back into your favorite activities! Schedule an appointment at one of 8 conveniently located offices by calling (718) 732-3670.

USA Vein Clinics was named Best Vein Clinic multiple times!

he death of a celebrity has throngs of the curious and fans emotionally involved in a life only seen at a distance and through filters. Regardless of our personal thoughts about Michael Jackson or Walter Cronkite their passing was a family loss. Friends of a lifetime shed tears with those left behind.

The differences between celebrity and the man-on-the street deaths are little to the families we serve. The insecurity and fear are palpable. Hushed conversations invade our facilities. We are relied upon to ensure the wishes of the deceased and the family these realized. The trust that is handed to us mostly by strangers empowers us creating obligations and responsibilities rarely offered.

In place of hordes of grief-stricken strangers seeking recognition of a life now passed, our profession demands we can acknowledge the identity of the deceased. Representing the family we seek to honor the deceased in memories and stories that proved by reflection and comfort. We are family historians.

We are judged and create lifelong relationships by our success in fulfilling the wishes of others. Though we

— ADVERTORIAL —

“WE DO IT ALL”

COMING

A Complete Lock Installation & Repair Center

RESIDENTIAL • COMMERCIAL • AUTOS

THIS FALL

Total Protection Against Burglary & Theft s en

ed

d

LO

CK & KEY

LOCK OUT

718-651-5400

I

u ns

d re

WE SERVE ALL AREAS

24 HOUR, 7 DAY EMERGENCY SERVICE ATRS-067833

• ALARM SYSTEMS • CCTV • LOCKS • HIGH SECURITY KEYS • AUTO LOCKS • SAFES • WINDOW GATES • DOORS • HARDWARE ITEMS

62-45 WOODHAVEN BLVD., REGO PARK (SHOWROOM) NYS LIC. #12000185002 NYC LIC. #791338

$

500 OFF on

INSTALLATION OF LOCKS Expires December, 2015.

©2015 M1P • AROU-067856

K EW G ARDENS

ed

IN

25 Years of Reliable Service SPECIALIST!

nd

OCK CL

An

Bo

THE D N

AROU

Lic

SENIOR LIVING GUIDE • Fall 2015

constantly stand in the shoes of the families we serve, calloused responses never define us. Each life brought to us becomes part of our own. As others bring a new life into the world, our profession comforts those who have a life that has departed.

When we serve families of ordinary people rather than the famous we replaced the crowds. By doing so our obligation is harder for we are place throngs through our individual participation. In the end it is the families that will determine whether we have served our purpose. Instead of public fanfare we realize our true purpose by a grateful handshake and a heartfelt thank-you.

St. Michael’s Cemetery is located at 72-02 Astoria Blvd., East Elmhurst. For further information call (718) 278-3240.

C

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 12

C M SG page 12 Y K

C M SG page 13 Y K Convenient & Quality Health Care in the Comfort of Your Home

MEDICAL HOUSE CALLS FOR SENIORS AT NO COST OUR SERVICES • FREE PHYSICIAN HOME VISITS • MEDICAL CARE • 24 HOUR TELEPHONE ACCESS • CONNECTING YOU WITH THE SERVICES YOU NEED

Page 13 QUEENS CHRONICLE, Thursday, October 1, 2015

PARKER AT YOUR DOOR

For More Information Call (718) 289-2606

PARJ-067944

Only Medicaid Enrolled Seniors in Queens are Eligible

This document was developed under grant CFDA 93.778 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. However, these contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government.

Flushing House Independent Living - Who We Are retirement experience.

Practically nonexistent a few decades ago, retirement residences similar to Flushing House now number in the thousands across the United States. However, most of these facilities are real estate developments, owned by large, forprofit corporate chains, and they’re a lot more expensive than Flushing House! As a not-for-profit, we pioneered our unique living arrangement, which we called Congregate Living. But our residents don’t have to share rooms to keep costs down! They enjoy their own private, spacious apartments. They are free to come and go, to entertain family and friends, and to make their own financial decisions.

For the convenience of our residents, Flushing Hospital Medical Center operates a satellite Geriatric Clinic right on the premises with physicians and nurses who are experts in the care of older adults. Two New York State-licensed home health care agencies are available on-premises to provide personal services such as assistance with bathing, hygiene and dressing, as well as self-medication management. Residents may use these or any service providers of their choice.

Why is Flushing House so different from most of those other retirement communities? Because as New York State’s largest not-for-profit, Independent Living retirement community, the mission of Flushing House must always come first: To provide a safe, enjoyable and affordable retirement experience for our residents.

Please call our Marketing Department at (718) 762-3198 or (888) 987-6205 for a brochure or to arrange a visit.

Apartments start at $2,550 per month with all services included. Please call for information. www.flushinghouse.com

Retirement residences which combine Independent Living with supportive services on-premises have recently become a popular alternative in the U.S. In Queens, Flushing House is known as a pioneer in such communities. Built in 1974 as a not-for-profit Independent Living retirement community, Flushing House was one of the first ones to offer older adults an alternative and affordable - ADVERTORIAL -

FHOU-067929

SENIOR LIVING GUIDE • Fall 2015

S

eniors know from experience that life is a challenge.

Many may face limited choices when deprived of complete independence by advancing age. Do you move in with your children? Do you agree to a nursing home? What options are available to you?

In addition, we provide a full range of communal services to assist residents with daily tasks, such as restaurantstyle dining with continental breakfast, lunch and dinner served in our beautiful dining room, housekeeping and linen services, a concierge, 24-hour security, a comprehensive activities program featuring state-of-the-art computer learning and fitness centers, WiFi, arts and crafts room,

concerts, movies, game nights, and weekly trips on our own bus! Catholic, Jewish and Protestant religious services are held weekly in our interfaith chapel.

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 14

C M SG page 14 Y K

Senior Living Guide

Medicare Part D: a success

by Larry Hausner Taxpayers a re bei ng raked over the coals by high prescription drug prices — or so says Sen. Ron Wyden (D-Ore.). Claiming that the Medicare prescription drug insurance program, known as Medicare Par t D, is “unsustainable,” he called for federal intervention to curb “skyrocketing drug costs.”

The senator is potentially overstating the case. A new report from the agency that oversees Medicare shows that Part D premiums have not substantially changed in the last five years.

Lawmakers should seek to protect the program — not undermine it. In this there is no dispute with Sen. Wyden.

Established in 2006, Part D provides insurance to 37 million seniors, enabling them to afford the life-saving drugs that keep chronic diseases at bay, thus reducing the number of costly hospitalizations and surgeries. The program has cost $350 billion less than initially projected and about 90 percent of beneficiaries rate it positively.

That satisfaction is largely due to stable premiums. Next year’s average monthly Part D premium will be just

$32.50 — vir tually the same as this year’s rate.

Seniors aren’t the only o n e s b e n ef it i n g f r o m affordable premiums — taxpayers save money too.

Again, by increasing access to medicines, Part D keeps people healthier and out of the hospital. That cuts overall Medicare spending by $12 billion per year. Improved access to heart disease medications alone saves Medicare over $ 2 billion annually.

Part D owes its success to its competitive, market-based structure. Insurers compete with one another to attract customers by providing the best plans at the lowest cost. Insurers and pharmacy benefit managers can offer these low rates because they negotiate large discounts from drug companies, who lower their prices to ensure their medications are covered.

Lawmakers like Sen. Wyden believe that the government could save Part D money by negotiating even larger discounts than those achieved by private insurers. Government officials are currently prohibited from interfering in the negotiations between private insurers

and drug makers.

This sounds nice in theory—after all, who wouldn’t like to lower the cost of Medicare even further?

Unfortunately, government price negotiations wouldn’t necessarily improve Part D. Pharmaceutical firms might temporarily reduce drug prices. But many companies would opt out of Part D rather than lose money by accepting below-market rates. As a result, the number of covered medicines available for seniors to choose from could steadily shrink.

The state of the Department of Veterans Affairs healthcare system could regrettably serve as a warning to lawmakers who want to negotiate drug prices. The VA system’s “negotiated” prices are so low that some drug manufacturers opt out of the program, leaving veterans with access to just 65 percent of the most commonly prescribed medicines. By contrast, seniors on the most popular Part D plan have access to 99 percent of those drugs.

Medicare Part D is popular, costeffective and currently sustainable. Q Larry Hausner is chief patient advocate for the Partnership to Fight Chronic Disease.

Senior group’s annual legislative meet Oct. 9

The Queens Interagency Council on Aging’s legislative COURTESY PHOTO forums can draw a packed house.

All are invited to the Queens Interagency Council on Aging’s 33rd semiannual Legislative Forum, set for 9 to 11 a.m. Oct. 9 at Borough Hall.

Seniors, service professionals and anyone concerned about aging issues are encouraged to attend. Borough President Melinda Katz is expected to participate, along with other city and state elected officials.

This year’s legislative priorities for QICA, a boroughwide umbrella group made up of more than 100 organizations and individuals, include the projected needs of the growing senior population, affordable senior housing and revenue support.

The meeting is free but seating is limited and preregistration is advised. Call QICA at (718) 268-5954 to Q sign up or for more information.

Parker Jewish Institute: Always There When You Need Us our continuum of care includes: • Long-term care • Sub-acute care • Hospice and palliative care • Rehabilitation programs where we serve adults recovering from surgical procedures, stroke, amputation, injuries, and illness • Medical/social model adult day care • Home health care • Medical transportation • On-site dialysis • Insurance plans With so many quality improvements, we ultimately are able to offer better, more cost-efficient care for the 7,000 adults who use our services. We also ease the minds of family members who have come to rely on us.

Parker Jewish continues to improve care through our Nerken Center for Research and Grants, where we conduct studies related to conditions that affect our patients the most. We are making key discoveries in the areas of Alzheimer’s disease and associated dementia, anemia, depression, flu, osteoporosis, neurogenic orthostatic hypotension, palliative care, health information technology and other emerging issues of aging.

As you consider your family’s long-term health care needs, you’ll want to align yourself with an organization that always advocates for what our community’s health care needs are– and knows how to thrive in today’s everchanging and challenging health care environment. That’s Parker Jewish Institute for Health Care and Rehabilitation.

Call us at 877-727-5373 or fi nd us online at http://www.parkerinstitute.org/.

FHOU-067928

PARJ-067953

SENIOR LIVING GUIDE • Fall 2015

A

s your health care needs for a loved one change, Parker Jewish Institute for Health Care and Rehabilitation is your cutting-edge neighborhood partner. We offer our community high-quality short- and long-term care through a range of services.

Today’s challenging health care environment is experiencing rapid-fire changes that require organizations like Parker Jewish to provide care that produces the best quality outcomes for both the patient and for Medicare.

So, we at Parker have made some changes to help meet these goals.

We have implemented electronic data collection and analysis to see where we can better measure quality metric results.

We have added certain services to our offerings, including on-site hemodialysis. This helps us to conveniently offer something that would otherwise take our patients off-site.

At Parker Jewish, we now have a palliative care program, to help treat adults with chronic illness in the comfort of their own home and provide them with a better quality of life.

Parker is at the vanguard of patient-centered culture change in long-term care, offering the most compassionate long-term care that is distinguished by the highest levels of skilled nursing, comprehensive on-site medical services, and excellence in social work services, therapeutic recreation and an on-site pharmacy.

Yet that’s not all that we offer. We realize that today’s patients need a continuum of care as their health situation changes, and we can assist patients at virtually all stages. Beyond short- and long-term care,

C M SG page 15 Y K

When Memory Fades, We’re There

HEALTHY AGING

Page 15 QUEENS CHRONICLE, Thursday, October 1, 2015

cheese. Poly- and mono-unsaturated fats from corn oil, olive oil, avocados and nuts are a preferred alternate to keep cholesterol levels lower.

By following some basic dietary changes, overall improved health can be achieved. Keep in mind that these changes should be looked at as lifestyle modifications that will benefit you moving forward. A common mistake is dieting to lose weight and then reverting back to an unhealthy lifestyle. A gym is not a necessity to create a healthy lifestyle. Adding just 30-50 minby JONATHAN ECKSTEIN, D.O. utes per week of exercise can help to make these Whether you’re concerned about weight gain, changes more visual as we tend to look at our chronic diseases or sex drive, the key to healthy bodies. Some simple changes such as parking at aging is a healthy lifestyle. Eating a variety of the furthest spot available and walking this dishealthy foods, practicing portion control and in- tance to the mall, the library or the grocery store cluding physical activity into your daily routine can add up to 15-30 minutes per week.

A muscle reconditioning program or regimen all go a long way to promote healthy aging. And it’s never too late to make healthier lifestyle can help you stay at a healthy weight as muscle choices. There are no quick fixes for healthier cells are the major calorie burners in our body. aging, so be cautious with supplements or ex- Take the stairs for 1 or 2 flights before waiting for the elevator. Or consider a reconditioning pensive treatments.

As you get older, good nutrition plays an im- program at the local community center. And portant role in how well you age. A low-salt, chair exercise classes are a great way to start low-fat diet with fruits and vegetables can re- off exercising if you haven’t been moving reguduce age-related risks for disease. Protein is larly. Just make sure to drink plenty of water to necessary to maintain and rebuild muscles. Try replace water lost through activity.

The key to healthy aging is to make the lifeto integrate a variety of lean protein sources such as poultry, fish, and eggs or egg substi- style changes. No quick fixes. No magical pills. tutes. We utilize carbohydrates as our body’s Better eating and a basic exercise regimen. preferred source of energy; however, you should avoid simple sugars and concentrated sweets, especially drinks and foods with added ST. JOHN’S EPISCOPAL HOSPITAL sugar. Fat also provides energy, but you should E P I S C O PA L H E A LT H S E R V I C E S I N C . limit the saturated fats from meats, butter and (718) 869- 7000 | WWW. EHS.ORG

EPIH-067971

The Country Cottage at

MEDICAID ELIGIBILITY s we or one of our loved ones age, we find ourselves in a situation trying to find the best medical services available to us. We want a variety of choices and options as we decide what the best course of action is for our healthcare. We want to be protected so that we don’t have to drain our assets, lose our homes, and go broke just to get the medical attention we need and deserve.

924 hour care for residents with Alzheimer’s or other memory impairments 9Nurse always on call 9Separate dining room, Kosher meals available 9Full schedule of specially designed activities

The best way to combat the shortcomings of Medicare is by correctly applying for Medicaid. The Medicaid application is an exhaustive process and must align within the policies and regulations of the New York State Department of Social Services.

A common misconception is the difference between Medicare and Medicaid. Medicare is a system of healthcare for citizens 65 and over and/or disabled. Medicare is something that you’ve worked toward for years. However, it’s only a limited healthcare service and doesn’t pay for chronic illness; it only pays for hospital stays. Nor does it does pay for For more information, please long-term home care services or skilled nursing facilities, two expensive forays contact Jack Lippman at Eldercare that can drain a bank account or force Services, 718.575.5700 or visit www. eldercareservicesny.com someone to have to move.

Elder Care Services, Inc.

Castle Senior Living 108-25 Horace Harding Expressway Forest Hills, NY 11368

Call Today!

718-760-4600 CASS-067320

SENIOR LIVING GUIDE • Fall 2015

A Medicare consultant is experienced in filing these applications and can guide you through the entire process. By having Medicaid, you are able to have assistance with your health insurance, home care services and help in finding the best nursing home to take care of you. Set yourself up to receive the medical services that you need without having to worry about losing everything that you have worked so hard to obtain.

©2015 M1P • ELDC-067962

A

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 16

C M SG page 16 Y K

Assisted Living or Skilled Nursing, which is right for you?

I

f you or you r loved one is searching for an alter native to living alone, an assisted living facility program is what you are looking for.

At York Group Assisted Living, residents receive assistance with activities of daily living as well as skilled services as needed. This allows each of the residents of the York Group to age in place with dignity.

The York Group Assisted Living Program is a social living environment with services including care management, counseling, advocacy, social and residential activities as well as residential services.

Assisted living programs offer 24-hour home care services in a social, congregant care environment. The program is a low-cost alter native for those individuals who are medically eligible for placement in a nursing home but would benefit from a social environment which is less restrictive.

best facility for them. So how do you choose?

What do you look for?

• Ask for a tour. Do not hesitate to ask questions. It is important to be an educated consumer and understand the different levels of care between assisted living and skilled nursing but you should still look for the same things in each.

• Ask yourself how you were greeted by the staff? Did the residents appear active and engaged? Notice the small details like whether shirts are buttoned correctly. First impressions will tell you a lot about how a facility is operated.

W hat is g reat about the York G roup Assisted Living and Elmhurst Care Center is that they are part of the same family of care, offering the same high level quality.

For more information, please contact either Barbara Castellano, Director of Community Relations for York Group at (718) 699-4100, or David Grubin, Director of Marketing for Elmhurst Care Center at (718) 205-8100.

But what if your loved one is ill, has had surgery or is in need of acute rehabilitation?

Then, a skilled nursing facility, like Elmhurst Care Center, is what is needed.

Patients receive the extended care for both long- or short-term care that is needed when independent or assisted living is no longer an option. Often times, however, a person enters a nursing home through hospital discharge with only a few days notice to vet and choose the

MEDICAL HOUSE CALLS FOR OLDER ADULTS We know it can be difficult to get the medical care you need, especially when you don’t feel well enough to travel to your doctor’s office. Now with Parker At Your Door, a physician can provide you with convenient and quality medical care in the comfort of your home.

Our services include free physician home visits, primary care, referrals to in-home and community-based services, and telephone access to the care team 24 hours a day, seven days a week. The care team includes a Physician, Registered Nurse, Social Worker and Care Navigator.

Parker At Your Door is a community health program of the Parker Jewish Institute for Health Care and Rehabilitation.

PARJ-067972

SENIOR LIVING GUIDE • Fall 2015

Parker At Your Door is a physician house calls program for Medicaid enrolled adults in Queens County, who are 65 years of age or older. All of our services are free and paid for by a New York State Department of Health grant.

FOR MORE INFORMATION CALL

(718) 289-2606

This document was developed under grant CFDA 93.778 from the U.S. Department ofHealth and Human Services, Centers for Medicare & Medicaid Services. However, these contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government.

Things to consider when looking for a home care agency

W

hen recovering from an injury or illness, you may need a little help around the house. You want assistance without having to rely on your loved ones too much. You want quality and compassionate care from experienced professionals. Most of all, you want to remain in your home — in comfortable surroundings.

Home care allows you to stay in a comfortable, familiar place near family and friends, and is less stressful than a hospital or skilled nursing facility.

Home care visits follow the prescribed plan from your doctor. This includes routine visits that are convenient with your schedule. Sensitivity to cultural differences and religious beliefs is also very important. You need to trust that your caregiver will be understanding, respectful, and specially trained to adapt care to meet the needs of families from all ethnic groups.

Aliah Home Care Agency supplies this and much more, serving boroughs throughout the greater New York area, including Queens, Brooklyn, Manhattan, the Bronx, Staten Island and Westchester. Services are covered by most health insurance plans including Medicare, Medicaid and commercial insurance as well as by private payment.

Aliah Home Care is a full-service home care agency, and will take your loved one through the often-difficult and confusing process of securing home care with relative ease. Their representative will give you and your family the confidence of knowing that

the best interest of the patient is always our first concern.

• Your Aliah representative will work with you to secure quality home care quickly, no matter which insurance is available to the patient.

• Careful, personal and compassionate attention is given to patients and their families throughout the home care process. The Aliah representative will meet with the patients and/or their families to answer all questions and address all concerns in person.

• Patients and their families will be frequently updated throughout the home care process.

• All of your patient’s cultural and religious concerns are respected, and the Aliah Home Health Aides will be made aware of, and sensitive to, those concerns.

• The Aliah representative will be available to provide continuing consultation to patients and their families after the home care service has started.

• Aliah Home Care’s management staff have decades of hands-on experience in the healthcare profession, are directly involved in the day-to-day operation of the agency, and in the ongoing care of our patients.

• Aliah Home Care is accredited by the Joint Commission (JCAHO). They are located at 98-04 Astoria Boulevard, East Elmhurst, NY 11369. To learn more about how Aliah Home Care can help you or your family please contact Ari Krup at (718) 879-1414 or visit the web site at www.ALIAHHOMECARE.COM.

Are you or a loved one struggling with stairs?

Do you feel like a prisoner in your own home?

Are you even thinking about moving out of the home you love?

Don’t worry, StairGlide NY offers the safe and economical solution that may be right for you.

A stair lift—sometimes called a stair glide— is the perfect affordable solution to mobility when stairs present accessibility issues.

Sometimes a person may not struggle completing the daily ‘ADL’s (Activities of Daily Living) yet is no longer able to move safely about their multi-level home—stairs are their only challenge to daily living. Before moving or thinking it may be time to consider an assisted living facility, a person can maintain independence and remain in the comfort of his/her own home with a stair lift.

StairGlide NY is the Authorized Factory Distributor for all of the top leading brands. Their team provides quality, honest, and reliable service from the initial consultation to the long-term care of your accessibility product. Installation generally takes a few hours and is completed within 24-48 hours of your first on-site visit when

a technician will create a customized installation plan to best fit your mobility needs. All staircases can be fitted with the correct lift equipment— whether they be straight or curved or spiral.

They also install platform lifts for wheelchairs as well as weatherproof outdoor lifts to provide exterior mobility and accessibility.

StairGlide NY can take you up and down steps effortlessly in safety and comfort much like a personal elevator. If you or a loved one has not been able to enjoy total mobility at home, stair lifts are a great solution to regain safe and independent living.

For more information or free in-home consultation, contact: 631-647-8855 or visit www.stairglideny.com.

TK Witaker has expanded into StairGlide NY

Serving the entire Tri State Area of New York, New Jersey and Connecticut.

ADVERTORIAL

C M SG page 17 Y K Page 17 QUEENS CHRONICLE, Thursday, October 1, 2015

Established 1852 St. Mary’s Community Mausoleum

$

00

500 Off

This is a Pre-Construction Certificate of Savings of $500.00 per space in the soon to be completed St. Mary’s Mausoleum.

Discount may be discontinued without prior notice.

St. Mary’s Community Mausoleum

SENIOR LIVING GUIDE • Fall 2015

STMC-065442

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 18

C M SG page 18 Y K

Senior Living Guide

SENIOR CENTERS Senior Centers are the core network of senior services. They are located in every community throughout the borough. These Centers typically provide hot lunches, coordinate recreational and educational activities, case management, socialization, information and referral, support services and transportation programs. The following is a listing of Queens senior centers by community board: CB 1 ________________________________ Queensbridge/Riis Senior Center (718) 937-1093 10-25 41st Ave., Long Island City Woodside Senior Center (718) 932-6916 50-37 Newtown Road, Bldg. #19, Woodside CCNS-Dellamonica Senior Center (718) 626-1500 23-56 Broadway, Astoria HANAC Ravenswood Senior Center (718) 786-1550 34-35A 12th Street, Long Island City Raices Astoria Senior Center (718) 726-9642 21-21 30th Drive, Long Island City HANAC Archbishop Iakovos Senior Center (718) 777-5505 32-06 21st Street, Astoria HANAC Lindsay Senior Center (718) 626-3035 27-40 Hoyt Avenue South, Astoria

CB 4 _______________________________ Newtown Senior Center (718) 335-7272 83-20 Queens Blvd., Elmhurst IPHE Corona Senior Center (718) 639-2000 108-74 Roosevelt Avenue, Corona Raices Corona Senior Center (718) 458-7259 107-24 Corona Avenue, Corona Florence E. Smith Senior Services (718) 899-0553 102-19 34th Avenue, Corona Korean American Senior Center (718) 651-9220 37-06 111th St., Corona Lefrak Senior Citizens Center (718) 457-9757 98-16 55th Ave., Corona IPRHE-Elmhurst Jackson Heights Senior Ctr. (718) 478-7171 75-01 Broadway, 3rd floor, Elmhurst

CB 2 _______________________________ Sunnyside Community Senior Center (718) 392-6944 43-31 39th Street, Long Island City

CB 5 _______________________________ Ridgewood Older Adult Center (718) 456-2000 59-14 70th Avenue, Ridgewood Peter Cardella Senior Center (718) 497-2908 68-52 Fresh Pond Road, Ridgewood Selfhelp Maspeth Senior Center (718) 429-3636 69-35 58th Avenue, Maspeth Middle Village Older Adult Center (718) 894-3441 69-10 75th Street, Middle Village

CB 3 _______________________________ Elmcor Senior Center (718) 457-9757 98-19 Astoria Boulevard, East Elmhurst CCNS-Catherine Sheridan Senior Center (718) 458-4600 35-24 83rd Street, Jackson Heights

SENIOR LIVING GUIDE • Fall 2015

Queens Center for Gay Seniors (718) 533-6459 74-09 37th Avenue - Room 409, Jackson Heights

Queens Community House Senior Center

CB 6 _______________________________ Queens Community House Senior Center (718) 699-1010 108-25 62nd Drive, Forest Hills Selfhelp Austin Street Senior Center (718) 520-8197 106-06 Queens Boulevard, Forest Hills Young Israel Forest Hills Senior League (718) 520-2305 68-07 Burns Street, Forest Hills Rego Park Senior Center (718) 896-8751 93-29 Queens Boulevard, Rego Park Central Queens Y - Adult Wellness Program (718) 268-5011 67-09 108th Street, Forest Hills

Peter Cardella Senior Center in Ridgewood.

CB 7________________________________ CPC Queens Nan Shan (718) 358-3030 136-18 39th Avenue, 6th Floor, Flushing Selfhelp Latimer Gardens Senior Center (718) 961-3660 34-30 137th Street, Flushing Selfhelp Benjamin Rosenthal Senior Center (718) 886-5777 45-25 Kissena Boulevard, Flushing HANAC Angelo Petromelis College Point Senior Center (718) 961-0344 13-28 123rd Street, College Point North Flushing Senior Center (718) 358-9193 29-09 137th Street, Flushing Korean American Senior Center of Flushing (718) 886-8203 42-15 166th Street, Flushing College Point Senior Center (718) 358-9193 22-38 College Point Boulevard, College Point CB 8 _______________________________ CCNS-Hillcrest Senior Center (718) 297-7171 168-01B Hillside Avenue, Jamaica Jewish Center of Kew Gardens Hills Senior Center (718) 263-6500 71-25 Main Street, Flushing Pomonok Senior Center (718) 591-3377 67-09 Kissena Boulevard, Flushing Young Israel Queens Valley Senior Center (718) 263-6995 141-55 77th Avenue, Flushing CB 9 _______________________________ CCNS-Ozone Park Senior Center (718) 847-2100 103-02 101st Avenue, Ozone Park CCNS-Woodhaven-Richmond Hill Senior Center (718) 847-9200 89-02 91st Street, Woodhaven Kew Gardens Community Center (718) 268-5960 80-02 Kew Gardens Road, Suite 202, Kew Gardens CB 10 ______________________________ CCNS Howard Beach Senior Center (718) 738-8100 155-55 Cross Bay Boulevard, Howard Beach

CB 11 _______________________________ Samuel Field Y Senior Citizens Program (718) 225-6750 58-20 Little Neck Parkway, Little Neck CCNS-Bayside Senior Center (718) 225-1144 211-15 Horace Harding Expressway, Bayside Selfhelp Clearview Senior Center (718) 224-7888 208-11 26th Avenue, Bayside CB 12 ______________________________ International Towers Senior Center (718) 739-6988 90-20 170th Street, Jamaica JSPOA Theodora Jackson Center (718) 657-6618 92-47 165th Street, Jamaica Allen Community Senior Citizen Center (718) 658-0980 166-01 Linden Boulevard, Jamaica JSPOA Friendship Nutrition Center (718) 657-6540 92-33 170th St., Jamaica Robert Couche Senior Citizen Center (718) 978-8352 137-57 Farmers Boulevard, Springfield Gardens Rochdale Village Senior Center (718) 525-2800 169-65 137th Avenue, Jamaica Brooks Senior Center (718) 291-3935 143-22 109th Avenue, Jamaica JSPOA Rockaway Blvd. Senior Center (718) 657-6468 123-10 143 St., Jamaica CB 13__________________________________ SNAP Brookville Center (718) 525-8899 One Cross Island Plaza, Rosedale SNAP Innovative Senior Ctr. of Eastern Queens (718) 454-2100 80-45 Winchester Boulevard - Building 4 CBU #29 Queens Village Alpha Phi Alpha Senior Center (718) 528-8238 220-01 Linden Boulevard, Cambria Heights Information from the Senior Citizen Resource Guide

C M SG page 19 Y K Page 19 QUEENS CHRONICLE, Thursday, October 1, 2015

Painful Varicose Veins & Swollen Legs?

Varicose veins are MORE than a cosmetic problem.

They can also be a warning sign of a condition called Venous Insufficiency that kills over half a million people every year.

DO YOU SUFFER FROM Varicose Veins Spider Veins Itching and Burning Leg Pain and Cramps Heaviness and Swelling

Skin Discoloration Ulcers and Blood Clots Difficulty Walking Long Distances

You may have a serious medical condition called Venous Insufficiency. Our non-surgical, minimally invasive and painless endovenous procedure only takes 15 minutes.

Have you had prior vein treatment and are not satisfied with the results? We specialize in corrective treatment.

When it comes to your health, trust your legs to the top vascular specialists at USA Vein Clinics.

Medicare and most insurances accepted! Call us today to schedule your appointment

www.USAVeinClinics.com

NEW YORK

1153 First Ave • Manhattan, NY 10065 2511 Ocean Ave, Ste 102 • Brooklyn, NY 11229 2444 86th St, Ste A • Bensonhurst, NY 11214 116-02 Queens Blvd • Forest Hills, NY 11375

NEW NEW

HEALTHFIRST!

1975 Hylan Blvd • Staten Island, NY 10306 260 W Sunrise Hwy, Ste 102 • Valley Stream, NY 11581 4159 Broadway • Washington Heights, NY 10040 NEW JERSEY

766 Shrewsbury Ave, Ste 300 • Tinton Falls, NJ 07724 UASV-067952

SENIOR LIVING GUIDE • Fall 2015

(718) 732-3670

NOW ACCEPTING

QUEENS CHRONICLE, Thursday, October 1, 2015 Page 20

C M SG page 20 Y K

Medicare Advantage Plans for 2016!

Cost-saving Benefits • Help from Our Experts • Doctors You Know and Trust •

Your licensed Medicare Sales Representative will meet with you in the comfort of your home, answer all your questions, and help you choose the plan that’s right for you.

Depending on the Medicare Advantage plan, key benefits include:

SENIOR LIVING GUIDE • Fall 2015

• $0 monthly plan premium • $0 deductible for prescription drugs • $0 copay for preferred generic drugs • $0 or low copay for doctor visits • Over-the-Counter card with up to $75 per month • $0 copay for annual dental checkup • Flexible spending benefit • Transportation ...and much more!

1-800-860-8707 (TTY: 1-800-558-1125) Open Enrollment runs from October 15-December 7, 2015 It's easy to enroll anytime online at fideliscare.org

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Fidelis Care is a Coordinated Care plan with a Medicare contract and a contract with the New York State Department of Health Medicaid program. Enrollment in Fidelis Care depends on contract renewal. Fidelis Care is an HMO plan with a Medicare contract.

Enrollment in Fidelis Care depends on contract renewal.

H3328_FC 15121 Accepted