Lovin' Life After 50: East Valley Expo Program 2017

E AST V ALLEY HEALTHY LIVING

EXPO Expo Program & Resource Guide Wednesday, November 8, 2017 9:00 a.m. - 1:00 p.m.

Mesa Convention Center

201 North Center Street | Mesa, AZ 85201

www.lovinlifeafter50.com/expo

Gold Sponsor

Now in our

30th Year

expo

AROUND THE

3 Exhibitor List 18 HMO Charts 4 Schedule of Events 20 Ms. Senior Arizona 5 Sean Hoy, emcee 25 Rich Howard Orchestra 6 Services for Seniors 29 Cameo Foundation 8 National Family 32 Bob Roth/ Caregivers Month Aging Today 12 Arizona Relay 34 Healthy Aging Service Proud Member of

Ageless Attitudes Since 1979

to the Welcome

HAVE A GREAT TIME!

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inator les Coord Expo Sa n o Tracey Wils r ordinato o C o Exp y ard Sherri Ger

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Tonya Mild

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A BETTER WORLD A BETTER WORLD + YOU

This is the official program for the 2017 Lovin’ Life Healthy Living Expo. For more than 30 years, Lovin Life After 50 has hosted expos in the Tucson and Phoenix metro areas. Each year, thousands of those enjoying life after 50 attend our events to become more familiar with products and services in their community. If you would like to become an exhibitor at one of our future expos, please get your application by contacting our expo coordinator.

+ YOU

A BETTER WORLD + YOU R WORLD YOU Cigna+ proudly supports the Lovin' Life After 50 Expo.

Cigna proudly supports the Lovin' Life After 50 Expo.

We salute the outstanding achievements of Times CignaGroup. proudlyTogether, supports the Lovin' 50aExpo.achievements Media weʼre making theAfter world We salute the Life outstanding better, healthier place to live.achievements of Times We salute the outstanding

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Cigna HealthCare of Arizona, Inc.achievements The Cigna name, logos, and other We salute the outstanding of Times Cigna marks are owned Cigna Intellectual Property, All Cigna products andby services are provided exclusively by or Media Group.

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EAST VALLEY LIVING EXPO | NOVEMBER 2017 www.LovinLifeAfter50.com 2 depends Spring onHEALTHY contract renewal.

E AST V ALLEY HEALTHY LIVING

EXPO

2017 Exhibitors • AFC Physical Medicine & Chiropractic Centers • Always Best Care Senior Services • Amada Senior Care • Angels Cremation & Burial • Arizona Department of Gaming - Division of Problem Gambling • Arizona Renaissance Festival • Arizona Senior Olympics • Banner Health • Blue Cross Blue Shield • Bunker Family Funerals & Cremation • Cameo Foundation • CapTel • Carnation Home Cleaning • Chandler Senior Center • Cigna Health Care • City of Scottsdale Senior Services • ClearCaptions • Complete Hospice Care • Connect Hearing • Dental Center of Mesa • Dentistry at Power Ranch

www.LovinLifeAfter50.com

• Dignity Memorial • Dreamstyle Remodeling • East Valley Adult Resources • Extreme Energy Solutions • Fitzmaurice Hand Institute • Fletcher Music Centers • Foundation for Senior Living • Friendship Village Tempe • Fuller Life Chiropractic • Gentle Dental • Good Samaritan Society Mesa Good Shepherd • Health Markets Insurance Agency • HealthSouth Scottsdale Rehabilitation Hospital • Hear USA • Hospice of the Valley • Humana • Iora Primary Care • Living Care Lifestyles • Lost Inside Ministry • Massage Envy • Mazatzal Casino • Med-Care Senior Insurance Solutions • Mercy Care Plan

• Mi Casa • Midwestern University Body Donation Program • Miracle-Ear Hearing Center • Pellegrini and Associates • Piefection • Premiere Retirement Planning & Wealth Management • Real Estate Finance Corporation • Reliant Capital • RJP Estate Planning • San Tan Memorial Gardens at Schnepf Farms • Senior Directory • Senior Market Insurance • SRP • Synergy HomeCare • Tatanka Research Group • The Well Chiropractic Clinic • Total Image Med Spa • Travel Vaccines & Wellness Solutions • UroLift • Wall-2-Wall Dance Center

NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO

3

E AST V ALLEY HEALTHY LIVING

EXPO 2017

Event Schedule

9 a.m...............Exhibit opens

9:15 a.m. .......Official welcome by Sean Hoy, emcee 10 a.m. ...........Door prizes; $100 drawing giveaway Sean Hoy, emcee

Rich Howard Orchestra

10:05 a.m. ....Sponsor announcements 10:10 a.m. ....Rich Howard Orchestra performs 11 a.m. ...........Door prizes; $100 drawing giveaway 11:05 a.m. ....Sponsor announcements 11:10 a.m. ....Rich Howard Orchestra performs Noon ...............Door prizes; $100 drawing giveaway 12:05 p.m. ....Sponsor announcements 12:10 p.m. ....Rich Howard Orchestra performs 1 p.m. .............Expo concludes

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EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

www.LovinLifeAfter50.com

Stand-up Guy

BY DIANE MEEHL Sean Hoy admits it: He’s no good at accounting, and he had a cubicle job for all of a week. Early in his life, the consummate “class clown” performed his own talk shows beginning in second grade in the school library. He’s still doing that today, playing master of ceremonies, event host and even private bartender.

Hoy has emceed several Lovin’ Life After 50 Expos, where seniors mix it up with vendors and service providers to learn about the various resources available to them. He reports the gigs are great ones. “I love the crowd,” he says. “They’re just so appreciative of a smile. You can see they appreciate the energy we bring to them. You can really make someone’s day there.”

Just don’t expect him to stand onstage and tell jokes at the expos. Burning off his infectious, relentless energy, he’ll be roaming the room and interviewing folks at the booths.

“A long time ago, I learned that making people laugh wasn’t about me. It wasn’t about how funny I could be. It was about talking to people. Now I incorporate the audience into my show. Nothing’s more funny than a secretary who has something to say about the boss,” he shares. “I just hold the microphone (or wireless mic) and I let the guests be the stars,” he says.

Sean Hoy has hosted several LLAF expos. (Photos courtesy Sean Hoy)

Like most “aha” moments, it was a tough one onstage that shaped the biggest lesson he learned in his career: to put people first. “I was emceeing an event at the Arizona Humane Society, where I do a lot of work,” he says. “They wanted us to come and do comedy, and I thought it would be so cute and fun, puppies and all that.

“But the crowd was so somber, and people in the audience were crying. Someone pulled me aside to remind me it was

Sean Hoy...continued on page 7

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Services for Seniors A directory of programs and services for senior residents in the Phoenix and Tucson areas GENERAL INFORMATION Arizona Assisted Living Federation of America 602-322-0100 Arizona Department of Health Services 602-542-1000 Arizona Health Care Association 602-265-5331 Arizona Hospice & Palliative Care Organization 480-967-9424 Benevilla 623-584-4999 Community Services Administration 602-542-6600 Family Caregiver Alliance 800-445-8106 Foundation for Senior Living 602-285-1800 Governor’s Advisory Council on Aging 602-542-4710 Information and Referral Services Phoenix: 602-263-8856 Tucson: 520-325-1303 Long Term Care Ombudsman 602-542-4446 OASIS 520-795-3950 x 2113 Office of Aging and Adult Administration 602-542-4446 Senior Help Line 602-264-4357 Volunteers for Hospice 623-583-4490

HEALTH SERVICES Alzheimer’s Association 602-528-0550 American Cancer Association 602-224-0524 American Heart Association 602-414-5353 American Lung Association 602-258-7505 American Parkinson Disease Association 800-908-2732 American Red Cross 602-366-6660

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Arthritis Foundation 602-264-7679 Easter Seal Society of Arizona – Stroke Club 602-252-6061 EMPACT Suicide Prevention Center Phoenix: 480-784-1500 Statewide, toll-free: 866-205-5229 Phillip’s Lifeline 520-465-4111 Tucson Medical Center’s Seniors Program 520-324-1960

AREA AGENCIES ON AGING Maricopa County: 602-264-2255 Pima County: 520-790-7262 Gila, Pinal County: 520-836-2758

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FINANCIAL INFORMATION Arizona Veterans Service Phoenix: 602-627-3261 Tucson: 520-207-4968 Catholic Social Services Phoenix: 602-997-6105

Tucson: 520-623-0344

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Supplemental Security Income (SSI) 800-772-1213

EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

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Sean Hoy...continued from page 5 a bereavement event. And I learned then that you really have to know your audience. That experience changed how I performed, and it changed my soul, too.”

Tools of the Trade

A native Arizonan, Arizona State graduate and one of four children, Hoy started out as a cartoonist, something he’s still passionate about. The editorial bone is in his blood, he says. His father was an accomplished photojournalist, whose credits include a post as White House photographer spanning several administrations beginning in 1963. (In fact, his parents met at the Washington Post.)

Hoy worked the stand-up comedy circuit at lofty marquees, including the Comedy Store in Southern California, and the Scottsdale Improv. But it was his work drawing pictures that led to his real start juggling his craft as a cartoonist with emceeing fundraisers, corporate parties and other events.

“The people at Ames (Drywall Finishing Tools & Services) asked me to draw a character for them. Then, they said, ‘That’s you.’”

He got to play the character for several years, fortuitous for a man who claims comedy is his “tool” wherever he’s working.

Hoy says he enjoys working for Phoenix Children’s Hospital and the Arizona Humane Society and other charitable causes.

His mixology classes are packed to overflowing at the Four Seasons, where he stirs in comedy with cocktails. Hoy also 480-719-2613

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landed a “man on the street” gig for local legendary DJ Dave Pratt’s radio show and now television production.

And he’s got a talk show dubbed Hoylarious, on which he emulates some of his heroes, including Johnny Carson and Jimmy Fallon. “I admire their laid-back likeability,” Hoy says he has “a happy center.” he says. “I’m not really into being put on the spot when people say, ‘Hey, funny boy, make me laugh!’”

Once he played emcee for a casino event with a Goodfellas theme for RSC Rentals. “I got to wear this cool tux, and I threw a couple of horse heads in bed just to get into character,” he quips.

Clearly he can be funny on demand, but he still prefers to let the audience come up with the best lines. He’s not one of those comics, he says, whose brand of comedy masks a deeper sadness. “Not me. I’ve got a happy center,” he says.

“And I want to use it to spread joy and happiness to others.”

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Caring for Caregivers during National Family Caregivers Month

BY NIKI D’ANDREA People born between 1945 and 1965 have been called different generational terms, most familiarly “Baby Boomers.”

But now, many people in the Boomer age group are finding themselves under another label: the “Sandwich Generation.”

The term has nothing to do with what they eat. The Sandwich Generation consists of those people who find themselves caring for both their underage children and their aging parents simultaneously. It’s a group growing in tandem with the expanding percentage of “family caregivers” – those who provide care for an aging or disabled loved one, free of charge, and often free of outside resources.

The U.S. Department of Health and Human Services estimates that approximately 70 percent of people age 65 and older will need some form of long-term care. And a recent AARP study shows that 87 percent of adults age 65 and older want to “age in place” and stay in their own homes, rather than be moved into a care facility. There are two options for people who want to provide in-home care for their elders: Hire a company to provide it, or be the caregivers themselves. According to the Arizona Office on Aging, family caregivers provide more than 80 percent of all uncompensated care in the state.

But caring for an older adult (or a younger one with a disability) is not easy. Even selecting the right home care provider can be a challenge. So what should people look for in a prospective provider?

There are myriad home care providers throughout the Phoenix metro area and Tucson. One measure of a company’s reputation is whether or not they’ve been recognized by a national organization in the field, according to Carrie Kandes, who does public relations for FirstLight Home Care, a nationwide company that provides non-medical care.

“Non-medical home care provides the assistance and support people may need to maintain independence where they live,” Kandes says. “We’re helping people in your community maintain independence and enhance quality of life where they live.”

FirstLight offers non-medical assistance with things like bathing, cooking, light housekeeping, errands and transportation. Another Arizona-based company, Golden Heart Senior Care Scottsdale, which provides services Valleywide,

Caregivers...continued on page 10

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Caregivers...continued from page 8 recently launched a program called Golden Heart Concierge to provide more specialized services.

“We have had many clients request a higher level of service for all aspects of their lives,” says Laurie Malone, managing partner and CEO of Golden Heart Senior Care Scottsdale. “We can manage any level of service that our clients need. We separate ourselves through distinctive enhancements on our offerings and we strive to ensure that all facets of daily life are met.”

Golden Heart’s expanded services include support from RNs, CNAs, estate attorneys, real estate experts, physical therapists, A recent AARP study shows that 87 percent of adults age 65 and older want to “age in place.” exercise instructors and more.

Supportive tasks could include moving a patient in and out of level of standards care and owner accountability,” he says. “We hospitals, coordinating medical advocacy, reviewing healthcare ensure we match our caregivers’ skills with our clients’ needs. It coverage, financial management or handling discharge is a delicate dance to match-make clients and caregiver skills paperwork. All of these services should be performed by only and personalities All play a role in ensuring that we meet and the most qualified professionals, according to Golden Heart exceed client needs.” partner and COO Rodney Malone. “People respond to a higher

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EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

www.LovinLifeAfter50.com

Happiness – an important part of overall health

BY KAREN MCINTYRE, LCSW, TMC

Gerospychiatric Center

Keeping an eye on physical health is an accepted standard as we age, and there are seemingly limitless resources for maintaining strong physical health. While there is no denying the value of physical fitness, many often overlook emotional health as a vital part of overall well-being for seniors.

Everyone experiences dips in mood, and it is common to feel down or anxious. Just as there are physical exercises that boost physical health, there are effective mental exercises and habits that can help seniors build and maintain emotional health.

Eat healthy – Eating a healthy diet helps the brain maintain strong and active neuro-connections, affecting focus, memory and mood. Eat antioxidant foods, drink lots of water and don’t skip meals. You can find supported dietary guidelines at health.gov, and don’t forget to check with your doctor before changing your diet.

Exercise regularly – Physical exercise is another habit that benefits mind and body. When you exercise, the body releases chemicals called endorphins. These chemicals trigger neurotransmitters, i n c r e a s i n g happiness and reducing pain and stress. It is often referred to as a “runner’s high.”

How much exercise is right for you? You don’t have to run a marathon. Most forms of mild exercise will benefit your mood, but everyone should consult their doctor before starting an exercise regimen.

What if you have been prescribed limited physical activity?

Laugh. Like exercise, laughter also releases endorphins and will boost your mood and mental faculties.

comfort zones. Maybe take a pottery class or dancing lessons.

Attend a lecture series, visit a botanical garden or go to the theater.

Love and friendship – This recommendation might get some funny looks, but McIntyre said keeping love in your life is important to maintaining happiness. This doesn’t necessarily mean love in the romantic sense. It can be spending time with friends and family, caring for a pet, or even talking with someone you care about over the phone.

Some find themselves in situations where friends and family are far away, and don’t have many connections. Join social activities and build relationships. People are always surprised how quickly and easily they form new friendships in social settings.

These five steps can be a meaningful part of your overall happiness and support a fulfilling lifestyle that includes strong physical and emotional health. These are great ways to reach the enjoyment and life satisfaction that we deserve as we age.

Challenge your mind – Just like movement can keep a heart healthy, mental activities keep brain synapses firing and the associative cortex moving, and that supports memory and emotional health. Crossword puzzles, Sudoku, memory games and other mental activities can help with focus but they also have been shown to increase confidence and happiness, too.

Do something new – Routine is great and comforting in many ways, but frequently engaging in new experiences is emotionally healthy. Sometimes we can fall into a rut that reduces mental stimulation, as well as the endorphins and other chemicals that keep us mentally focused and happy.

Doing something new doesn’t mean going outside of your www.LovinLifeAfter50.com

Karen McIntyre is an experienced licensed clinical social worker (LCSW) who currently serves as the milieu coordinator at the TMC Gerospychiatric Center. Ms. McIntyre specializes in senior behavioral-health counseling and neuro-cognitive care.

NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO

11

Emergencies Happen

Prepare a basic emergency supply kit in the event of an emergency or disaster.

(Special to LLAF)

How can you better prepare for them?

BY KEN ARCIA

Arizona Relay Service

Let’s face it: When an emergency occurs, it is worrisome for just about anyone. For those who have a hearing loss or are deaf, emergencies can be even more so without taking the proper precautions to prepare for them.

During any emergency situation, first responders are swamped trying to assist as many people as they can. They can’t be everywhere at once, which is why it is so important each of us does our part to be prepared in the event an emergency does occur. We have compiled some tips that are useful to everyone, as well as a list of emergency preparedness equipment that can help you safely navigate an unexpected crisis.

What should I include when creating an emergency preparedness plan?

Make a list of important phone numbers. This should

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include both landline and cell phone numbers, if available. Be sure to include an out-of-town contact who you can tell that you are safe. It is important to note that even if phone lines are down and you aren’t able to place a call, it is possible for text messages to go through.

Have an evacuation route. Know the ways you can exit your home. You should try to have at least two exits from every room in case a fire prevents you from exiting through the door. Also select a family meeting place both in the neighborhood and outside the neighborhood to confirm everyone has arrived safely.

Make sure to include your pets in your plan. If you have pets, be sure they are noted in your evacuation plan. Create a list of hotels that are pet-friendly in the event you need to stay in one for several days. And include vet information in case records are needed.

Research and see if your neighborhood/city keeps a registry of people who might need additional communication services in the event of an emergency. If so, be sure to register yourself. This will allow emergency responders to assist you quickly in any sort of disaster.

Ask a neighbor to help keep you informed. If you aren’t able to hear the warning system, ask a neighbor or someone in your support network if they would be willing to keep you informed in the event of any emergency. Add their contact information to your list of phone numbers.

Put together an emergency kit. It’s always best to have one of these available to you in case of an emergency. Be sure to include non-perishable food, water, medication, a first aid kit and preprinted messages if you are deaf or hard of hearing that will assist others in communicating with you.

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Emergencies...continued from page 12 Is there equipment available that will help notify me of an emergency?

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Alerting devices not only help people stay connected; they also help keep people safe during an emergency situation.

They use one or more of these types of signals: visual (flashing lights), vibrotactile (vibrating components) or auditory (increased amplification and lower frequency sounds).

These types of signals can be found in the following alerting devices: Alarm clocks - customized alarm clocks for people who have hearing loss come in many forms, including those that have builtin strobe lights or bed-shakers.

Doorbell signalers – these can range from a simple, flashing strobe light to a system connected to your phone or one with its own receiver.

Phone signalers – with advancements in technology, phone signalers, while still useful, have been adapted more towards cell phone usage. Modern bracelets can now alert people when their cell phone is ringing, when they are receiving a text and even when a fire alarm goes off.

Weather alerts – these alerts can give warning to those who either cannot hear storm sounds outside or aren’t tuned into the TV. A weather alert radio can be used on its own or with other accessories, such as strobes or bed shakers.

Baby cry signalers – manufacturers now make transmitters and receivers specifically meant to detect a baby’s crying and transmit it to a central alert system. If you are in need of an alerting device but aren’t sure which kind will best suit your situation, organizations like the Arizona Technology Access Program (AzTAP) not only offer advice and technological support, but they also will lend you an alerting device for up to two weeks in order to help you determine whether it’s right for you. All of these services come at no cost.

In addition to AzTAP, Arizona Relay Service provides comprehensive support and advice for those who are deaf or hard of hearing. These include how to place a call through Arizona Relay, how to effectively operate various communication services, like TTY, VCO and captioned telephone services, Arizona Telecommunications Equipment Distribution Program information, a comprehensive list of relay-friendly businesses in Arizona and an updated calendar to keep you informed on upcoming events, workshops and expos aimed towards healthy hearing awareness and education.

For more information about AzTAP and Arizona Relay Service, visit aztap.org and azrelay.org.

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EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

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NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO

15

Blue Cross Blue Shield of Arizona raises health care bar with new CEO

BY NIKI D’ANDREA This month, a new president and CEO of Blue Cross Blue Shield of Arizona (BCBSAZ) officially assumes the helm of the state’s largest locally owned healthcare insurer.

BCBSAZ named Pam Kehaly as the new president and CEO in October. Kehaly has served as president of Anthem, Inc.’s West Region, which includes Anthem’s affiliated Blue Cross/ Blue Shield health plans in eight states. Kehaly was chosen for the position after former president and CEO Richard L. Boals retired in July, after 45 years with the company.

“Pam has the experience, vision and commitment to advance the mission of Blue Cross Blue Shield of Arizona,” says Rebecca Burnham, BCBSAZ board chair. “Pam can lead us into a future where we continue to improve the quality of life for Arizonans by successfully aligning the health care system around our members and patients.”

Kehaly says she is “deeply committed to continuing the legacy that BCBSAZ has established in the community and collaborating with all stakeholders to make Arizona one of the healthiest states in the nation.”

For more information on BCBSAZ, visit azblue.com.

Pam Kehaly assumes the role of BCBSAZ president and CEO this month.

(Courtesy BCBSAZ)

Learn more about Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Arizona Advantage

Blue Cross Blue Shield of Arizona (BCBSAZ) is committed to helping Arizonans get healthier faster and stay healthier longer. With a focus on connecting people with the care they need, BCBSAZ offers health insurance and related services to nearly 1.5 million customers. In serving the state’s healthcare needs BCBSAZ offers six Medicare supplement plans and two prescription drug plans (PDP) available statewide. Blue Cross Blue Shield of Arizona Advantage also offers two Medicare Advantage Prescription Drug Plans (MAPD-HMO) available to Medicare eligible residents in Maricopa and Pima Counties, as well as select zip codes within Pinal County.

BCBSAZ employs nearly 1,500 people in its Phoenix, Chandler, Flagstaff and Tucson offices.

Through advanced clinical programs and community outreach, BCBSAZ is moving health forward.

To learn more, visit azblue.com.

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17

HMOs That Assume Responsibility for Medicare Coverage COMPANY

Blue Medicare Advantage Classic (HMO) (Available in Maricopa County, Pima County and parts of Pinal County)

CareMore Touch (HMO SNP) Maricopa County H2593-019

Cigna-HealthSpring Preferred (HMO)

(Available in Maricopa county, and select Zip codes within Pinal County: 85117, 85118, 85119, 85120, 85140, 85143, 85178 and 85220)

Premium or Subscription Charges

$0 monthly premium

$0

$0 monthly plan premium. Cigna contracts with Medicare to provide full Medicare coverage plus additional benefits.

Registration or Policy Fee

None

Must have Part A and Part B of Medicare, Live in the service area, must reside in a long-term care community or plan approved location and cannot have ESRD.

N/A

Pre-existing Health Conditions

Not available for patients with end-stage renal (kidney) disease and receiving dialysis.

Must not have ESRD

Not available for patients with end-stage renal (kidney) disease.

Costs on Entry to Hospital

$250 per day for days 1-7 in plan hospital; same cost sharing for non-plan hospital with prior authorization (different cost sharing applies to inpatient mental health).

Day 1-5 $175 copay Day 6-90 $0 copay

$200/day: days 1-7: $0/day: days 8-90

Maximum Period of Coverage for Any One Benefit

364 days in calendar year.

Out-of-pocket limit $3000

Unlimited- 365 days in a calendar year. Medicare beneficiaries may only receive 190 days in a psychiatric hospital in a lifetime.

Skilled Nursing Facility

$20 per day for days 1-10 in plan skilled nursing facility; $20 per day for days 11-20; $165 per day 21-100 in plan SNF; same cost sharing for non plan skilled nursing facility with prior authorization.

No prior hospital stay required.

Each stay: $0 copay

$0/day: days 1-20: $167/day: days 21-100

Medical Coverage for Part B

$20 per day for days 11-20;

Included

Members must continue to pay Medicare Part B premium.

$165 per day 21-100 in plan SNF;

$0 Copay for routine nurse practitioner visits / $0 copay for PCP / $0 Copay for specialist Laboratory:$0 copay / physical therapy: $0 copay / X-ray: $0 copay / $0 copay for routine podiatry every three months / $195 copay for ambulance $0 copay for DME if $499 or Less

Physician care for hospital or office services: In PCP office $0: In specialist office $30, Physical therapy and speech therapy $30, home health $0, lab services in physician’s office $0: HospOP/ASC facility $20, X-ray services $0, prosthetics 20 percent, ambulatory surgical center (ASC) $0 for colorectal, $0 for colonoscopy, and $150 all other ASC services ambulance ground $250, ambulance air $250, radiation therapy 20 person, MRI, CT, PET: $150 at CMG or contracted Facility.

20 person for nuclear medicine studies.

Outpatient Prescription Drugs

Same cost sharing for non-plan skilled nursing facility with prior authorization.

Tiers 1-6 : $0/$7.50/$40/$85/33%/$0 Network Pharmacy

One Month Supply: Tier 1 (preferred generic drugs) $2, Tier 2 (generic drugs) $10, Tier 3 (preferred brand drugs) $42, Tier 4 (non-preferred brand) $95, Tier 5 (specialty) 29 percent

Renewability of Contract

No prior hospital stay required.

Annual

Medicare Advantage contracts are renewable annually

Travel Restrictions Out of Area

Coverage throughout the United States for emergency and urgently needed care only.

$10,000 Coverage for Emergency and Urgent Care Worldwide

Urgent care ($25) and emergency care ($80) services are available to you when you are out of area. You are covered 24 hours a day, seven days a week.

Outpatient Care Physician care for hospital or office services, surgery, anesthesia, X-ray, laboratory, injections, splints, casts, dressings, physical and speech therapy, radiology, ambulance, prosthetics, etc.

BASIC DENTAL COVERAGE INCLUDED. Quarterly $50

18

OTC benefit. Silver Sneakes $0 copay. On-site delivery of most healthcare services at member’s assisted living enviroment including routine nurse practitioner visits, quarterly primary care physician visits, quarterly routine podiatry visits, onsite labs, x-rays, physical therapy, occupational therapy, speech therapy, wound care and more. Transportation: 6 one-way trips to plan approved locations.Please call CareMore Health Plan for more information.

Plans offer hearing, vision, and chiropractic benefits.

Dental option available for $20 monthly premium. Fitness Program- Basic gym membership at a participating fitness location including fitness classes. Provides home fitness kits as an alternative program option in lieu of facility membership.

Major Options Available from Company

Hearing aids, health/wellness education, disease management. Discounts on eyewear.

A.M. Best Rating

Not Rated

Medicare STAR ratings released in October

4.5 out of 5 Star Rating

For More Information

For more information about all of Blue Cross Blue Shield of Arizona Advantage Plans or to register for a seminar please call 1-888-273-4093, TTY: 711, 8 a.m.-8 p.m. daily from Oct. 1 to Feb. 14. Hours from Feb. 15Sept.30 are 8 a.m.-8 p.m. Monday-Friday.

1-877-211-6614

1-855-561-3811 (TTY 711) 7 days a week, 8 a.m-8 p.m.

Hours apply Monday-Friday Feb. 15-Sept. 30.

EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

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HMOs That Assume Responsibility for Medicare Coverage COMPANY

Cigna-HealthSpring Achieve Plus (HMO SNP)

(Available in Maricopa county, and select Zip codes within Pinal County: 85117, 85118, 85119, 85120, 85140, 85143, 85178 and 85220

Humana Gold Plus Plan HMO H2649-063 Maricopa County and Partial Pinal

United HealthCare AARP MedicareComplete Plan 1 (HMO) (Available in Maricopa and Pinal Counties) United HealthCare AARP MedicareComplete Plan 2 (HMO) (Available in Maricopa County)

Premium or Subscription Charges

$0 monthly plan premium. Cigna contracts with Medicare to provide full Medicare coverage plus additional benefits.

$0

No Monthly Premium to AARP MedicareComplete Plan in Maricopa and Pinal Counties. Government pays United HealthCare to assume financial responsibility of Medicare Parts A & B and D.

Registration or Policy Fee

N/A

$0

None

Pre-existing Health Conditions

Not available for patients with end-stage renal (kidney) disease.

Not available for those with end-stage renal (kidney) disease unless already a health plan member.

Those individuals with end stage renal (kidney) disease are not eligible

Costs on Entry to Hospital

$200/day: days 1-7: $0/day: days 8-91

You pay $175 each day for days 1-5, $0 each day for days 7-90

Plan 1: $285.00 days 1-7/ $0.00 days 8-Unlimited.

Plan 2 :$225.00 days 1-7/ $0.00 days 8-Unlimited

Maximum Period of Coverage for Any One Benefit

Unlimited- 365 days in a calendar year. Medicare beneficiaries may only receive 190 days in a psychiatric hospital in a lifetime.

Hospital - Unlimited number of authorized, medically necessary days. Other limitations may apply for other benefits.

Hospital - unlimited number of authorized, medically necessary days. Other limitations may apply for other benefits

Skilled Nursing Facility

$0/day: days 1-20: $167/day: days 21-100

$0 days 1-20 - $167.50 days 21-100

Plan 1: $0.00 days 1-20/ $160.00 days 21-51/ $0.00 days 52-100 Plan 2: $0.00 days 1-20/ $160.00 days 21-45/ $0.00 days 46-100

Medical Coverage for Part B

Members must continue to pay Medicare Part B premium.

Members must continue to pay Part B premium to Medicare

Covered in full after applicable copayments/ coinsurance.

Outpatient Care Physician care for hospital or office services, surgery, anesthesia, X-ray, laboratory, injections, splints, casts, dressings, physical and speech therapy, radiology, ambulance, prosthetics, etc.

Physician care for Hospital or Office services: In PCP office $0: In Specialist office $25, Physical therapy and Speech therapy $25, Home Health $0, Lab services in Physician’s office $0: HospOP/ASC facility $20, X-ray services $0, Prosthetics 20%, Ambulatory Surgical Center (ASC) $0 for colorectal, $0 for colonoscopy, & $150 all other ASC services Ambulance Ground $200, Ambulance Air $200, Radiation therapy 20%, MRI, CT, PET: $150 at CMG or contracted Facility. 20% for nuclear medicine studies.

$0/$20 PCP office visit* - $25 Specialist office visit - $20 labs/freestanding in network - Well Dine/meals after hospital of SNF stay - Ambulance $265 - Hearing aid Benefit - $399 Flyte Series -$699 Flyte Series - MD Live Telemedicine $10 per encounter - XRAY $0-$100 - *$0 PCP copay for “Preferred Cost Share Provider” - $20 PCP copay for “Standard Provider”

Plan 1: $0 Preventative Screenings. $0 copay for PCP and $45 for specialist. $80 for emergency care, waived if admitted, and 20% for DME. $230 for ambulance - air and land. Outpatient hospital and outpatient surgery is $285. Lab copay $2. Xrays $9. Copays and coinsurance count toward the out of pocket max of $4,900. Plan 2: $0 Preventative Screenings. $0 copay for PCP and $30 for specialist. $80 for emergency care, waived if admitted, and 20 % for DME. $150 for ambulance - air and land. Outpatient hospital and outpatient surgery is $225. Lab copay $2. Xrays $8.Copays and coinsurance count toward the out of pocket max of $4,000.

Outpatient Prescription Drugs

One Month Supply: Tier 1 (preferred generic drugs) $2, Tier 2 (generic drugs) $10, Tier 3 (preferred brand drugs) $42, Tier 4 (non-preferred brand) $95, Tier 5 (specialty) 29%

Preferred Mail Order $0 for 90 day supply Tiers 1 and 2 - 30 day supply Tier 3 $47, Tier 4 $100, Tier 5 33% - NO Part D deductible.

Plan 1: Tier 1 is $3 copay, Tier 2 is $10, Tier 3 is $45, Tier 4 $95, and Tier 5 is 28 % to the initial coverage limit of $3,700. No coverage after $3,750 until out of pocket costs equal to $5,000. Then 5% or $3.35 for generic and preferred brand, All other 5% or $8.35.

Plan 2: Tier 1 is $2 copay, Tier 2 is $8, Tier 3 is $45, Tier 4 $95, and Tier 5 is 33 % to the initial coverage limit of $3,750. No coverage after $3700 until out of pocket costs equal to $5,000. Then 5% or $3.35 for generic and preferred Brand, All other 5% or $8.35.

Renewability of Contract

Medicare Advantage contracts are renewable annually

Good for all of 2018

Guaranteed renewable for life.

Travel Restrictions Out of Area

Urgent care ($0)and emergency care ($80) services are available to you when you are out of area. You are covered 24 hours a day, seven days a week.

ER and Urgent Care only

Worldwide coverage for emergency with a $80 copay (waived if admitted to hospital). Routine and preventive care is covered out of member’s residence county w/Passport Benefit.

Major Options Available from Company

Plans offer hearing, vision, and chiropractic benefits. Dental option available for $20 monthly premium. Fitness Program- Basic gym membership at a participating fitness location including fitness classes. Provides home fitness kits as an alternative program option in lieu of facility membership.

Silver Sneakers included - Over the Counter Allowance $75 QTLY - MOOP $3200

Plan covers Optum Fitness as a Fitness Rider, routine eye exam and hardware, routine podiatry visits, hearing aid coverage, and optional dental riders, Large network of providers

A.M. Best Rating

4.5 out of 5 Star Rating

A-

A

For More Information

1-855-561-3811 (TTY 711) 7 days a week 8 a.m-8 p.m. Hours apply Monday-Friday Feb. 15-Sept. 30.

602-760-1700

1-800-547-5514 TTY 711

www.LovinLifeAfter50.com

NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO

19

Celebrating the

Age of

Elegance Leta Sproule finds Ms. Senior Arizona prize inspiring

BY CHRISTINA FUOCO-KARASINSKI

Leta Sproule was at peace as she awaited her turn to “At first, I said, ‘No, no, no,’” Sproule says with her slight compete in the 2017 Ms. Senior Arizona Pageant. Usually, Southern accent. “Then I prayed. I said, ‘God, if you can be before she sits down at her piano, her hands get cold, forcing glorified in this, I will do it.’” her to wear gloves to literally warm up for her performance.

She thought that no amount of prayers would lead to a Butterflies fill her body. victory at the pageant, run by former winner Herme Sherry None of that happened this time. Her cool yet playful and her husband, Ken. Sproule’s performance belied that at demeanor and artistic talents led to her coronation. the pageant in Surprise on March 18. She confidently moved “They had told us that we would have a few nerves,” says from her piano to the stage for a flamenco dance to original Sproule, who lives in Sun City West with her husband of music.

21 years, John. “A few jitters are good, I guess. But I truly For her efforts, she not only won Ms. Senior Arizona, but understood for the first time that true peace surpasses Most Photogenic, Most Elegant and tied for Best Philosophy understanding.” with 63-year-old Mesa resident Shirlene Rutledge. More Since March, Sproule has been promoting Ms. Senior importantly, she earned a group of lifelong friends, including Arizona’s mission of giving women ages 60 and older – fellow contestant Bonnie Sisson, 72, of Scottsdale. otherwise known as “the age of elegance” – the opportunity Longtime musician to display their inner beauty, talents, charm and elegance.

Sproule was born in Tennessee and spent her formative She has attended parades, benefits and special events geared years in Nashville. She attended Peabody College, which was toward seniors, and supported the Cameo Foundation, which absorbed into Vanderbilt University, and earned bachelor’s provides resources to domestic violence survivors. and master’s degrees in music and human resources, Sproule, 67, learned about the Ms. Senior Arizona Pageant respectively. After graduation, she worked as a financial through a friend. Sproule Googled the event, looked at planner for nonprofits and schools. photographs of previous winners and read the mission Elegance...continued on page 21 statement. www.LovinLifeAfter50.com 20 EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

Elegance...continued from page 20

do that,” she says. “I had to start practicing again. John was grateful. He had not heard me practice.

“I’m not sure I would have had the nerve to do the pageant if I hadn’t started playing piano again. I want to encourage other women to participate. It truly is a life-changing experience, win or not.”

“I loved helping people in the not-for-profit c o m m u n i t y ,” Sproule says.

“I always loved numbers and I put on my Ms. Senior Arizona Pageant bio that I The search is on for the Cameo Foundation’s 29th have an interest in annual Ms. Senior Arizona 2018 contestants. macroeconomics.

Open to women ages 60 and older, the pageant is set There probably for 6 p.m. Saturday, March 17 at Valley Vista Performing wasn’t anybody Arts Center, 15550 N. Parkview Place, Surprise. Radio else who said that. personality Danny Davis will once again emcee.

“When I was For contestant or pageant information, call 602-788growing up, 9556, email msseniorarizona2004@cox.net, or visit and other kids cameofoundation.org or msseniorarizona.com. were learning The event is sponsored by Times Media Group and nursery rhymes, Lovin’ Life After 50, John Wallick Jewelers, Rose Tuxedo, I was learning to Applause Productions, Cummins Photography, Sierra loved helping people in the not-for-profit never purchase a Sproule Winds Senior Living, Freedom Inn at Scottsdale, community. depreciating asset Gartman Technical Services, Moore Graphics and on credit. It took me a long time to learn what a depreciating Heritage Tradition. asset was. I also learned very early on that if you save by the 10th, you can earn interest from the 1st. There’s 10 extra days of interest earned. It was natural for me to help teachers and not-for-profits.”

Sproule was slow to appreciate Nashville’s vibrant country music scene. She loved Elvis Presley and eventually grew to enjoy singers like Carrie Underwood. Music, as a whole, inspired her, though. Sproule first sat down to the piano at age 8 and it came easily to her.

“When it came time for college, of course I was going to major in music,” she says with a smile. “Peabody was right there. I went there and got my degree. I had a couple kids along the way.

“When I was in college, I switched to organ instead of piano.

When I graduated, I was playing in a lot of churches around OUR SERVICES town. Instead of playing every Sunday, I would substitute so I could be with my family.”

IN-HOME FINANCIAL CARE COORDINATION The Sproules – who have three children, four grandchildren  Long Term Care Insurance CAREGIVERS and two great-grandchildren between them – moved to  Free Expert Policy Review  Personal care  Veterans Aid & Attendance Benefits Anthem in 2001. They lived there for eight years, until John’s  Meal preparation corporate investments and pension sales job took them back  Medication reminders FINDING SENIOR LIVING  Light housekeeping  Assisted living to Nashville. With each move, her piano came along.  Transportation services  Independent living “John retired three years ago and it was just an obvious  Senior care homes  Exercise assistance choice to move back to Arizona,” Sproule says. “It wasn’t until  Memory care homes  Companionship I moved here that I picked up the piano again. It was God’s timing. I truly had not played the piano – only for a little bit Call now for a complimentary – in 20 years.” assessment of senior care options.

Her church, Palm West Community Church in Sun City West, 480.999.5250 • www.AmadaMesa.com asked her to play piano as well.

“I never played piano in church when they asked me to www.LovinLifeAfter50.com NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO 21

Show Off Your Talents

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Iora Primary Care has two offices in Tucson, six offices in the Phoenix area and a seventh opening in Sun City on January 1, 2018. Find out more by visiting ioraprimarycare.com or stopping into one of our practice locations for a tour of the facility or a chance to meet the care team.

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King Crossword ANSWERS ON PAGE 35

ACROSS

Adjacent to lush orchards with stunning views of the San Tan Mountains. Families of the Southeast Valley finally have a beautiful, final resting place to memorialize and honor theirloved ones without having to leave town.

1 6 12 13 14 15 16 17 19 20 22 24 27 29 32 35 36 37 38 40 42 44 46 50 52 54 55 56 57

Dutch earthenware city Ado More blood-stained Unilateral Rhododendron cousin Busy Small plateau Rocketry org.

Started Group of actors Omega preceder Second person Church furniture Lecher’s look Toady Transcending (Pref.)

Mine car Ball holder Hooter Sans escort Tablet Inauguration recitation Mine entrance Captivate Intertwine Swear (to) Like thunder Prolonged attacks Put into words

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EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

Nap

2 3 4 5 6 7 8 9 10 11 12 18 21 23 24 25 26 28 30 31 33 34 39 41 42 43 45 47 48 49 51 53

Historic times Light purple Doctor’s due Area near the apse Feathery neckwear Open a bottle Collection Stephenie Meyer series Wash Watched School of whales If all else fails Zoo favorite “Help!”

Thanksgiving veggie Unclose Modern Spreads thickly Shelter Preceding Legislation “-- Little Teapot” Untethered Greek consonant Carrots’ partners Con -- and letters Plastic user’s concern Capri or Wight Biblical possessive “Family Guy” daughter Enthusiast

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Rich Howard Orchestra mixes modern music with classic tunes

BY CARSON MLNARIK Close your eyes and you might see a Big Band in full swing or a Rat Pack crooner in a single spotlight. Maybe you’ll picture a grand piano or a bouncing rock band.

But open your eyes and you’ll discover it’s actually the Rich Howard Orchestra, transporting audiences with a mix of rock ‘n’ roll and classic music on stage. They’re sure to delight guests on Nov. 8 at the East Valley Healthy Living Expo.

The band features vocals, keyboards, a horn section and saxophone and trumpet players.

Rich Howard, vocals and keyboards, says he never uses a song list, but instead feels out his audience and goes with the flow. His performances usually touch upon songs by bands like The Beatles and The Eagles and even Cole Porter.

Howard met his bandmates through

Music...continued on page 26

Howard started playing piano when he was 8 years old.

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Music...continued from page 25

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Arizona’s professional musician union.

“Before Facebook and social media, that’s how you networked and met other musicians,” Howard says with a laugh.

The different performers may not have met under other circumstances, considering their varied backgrounds.

Howard’s trumpet player, John Levno, formerly played with the U.S. Navy Band. He’s been with the Rich Howard Orchestra for 15 years now.

Saxophone player Brad Bauder used to the play the Las Vegas circuit. He’s been with Howard for 20-plus years.

“They’re fun guys to work with and we enjoy each other’s company,” Howard says.

Howard has enjoyed a lengthy history with music, as well. Born in Brooklyn, his family moved to Tucson in 1959.

He started playing piano when he was 8 years old, learning from the same piano teacher who taught world-renowned pianist Roger Williams.

Throughout grade school, he played drums in the jazz band. When “Light My Fire” by The Doors was released, he was inspired and took up keyboard.

In the ‘70s, Howard and his band at the time were signed to Capitol Records, hoping to be the label’s answer to The Eagles.

When that fell through, Howard moved back to Phoenix and made a name for himself locally, performing at resorts, hotels and restaurants. He has played 300-plus dates a year in the Phoenix area for more than 30 years.

Through his shows, he discovered a niche in the Phoenix music scene.

“The retired population loves to ballroom dance,” Howard says.

Dance events have been huge for Howard – whether it’s Frank Sinatra for an older generation or Michael Buble for the younger, he says it’s all in the same Rat Pack realm.

One of his most memorable shows was at a senior dance, when a man came up to him with a list and instructed him to play songs only from that list for the rest of the night.

The titles on the man’s list? Milk, eggs, cereal, potatoes …

“You just roll with it,” Howard says with a laugh, also recalling a lounge show when he was performing “Raindrops Keep Fallin’ on My Head” when singer/ songwriter Burt Bacharach walked right in during the song.

Howard’s local popularity is mostly a result of word of mouth. He maintains a Facebook page for his band but prefers to spend his time performing rather than promoting himself.

It’s worked out well for Howard, who still plays his 1983 Yamaha DX7 at shows.

“If it ain’t broke, don’t fix it,” he says.

For more information about the band, visit at facebook. com/richhowardorchestra.

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Quail Park at Morrison Ranch offers exceptional services SPECIAL TO LLAF When it comes to grand plans, they don’t get much bigger and better than the assisted living and memory care communities of Living Care Lifestyles. Since its inception in 1999, the senior lifestyles communities leader has opened facilities in California, Oregon, Texas and Washington. This year, Living Care Lifestyles broke ground on a new community in Gilbert, Arizona.

Quail Park at Morrison Ranch, located at 3333 E. Morrison Ranch Parkway, will offer residents an array of amenities and layout plans among its 115 studio, 1-bedroom, and 2-bedroom units. The two-story community has a capacity for 130 residents and is scheduled to open in the summer of 2018.

“This new community will provide exceptional living and health services for residents and offer peace of mind to their families,” Living Care Lifestyles CEO and president Denis Bryant said.

The site sits on more than 4.5 acres and features farmhousestyle architecture with a large southern viewing tower.

The community’s “H” plan configuration lends itself to the community’s central commons area, which is tailored to assisted living and memory care residents. There will be a bistro, dining room, “4-season” room, salon, living room, theater, chapel, activity room, library, TV room and a wellness suite with offices for exams and therapy.

Outdoor landscaping boasts therapeutic plants and trees, in addition to a garden and other landscape features that will invite residents to stroll outside and enjoy relaxation and recreation.

Quail Park at Morrison Ranch is scheduled to open in the summer of 2018.

(Photos courtesy Living Care Lifestyles)

“Indoors and out, Quail Park at Morrison Ranch will give residents, guests and staff a sense of warmth and a feeling of being at Home,” Bryant said.

The project, which cost approximately $30 million, broke ground in Gilbert in May. Members of the Gilbert Chamber of Commerce attended the ceremony. To honor the chamber’s participation, Living Care Lifestyles donated $2,500 to the Gilbert Chamber Foundation to benefit Partners in Progress, a workforce readiness initiative that pairs students with business mentors and teachers.

For more information on Quail Park at Morrison Ranch, call David Haack at 206-441-1770 or visit livingcarelifestyles.com.

The entrance to the upcoming Quail Park at Morrison Ranch facility is shown in this rendering.

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EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

www.LovinLifeAfter50.com

Cameo Foundation aids domestic violence shelters

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Ken and Herme Sherry.

dance Come with me!

When Herme Sherry was named Ms. Senior Arizona in 2004, she was asked what she planned to do during her reigning year.

“I said, ‘I want to help somebody,’” Sherry says. She, in turn, created the Cameo Foundation, the beneficiary of the Ms. Senior Arizona Pageant. The Cameo Foundation originally We offer 5 different raised funds for Alzheimer’s disease associations, but Sherry levels of Tap Dance since has changed her focus to domestic violence shelters classes for Adults because, she said, the need is greater there.

“We felt that cancer and heart disease and Alzheimer’s get and Seniors national help, but domestic violence does not,” Sherry says.

Sherry says now is the time to start talking openly about domestic violence.

20% DISCOUNT “When I grew up, it was a secret,” she says. “You didn’t talk FOR AGES 50+! about it. It still is, to a certain degree. Ladies need to know Home of the that they do have an option. They don’t have to stay. The HeartBeat children are frozen in fear. And shelters are struggling for Tap Ensemble funds to keep the doors open.”

The Cameo Foundation holds fundraisers throughout the year to raise monies for those shelters. Keep tabs on cameofoundation.org for a list of those events. This year’s Ms. Senior Arizona Pageant was held on March 18 at the 480-317-3000 | w2wdance.com Valley Vista Performing Arts Center in Surprise. For more 617 S. McClintock Drive, Ste. 3, Tempe information, call 602-788-9556. www.LovinLifeAfter50.com NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO 29

Complete Hospice Care of Phoenix brings comfort home

BY CHRISTINA FUOCO-KARASINSKI Complete Hospice Care of Phoenix doesn’t believe hospice is somewhere folks go to receive care.

Instead, it begins in the home.

“The biggest misconception about hospice is that it is a place, and that it’s for the last few days or even week of someone’s life,” says Candy Malburg, Complete Hospice Care’s community educator. “We generally take care of people at their homes until the end of their lives and this can go on for many months.”

Complete Hospice Care’s mission reflects its name. It offers evaluations without a doctor’s referral, and has doctors and social workers on staff if the patient needs one. Care managers facilitate referrals to help the clients get medications, equipment and services. It works with more insurance plans, too.

“Our company differs from other companies in care – the care that we give to our patients and their families,” Malburg says. “We don’t do the minimum Medicare requirements. We exceed and excel at the care of patients and their families.

“If a patient needs to see a nurse every day, a patient sees a nurse every day. If a patient needs a CNA every day, the patient has a CNA every day. We treat the whole person and all their illnesses, not just what brings them to hospice. That means they get antibiotics. We take patients with feeding tubes and patients who are on dialysis.”

Complete Hospice Care also has a palliative program. “It’s not a holding place for hospice,” she adds. “We help patients who are coming out of the hospital, skilled nursing facilities, having a change of condition, a new medication or a new disease process.

“We work with many cancer centers to help with their patients while they are getting treatment. Our palliative program brings the social worker to the home to make sure all needs are being met at home – a nurse on call, a doctor who can visit at home, medication management, and partnering with other companies that provide care for the patient to make sure their needs are met.”

This is part of Complete Hospice Care’s mantra to “do the right thing.” Medicare pays all hospice companies the same amount. “It’s what you do with the money that matters to the families who you take care of,” she says.

Malburg says volunteers play an important role in the company. “They are not only required for a hospice company, but they are essential to the care of the patients,” she says.

“Volunteers can read books with patients, play games, tell stories, paint nails and help patients put down on paper any memories they might want documented.”

For more information, visit http://completehospice.com/ phoenix/.

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Home Care vs. Home Health: What is the difference?

BY BOB ROTH

Managing Partner, Cypress HomeCare Solutions

There is a common misunderstanding by many that home care and home health care are one and the same. The difference is this: A “home care” (in-home personal care) agency provides caregivers who assist with activities of daily living, while “home health” is a medical service providing treatment and care for illnesses and injuries at home.

The options for care and comfort are increasing as our aging population grows. Both home care and home health care agencies provide services that assist individuals and families with aging successfully at home. Unfortunately, the differences between these services and many others is not known or fully understood until the need arises.

Home care and home health both encourage individuals to remain in the comfort of home as they age, but there are key differences you need to know so you can understand your loved ones’ needs – and yours – when the time comes.

Physical therapy is one of the services provided by home health.

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providers accomplish this through care that is focused on the individual’s unique needs. Non-medical caregivers provide assistance with activities of daily living, which can include meal preparation, transportation, running errands, light housekeeping, medication reminders and, most important, companionship.

The amount of care is directed by the care recipient, family members or a trusted advisor. In addition, the length of service is determined solely by these individuals, which provides additional flexibility for the family. Also, those who receive care are not required to be homebound, nor must they need medical eligibility or a physician’s order.

Medicare is not a payment option for home care. Rather, recipients of home care services have the option of paying privately, through a long term care insurance policy, or through Medicaid, or in Arizona, the Arizona Long Term Care System (ALTCS) following a comprehensive application process.

HOME HEALTH

The goal of home health is to treat an illness or injury that will aid in regaining a person’s strength, independence and self-sufficiency. Some home health services include physical therapy, occupational therapy, wound care, speech therapy, IV support, injections and the monitoring of serious illnesses.

Home health is more medically oriented, where clinicians (nurses, therapists, home health aides) are providing care (nursing, therapies, etc.) for the aging, infirmed and people recovering from injuries, illnesses or surgery.

Unlike home care, home health requires a physician’s order and that the care recipient must be homebound. In addition, the length of service for home health is determined by the individual’s diagnosis and need, with visits occurring

EAST VALLEY HEALTHY LIVING EXPO | NOVEMBER 2017

Home Care...continued on page 33 www.LovinLifeAfter50.com

Home Care...continued from page 32 intermittently as needed. Finally, Medicare is an acceptable payment for home health services, along with private insurance.

HOME CARE AND HOME HEALTH WORKING TOGETHER

Home care and home health can also work together to care for individuals and their families. For instance, one of our clients at Cypress HomeCare Solutions who had been receiving our home care services for more than seven years began needing additional, medical-related care nearly 5 years ago. By introducing home health services, this client was able to avoid moving to a skilled nursing facility. The familiar surroundings of home provide the client, who suffered from Alzheimer’s disease, the ability to maintain a frame of reference while he is receiving both home care and home health care services.

By joining forces, the home care agency and home health

Home Care •

The goal of home care is to assist and empower an individual and their family to remain independent at home

•

Home care provides assistance with activities of daily living, including meal preparation, transportation, errands, light housekeeping, medication reminders and concierge services

•

Home care is provided hourly or per visit

•

Care recipients are not required to be homebound

•

No medical eligibility is required

•

Physician order is not required

•

Length of service is determined by the individual or their family

•

Payment options: private pay, long term care insurance and Medicaid (ALTCS)

Home Health •

The goal of home health is to treat an illness or injury that will aid in regaining a person’s strength, independence and self-sufficiency

•

Home health services include physical therapy, occupational therapy, wound care, speech therapy, IV support, injections and the monitoring of serious illnesses

•

Medical care is provided intermittently as needed

•

Care recipients must be homebound

•

Medical eligibility is required

•

Physician order and physician-signed Plan of Care are required

•

Length of service is determined by an individual’s diagnosis and need

•

Payment options: Medicare and private insurance

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provider can create an environment that promotes comfort and ensures peace of mind. The client recently passed away, and it is believed he lived longer and enjoyed a better quality of life because of the personalized care he received.

Bottom line: Services provided in the home offer individuals and their families added comfort and reassurance that the care recipients and their loved ones can remain in their most comfortable surroundings. Val Halamandaris, president of the National Association of Home Care and Hospice, confirms that “the intervention of services at home makes it possible for people to live out their lives fully.” By understanding that home care and home health are available and knowing the differences in what they provide, it will be that much easier to be prepared for the future.

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33

Healthy Aging

7 steps to better bones and a hearty heart

BY LAURA GLENN

NMD at Rejuvena Health & Aesthetics

Eating well, exercising daily and drinking water seems to be the holy trinity of staying healthy, but after hitting the big 50, several other things should be kept in mind in order to age well.

Any doctor’s main concern with patients nearing this big milestone is bone strength and heart health. If you’ve lived an active and healthy lifestyle, then these two areas might not be much of a concern, but it does not mean you should disregard them completely.

According to the National Center for Biotechnology Information in the U.S. National Library of Medicine, one in two Americans over the age of 50 may be at risk for developing the bone disease osteoporosis, which renders bones brittle and weak. Osteoporosis is the most common cause of fractures, and the risk of fracture increases with age, particularly for women. An estimated four in ten women in the U.S. age 50 or older will experience a fracture sometime during the remainder of their lives.

These fractures stem from inevitable accidents and falls that, at a younger age, might have seemed completely inconsequential. Similarly, the symptoms of heart disease

begin to manifest after age 50, so take caution to keep your ticker as strong as possible.

Dr. Laura Glenn of Rejuvena Health & Aesthetics in Scottsdale explains the most important ways to maintain good bone density, strength and overall wellness. Following these seven steps in a solid routine can ensure your body stays as healthy as possible.

Step 1:

Eat a diet high in fruits, vegetables and whole grains.

These ingredients can help protect your health, and specifically your heart.

Step 2:

Maintain good balance to prevent falls. Older adults should continue to exercise regularly and engage in exercises that work on balance skills (tai chi, yoga, etc.)

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Step 3:

Getting enough sleep is vital at any stage. Those who don’t receive sufficient rest have a higher risk of obesity, high blood pressure, heart attack, diabetes and depression. Sleep gives your body uninterrupted recovery time from the day’s stressors, so don’t skip it. Most adults need seven to nine hours of sleep each night.

Aging...continued on page 35

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Aging...continued from page 34

can gauge how well treatment is working.

Osteoporosis

Step 6:

Bioidentical hormone replacement therapy in postmenopausal women also can help minimize further decline in bone density, but benefits only occur during treatment years and are not maintained when hormones are stopped. Consult with a medical professional about the risks and benefits of hormone replacement therapy.

Step 7: Normal Bone Density

Porous/Brittle Bone

Step 4:

Older adults who have osteopenia (a condition in which the body doesn’t make new bone as quickly as it reabsorbs old bone) or osteoporosis need to be particularly mindful of ensuring appropriate (but not excess) calcium consumption from food and maintaining adequate Vitamin D levels.

Remember: Milk is not the only source of calcium – green, leafy vegetables are a great source. Supplemental calcium can be beneficial, particularly calcium supplements that contain microcrystalline hydroxyapatite concentrate (MCHC).

This may seem obvious, but staying tobacco-free and moderating alcohol intake are crucial.

Remember: With age, the body loses its ability to cope with these chemicals, which can result in much more serious health complications, including cancer.

It’s important not to look at these tasks as chores, but as healthy habits instead. Keeping up with all of them can be the difference between living a happy and healthy life, or living in pain and being bed-ridden.

King Crossword FROM PUZZLE ON PAGE 24

Step 5:

Get regular screenings and tests to know exactly how your body is reacting to these changes. Testing blood pressure, cholesterol levels and for diabetes can let you know if you need to make changes and take action. Bone density scans should be done regularly in adults 65 and older, and

Dr. Laura Glenn is a naturopathic physician at Rejuvena Health and Aesthetics in Scottsdale, specializing in women’s health, hormonal imbalances, fertility, fatigue, gastrointestinal conditions, autoimmune and chronic diseases.

Her goal is to support the body’s ability to heal, and optimize function and wellness. For more information, visit werejuvenate.com.

www.LovinLifeAfter50.com

NOVEMBER 2017 | EAST VALLEY HEALTHY LIVING EXPO

35

E COM WEL TER CEN NG NI OPE BER EM DEC 17!

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