Advantage

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ADVANTAGE

The proposed changes to Medicare Open Enrollment in 2026 are minor, but if you have had any major life changes, it’s always a good idea to review your coverage.

Medicare Annual Open Enrollment

Minor changes for 2026 mean you can reevaluate coverage or stay with your current plan.

t’s nice to have choices, and Medicare gives you choices. That’s true for new enrollees, for enrollees who have recently had a life change and for everyone during the Annual Open Enrollment Period (AEP). Sometimes there are so many options that choosing the right Medicare plan can

seem daunting. But with a little knowledge, Medicare recipients can make choices that work for them during AEP.

“First, it’s important to remember that the choices you make aren’t set in stone,” says licensed health insurance agent Vince Kelly. He suggests that after

initially enrolling in Medicare, individuals who haven’t had any significant medical, financial or personal changes don’t need to review their Medicare coverage every year. Every four or five years is fine.

“If you’re satisfied with your coverage and health care providers, there’s really no

need,” he explains. “There are updates to Medicare every year, but they’re generally fairly limited. Unless there are contract changes with medical groups or plans terminating their contract with Medicare. This may occur and members will be notified by mail.”

There may be changes to individual medical groups or policy terms, he adds. In those cases, the affected members are notified by mail.

Next year is no exception. The proposed changes to Medicare in 2026 are minor. For example, the maximum out-of-pocket spending limit for covered prescription drugs will increase by 0.5%, from $2,000 to $2,100. On the upside, free vaccines (previously limited) will become a permanent benefit of Part D plans, covering all adult vaccines recommended by the Advisory Committee on Immunization Practices.

“There are changes,” Kelly says, “but nothing earth-shaking and nothing that should cause people to change their coverage if there are no significant changes to their personal circumstances.”

There are times, though, when it’s a good idea to revisit Medicare coverage. “People worry that once they make a selection, that’s it for life,” Kelly says. “That’s simply not true.”

Outside the AEP, changes in an individual’s personal situation can trigger a Medicare Special Enrollment Period (SEP). These changes include moving to a new county or state, moving into or out of an institution such as a rehabilitation hospital or nursing home, gaining or losing employer or union medical coverage, natural disasters and other circumstances.

Erik Milanez, health insurance agent with YMA Insurance Solutions, Inc., says a common scenario is beneficiaries with Original Medicare and a Medigap supplement who have essentially aged out of that combination. “Those supplements can be very expensive, especially with advancing age,” he explains. “I’ve had several clients in their 70s who can no longer afford their Medigap premiums. These individuals can consider enrolling

in a Medicare Advantage HMO plan to reduce their expenses—oftentimes they can keep their doctors or change their insurance plan.”

Medigap supplement plans and Medicare Advantage PPO plans allow enrollees more flexibility in choosing their providers. Medigap plans are where providers bill Medicare, while Medicare Advantage PPO plans replace Original Medicare and an insurance company handles claims.

But, as Milanez points out, “when you have a Medigap supplement or Medicare Advantage PPO, you must be your own health care advocate. There’s no access to a case management team or medical group the way there is for individuals with Medicare Advantage HMOs.”

Medicare Advantage PPOs can also come with “out-of-pocket surprises” that Medicare Advantage HMOs don’t incur, Milanez notes.

“Let’s say you need a procedure and look up the in-network cost. If you schedule the procedure with an out-of-network provider, you can be charged a 40% co-insurance fee.”

While HMOs do limit enrollees’ choice of health care providers, they also limit expenses. And if individuals make an informed choice of HMO, the limits on providers may not be an issue anyway. “I’m on a Medicare Advantage HMO plan,” Kelly notes, “and I love it.” •

For more information call Torrance Memorial IPA at 310-517-7239, or licensed independent agents Vince Kelly at 310-625-1837 or Erik Milenaz at 310-715-2300. You can also attend Torrance Memorial IPA’s complimentary Medicare 101 lectures (TorranceMemorialIPA. org/medicare101) for more information.

Medicare’s Annual Open Enrollment Period is October 15 through December 7.

During this time, people with Medicare can change their Medicare Advantage or Part D prescription drug plans for the following year. These changes will take effect on 01/01/2026.

New Medicare recipients have an Initial Enrollment Period (IEP) that lasts 7 months; it begins 3 months before the month you turn 65 (or your 25th month of disability benefits), includes your birthday month, and ends 3 months after. During this time you can enroll in Part A, Part B, or both.

If you already have Part A and are adding Part B later, your enrollment window depends on your situation. Many people qualify for a Special Enrollment Period (for example, when leaving employer coverage).

There is also a Medicare Advantage Open Enrollment Period (MA OEP) each year from Jan. 1 through Mar. 31. This allows people already in a Medicare Advantage plan to switch to another Advantage plan or return to Original Medicare.

Each fall, Medicare mails the Medicare & You handbook, and your current plan will send you an Annual Notice of Change (ANOC) by late September, outlining any changes for the upcoming year.

Medicare Open Enrollment

Medicare is the same, but have your coverage needs changed?

In this ever-changing world, it’s nice that some traditions remain the same year after year—like Medicare’s Annual Enrollment Period (AEP). Each year this runs from October 15 to December 7. During this period you can join, switch or drop a Medicare Advantage plan. You can change from Original Medicare (Parts A and B) to a Medicare Advantage plan (Part C), or switch from Medicare Advantage back to Original Medicare. You can also join, switch or drop Medicare drug coverage plans (Part D). Any changes you make take effect January 1.

There is a separate enrollment period just for Medicare Advantage, from January 1 through March 31. This period is called the Annual Medicare Advantage Open Enrollment period (MA-OEP). This is when you can switch between Advantage plans or end your Advantage coverage and return to Original Medicare. However, during this period you cannot switch from Original Medicare to a Medicare Advantage plan.

There are also some life changes that can trigger Special Enrollment Periods with the ability to make changes all year long. For example, when you lose your current employer coverage or become eligible for Medi-Cal, move to a new coverage area, or move into or out of a skilled nursing facility, long-term care hospital or similar facility. If you are already enrolled in Medicare, you should receive the 2026 Medicare and You handbook in late September or early October.

There is a separate enrollment period just for Medicare Advantage, from January 1 through March 31.

Additionally, in late September you should receive a separate notice detailing how your Medicare Advantage plan, or standalone Part D prescription drug plan, will change in the upcoming year. This notice is called the Annual Notification of Change (ANOC) document.

So should you gather up your colored pens and highlighters to review your coverage and the changes for the upcoming year? Not necessarily, says licensed health insurance agent Vince Kelly. However, this is why it’s important to review the ANOC to see if your plan will have any significant changes.

“A lot can change in five years, but year-to-year? Generally, not so much,” Kelly says. “You should at least go over your Medicare options every few years or when your medical or financial circumstances change.”

This is why medicare.gov is a great resource with its Plan Finder. This is especially helpful for people not on a Medicare Advantage plan but who have a standalone Part D prescription drug plan. This is because the standalone Part D prescription drug plans have been volatile in premiums each year. Medicare Advantage plans include Part D, and the majority of the Medicare Advantage HMOs have a $0 premium in Southern California.

The Annual Enrollment Period is a good

time to consider switching from a Medicare supplement plan, or Medigap, to a Medicare Advantage HMO, especially as you age, Kelly says, because Medigap premiums increase each year. “At age 65,” he explains, “a really good supplement plan may cost $170 per month right now, but if you are age 75 right now, that premium could be $300 or higher each month.”

And there are a few things you should check every year, like your Medicare Advantage HMO insurance card. “You should ensure your insurance ID card has your name—with no misspellings—and lists both your primary care physician and correct medical group name, for example, Torrance Memorial IPA,” Kelly says. “Primary care physicians can move or retire. If that happens, listing your medical group on your insurance card will make it easier for you to continue receiving care from the same group.” •

For more information, go to medicare.gov; call the Torrance Memorial IPA Resource Center at 310-517-7239; call licensed independent agent expert Vince Kelly at 310-625-1837; or attend Torrance Memorial IPA’s monthly complimentary Medicare 101 lectures (TorranceMemorialIPA.org/medicare101) for more information.

Chronic Heart Disease: The New Cardiac Killer

Although heart attack deaths have decreased since 1970, a significant increase in chronic heart disease deaths is reinforcing the importance of heart disease prevention.

For more than a century, heart disease has been the leading cause of death in the U.S. Although heart attacks used to be among the deadliest cardiac conditions, new research published in the Journal of the American Heart Association shows chronic heart diseases—such as heart failure, heart rhythm disorders and conditions related to high blood pressure—are the new heart disease-related killers.

Chronic Heart Disease Death Rates Rise

From 1970 to 2022, research from the American Heart Association showed the death rate from heart failure, heart rhythm disorders known as arrhythmias and heart disease related to high blood pressure increased by 81%—jumping from 9% of all heart disease deaths in 1970 to 47% of all heart disease deaths in 2022.

The study showed deaths from arrhythmias—also called heart rhythm disorders—increased by 450% during the same period, marking the largest relative increase among all chronic heart conditions. Atrial fibrillation is one of the most common arrhythmias, especially in older adults.

“Aging is a major risk factor for many cardiac conditions, so as our population gets older and people live longer, they are more likely to develop atrial fibrillation, heart failure or another cardiac disorder,” says Brenton Bauer, MD, director of the echocardiography lab, heart failure program and cardio-oncology program at Torrance Memorial Medical Center.

Factors That Raise Cardiac Risk

Lifestyle factors such as eating highly processed foods, lack of exercise, poor sleep quality and high stress levels—along with related health conditions such as sleep apnea, obesity, diabetes and high blood pressure—are also contributing to the rise in chronic heart disease deaths.

“Many people are living with undiagnosed or uncontrolled health conditions dramatically increasing their risk of developing chronic heart disease,” says Dr. Bauer. “Often, these conditions can be effectively managed with a combination of lifestyle changes and medication.”

Even though chronic heart disease deaths have risen, the research does provide some good news: Heart attack deaths have de-

creased by nearly 90% during the past 50 years, and overall heart disease deaths have decreased by 66% during the same period.

“It’s great news that overall heart disease deaths are down, which can be attributed to the success of primary preventive therapies such as lifestyle modifications, smoking cessation, and cholesterol and blood pressure medications,” says Dr. Bauer. “The fact more people than ever are surviving heart attacks can also be attributed to effective treatment with minimally invasive revascularization procedures, such as percutaneous coronary intervention with stenting. But even if someone survives a heart attack, it can cause damage that may make them more likely to develop heart failure or another cardiac condition later in life.”

Partnering with Patients on Prevention

According to Dr. Bauer, the causes of heart disease deaths may have changed, but the medical advice and preventive strategies have remained largely the same.

“This new research reinforces the advice we’ve been giving for the past few decades,” he says. “By continuing to educate patients and primary care physicians on cardiac risk factors and prevention—as well as how to manage related health conditions—we can reduce the incidence of chronic heart disease.”

For people who may be at higher risk for chronic heart disease due to family history, health conditions or other factors—or people who are experiencing symptoms such as chest pain, heart palpitations, shortness of breath, dizziness, fatigue or swelling in the lower legs—getting early treatment from a primary care provider or cardiologist could prove to be a lifesaving decision.

In fact, Dr. Bauer says, the keys to reducing the risk of chronic heart disease and related complications are being proactive, working closely with health care providers, and taking steps to manage lifestyle-related risk factors and other health conditions—even if it isn’t always perfect.

There’s no one-size-fits-all approach, but by working closely with your medical team, you can identify things you can do that will make a big difference.” •

Brenton Bauer, MD, practices at 2841 Lomita Blvd, Suite 100 in Torrance. He can be reached at 310-257-0508.

What You Need to Know about Prostate Cancer

Although it’s not a topic men might choose to discuss, knowledge is power when it comes to prostate cancer. “Prostate cancer is extremely common. About 1 in 8 men will be diagnosed with the disease over their lifetime,” says Timothy Lesser, MD, a urologist affiliated with Torrance Memorial Medical Center. “However, fewer than 3% die from it, thanks to better treatments and because most prostate cancers are not aggressive. Many men diagnosed with prostate cancer end up dying of other causes.”

What’s

the Deal with PSA Tests?

Dr. Lesser says the public—and even physicians—have received mixed messages about PSA tests, a blood test measuring levels of prostate-specific antigen. High PSA levels may indicate the pres-

ence of cancer. Beginning in the 1990s, many men diagnosed with prostate cancer due to high PSA levels received treatment, yet mortality rates did not decrease as expected. Many treatments turned out to be unnecessary.

Then, in 2012 the U.S. Preventive Services Task Force (USPSTF) recommended against PSA screening, saying it did more harm than good. As a result, more patients were not screened or were advised by their primary care physicians not to screen for prostate cancer, resulting in an increase in the number of patients who were diagnosed after the cancer had spread.

The USPSTF now recommends that men ages 55 to 69 decide whether to have the PSA test in consultation with their physicians. It does not recommend the test for men over 70.

“Current treatment is based on risk strat-

ification,” says Dr. Lesser. “We have various tools including biopsies, PSA trends and genetic testing that can indicate the aggressiveness of the cancer. Based on that, we determine whether the patient is a candidate for treatment or if we can just monitor him.”

Prostate Cancer Treatment

For men at low risk and some at intermediate risk, active surveillance is a safe treatment, says Dr. Lesser. This involves checking PSA levels and repeating biopsies at specific time intervals.

Other patients at intermediate risk and high risk generally undergo surgery or radiation. Surgery involves removing the prostate gland, a procedure often performed robotically at Torrance Memorial using the da Vinci surgical system. “Robotic surgery is more precise, so compli-

cation rates are lower than with traditional surgery,” says Dr. Lesser.

Men who have their prostates removed will no longer produce semen but can still achieve orgasms. Dr. Lesser says their ability to achieve an erection will depend mostly on age and their preoperative level of function. Surgery generally involves an overnight stay in the hospital and the use of a catheter for about a week.

“Torrance Memorial has had a robotic surgery program for about 15 years,” notes Dr. Lesser. “We have a well-established program and team.”

Radiation treatment can take several forms, all designed to spare nearby tissue from side effects. Intensity-modulated radiation therapy uses 3D images to achieve precision and vary the intensity of the radiation beams. Stereotactic body radiation therapy delivers powerful and precise doses of radiation in a shorter time frame. High dose-rate brachytherapy involves delivering a radiation source to the area via a catheter.

Risk Factors, Symptoms & Diagnosis

Risk factors include age (risk increases after age 50) and family history. African American men tend to have a higher incidence of prostate cancer and experience it at a younger age.

Screening detects most prostate cancers. More advanced prostate cancers may cause either localized symptoms (urinary difficulties, blood in the urine) or symptoms of disease spread (typically bone pain, weight loss). These symptoms can, of course, have other causes and should be evaluated by a primary care physician.

The combination of PSA and digital rectal examination is the standard screening protocol for prostate cancer. If either of these is abnormal, a prostate biopsy may be performed to see whether cancer cells are present. MRI can help more precisely diagnose the cancer, determine its size

and show whether it has spread outside the prostate.

“At Torrance Memorial, we have a scan called a PSMA (prostate-specific membrane antigen), a type of PET scan that is helpful in staging prostate cancer,” says Dr. Lesser.

PSA Revisited and Prostate Cancer Screenings

Dr. Lesser believes the benefits of PSA testing outweigh the risks. “Urologists are making careful and proper decisions with PSA. We are appropriately selecting patients who need to be treated, while monitoring those who are deemed safe to do so. Knowledge is power. I think it’s proper for patients to advocate for having their PSA tested.”

The American Cancer Society recommends that men have a chance to make an informed decision with their health care provider about whether to be screened for prostate cancer. For a full list of screening recommendations, visit cancer.org and search for prostate cancer screenings.

For patients facing a cancer diagnosis, the Hunt Cancer Institute at Torrance Memorial is a place for hope and healing in the South Bay. An affiliate of Cedars-Sinai, the Hunt Cancer Institute offers comprehensive cancer care from national and regional cancer experts—including preventive screenings, the latest treatment options, access to promising clinical trials and a full range of supportive services available from diagnosis through survivorship.

Aquablation for Enlarged Prostates

Torrance Memorial now offers an innovative new treatment for enlarged prostates. Aquablation uses a high-pressure, robot-guided water jet to remove obstructing prostate tissue.

“Aquablation uses no incisions, reduces the risk of side effects and allows us to treat bigger prostates more safely and efficiently,”

says urologic surgeon Garrett Matsunaga, MD, who performed the first procedures at Torrance Memorial in June 2022.

The Aquablation system provides 3D ultrasound imaging, enabling physicians to precisely map the tissue to ablate. During the procedure, real-time imaging and robotic guidance help physicians precisely direct the water beam and avoid damaging surrounding anatomy.

“For men with larger prostates, a transurethral resection of the prostate—the traditional treatment for enlarged prostates—is often incompletely effective. These larger prostates may need two surgeries or a more invasive procedure to get relief,” says Dr. Matsunaga. “Now men with very large prostates have a safe, effective, minimally invasive option.”

An enlarged prostate, also referred to as benign prostatic hyperplasia (BPH), can obstruct the urethra, which is the tube that carries urine out of the bladder and penis. It can cause slow or difficult urination and prevent the bladder from emptying fully. A common condition in men 50 and older, BPH often triggers frequent urges to urinate and regularly interrupts sleep. Without treatment, it can sometimes lead to bladder stones, infections and even kidney failure.

Patients who undergo aquablation generally are able to leave the hospital the same day after a period of monitoring. After a four- to six-week recovery, they can expect to stop taking prostate medications and have less urinary frequency and urgency.

“One patient told me it changed his life,” says Dr. Matsunaga. “He is off all prostate medications and only has to get up once during the night to urinate, and sometimes not at all.” •

Timothy Lesser, MD, and Garrett Matsunaga, MD, practice at 20911 Earl Street, Suite 140, in Torrance and can be reached at 310-542-0199.

Harriet Chase: Living Proof

Longevity research shows that people who live with purpose live longer, healthier lives filled with passion and deep connections. Harriet Chase of Manhattan Beach exemplifies this. The active 85-year-old wife, mother, grandmother and former elementary school teacher has always given back to the community—and continues to do so today.

“I love to make connections with different organizations that help our children, neighbors and those in need,” says Harriet. “I’ve built my life around volunteering, education, my husband, family, friends, exercising and nutrition.”

The organizations she volunteers with reflect and champion her priorities. For instance, Harriet is currently a neighborhood watch block captain, co-chair of the Health & Wellness Committee for older adults with the League of Women Voters of the Beach Cities, and a Senior Services Working Group member with the South Bay Cities Council of Governments.

Those are just a few of the organizations Harriet is committed to. She is also a member of the Newcomers to the Beach Cities nonprofit social group and attends the Manhattan Beach Joslyn Community Center’s Let’s Talk Woman to Woman 55+ discussion group and the Senior Advisory Committee.

The active senior also attends a regular book club, a Moai vegan potluck group with the Beach Cities Health District’s Blue Zones Project and is learning to play mahjong. “Clearly, I like to stay involved,”

Harriet says with a chuckle.

The mother of three, grandmother of six and foster parent of one has always prioritized her family and focused on their needs. Her volunteering and activities often reflect her desire to assist them and to

create a better community, county, state and country. It’s why she used to volunteer with the Los Angeles County Commission for Children and Families, was an education representative for a foster youth, and participated in the League of Women

Manhattan Beach resident Harriet Chase and her husband, Dick, have been married for 63 years. Left: Harriet and Dick at their senior prom.

Voters’ studies for foster care, juvenile justice and early childhood education.

With a mother who lived to be 103 and a mother-in-law still alive and well at 102 (whom she visits regularly), Harriet knows a thing or two about the value of exercise and good nutrition. In fact, her diet incorporates organic fruits and vegetables, green drinks and fermented foods. Her favorite healthy shopping spots are the Downtown Manhattan Beach Farmers Market and Muun Chi in Redondo Beach.

“I do a total-body workout three days a week at the Hermosa Beach Kiwanis Club, and I walk two days a week with a friend in my neighborhood,” says Harriet, who loves to go on weekend walks with her husband of 63 years, Richard, aka Dick, to the Greenbelt and Kenneth Hahn State Recreation Area.

Want to know her advice to those who are over age 55? Stay active, strive to make a difference, eat well and value time with your family. •

You are what you eat, nutritionists advise. Here is a snapshot of Harriet’s go-to meals:

Breakfast: green drinks; oatmeal; sourdough toast with almond butter and sliced banana; yogurt with fruit, nuts and seeds

Lunch: salads, hummus, tabouli, beans with celery, pita (from the Downtown Manhattan Beach Farmers Market), sourdough toast with avocado and almond butter

Dinner: vegetable stir-fry with tofu, curries with brown rice or quinoa, soups (using Instant Pot), broiled fish (usually salmon), vegetables (steamed or roasted), pasta with mushrooms and other veggies, omelets with veggies, vegan ravioli (from the farmers market)

Drinks: water, decaf green tea

Harriet and her friend worked the polls during the 2024 election.
Seated center, Harriet Chase is surrounded by family members at her recent 85th birthday celebration.

Advocacy Starts with You: Trusting Your Voice in Health Care

How taking an active role leads to better health outcomes.

Speak up. Ask questions. Take charge.  Being your own health advocate helps you catch issues early, make informed decisions and partner with your care team—so you can feel confident, supported and in control of your health every step of the way. Multiple studies in The New England Journal of Medicine (NEJM) have shown that patient self-advocacy, through shared decision-making and engagement, can improve and streamline care quality and delivery, enhance outcomes and even lower costs.

So what is health advocacy, and how can it improve health? Health advocacy is taking an active role in managing your own health and health care. It’s doing your homework before medical appointments by using trusted sources to learn about your condition, treatment options and preventive care. It’s writing down your concerns and questions and taking notes during appointments. It’s asking the doctor to speak plainly if something isn’t clear or to repeat anything you don’t understand.

Patients who help make decisions are more likely to follow through with chosen treatments, according to NEJM. Better adherence means fewer complications, emergency department visits or hospital readmissions—all of which reduce costs.

While patients who use the internet to seek medical information may be labeled as cyberchondriacs, Erik Milanez, an agent with YMA Insurance Solutions, Inc., says, “In my experience, doctors appreciate members who’ve done their homework and come prepared.”

Milanez notes how physicians today must balance both patient care and administrative responsibilities. “When patients come prepared, it helps make each visit more effective.”

He also points out that your personal doctor is the first step on your health care journey. “Your primary care physician is like your quarterback. They’re the ones playing point for you to coordinate your care up front.”

Self-health advocacy is about speaking up for yourself, staying informed and being actively involved in decisions that affect your care and overall well-being. You can also have someone advocate on your behalf or bring a significant other—friend, spouse, relative, etc.— to medical appointments.

If a patient needs an advocate to assist them, it is recommended that they sign a HIPAA release form to allow that person access to their medical information. However, if the patient requires someone to make medical decisions on their behalf, they’ll need to appoint someone as their health care power of attorney.

As an advocate for loved ones, be present and prepared. Attend appointments when possible, take notes, listen carefully and ensure your loved one’s wishes are documented. Ask thoughtful questions and inquire about options, outcomes, side effects and help coordinate aftercare. In coordinating clear communication among specialists, caregivers, pharmacists and insurance, an advocate can help avoid medication errors or conflicting treatment plans.

Milanez suggests keeping a notebook dedicated to your health care. It can be a physical or digital version, such as a health care app on your phone. Whichever

Patient advocacy is about more than care—it’s about being a trusted voice, ensuring every patient feels seen, heard and supported at every step of their health care journey.

method you choose, maintain organized notes of your appointments, detail your symptoms, list current prescriptions, and note doctor recommendations and questions for the next appointment. Keep records, test results, notes, etc., in one place to help you stay organized and, ultimately, to help your doctor help you. “Anything that’s going to make a big difference to your health care,” Milanez says.

Another way to advocate for yourself is to understand your insurance coverage. There are many services and resources available, especially around coordination, transitional care or advanced planning. Review the information packet that you receive from your insurance company and the annual Medicare and You handbook (sent out in late September).

When navigating the health care space and your individual needs, communicating clearly with doctors, nurses and insurers can help resolve issues. Researching your condition aids you in making informed choices that align with your needs, values and lifestyle. But if you’re not comfortable with the doctor’s assessment or recommendation, seek out a second opinion. Most insurance plans cover that. Know your rights as a patient.

Advance care planning is another area of advocacy. Completing an advanced care directive—a legal document that states one’s preferences for medical care before possibly becoming incapacitated—and appointing a decisionmaker can ease added stress for everyone. Such planning has been shown to reduce anxiety and improve endoflife care experiences. See torrancememorial.org/patients-visitors/advance-care-planning/ for help with Advance care planning. •

1.

What to include in a Health Care Notebook:

Personal Information

o Full name, date of birth, blood type, allergies

o Emergency contacts

o Insurance cards and policy numbers

o Do not include social security number

2.

Medical History

o Past illnesses, surgeries, hospitalizations

o Chronic conditions

o Family medical history (if relevant)

3.

Medication List

o Current prescriptions (dosage, frequency, prescribing doctor)

o Over-the-counter drugs, vitamins, supplements

o Any adverse reactions or allergies

4.

Provider Directory

o Primary care doctor

o Specialists (with contact info)

o Pharmacy, therapists, home health aides

5.

Appointments & Notes

o Calendar of upcoming visits

o Space to jot down questions before an appointment

o Notes from doctor visits, including diagnoses and instructions

6.

Test Results & Imaging

o Lab work, X-rays, MRIs, EKGs, etc. (or at least a record of where/when done)

7.

Treatment Plans

o Care instructions from providers

o Physical therapy exercises, diet restrictions, home care routines

8.

Insurance & Billing

o Explanation of benefits (EOBs)

Key points of being a health advocate for yourself or others:

• Do your homework.

• Keep a health care notebook.

• Bring a friend or a loved one.

• Sign a HIPAA authorization or release form.

• Know your insurance and what is covered.

• Be proactive about advance care planning.

9.

10.

o Bills, payment records, appeals correspondence

Advance Care Planning

o Living will/advance directive

o Health care power of attorney

o HIPAA release form

Advocacy Tools

o Questions to ask providers (e.g., about risks, alternatives, side effects)

Wellness Classes

3105 Lomita Blvd., Torrance

To register, call 310-517-4711.

8-week class: $80 (ADVANTAGE members $72) 4-week class: $40 (ADVANTAGE members $36) For more information, call 310-517-4666 or visit TorranceMemorial.org/classes.

ALL CLASSES ARE HYBRID (IN-PERSON OR ZOOM) UNLESS OTHERWISE NOTED

Menopause 101 (Zoom only)

October 2, 5:30 to 7 p.m.

Learn techniques to navigate and manage menopause with confidence. Led by Ann Boss, RN, Menopause Society Certified Practitioner. $25; $20 ADVANTAGE members

Bones for Life with Joy (In-person only)

Nov. 17–Dec. 8; Jan. 5–Feb. 23

Monday, 12:30 to 1:30 p.m.

These Feldenkrais exercises help support bones through gentle weight-bearing exercises that require no strain or pain. Improve posture and bone health.

Chair Yoga for Bone Health with Debi

Nov. 19–Dec. 10; Jan. 7–Feb. 25

Wednesday, 11:15 a.m. to 12:15 p.m. (new time)

Designed for those with osteopenia or osteoporosis; strengthen muscles and bones, improve posture and balance, fall prevention and breath work. All levels welcome.

Chair Yoga for Strength and Balance with Sharmone (In-person only)

Nov. 17–Dec. 8; Jan. 5–Feb. 23

Monday, 2 to 3 p.m.; Nov. 20–Dec. 18

Jan. 8–Feb. 26; Thursday, 2 to 3 p.m.

Use a chair in seated and standing poses to improve strength and balance.

Essentrics® Full-Body Stretch with Ai

(In-person only)

Nov. 17–Dec. 8; Jan. 5–Feb. 23

Monday, 11 to 11:50 a.m.

Nov. 21–Dec. 19

Jan. 9–Feb. 27; Friday, 11 to 11:50 a.m.

A gentle, full-body stretch to activate muscles, free joints and increase mobility. Bring a mat.

Integrated Yoga with Robin

Nov. 19–Dec. 10

Jan. 7–Feb. 25

Wednesday, 7 to 8 p.m.

Breath work, postures and meditation, such as yoga nidra.

Line Dancing Beyond “Country” with Sharon (In-person only)

Nov. 19–Dec. 10; Jan. 7–Feb. 25

Wednesday, 4:30 to 5:30 p.m.

Learn Country Western favorites, cha-cha, mambo, tango and samba in line dancing style. No partner needed.

Line Dancing: The Next Step with Sharon (In-person only)

Nov. 19–Dec. 10; Jan. 7–Feb. 25

Wednesday, 3:15 to 4:15 p.m.

Learn cutting-edge high beginner and improver line dances, plus more complex line dance steps. Previous line dancing experience required.

Mat/Floor Pilates with Karen (In-person only)

Nov. 18–Dec. 9

Jan. 6–Feb. 24

Tuesday, 4 to 4:50 p.m.

All-levels class strengthens core muscles to improve balance. Moderate fitness level needed. Bring a mat.

Muscle Strengthening: Beginning & Intermediate with Randy (Zoom only)

Nov. 18–Dec. 9

Jan. 6–Feb. 24

Tuesday, 11 to 11:50 a.m.

Nov. 21–Dec. 19; Jan. 9–Feb. 27

Friday, 11 to 11:50 a.m.

Strengthen your upper and lower body using flexible exercise bands.

Qi Gong with Gayla (Zoom only)

Nov. 20–Dec. 18

Jan. 8–Feb. 26

Thursday, 9 to 10:15 a.m.

Powerful but gentle movement and meditation to rejuvenate, strengthen and relax.

Stretching for Better Balance

(Zoom only)

Nov. 18–Dec. 9

Jan. 6–Feb. 24

Tuesday, 10 to 10:45 a.m.

Nov. 21–Dec. 19; Jan. 9–Feb. 27

Friday, 10 to 10:45 a.m.

Increase flexibility and mobility to help prevent injuries.

Beginning Tai Chi with Richard (Zoom only)

Nov. 18–Dec. 9

Jan. 6–Feb. 24

Tuesday, 2 to 3 p.m.

An introduction to the form of this Chinese exercise that inspires well-being.

Intermediate Tai Chi with Richard (Zoom only)

Nov. 19–Dec. 10

Jan. 7–Feb. 25

Wednesday, 2 to 3 p.m.

Learn how to complete the form.

Advanced Tai Chi with Richard (Zoom only)

Nov. 19–Dec. 10; Jan. 7–Feb. 25

Wednesday, 3:15 to 4:15 p.m.

Go deeper into refining movement, leading to improved health and mental focus.

Yoga Basics with Laura (Zoom only)

Nov. 17–Dec. 8; Jan. 5–Feb. 23

Monday, 4 to 5 p.m.

Gentle yoga poses on the floor and standing; breath work and meditation.

Yoga Therapy for Osteoporosis with Debi

Nov. 18–Dec. 9; Jan. 6–Feb. 24

Tuesday, 11 a.m. to 12:15 p.m.

Use poses and breath work to stimulate bone growth, increase strength, range of motion in joints, posture and balance. Floor, chair and standing poses. Bring a mat.

Yoga for Wellness with Debi

Nov. 19–Dec. 10; Jan. 7–Feb. 25

Wednesday, 9:30 to 10:45 a.m.

Correct posture alignment and increase strength, flexibility and range of motion.

Miracle of Living

Join us at 6:30 p.m. in person or via Zoom for Torrance Memorial Medical Center’s popular health lecture series. Hoffman Health Conference Center, 3315 Medical Center Drive, Torrance. Visit TorranceMemorial.org/mol for details.

October 15

Balance and Strength

November 19 Cancer Series

Past lectures include cancer prevention; sports injury prevention and other orthopedic issues; heart disease, complications with diabetes and stroke, valve disease and peripheral artery disease; and a variety of psychological topics such as depression, anxiety, substance abuse, eating disorders and violence. Videos are available on demand at TorranceMemorial.org/mol.

Wellness Classes

Malaga Cove - 2550 Via Tejon, Palos Verdes Estates

To register, call 310-517-4711. All clases are in-person only.

8-week class: $80 (ADVANTAGE members $72) 4-week class: $40 (ADVANTAGE members $36) For more information, call 310-517-4666 or visit TorranceMemorial.org/classes.

ALL CLASSES ARE HYBRID (IN-PERSON OR ZOOM) UNLESS OTHERWISE NOTED

Align the Spine with Joy

Nov. 17–Dec. 8; Jan. 5–Feb. 23

Monday, 9 to 10 a.m.

These Feldenkrais Method lessons help restore or avoid deterioration of your posture without pain or strain. Bring an exercise mat, hand and bath towel.

Bones for Life with Joy

Nov. 17–Dec. 8; Jan. 5–Feb. 23

Monday, 3:30 to 4:30 p.m.

These Feldenkrais exercises help support bones through gentle weight-bearing exercises that require no strain or pain. Improve posture and bone health.

Chair Exercise: Beginning & Intermediate with Pam

Nov. 18–Dec. 9; Tuesday, 8 to 9 a.m.

Jan. 6–Feb. 24 ; Tuesday, 9 to 10 a.m. (new time)

Improve strength and balance using a chair. Bring an exercise band and light hand weights (optional).

Exercise to the Oldies with Pam

Nov. 18–Dec. 9; Tuesday 9:15 to 10:15 a.m.

Jan. 6–Feb. 24; 10:15 to 11:15 a.m. (new time)

Promote endurance and flexibility with standing and floor exercises. Bring a mat, light hand weights and a “CAN DO” attitude!

Essentrics® Strength: Full-Body Stretch

Nov. 16–Dec. 7; Jan. 4–Feb. 22

Sunday, 9 to 9:50 a.m.

Combines strengthening and stretching to develop a toned, pain-free body. Includes exercise on the floor. Bring yoga mat.

Essentrics® Full-Body Stretch with Ai

Nov. 19–Dec. 10; Jan. 7–Feb. 25

Wednesday, 11 to 11:50 a.m.

Nov. 22–Dec. 20; Jan. 10–Feb. 28

Saturday, 11:15 a.m. to 12:05 p.m.

A gentle, full-body stretch to activate muscles, free joints and increase mobility. Bring a yoga mat.

YoQi® Qigong Flow & Sound Bath

Nov. 16–Dec. 7

Jan. 4–Feb. 22

Sunday, 10:30 to 11:40 a.m.

Gentle, slow movements, breath work, self-massage and sound bath meditation. All levels welcome. Bring yoga mat. Blanket/pillow and eye pillow optional.

Muscle Strengthening: Beginning & Intermediate with Randy

Nov. 17–Dec. 8

Jan. 5–Feb. 23

Monday, 11:30 a.m. to 12:15 p.m.

Nov. 20–Dec. 18

Jan. 8–Feb. 26

Thursday, 11:30 a.m. to 12:15 p.m.

Learn correct, safe techniques for strengthening your upper and lower body using a chair and flexible exercise bands.

Stretch & Sound Bath Meditation with Ai

Nov. 19–Dec. 10

Jan. 7–Feb. 25

Wednesday, 9:30 to 10:20 a.m.

Nov. 22–Dec. 20

Jan. 10–Feb. 28

Saturday, 12:30 to 1:20 p.m.

Through gentle stretch and breath work, you will be introduced to different sounds and vibrations from various sound bath instruments. Bring a yoga mat, blanket and pillow.

Stretching For Better Balance with Randy

Nov. 17–Dec. 8

Jan. 5–Feb. 23

Monday, 10:30 to 11:15 a.m.

Nov. 20–Dec. 18

Jan. 8–Feb. 26

Thursday, 10:30 to 11:15 a.m.

This fun workout in a chair is designed to help increase flexibility to prevent injuries.

Yoga for Stress Reduction with Debi

Nov. 22–Dec. 20; Jan. 10–Feb. 28

Saturday, 9:30 to 10:45 a.m.

Gentle yoga poses on the floor, seated and standing to increase flexibility, strengthen the body and improve balance. Breath work and meditation reduce stress.

Don’t see what you’re looking for?

Check TorranceMemorial.org/classes for more information or call 310-517-4666.

Advantage Support Groups

Bereavement Support Group

Meet in a caring and safe environment with other people experiencing grief or loss. Groups consist of eight to 10 members and meet once weekly for six to eight weeks, for 90 minutes. To participate or for more information, contact Olivia Licea at 310-703-3352.

Between Starving & Stuffed

This is an interactive virtual program that teaches life skills for a healthy weight and other goals. Every second and third Thursday via Zoom. Contact Community Health Education at 310-517-4711 for more information.

Cancer & Nutrition

Whether you are currently going through cancer treatment, have had cancer in the past or are simply looking for general nutrition guidelines to help prevent the development of cancer, this class is for you! We focus on the role good nutrition plays in cancer prevention, treatment and survivorship. Every second Thursday, 5 to 6 p.m. via Zoom. Call 310-517-4711 for information.

Caregivers Support Group

Are you providing care for someone else? Our support group offers valuable information and nurturing support for caregivers of all types. Join us to connect with others who understand your experiences and gain insights from those in similar

situations. To receive the Caregiver Packet, please email torrancememorialhealtheducatio@tmmc.com. For meeting dates and times, call 310-517-4711.

Depression and Bipolar Support Alliance

This peer-based support group is for those dealing with mood disorders (dbsasouthbay.org). Group meets at Torrance Memorial on the second and fourth Saturdays of the month, 10 a.m. to noon, and the first and third Thursdays of the month via Zoom, 6:30 to 8:30 p.m. Contact Scott Wood at 310-497-8801 or woodscott516@yahoo.com, or Peggy at 310-548-3457.

Diabetes Support Group

Join us to share with others who understand what it is like to live with diabetes. Meets on fourth Fridays, 1 to 2:30 p.m., at the Lundquist Lurie Cardiovascular Center, 2841 Lomita Blvd., Suite 335. Registration is not required. For questions, call 310-517-4711.

Men’s Cancer Support Group: Finding Strength Together

Join us for a supportive gathering for men navigating cancer diagnosis, treatment and recovery. Individuals are encouraged to ask questions, express concerns and share their experiences with fellow cancer fighters. Every first and third

Wednesday via Zoom. Contact Rev. Jan Arthur Lee for more information at jan. lee@tmmc.com or 310-891-6694.

Ostomy Support Group

This support group provides a welcoming and safe space to connect with one another and learn how to live an active, happy and healthy life with an ostomy bag. Next meeting is Thursday, October 17, 3 to 4:30 p.m. Call 310-517-4711 with questions.

Stroke Support Group

Building a community of support for stroke survivors and their caregivers. Meets every second Tuesday, 10 to 11 a.m., at the Hoffman Health Conference Center, Room 4. For questions call 310517-4735, ext. 20640 for Maria or ext. 20822 for Tami.

WE CAN: Women Empowered Cancer Support Group

For nearly 20 years, this group of women have journeyed through their experiences of cancer and beyond. This group empowers women to face their diagnosis, recurrence or experience as a cancer survivor with resilience and support. Meets second and fourth Tuesdays, Hoffman Health Conference Center (Zoom option available), 10 to 11:30 a.m. Register with Anne Milliken by calling 310-517-1115 or email anne.milliken@tmmc.com.

Torrance Memorial Medical Center

310-325-9110

TorranceMemorial.org

ADVANTAGE Program Information

310-517-4666

Monday through Friday, 9 a.m. to 4:15 p.m.

Torrance Memorial IPA

Learn More: 310-257-7239 TorranceMemorialIPA.org

Members: Toll-Free: 866-568-4472 TTY/TDD: 711

Monday through Friday, 8:30 a.m. to 5 p.m.

Torrance Memorial Physician Network

310-891-6717 TMPhysicianNetwork.org

Monday through Friday, 7:30 a.m. to 4 p.m.

If you do not wish to receive future issues of this publication, please email publications@tmmc.com with your name and complete

3330 Lomita Boulevard, Torrance, CA 90505-5073

CARE,

Emergencies happen. Don’t delay care for heart attacks, strokes, falls or other urgent health situations. Torrance Memorial’s Emergency Department is safe, ready and open. If you think you are having a heart attack or stroke, call 911 or go to the nearest Emergency Department if you are experiencing symptoms.

Comprehensive Stroke Center – Torrance Memorial emergency care staff are trained to identify the signs of stroke early and deliver early intervention care that limits damaging effects.

Emergency Department Approved for Pediatric Patients –Torrance Memorial is a designated Emergency Department Approved for Pediatrics by L.A. County Department of Health Services.

L.A. County Paramedic Base Station – Torrance Memorial’s 24-hour Emergency Department serves as a paramedic base station.

STEMI (Heart Attack) Receiving Center – Torrance Memorial is a STEMI-receiving hospital, and has the equipment, expertise and facilities to administer percutaneous coronary intervention, a mechanical means of treating heart attack patients.

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