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Great ideas for planning for retirement and health care.

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Page 1: Morning Journal - Prime Time - Fall 2013
Page 2: Morning Journal - Prime Time - Fall 2013

2 • M o r n i n g J o u r n a l P r i m e T i m e • F a l l E d i t i o n • S u n d a y , O c t o b e r 2 7 , 2 0 1 3

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M o r n i n g J o u r n a l P r i m e T i m e • F a l l E d i t i o n • S u n d a y , O c t o b e r 2 7 , 2 0 1 3 • 3

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(NAPS)—If you or someone you love isamong the 13 percent of Americans over65—or soon will be—there are a numberof things that may pay to know when itcomes to retirement planning.

What You Should KnowAccording to the U.S. Census Bureau,

persons reaching age 65 have an averagelife expectancy of an additional 18.6 years,meaning retirement could last fordecades. To make the most of your retire-ment years, careful and strategic planningis critical.

There will be many decisions to make,including whether you need to makelifestyle changes, whether you want tocontinue working, what goals and priori-ties you have, sources of income and bene-fits, and how you want to spend your time.Often times, it can be helpful to consultwith a financial services professional tomake these decisions—and maybe, theplace that you work.

6 Decisions to ConsiderFinancial professionals say it’s impor-

tant for your financial plan to include prod-ucts that provide lifetime income. Six keyplanning elements to think about beforeretiring include:1. Decide how you want to structure

your retirement savings. If you are mar-ried you may wish to consolidateaccounts, while others will choose to keepaccounts separate.

2. Communicate openly with your sig-nificant other and talk through your finan-cial differences. Set goals and spendingbudgets so you are in agreement abouthow to spend during retirement.

3. Learn about your pension and whatrules apply to your pension and retirementsavings.

4. Establish a Social Security gameplan. Work through the numbers anddecide if it’s more beneficial to draw thosebenefits through your spouse’s workingyears or your own.

5. Consider age when purchasing finan-cial protection products. Is one spouse sig-nificantly older?

6. Seek legal counsel about all yourestate planning options. Wills, living wills,trusts and powers of attorney are all legalmeans of ensuring your wishes are carriedout. It is also important to update all thesedocuments any time there is a change inyour marital status or family structure.

Helpful ResourcesAn easy, but often overlooked resource

in retirement planning is your currentemployer and the resources it of fers.Through the workplace, many Americanscan take advantage of a program that pro-vides an opportunity for personalized guid-ance.

For example, one St. Louis woman nev-er knew she’d be an entrepreneur inretirement until she participated in anemployer-offered program, and met ToddGentry, CFP, ChFc, CAP, a Financial Serv-ices Representative and Special NeedsPlanner. Through the retirewiseSM pro-gram, a MetLife-driven comprehensiveeducational program offered to individualsin the workplace, Gentry was able to assistthis woman facing early retirement reachunexpected success.

Tim Essman, a Financial Services Rep-resentative with Wealth Strategies Groupin San Diego, helped another woman whohad worked for 35 years achieve herdream of visiting her Italian relatives,which included the purchase of a condo inItaly.

“Programs like retirewise encourageindividuals to think about their retirementand provide tools and resources to helpthem reach success,” says Jeff Tulloch,vice president at MetLife. “At the conclu-sion of our program, for example, partici-pants and their spouses have the opportu-nity for a complimentary face-to-face con-

sultation with a specially trained represen-tative to take the training to the next leveland move toward execution. It can beextremely helpful to ask your employer orHR representative if they offer such a pro-gram.”

Overall, it’s a good idea to first envisionwhat you want your retirement to look likeand then work with an advisor to see thatvision come to life. He or she can help youarticulate the retirement you want andhelp you finance and plan based on cur-rent and future financial planning trends.

Planning ahead for retirement

The more you know about yourself and your finances before you retire, thebetter off you may be afterward.

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(NAPS)—There’s helpful news for those caring for a fam-ily member with Alzheimer’s disease.

Thanks to the most experienced provider of in-home carefor se niors, free resources are now available to help familiescope with the common challenging behaviors associatedwith Alzheimer’s.

The Home Instead Senior Care network is offering freeConfidence to Care at Home kits. Available onwww.helpforalzheimers families.com or from a local HomeInstead office, the kit is an at-a-glance collection of informa-tion, tips and resources to help handle difficult situations,avoid household accidents, encourage engagement and pre-vent caregiver stress. It’s designed for any member of thehousehold to reference, anytime it’s needed.

In addition, the company has developed a free, download-able smartphone app that families can use to search behav-iors and help find solutions when they have to quickly react.Called Alzheimer’s and Other Dementias Daily Help er, theapp is designed to help families manage issues as they arise,whether at home or in public. For example, if a smartphoneuser types in “wandering,” the app will provide a list of tips

for ad dressing the issue right now and preventing it in thefuture.

“Alzheimer’s impacts not only the 5 million Americanswith the disease, but also the handful of people that providecare and support for that person,” said Home Instead Presi-dent Jeff Huber. “We want to replace fear with a sense ofconfidence that they are equipped to handle any situation.”

For more information about Home Instead’s freeAlzheimer’s and dementia suppor t resources, visitwww.helpforalzheimersfami lies.com.

New tools for families with Alzheimer’s

A free smartphone app has been developed to helpfamilies find solutions when they are caring for afamily member with Alz heimer’s disease.

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(NAPS)—As the Affordable Care Act isset to be fully implemented, there is stillmuch confusion about how the law willaffect you and your family. Here are 10things to know about the health care law’sprotections and benefits, courtesy ofAARP: 1. Health insurance companies can no

longer drop your health coverage if youbecome sick or disabled.

2. Insurance companies cannot discrim-inate against you because of your healthconditions or gender. That means healthinsurance companies can no longercharge you more simply because of yourhealth status or gender.

3. Insurers cannot deny health insur-ance to anyone under age 19 because of apre-existing condition, such as cancer, dia-betes or heart disease. In 2014, Americansof all ages will be afforded this protection.

4. The health care law stops insurancecompanies from limiting lifetime coveragefor essential health benefits. In 2014, thisapplies to yearly limits, too.

5. Preventing illness with the rightimmunizations and screenings will be sim-pler and less expensive. Most insuranceplans, including Medicare, now must cov-er preventive benefits such as immuniza-tions and screenings for diabetes and cer-tain cancers. Be sure to check with yourinsurance plan about what preventive ser -vices are covered with no out-of-pocketcost to you.

6. If you are uninsured, finding afford-able health coverage is now easier, as itcan be purchased via your state’s HealthInsurance Marketplaces. It’s like an online

shopping mall. You’ll be able to comparethe benefits and costs of health plans sideby side and pick the plan that works bestfor you and your family. For more informa-tion on your Health Insurance Market-place opening October 2013, visitwww.HealthLawAnswers.org.

7. Your children can stay on your familypolicy up to age 26, even if they don’t live

with you or are married.

8. You can sleep well knowing that yourguaranteed Medicare benefits are safe.The Affordable Care Act strengthensMedicare, and your guaranteed Medicarebenefits are protected, including doctorand hospital visits and rehabilitation serv-ices. If you have Medicare, there aren’tany other steps you need to take with

regard to the new health law.

9. The “doughnut hole” is going awayand the improved coverage means yourout-of-pocket costs for prescription drugswill be lower if you have Medicare Part D.

If you have high drug costs and reachthe doughnut hole this year, you will get a52.5 percent discount on brand-name pre-scription drugs and a 21 percent discounton generic prescription drugs.

Visit the Doughnut Hole Calculator atwww.aarp.org/doughnuthole to learnmore about when you might reach thedoughnut hole and potential medicationoptions that may reduce your costs or helpyou avoid the coverage gap entirely.

10. There’s help to pay for insurancecoverage. If your job does not offer healthcoverage and you have a limited income,you may be able to get financial help topay for insurance coverage purchasedthrough the Health Insurance Market-place.

If you are a small-business owner, youwill have more insurance choices andopportunities to qualify for tax credits.

To learn more about how the lawaffects you and your loved ones, visitwww.HealthLawAnswers.org in English,www.MiLeydeSalud.org in Spanish or call1-888-702-9345 for more information.

Understanding the Affordable Care Act

Starting on January 1, 2014, in surance companies cannot discriminateagainst you because of your health conditions or gender.

Page 6: Morning Journal - Prime Time - Fall 2013

(Family Features) Most people prefer to stay in their home or apartment for as longas possible. The best way to make this a reality is to plan ahead of time to make theamenities in your home as safe and accessible as possible. It can be hard to imagine thattasks around the house that were once done with ease can one day pose a challenge.

Anticipating the challenge and planning accordingly may allow you to remain in yourhome for an extended period of time. Often, with some minor modifications, your homecan be adapted to help you stay as long as possible even with some loss of mobility.

Home ModificationsLiving at home longer may mean renovating a home to make it more accessible. This

can include such things as installing ramps to bypass stairs, building a bedroom on themain floor, placing grab bars in the shower, changing the height of kitchen countertopsor making a bathroom safer and more accessible.

Before you make home modifications, you should evaluate your current and futureneeds by going through your home room by room and answering a series of questionsto highlight where changes might be made. Several checklists are available to help youconduct this review. The National Resource Center on Supportive Housing and HomeModifications is a good place to star t. Go to the center’s website athttp://www.homemods.org and click on the link to the “Safety Checklist and Assess-ment Instrument.”

Getting HelpKeeping a house running smoothly requires a lot of hard work. If you are no longer

able to keep up with the demands, you may need to hire someone to do laundry, buygroceries, run errands, clean the house or perform any necessary repairs.

Those who are unable to perform Activities of Daily Living (ADLs), such as getting inand out of bed, walking, bathing, dressing, and eating, can often continue to stay athome with outside help. There are a number of services that can be brought in to assistwith ADLs and other personal care. You can hire someone, such as a personal care aideor home health aide, to help you out a few hours a day or around the clock.

Some health care services can be provided at home by trained professionals, such asoccupational therapists, social workers or home health nurses. Check with your insur-ance or health service to see what kind of coverage is available, although you may haveto cover some of these costs out of pocket. If very specific conditions are met, Medicarewill help pay for all or a portion of home health care.

TransportationDeclining health often causes a decline in independence and mobility. Many seniors

lose the ability to drive or simply feel uncomfortable behind the wheel at night. Investi-gate transportation options in your area so you can maintain an active social life, getmedical care and shop for necessities.

You might find family members willing to take you to the grocery store, friends whowill drive you to social events, nearby bus routes, reduced fare taxis or senior transporta-tion services funded by a local not-for-profit. Staying in your home should not meanbeing cut off from community activities you enjoy. Finding new ways to get around, evenafter you are no longer driving, may allow you to stay engaged and active.

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(NAPS)—You can help yourself togood feelings and others to what theyneed and deserve by giving some time tothe nation’s largest volunteer-run taxpreparation and assistance service.

Almost four out of five people who turnto this AARP Foundation Tax-Aide pro-gram are 60 or older. For many of them, atax refund could mean they won’t have tochoose between paying for groceries andkeeping the lights on.

You don’t have to be a tax professional.Volunteers get free training on the latesttax preparation forms and software. Theprogram also needs coordinators,greeters, administrative volunteers, lead-ers, and people who are bilingual and canassist with translation.For more information, visit

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AARP’s Tax-Aide program, a much-needed service for older Americansthat’s free, individualized and has nostrings attached needs your help.

Helpingothers

(NewsUSA) - Do you or someone youknow take a medication to alleviate a condi-tion like chronic pain, or perhaps to treat highcholesterol or high blood pressure?

The medication may also cause a sideeffect that many of us don't want to talkabout... constipation.

That's right, while your medication caneffectively manage your condition, it mightalso “clog you up.”

The list of culprits include certain prod-ucts from classes of medications such as anal-gesics, high blood pressure medications, andhigh-cholesterol drugs. Occasional constipa-tion can be uncomfortable, but there should

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Page 8: Morning Journal - Prime Time - Fall 2013

(Family Features) The best time to make decisions regarding long-term care is wellbefore it’s needed. An unexpected illness or injury may force you or a loved one intomaking hasty decisions.

Long-term care is a set of services and supports for people who are unable to per-form Activities of Daily Living (ADLs). ADLs are self-care activities, such as getting inand out of bed, walking, bathing, dressing, eating, and bowel and bladder management.About 70 percent of people turning 65 can expect to need some kind of long-term careservices as they age. Experts encourage everyone over age 50 to take the time, whileyou have it, to research options and make important choices. Long-term care planningmeans developing a personal strategy now for how things should be handled later whenyou or a loved one is in need of care. Important considerations include the following:

Staying In Charge An important part of long-term care planning is outlining how you would like things

to be handled. Expressing preferences clearly about how any declines in ADLs shouldbe handled, what financial resources are available, and who should provide needed careis a good way to retain control. All adults over age 18 should execute legal documentsthat appoint one or more individuals to make health care and financial decisions forthem in the event they become unable to make decisions for themselves. Adults wholose the ability to make decisions before executing these documents must have thecourt system appoint someone to make decisions for them. An attorney can also preparean advance care directive, which is a set of written instructions detailing what medicalcare you want or do not want.

HousingThose who would prefer to stay at home

for as long as possible should make a planto do so, and consider making modifica-tions as needed. Home modifications areoften intended to allow maximum self-care,and to help avoid a fall. Avoiding a fall canhelp delay or avoid the need for long-termcare. Typical modifications include widen-ing doorways, adding wheelchair ramps,improving lighting, mounting stairwaychair lifts, installing medical alert systemsand adding handrails or safety grips. Animportant consideration for anyone plan-ning to stay home is to ensure the bath-room can be used safely. Ideally, your resi-dence should maximize your ability to con-tinue performing ADLs, and help you avoida fall.

Primary CareMaintaining a good relationship with a

primary care physician is key. Regularcheck-ups can lead to early diagnosis of anyphysical, mental or emotional decline. Behonest and open about symptoms, dailyhabits or changes in appetite. Be sure tohave the primary care physician review allmedications. Ongoing medication manage-ment is an important part of staying healthyand avoiding a fall.

Family CareUnpaid family members are the most common source of long-term care help. But,

they may not be able to provide all the care you need, or be there every hour of the day.If you intend to rely on family members for long-term care services be sure to involvethem in your long-term care planning. Make sure they are willing and able to be care-givers for you.

Paid CareAs part of your long-term care plan, look into caregiving services in your area, includ-

ing in-home care providers and elder daycare centers. Find out about elder shuttles,meals on wheels and other low-cost services offered in your community. Several types ofhousing come with support services for people who cannot fully take care of themselvesdue to aging and/or disability.

-Public housing is available for low-to-moderate income elderly and persons with dis-abilities.

-Assisted living homes are group living settings that offer housing in addition to assis-tance with ADLs and other services, such as meals. Generally, they do not provide med-ical care.

-Continuing care retirement communities provide a range of housing options, includ-ing independent living units, assisted living and nursing homes, all on the same campus.

-Nursing facilities, or nursing homes, are the most service-intensive housing option,providing skilled nursing services and therapies as needed.

Take the time to familiarize yourself with the different types of facilities available inyour area. Ask family and friends for any recommendations they may have and takeadvantage of information available on the Internet. Visit www.longtermcare.gov to findout more information about each type of facility and costs associated with long-termcare. Your local Area Agency on Aging office also offers a list of resources available tothe elderly in your area.

Having your long-term care plan squared away and clear, so there are no misunder-standings or second-guessing, can be the greatest gift you can give to your loved ones,and yourself. For more information, visit www.longtermcare.gov.Source: Administrationfor Community Living

8 • M o r n i n g J o u r n a l P r i m e T i m e • F a l l E d i t i o n • S u n d a y , O c t o b e r 2 7 , 2 0 1 3

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Making long-term health care plans

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(NewsUSA) - For people with diabetes, taking a multivitaminevery day can mean much more than a little protection againstthe common cold. Research is finding that multivitamins can bethe first line of defense against many different types of infections,including respiratory infections and influenza.

“Once a person with diabetes gets an infection, it’s much hard-er for them to get rid of it, and it can lead to dire consequences,even death,” says Registered and Certified Dietitian-NutritionistDebra Spector. “And since some diabetic patients don’t normallyrespond well to treatment, prevention is key.”

Taking a special diabetes multivitamin — usually found in thediabetes section of a drugstore, not the vitamin section — allowsa diabetic person to be proactive with their health, and avoidnutrient deficiencies that can lead to problems.

The year-long study among 130 patients, published in theAnnals of Internal Medicine, found that the incidence of infectionwas much lower among diabetics who took a multivitamin versusthose who did not.

Infection occurred in only 17 percent of diabetic patients whotook a multivitamin versus the 93 percent who took a placebo.The study also found that regular multivitamin usage reduced therate of minor urinary tract and gastrointestinal infections in peo-

ple with diabetes.

Because of the nature of the disease, it’s not uncommon fordiabetics to experience nutrient deficiencies. Diabetes medica-tions and frequent urination can lead to the loss of vital nutrientsthat protect the body.

“Since there are many health risks that can result from vitaminand mineral deficiencies, I encourage my diabetic patients to finda multivitamin supplement with more potent levels of importantnutrients to meet their needs,” says Spector. “It should containAlpha Lipoic Acid (ALA), an important nutrient that most ‘regu-lar’ multivitamins do not have. I like Multi-betic Diabetes Multi-Vitamin since it has 23 important nutrients, including ALA,designed to help maintain healthy blood sugar levels, supportvision and promote nerve function.”

Learn more about Multi-betic and other diabetic products atwww.diabeticproducts.com.

Take your multi-vitamin to control diabetes

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(NAPS)—Recently, the approximately 10.9 million American seniors on Medicare1who live with diabetes were alerted to new changes that could impact access to theirblood glucose testing supplies.

Many people with diabetes use these supplies—including blood glucose meters andtesting strips—to monitor their blood glucose (also known as “blood sugar”). Learningto use and maintain a blood glucose meter usually requires practice, and, over time,patients often become very comfortable with a particular meter. This is important,because consistent blood glucose monitoring is critical to help people with diabetestrack blood glucose levels, identify the best approach to control their diabetes, and avoidthe potentially serious complications of the disease.2

Medicare ChangesThe Centers for Medicare and Medicaid Services (CMS) recently instituted a new

program that reduces Medicare reimbursement for certain diabetes testing sup- plies,including blood glucose test strips, for people with diabetes.3These changes could limit seniors’ access to their preferred diabetes testing sup-

plies—those they’re comfortable using and that their doctors recommend. CMS maysuggest that patients switch to unfamiliar products, causing confusion or frustration. Orworse, according to a survey by the American Association of Diabetes Educators,4patients who can no longer access the products they’re comfortable using may test theirblood glucose levels less frequently or stop testing altogether. This could potentiallyresult in poor blood glucose control.

Finding SupportA number of resources are available to help seniors with diabetes understand and

manage the Medicare changes and make it easier for them to access their familiar sup-plies or, alternatively, find new products that are both appropriate for them and afford-able. The American Diabetes Association (www.diabetes.org) provides comprehensiveinformation and guidance regarding the changes. Many blood glucose testing suppliersprovide free training and support services for seniors who either decide to switch prod-ucts or want to continue using their familiar supplies.

To help seniors navigate through these changes, the global health care companyAbbott has enhanced its FreeStyle Promise® diabetes support program to provide newresources and support services to Medicare patients. Se niors with diabetes, their doc-tors and caregivers can learn more about Abbott’s FreeStyle Promise program athttp://www.freestylecoveredbymedicare.com and 1-855-578-2660.

Medicare changes for blood glucose supplies need not cause seniors with diabetes totest their blood glucose less frequently or stop testing. Support services are available!

Visit these websiteshttp://www.diabetes.org/advocate/our-priorities/health-care/medicaid-and-

medicare.htm

http://www.diabetesaustralia.com.au/Living-with-Diabetes/Type-1-Dia-betes/Managing-Type-1-Diabetes/Blood-Glucose-Monitoring

http://www.cms.gov/Outreach-and-Education/Outreach/Partnerships/ Downloads/DMEPOSBeneFactSheetNatMailOrderProgApril201311634.pdf

http://www.diabeteseducator.org/export/sites/aade/_resources/Advocacy/AADE_DME_SURVEY.pdf

FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. invarious jurisdictions. Precision and related brand marks are trademarks of the AbbottGroup of Companies in various jurisdictions.

Important news for seniors with diabetes

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Page 12: Morning Journal - Prime Time - Fall 2013

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