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Elder CareTips:
Mastering The Eldercare Maze

February 13, 2007

Before we get to the meat this week I'd like to thank everyone who answered my request for legal questions. Your response was overwhelming, and your questions were all great! I'm in the process of sorting through and organizing it all. As soon as we're ready to actually do the call I'll make sure that everyone who submitted a question is notified.

Did You Know...
...Medicare Pays For Some
Preventive Eye Exams?

Most of us are used to thinking of the annual eye exam as something we have to pay for ourselves, just like most routine health checkups that we do to prevent health problems rather than cure them.

Not necessarily so. There are some things Medicare pays for that don't get done nearly often enough because seniors don't want to or can't afford to spend the money for routine care they must pay for themselves, and they don't know that they would be covered under Medicare.

One of those is routine glaucoma screening. Glaucoma is an eye disease caused by high pressure in the eye. It can cause you to gradually lose sight without warning and often without symptoms. The best way for people at high risk for glaucoma to protect themselves is to have regular eye exams.

Extremely poor vision, or blindness, can cause a host of other medical problems such as fractures from falls, other injuries, or serious depression. These are very expensive to treat once they've happened. The reduction in quality of life for those who have lost vision is beyond measuring.

Recent research revealed that less than 45 percent of Medicare diabetics have had an eye exam. Yet Medicare coverage of eye exams for diabetics has been offered since 1998. In 2001 glaucoma screening for patients at risk was included in Medicare coverage. The number of people taking advantage of covered glaucoma screening seems to be just as low.

If your elder is at risk for glaucoma and is resisting having that annual exam because of cost, here's your answer. Get them in for a test. Glaucoma doesn't give any warning, so just because your elder says there are no symptoms doesn't mean there's nothing going on.

How often is glaucoma screening covered?

Once every 12 months

Who is eligible for glaucoma screening?

People with Medicare at high risk for glaucoma

What does glaucoma screening cost?

If you have original Medicare you pay 20% of the Medicare-approved amount after the yearly Part B deductible. If you have a Medicare Advantage (HMO) plan check with your plan.

Are you at high risk for glaucoma?

Your risk for glaucoma increases if you…

  • have diabetes

  • have a family history of glaucoma

  • are African American and age 50 or older

More Resources For Glaucoma Information:

National Eye Institute (NEI), National Institutes of Health

Eye health information on the most common eye disorders and their treatments and consumer eye care resources.

The Glaucoma Foundation

Mamma Said, "Wash Your Hands"

It's flu season, and while "they" are saying it's not too late to get your shot, seems to me the horse is already long gone out of that particular barn. Some schools were closing for a few days around here last week, and several nursing and assisted living residences are being hit hard.

So a little prevention is worth that pound of cure, and the best advice is still the kind our mother's handed out: Wash Your Hands. Whenever you get the chance.

We've pretty much all got antibacterial soap sitting around, but the lab guys have come to the conclusion that it doesn't help all that much. It might actually be helping breed those superbugs that are resistant.

The best thing, according to a recent Harvard Health Letter, is still a good scrub with regular, plain old soap and water. A decent alternative if you don't have soap and water handy is one of the alcohol-based rubs sold as hand sanitizers. The big advantage of these cleansers is that you don't need water or a towel, so you can use them anywhere. But alcohol doesn't kill everything.

To be effective, the rubs need to come into contact with all surfaces of your hands, and studies have shown that using small amounts is really no better than washing with plain soap and water.

The Harvard Health Letter suggests these steps to make sure you clean your hands thoroughly, whether you're using soap and water or a hand sanitizer:

Spread the cleaner or soap over your hands
Clean the backs of your hands
Clean your fingertips
Clean around and under your fingernails
Clean your thumbs
Clean between your fingers

Sing a rousing rendition of "Happy Birthday" while you do all this. One verse (about 15 seconds if you don't rush) is said to reduce bacterial counts by about 90%.

Do this several times and day and you'll also need a good lotion.

 

Experience is that marvelous thing that enables us to recognize a mistake when we make it again.

~ Franklin P. Jones

Elder CareTips:
Phone Sanity

When you can't be near the phone to answer calls let an answering machine do the job for you. Set it to ring the fewest possible number of times before it takes a message. Individuals who are confused will probably not be able to take a useful message, and too many can be talked into giving personal information to strangers on the phone.

Don't be afraid to let the phone take a message even when you are there. It is far less dangerous to call someone back than risk a fall trying to get to the phone before it stops ringing.

If it's important, the person calling will leave a message. If it isn't important, or if it's someone trying to sell you something, they probably won't leave a message, and you've just been spared the interruption.


Veterans' Benefits?
A Certain Similarity
To Medicaid

Y'all have had several questions recently about Veterans' Benefits. I'm blessed to have readers who have answers. Here's a response from a reader I thought everyone should have a chance to see. If your elder loved one is receiving Medicaid benefits in a nursing home, the same methodology applies...there will be an annual review. If it isn't completed, benefits may stop.

* * *

I noticed that you answered a question about a veteran's widow whose VA A&A checks had stopped.

I assist veterans (and their dependents). Many times when an A&A check has stopped it is because the VA has sent an Income Questionnaire (or other document) to the recipient to complete and return to the VA. In fact, this is the first thing that I look into when I am presented with this problem.

If the requested form is not returned the VA may (and often will) stop sending checks until the requested document is submitted.

Many recipients of A&A benefits do not realized that this benefit may be needs based. The VA usually sends out an income verification form annually. Many elderly A&A recipients do not understand the importance of completing and returning this form (often called an EVR).

Most veteran service organizations will be happy to assist veteran's widows complete their EVRs and will not charge for this service.

I thought you might want to share this information with your readers.

That's it for this time around. See you in a couple of weeks if the creeks don't rise.

 

 


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