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The Importance of Programs

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By Mason Crane-Bolton

Have questions about what services are available to you? We have answers! | via Pixabay

 

The Importance of Programs

There are many programs available for eligible older adults, but not everyone is signed up for them. Some people aren’t aware of the types and specific programs available and others may know the programs, but don’t believe they’ll qualify for assistance. In today’s blog post we’ll take a brief overview of the types of programs available and why they’re important.

Why are these programs important? Often, due to a number of circumstances, including unforeseen medical costs, outliving one’s planned savings, needing to leave the workforce early or for lengthy periods due to medical or caregiving needs (and so on), older adults often find themselves with far fewer financial resources than they need to survive. The impacts of these problems are especially noticeable in a high-cost state such as New Jersey. Research on the issue, such as the Elder Economic Security Index (EESI), has repeatedly showcased the difficulties faced by older adults continuing to age in New Jersey. Older adults face higher risks of homelessness, hunger, and delayed or neglected medical care due to their financial means. Although the programs listed below help to combat these disturbing trends, these programs are also often threatened by financial cuts, changes in eligibility requirements, and lack of legislative or community support.

Food Assistance

The Supplemental Nutrition Assistance Program (SNAP) may the one of the most well-known of the food assistance programs. Another popular program is the Senior Farmers’ Market Nutrition Program (SFMNP), which “promotes nutritional health among New Jersey’s senior citizens by providing them with locally grown fresh fruits, vegetables, and herbs.”

Check your eligibility and apply for SNAP here: Apply for SNAP

Medical Assistance

In addition to Medicare, there are several other programs for older adults, including prescription assistance. The Pharmaceutical Assistance to the Aged & Disabled program (PAAD) is a state-funded program that helps eligible seniors and individuals with disabilities save money on their prescription drug costs.

To learn more about applying for Medicare go to the Social Security Administration’s website here: Social Security Administration: Medicare

To learn more about applying for PAAD, the Senior Gold Prescription Discount Program, and other Medicare savings programs, continue to the section on the new NJ Save application and follow this link: NJ Save Application

Assistance for Homeowners

For eligible homeowners, assistance is available with your property taxes. The Property Tax Reimbursement Program (popularly known as the Senior Freeze Program) and the Homestead Benefit Program are available to older adults who qualify.

Learn more about the eligibility requirements and how to apply for the Property Tax Reimbursement Program here: NJ Property Tax Reimbursement Program a.k.a. “Senior Freeze”

Heating and Cooling Assistance

The Low-Income Heating and Energy Assistance Program (LIHEAP) “helps very low-income residents with their heating and cooling bills, and makes provisions for emergency heating system services and emergency fuel assistance within the Home Energy Assistance Program.”

Check your eligibility and download the application for LIHEAP here: Apply for LIHEAP

Multi-Program Savings and Application

New Jersey’s new application NJ Save allows eligible older adults and those with disabilities to apply and enroll in the following programs simultaneously:

-Pharmaceutical Assistance to the Aged and Disabled (PAAD)

-Senior Gold Prescription Discount Program

-Lifeline Utility Assistance

-Medicare Savings Programs (SLMB & QI-1)

-Medicare Part D’s Low Income Subsidy (aka “Extra Help”)

-Hearing Aid Assistance to the Aged and Disabled (HAAAD)

The application is also used to screen for LIHEAP, SNAP, and Universal Service Fund (USF). In addition, individuals who qualify for PAAD and Lifeline Utility Assistance through NJ Save may also be eligible for Property Tax Freeze (“Senior Freeze”), reduced motor vehicle fees, and low-cost spay/neuter for pets.

Learn more about NJ Save and apply here: Apply Through NJ Save

Programs aimed to assist our most vulnerable often seem out of reach for many, and while it may be true that these programs all have eligibility requirements, many programs are under utilized. Remember that only 48% of eligible older adults in New Jersey are currently receiving SNAP benefits. Rather than assume you don’t meet the eligibility requirements, look into the requirements for each program (or use the NJ Save application) and apply for all the programs you meet the criteria for. Regardless of what assistance level you might receive from an individual program, each benefit can help you and even small benefit amounts can quickly add up to substantial assistance across several programs!

 

If you have feedback or would like to be part of the conversation, leave us a comment below or email us as office@njfoundationforaging.org.

Come back for our next blog! New posts are published on the first and third Thursdays of each month.

Mason Crane-Bolton is Communications Manager for the New Jersey Foundation for Aging. His writing has appeared in Epiphany, UU World, To Wake/To Rise, and others. 

Medicare Fraud. How We Can Fight it.

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Today we bring you a blog post from guest blogger and NJFA friend Charles Clarkson, Project Director of the Senior Medicare Patrol of New Jersey.

By Charles Clarkson, Project Director, Senior Medicare Patrol of NJ

 

Medicare fraud is estimated to cost American taxpayers $60 billion a year, monies that are siphoned off and are not available for legitimate Medicare services. At the Senior Medicare Patrol of NJ (SMP), which is a federally funded program, we want to educate Medicare beneficiaries so they do not become victims of Medicare fraud. There are steps Medicare beneficiaries can take to fight this fraud. The most important step is to protect your Medicare number. Even though Medicare issued new Medicare cards to all beneficiaries with randomly generated numbers and letters and removed the social security number from the cards, the Medicare number (now known as the Medicare Beneficiary Identifier) is still very valuable to fraudsters who can use it to bill Medicare. Beneficiaries should not give out their Medicare numbers to anyone they don’t trust. This is especially true for the many beneficiaries who receive robo calls on a constant basis. The rule of thumb is to never pick up the phone if you do not recognize the telephone number on your message machine. Let the message machine screen all of your calls and then you can decide to return the call or not. Most beneficiaries will find that no message is left and they can then ignore the call.

The next step is to always read your Medicare Summary Notice (MSN), the document a beneficiary receives from Medicare usually 3 months after seeing a Medicare provider. It is important for beneficiaries to review their MSN, not just because of fraud but because mistakes can also happen.

Step three is to keep a personal health care journal or calendar. Record every time you see a medical provider, take a test or have other services provided. When you get your MSN compare it with your journal or calendar. Make sure you are not being scammed. If you are not sure something is fraud or you have a question about the billing, call your provider and ask for an explanation.

Step four is to report any suspected fraud or error. This step is vitally important. Failure to report will translate into the provider getting away with any fraud or errors. Remember, this is your money. You pay Medicare premiums, co-pays, co-insurance, deductibles and other charges. If you need assistance in fighting Medicare fraud, as you were unable to resolve it yourself, call the SMP. Our telephone number is 732-777-1940 and our hot-line number if 877-SMP-4359. A beneficiary can also use our web-site to report a fraud on the form provided. Visit seniormedicarepatrolnj.org

Even if you are not sure if it is fraud but need questions answered, call us. We are a free service and we are here to help. Every beneficiary should feel empowered to help fight Medicare fraud. At the SMP we want to keep Medicare as a viable program that is there for every beneficiary.

Charles Clarkson is Project Director of the Senior Medicare Patrol of NJ

How to Age Well: Planning Your Path, Part 2: Home, Health, and “After I’m Gone…”

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By Mason Crane-Bolton

Have you planned for future health and home changes? | Photo via pexels.com

 

There is no way to get aging “right”…

 

…But it does help to plan.

Something is happening each and every day across New Jersey. Across the United States. Across the entirety of the planet.

We are all getting older.

Like it or not, each and every one of us is on a journey of aging. From the moment we are born until the moment we die, we are aging.

We tend to think of aging as being something saved for an arbitrary age, like 50, 60, 65,…etc. We could list off the ages at which society (for one reason or another) has decided we’ve hit a certain benchmark in aging. Whether it’s Social Security benefits, Medicare enrollment, retirement, “senior citizen” discounts, or a screening your doctor now wants you to undergo, we tend to have these changes attached to specific ages or with “being of a certain age.” We think of them as being times in our life when a monumental change has occurred, a mark of “aging.”

But the truth is, regardless of what arbitrary number might be assigned to program enrollments or coupons, we don’t age in random, sudden leaps. We age constantly and gradually. While this might make it tempting to wait to plan for your later years, you should plan now. No one wants to be caught unawares by changes as you age or a sudden health crisis, so it makes sense to plan for your later years as early as possible. Think of planning now as training for becoming an older adult.

What if you already consider yourself an older adult? That’s not to say this blog doesn’t apply to you too! It absolutely does—no matter where you are or where you consider yourself to be in your path of aging, it makes sense to plan now for the road ahead, whether that road is two days or twenty years from now!

Having plans in place will mitigate much stress and bad decision-making in emergency situations. Much heartache and avoidable stressed is caused by being forced to make difficult decisions in the heat of the moment; time spent worrying about what the best decision is and then wondering if the right decision is the one you made.

What are some priorities to focus on? We’re so glad you asked. In this three-part series we’ll cover different aspects of how-to age well as we lead up to our 21st Annual Conference. If you’d like to register for the conference but haven’t yet, go to www.njfoundationforaging.org for more information.

This week we’ll cover: home, health, and “after I’m gone.”

 

Home

Wherever you live, there are changes you can make today for a better home tomorrow. A home that’s better suited to your future self.

Area rugs may be soft on your feet, but they can be a major trip hazard. Remove area rugs to prevent falls and cut down on your number of tripping hazards. If you still want something soft for your feet, consider installing carpets—these aren’t as trip-free as hard floors, but better than area rugs. Also, stay in the habit of wearing secure shoes instead of open-toed sandals or loose slippers around your home.

Although we covered many changes that may be needed due to mobility changes in the first part of this blog series (How to Age Well: Planning Your Path, Part 1), it’s also worth considering what changes you may want to make for your own comfort or peace of mind.

If your home is too large for you to comfortably handle, you may want to consider downsizing. Constant upkeep and cleaning of rooms that aren’t being used can take a toll on your energy and your money. If you’re concerned about having rooms available for visiting friends and family, let them stay at nearby hotels, motels, or Airbnb listings while they’re visiting. Not having to pay for extra heat, air conditioning and electricity, or regularly clean an infrequently used room, will make the visits more fun for everyone.

And if you missed it in the first part in our series, we have a link to help you find an aging-in-place specialist in your area: Living in Place.

 

Health

Whether or not you consider yourself to be in good health now, chances are that sooner or later you’ll have to face potential health issues. And even if you’re blessed with good health for the rest of your life, it’s a good idea to plan for a potential emergency. Whether it’s the diagnosis of a long-term illness or a broken ankle after a tumble on a running trail, illnesses and accidents happen—it’s best to be prepared.

First, learn your family medical history as best as you can and share this information with your medical providers. Is there a family history of cancer? Heart disease? Glaucoma or cataracts? Dementia or Alzheimer’s? Have you been previously diagnosed with any conditions or illnesses? Your medical provider should be alerted to any family or personal health history you have—this isn’t a guarantee you’ll have the same conditions, but a way for your physician to know what they should pay special attention to and screenings or treatments that could best benefit you. And remember that routine screenings and hygiene appointments, such as dental exams and cleanings, should be done regardless of age.

Interview your medical providers. If they don’t have a good understanding of aging in medicine or make you uncomfortable, look for a provider better suited to your needs. Many in the community of aging professionals now recognize the benefit of annual screenings for changes in cognitive abilities for early detection of possible dementia and Alzheimer’s—ask your provider if they do such screenings and any other screenings you have concerns about. Stay on top of changes in your health and don’t delay bringing them up with your provider; bring any questions you may have to your provider and make sure you get answers for each question. Bring your list with you and something to write on and with (don’t trust you remember everything when you get home) or ask your provider to send you home with additional information materials or resources. If your provider is unwilling to answer your questions, they are probably not the right provider for you.

Plan too for future caregiving needs and needed adaptations to changes. If you need caregiving, who will provide it and how? Will it be a nurse or a friend or family member? Will you need to pay this person? How often will you need help? You can ask your provider what insight they might have into your future needs, but also plan to have these discussions with spouses/partners, family, and yourself.

In addition to these concerns, you may think about bringing someone with you to your medical appointments—especially if you find yourself getting overwhelmed during exams or need some assistance in understanding procedures or doctor recommendations. If you have a caregiver or think it would be beneficial to have someone in the exam room with you, bring this up with your provider. Ask them if you could have a trusted person or caregiver with you.

As long as you’re planning, you should also plan what you would like in your medical care and end-of-life care. Seriously consider creating an Advance Directive and POLST form (Practitioner Orders for Life-Sustaining Treatment). You can learn more about these and fill the forms here NJ Advance Directive and POLST. Having an Advance Directive or POLST form often makes people uncomfortable because they believe the form is only for declining further medical care. This is not true. These forms allow individuals to express, in writing, when they are mentally and physically capable of making decisions, what they would like their medical care to be. Individuals can choose to have as many OR as few life-saving measures they would like to be taken in the event they are not conscious to tell doctors or loved ones their wishes. The POLST form also travels from doctor to doctor, allowing individuals to make their wishes known without having to fill out the form over and over again.

 

“After I’m Gone”

A former co-worker of mine, a planned giving attorney, used to use the phrase “If I get hit by an asteroid crossing the street tomorrow…” when talking about all the things we’d need to know if he died suddenly (he liked it as opposed to, “If I get hit by a bus,” because it seemed so much less likely!). In his line of work he was constantly discussing wills and estates with the organization’s supporters. This wasn’t as morbid as it may sound—the conservations were much less about death than a way for these supporters to tell my co-worker how they wanted to be remembered.

We don’t need to necessarily dwell on death with morbidity, but it’s healthy to recognize it will, inevitably, happen to us all. Whether or not we’re planning to give away money or large assets when we die, it’s not only wise, but necessary to plan what will happen with ourselves, our loved ones, and our things before and after we’re gone.

If you’re an adult, you should have a will. Regardless of how many assets you have or don’t have, whether you own a car or a house, a pet, or you have only the clothes on your back, it makes sense to dictate who will get what in a will. You can make this will as secret or as public as you’d like, give it all away to a favorite school or organization, or pass it along to family and friends, but you should make a will. Make sure you also have your will and wishes reviewed by an attorney to ensure your wishes can be carried out.

Even though most of us may be reluctant to discuss our own deaths, it’s worth remembering that our loved ones will have to process taking on additional household and/or financial responsibilities in addition to processing the emotional toll of our deaths. To make things easier for loved ones, it’s wise to write a list of passwords for bank accounts, utility accounts, etc., and to create other lists, such as where household objects are stored, how to maintain appliances or accounts, and other useful information your spouse/partner or loved ones might want to have access to.

Also consider having conversations with your loved ones about how you would like to have your death recognized. Let your loved ones know if you have religious/spiritual or personal practices that you would like incorporated into any kind of memorial service, song or story requests you may have, and any other details about your preferred type of service. If you face reluctance from loved ones in discussing matters of death, try to gently and compassionately remind them that these conversations are going to make things easier and are, ultimately, about love.

 

As we said in the first in our series, there is no one solution to deciding how you will cope with your home, health, or end-of-life decisions. Just as your life changes, so may the appropriate solution—having a plan, or even considering your current or future needs, is the first step to aging well.

 

Stay tuned for our next blog post, the third and last part in our “Planning to Age Well,” series: money and retirement.

Mason Crane-Bolton is Communications Manager for the New Jersey Foundation for Aging. His writing has appeared in Epiphany, UU World, To Wake/To Rise, and others. 

Scams and Tech, Part 2: Sweetheart Scams

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By Mason Crane-Bolton

Are they interested in you, or your money? | photo via unsplash.com

In part one of our tech-scams series, we talked about the all-pervasive en-masse scams, the kinds of scams that flood your inbox and phone. Today we talk about a scam more sinister and possibly more dangerous, the romance scam.

Romance scams, also known as “sweetheart” scams, are one of the most prevalent tech-based scams. These scams may start off all “<3”s and “XOXO”s, but they end with heartbreak, $0.00 in your bank account, and maybe your stolen identity.

Romance/sweetheart scams are longer, more intense scams than the scams in the first installment of our tech-scams series. Sweetheart scams typically start online on dating websites or internet forums, but can quickly migrate to messaging services, emails, phone calls, or text messages. Many people fall victim to romance scams because of their long, drawn-out nature. It’s important to note that these kinds of scams aren’t new, but they’ve become easier for scammers to instigate with the advent of the internet, dating websites, and social media apps. It’s also important to know that although sweetheart scams are most common through internet-based channels, they can and do still occur offline through newspaper personal ads, etc.

Sweetheart scams target adults across all ages, but they’re more prevalent among older adults. And they’re successful. What does this mean and why? How can you protect yourself? How do romance scams work?

Some victims believe they’ll be quick to pick up on the lies, others may be blinded by an attraction or feeling of affection for the person they believe the scammer to be. Although it’s easy to think we can always tell if someone is interested in us or just our wallets, the truth is, it isn’t that simple. In romance scams the scammer is interested in a bigger payout, so they’re willing to invest more time and energy into the scam. This means they put a lot more effort into gaining your trust and access to your money and information. Long before they’ve talked to you, they’ll already have their stories straight. They’ll already have pictures they can send to you, phones they can use to call you, and plausible reasons why they can’t meet you or why they might run into financial troubles.

And, despite their name, sweetheart scams aren’t always overtly romantic in nature. Although the relationship between the scammer and victim is often under the pretext of dating or romance, the relationship may be seen as a friendship or companionship by one or both parties. Some people fall victim to these scammers because they believe sweetheart scams always involve overt romance or dating. The sad reality is that plenty of people have been scammed out of their money or identity believing they’re helping a dear “friend” they’ve met online.

So it can be easier for people to fall prey to sweetheart scams. But why is it so hard to get out of them? Won’t somebody in that person’s life notice? Won’t the victims eventually realize what’s going on?

 

While this isn’t an exhaustive list, suffice it to say there are many reasons it can be more difficult to get someone out of a romance scam, or even to notice one is occurring. Some of these reasons include:

  • The victim may be secretive about the relationship or may not divulge certain details (Even in the best, non-abusive, of circumstances, many of us are unlikely to tell friends and family how much money we’ve loaned or given to our significant other)
  • If the victim or the victim’s closest contacts aren’t scam-savvy (or if cognitive issues play a role) it may be harder for the victim to recognize red flags, such as common scamming techniques
  • Affection and attention are crucial to our happiness and health—If the victim is, or feels, isolated they may be more susceptible to sweetheart scams
  • Scammers may use “gaslighting” to make victims doubt themselves—“Gaslighting” refers to a technique common in abusive relationships where the abuser manipulates their victim into questioning their own perception of reality or sanity
  • Even if the victim has concerns, they may be too embarrassed to ask for help

 

Romance scams can be extremely difficult for not just the people directly involved, but for the people around the victim as well. Sweetheart scams prey on our need for love, affection, and companionship, and it can be incredibly painful to admit there’s a problem. It can be even harder to give those things up—even if the scammer’s “affection” isn’t genuine. The victim’s loved ones may also find themselves between a rock and a hard place: they don’t want to see their loved ones continue to be financially abused, but they also may come against a defensive victim who is unwilling to believe their boyfriend/girlfriend or friend is really taking advantage of them.

Across the country (and globe), there are countless stories of sweetheart scams and their victims. People who have been left bankrupt, had their identity stolen, or, at the very least, had their sense of safety and stability disrupted. Sadly, there are still many more victims out there who will never come forward out of feelings of embarrassment or shame. Some victims can recoup some of their losses through the legal system, but, unfortunately, most won’t see any of their money returned. The best way to avoid the losses caused by a romance scam is to steer clear of them through education and vigilance.

 

Here are some common tricks look out for:

  • The person claims to be in the military and unable to access funds (impersonating soldiers deployed overseas is a common tactic used by scammers. The U.S. military and U.S. government warn that you should not send money to anyone overseas or with these claims)
  • The person claims they have a large amount of money they’re currently unable to access (but promise to share this wealth with you in the future)
  • The person can never meet in person—or they make plans to meet but need to cancel after an emergency or tragedy (or they never show up at all)
  • The person consistently asks to borrow money
  • They ask for personal information that could be linked to your financial information
  • They ask for access to your financial information or accounts (they may use this for future identify theft or monetary theft)
  • It’s a “whirlwind” relationship
  • They ask you to send wire transfers, gift cards, or electronics
  • Reverse check the picture of your date—if the picture is attached to more than one profile, this is a major red flag
  • It seems “too good to be true”—whether it’s their profession, their photos, their financial situation, a combination of these factors or something else entirely, follow the old adage “If it’s too good to be true, it probably is.”

 

Dating websites, apps, and online forums can still be wonderful places to meet people for romance or friendship. The prevalence of romance scams doesn’t mean you need to throw out your computer or delete your apps, but it does mean you need be consistently vigilant and careful.

Just as you would with a blind date, let trusted people in your life know who you’re talking to online. They can help be a barometer for “normal” or “suspect” behavior and can alert you when something seems fishy—listen to their concerns and take them seriously, they are looking out for you.

If you or someone you know has been the victim of an online scam, register a complaint with the Internet Crime Complaint Center (IC3) at https://www.ic3.gov/default.aspx or with the New Jersey Division of Consumer Affairs at http://www.njconsumeraffairs.gov/ or by calling 800-242-5846 (toll-free in NJ) or 973-504-6200.

Mason Crane-Bolton is Communications Manager for the New Jersey Foundation for Aging. His writing has appeared in Epiphany, UU World, To Wake/To Rise, and others. 

Scams and Tech, Part 1: The En Masse Scams

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By Mason Crane-Bolton

 Are you safe from scams? | photo via pexels.com

We know about tech. We know about scams—scams where older adults are often the target. But what do we know about how tech and scams overlap?

Wherever you live and however tech-savvy you consider yourself, it’s more than likely you encounter scams on an almost daily basis. Many of these scams may sound familiar: barely-legal businesses send flyers to your home insinuating to be affiliated with state or local agencies, or that urgent repairs need to be done to your residence; door-to-door or supermarket “magazine subscription sellers” try to get cash for magazines that will never come; a stranger who haunts a local business and always needs money for gas, etc. This isn’t a reason to give up on people or to believe that everyone you meet is out to do you wrong, but it is a reason to educate yourself and become “scam-savvy.” And where being scam-savvy may be more important than ever is in the use of those pervasive, everyday tools: our tech.

Why are there so many tech-based scams? Technology provides a quick and simple way for scammers to attempt scams on, literally, millions of people simultaneously at little to no cost. Scammers can send you emails, phone calls, and texts from anywhere in the world at any time. They can attach malware or spyware, infect your computer, get your information and your money. While there are some basic tools you can use to protect yourself from the uninvited scammers (antivirus programs for anything that connects to the internet—this includes not just computers, but smart phones, tablets, etc.) the most basic tools are free and always available: arming yourself with information, vigilance, and skepticism.

The tactics of most scammers are basic and easy to see through—so why do we fall for them? It’s not because we’re stupid or naïve—it’s because scammers also prey on our basic emotions: fear and love. The tactics of most scammers are to threaten either ourselves or someone we love.

Now, does this mean you can expect to get action movie-style emails in your inbox or texts to your phone? “Give me the last four digits of your Social Security Number or Fido gets it”? No, I don’t think that’s something you need to worry about. But what may happen is something like a call from the “IRS”—“We have recently opened a claim against you. Your bank accounts and benefits will be frozen unless we can confirm your Social Security Number,”—or from a “friend” of a loved one—“Hi, I’m a friend of your grandson and he just got arrested. He can’t make the call, but asked me to call you. Can you send a wire transfer for bail money?” Or you could get a seemingly legitimate email that appear to be from a well-known business, like Apple or Amazon.com, that claims your account has been locked, you’ve won a gift card, or someone has racked up huge charges to your account. (There are several other scams out there; the scams listed above are only a few examples of some of the currently common scam scenarios.) So, if and when you get these messages, what can you do?

First, don’t immediately react to your impulse of fear for yourself or a loved one. Don’t click on any links in an email, don’t rush off to send a wire transfer, and don’t give away any personal information, including your Social Security Number. Instead, stop, think, and confirm. Immediately hang up on any suspicious calls. If you have a concern about any claims against you or a freeze of your Social Security benefits, hang up and call the IRS (1-800-829-1040) or Social Security Administration (1-800-772-1213 or TTY  1-800-325-0778) directly. Even if the number that called you appears to be coming from a legitimate government agency, don’t trust it (scammers can disguise their phone numbers easily) and call the agency directly. If you receive a call that a friend or relative has been arrested or is in the hospital and needs money call that person first to check out the story (some individuals have reported tricking the would-be scammer by giving a false name for the loved one, birthday, etc. to verify the scam is a scam, but we recommend hanging up immediately to spend as little time talking to the scammer as possible). And if you receive an email from a business, go directly to that business’s website and verify whether there is any problem with your account (or call customer service). Never give any financial information or personal information in any of these scenarios where you did not initiate contact.

You can report fraud to the Federal Trade Commission at ftc.gov/complaint. To report Social Security scams, call the Office of the Inspector General at ?1-800-269-0271 or report online at  https://oig.ssa.gov/report.

Scams like these are usually quick and dirty and easier to see through. The scammers aren’t too likely to hound you constantly—when you don’t fall for the scam, they’ll just move onto the next person so they can make a buck. And usually (but now always) this means they’re a little easier to spot and avoid. The IRS and SSA won’t send you robo-calls or leave automatic voicemails, your grandchild or friend isn’t likely to have a third party call you while they’re in jail, and you’re probably not the winner (but we can dream) of a $1,000.00 Amazon gift card. But what other common scams are out there?

Check back on March 7th for part 2 of our tech-scam series: One of the other most common scams aimed at older adults? “Sweetheart” scams.

Mason Crane-Bolton is Communications Manager for the New Jersey Foundation for Aging. His writing has appeared in Epiphany, UU World, To Wake/To Rise, and others. 

Important Updates to Medicare: The New Medicare Advantage Open Enrollment Period

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By Guest Blogger Charles Clarkson, Project Director, Senior Medicare Patrol of New Jersey

Medicare Advantage Disenrollment Period Ending.

Beneficiaries in a Medicare Advantage plan previously had a Disenrollment Period from January 1 – February 14 every year. This disenrollment period ended on December 31, 2018. It has been replaced with a new Medicare Advantage Open Enrollment Period. This new period was effective starting January 1, 2019.

The old Medicare Advantage Disenrollment Period had permitted beneficiaries to drop their Medicare Advantage plan and return to Original Medicare (Part A and Part B). It also allowed a beneficiary to sign up for a stand-alone Medicare Part D Prescription Drug Plan.

The New Medicare Advantage Open Enrollment Period

Starting January 1, 2019, a new Medicare Advantage Open Enrollment Period will run from January 1 – March 31 every year. If you are already enrolled in a Medicare Advantage plan, you will have a one-time opportunity to:

  • Switch to a different Medicare Advantage plan.
  • Drop your Medicare Advantage plan and return to Original Medicare, Part A and Part B.
  • Sign up for a stand-alone Medicare Part D Prescription Drug Plan (if you return to Original Medicare). Most Medicare Advantage plans include prescription drug coverage already. Usually you cannot enroll in a stand-alone Medicare Prescription Drug plan if you already have a Medicare Advantage plan.

Medicare Advantage Open Enrollment: why would I want to switch to a different Medicare Advantage plan?

  • Medicare Advantage plans can change every year. Premiums, co-pays and deductibles may change and a beneficiary may find and switch to a plan more suited to his/her needs.
  • If a beneficiary is not happy with the Medicare Advantage plan’s network (doctors and hospitals who participate in the plan) or a beneficiary discovers that their doctor has dropped out of the plan’s network and no longer accepts the plan, he/she may want to switch to a plan that their doctor participates in.
  • Medicare Advantage plans are required to provide beneficiaries with similar coverage as Original Medicare. Many of them also include coverage beyond Original Medicare (Part A and Part B). For example, most plans include prescription drug coverage, and some include routine vision services, some dental and hearing services or other benefits such as Silver Sneakers program. With new changes in Medicare, Medicare Advantage plans may soon offer other services such as adult day care services, home and bathroom safety devices, transportation and home meals. Of course a beneficiary should review the plan documents carefully to understand these services and their limitations.
  • These extra benefits (beyond Part A and Part B) can change year to year. For example, suppose you take certain medications and you have a Medicare Advantage Prescription Drug plan. Your plan might cover your prescriptions. But sometimes a plan changes its formulary (list of covered medications). If your drugs are no longer being covered, you should seriously consider changing Medicare Advantage plans.
  • Medicare Advantage plans may change premiums, deductible and co-pays every year. You might even be able to find a Medicare Advantage plan with a zero premium that was not available in 2018.
  • Some Medicare Advantage plans can provide better service than others and can be rated higher or lower than other plans. Medicare has a star rating system that rates Medicare Advantage plans from 1 to 5 stars. Many beneficiaries may feel uncomfortable staying in a lower rated plan.

 

Every fall, your plan will send you an Annual Notice of Change. Pay attention to this, because it lists any changes to your benefits or plan rules. A plan formulary may change at any time. You will receive notice from your plan when necessary.

Charles Clarkson, Esq. is the Project Director for Senior Medicare Patrol of New Jersey.

 

 

The Senior Medicare Patrol of New Jersey (SMP) is a federally funded program of the Administration for Community Living. The grant for this program has been awarded to the Jewish Family Services of Middlesex County, 32 Ford Avenue, Milltown, New Jersey 08850, telephone number 732-777-1940. Its mission is to assist Medicare beneficiaries in fighting health care fraud, waste and abuse. SMP also seeks to educate Medicare beneficiaries about Medicare so they will not become victims of fraud, waste and abuse.

Home for the Holidays

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Mason Crane-Bolton

Winter¬†can¬†be¬†a¬†difficult¬†time¬†for¬†many…|Photo¬†by¬†Peter¬†Fazekas¬†via¬†Pexels.com

The Loneliness Issue

Loneliness is not a new problem, but rather a changing one. Like all social issues, loneliness is a problem bound to be affected by the other changes in our environment. Historically, loneliness and social isolation have been a great concern in the older adult population due to several factors: friends may have passed away, our health may deteriorate and make socializing extremely difficult, adult children or older parents may have moved away from one another, and long-distance communication has been more difficult to maintain. But there are changes on the horizon.

Several changes that have already come and will keep coming over the next several decades are such to impact the problem of loneliness among older adults. Some changes will be positive while others may have a negative or mixed impact. A quick list of just some potential changes include:

  1. The Digital Age will decrease social isolation—beyond email and chats, we’ve already seen the positive impact of services like Skype, which allows users to freely video chat with friends and family across the globe. The prevalence of cell phone technology means more people will be reachable and able to reach loved ones.
  2. The “graying of America” means we’ll have a much larger older adult population—this could have a mixed impact. The shifting demographics could mean our population of older adults will be harder to ignore and there could be greater calls (both intentionally and unintentionally) for an older adult focused society. However, a disproportionate number of older to younger adults could mean more older adults who become homebound and require care (physically as well as socially) with fewer able persons to assist—this could result in increased isolation and loneliness for many.
  3. Continuing advances in medicine may not only increase our life span, but also our quality of life. We may find ourselves perfectly healthy and mobile well into older adulthood and more able to socialize with family and friends old and new.
  4. Heightened desire and calls for the ability to age in place may add challenges to the natural socialization found in more communal living arrangements and may require extra attention be placed on socialization of older adults.

Bringing the Community Together

Community is at the heart of solving 
loneliness | Photo via Pexels.com

Loneliness is ultimately a community health concern in every sense of its meaning. It is a health problem not only affecting individuals of the community but affecting the community at large. It is, however, also a public health problem with solutions in communities around the state.  Community programs with a focus on alleviating loneliness can and should exist throughout our great state.

Many churches and local organizations do have community wellness outreach programs with at least part of the service focus being on wellness visits. These wellness visits usually focus on individuals who have a hard time leaving their home either for an extended period of time or permanently and provide social contact and possibly delivering food or other necessities.

Solutions for Loneliness

Even though not all solutions may be available for all people, there are different solutions and fixes for people struggling with loneliness.

  1. Getting involved in new activities is a great loneliness solution at any age or stage in life. Consider joining groups that interest you—whether it’s a hobby, an issue you care about, or a group with a similar ideology, being involved with a group will give you social connections now and for later.
  2. For those looking at assisted living or older adult communities, the close proximity to your neighbors can be a huge social boon. While the result can vary greatly between communities, living in a close, communal environment significantly increases a person’s chances of social contacts and new friendships (as opposed to living in a single-family home). Living in a close-knit older adult oriented community can also increase the likelihood that your peers will notice and reach out if someone in the community stops socializing.
  3. Although socializing on the internet can be risky, it can also be a great place to stay in touch with friends and family who are far away or rekindling old connections. If you use social media to reconnect with people or to make new connections, be sure you’re as safe as possible. Never give out any banking or personal information to a social connection. If you choose to meet in person use an abundance of caution and meet in a public place, preferably with an additional friend.
  4. Get out and take a stroll through the neighborhood, if able. You can see old neighbors and meet new ones and, as an additional benefit, outdoor activity and sunshine have been proven to boost mood.

Finally, as we get into the heart of winter and the coming cold, gray days, know you’re not alone! Loneliness and isolation is a problem faced by millions of Americans and many New Jerseyans. No matter your stage in life there are lots of ways to meet new friends and reconnect with old ones. Being aware of your loneliness is the first step—the second step is to reach out for help. Tap into your community if you’re lonely and see what resources are available to you. And if you’re an ally, get involved and reach out to others who may be isolated. Loneliness is a problem that can affect us all, but we can all fight it together.

No¬†matter¬†how¬†lonely¬†you¬†feel,¬†you’re¬†not¬†alone.¬†|
 Photo by Matthias Zomer via Pexels.com 

Who is a Caregiver?

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As we welcome November we also welcome National Caregivers Month. But, while it can be easy to recognize the month, it’s not always easy to recognize a caregiver. Caregivers range from the professional and paid to full-time non-professional caregivers to informal caregiving on a part-time basis. According to the Mayo Clinic, “About 1 in 3 adults in the United States provides care to other adults as informal caregivers.” Given the numbers, it’s almost certain you personally know someone who is a caregiver.

Provided by rawpixel.com via pexels.comBut who is a caregiver? A caregiver is anyone who provides help to someone in need. Anyone can be a caregiver, and caregiving is widely prevalent. Caregivers are diverse and consist of a wide range of ages, socio-economic backgrounds, genders, ethnic identities, locations, and caregiving arrangements. Despite how many people are caregiving, many don’t identify as “caregivers” because of their idea of what a caregiver is or isn’t. As a result, it’s important for us to recognize that not all caregiving looks the same. For instance, one caregiver might provide near-24 hour care, but another caregiver might drop off groceries once a week or organize medication; one caregiver might need to live with the person who needs help, but another caregiver might be providing help remotely from across the state or across the country.

As we continue to experience the “graying of America,” and our life expectancy rises, it’s likely many of us will become caregivers at one point or another. Being a caregiver is no easy task. While incredibly rewarding, caregiving is also often emotionally, mentally, physically, and financially taxing. Caregivers have been shown to be significantly more at risk for illness, depression, and other health conditions associated with prolonged exposure to stress. If you’re a caregiver it’s vital to take time to care for yourself.

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We want to celebrate caregivers and all they do. Caregivers are often the frontline advocate for their loved ones, working tirelessly to make sure the person(s) in their care is receiving all they need despite the impact on their own lives. We also want to remind caregivers to take care of themselves (see our “5 Self-Care Tips for Caregivers,” below). Being a caregiver can be one of the most rewarding experiences, but also one of the most exhausting times in a person’s life. Thank you to all of our caregivers, it’s your efforts that change the lives of so many and help so many live longer, richer lives in their community.

 

5 Self-Care Tips for Caregivers

Here are 5 vital ways for caregivers to practice self-care to rest, recharge, and revitalize!

  1. Take breaks every day—try a 5-minute meditation or any other practice that helps you de-stress
  2. Join a support group—in person or online.
  3. Do some self-massage to relieve accumulated tension
  4. Get enough: Water, Nutrition, Exercise, and Rest (caregivers often report a poorer diet and lack of adequate exercise and sleep)
  5. Know when to ask for help—watch out for signs of burnout and escalating health concerns; know when you need to ask for additional help from family or friends, or when outside agencies need to step in

Do you have a story about your caregiving experience you’d like to share? NJFA will be sharing stories in caregiving later this month for our 2nd blog on National Caregivers Month. To share your story, simply leave a comment on this blog or any of our social media pages, or email Communications Manager Mason Crane-Bolton at mbolton@njfoundationforaging.org.

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It’s That Time of the Year‚ÄîMedicare Open Enrollment

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This week’s guest blog is provided by Charles Clarkson, Esq. This article, originally posted in issue #21 of the New Jersey Senior Medicare Patrol (SMP) newsletter¬†Advocate, will cover Medicare Open Enrollment, your options, and information about Medicare scams.

By Charles Clarkson, Esq.

Jewish Family Services of Middlesex County

Project Director, Senior Medicare Patrol of New Jersey

 

 

Every year between October 15 and December 7, a period known as “Open Enrollment,” Medicare beneficiaries can make changes in their Medicare coverage. The Senior Medicare Patrol of New Jersey (SMP), a Federally funded program of the U.S. Administration for Community Living, believes that if you know your options you can avoid being scammed and make the right choices, giving you the best coverage at the least cost.

 

Why make a change?  Whether you have Original Medicare (Part A and/or B), Part D (prescription drug plan), or a Part C (Medicare Advantage Plan,) your plan can change. Premiums, deductibles  and coverages can all change.  Even if they remain the same, your health or finances may have changed. SMP encourages all beneficiaries to re-visit their coverage and decide whether or not to change during Open Enrollment.

Beneficiaries have these choices:

  1. If you are enrolled in Original Medicare, you can change to a Medicare Advantage plan with or without drug coverage. These plans are private companies approved by Medicare and give you the services of Original Medicare. If you join a Medicare Advantage plan, you do not need (and are not permitted) to have a Medicare supplement insurance plan (also known as a Medigap policy) and if your Medicare Advantage plan has drug coverage, you will not need a Part D plan.
  2. If you are in a Medicare Advantage Plan, you can switch to another Medicare Advantage plan or drop your Medicare Advantage Plan. If you decide to drop a plan and not switch to another plan, you will be enrolled in Original Medicare. You should then consider enrolling in a Medicare supplement insurance plan to cover the costs that Original Medicare does not pay for and enroll in a Part D plan for drug coverage.
  1. If you are in Original Medicare with a Part D plan, you can stay in Original Medicare and switch your Part D plan. Medicare has a Plan Finder on Medicare.gov which allows beneficiaries to compare plans for next year. The new Part D plans should be announced in late September or early October.
  1. If you are in Original Medicare and do not have a Part D plan, you can enroll in a Part D plan. If you join a Part D plan because you did not do so when you were first eligible for Part D and you did not have other coverage that was, on average, at least as good as standard Medicare drug coverage (known as creditable coverage), your premium cost will be penalized 1% for every month that you did not enroll in Part D. You will have to pay this penalty for as long as you have a drug plan. The penalty is based on the national average of monthly premiums multiplied by the number of months you are without coverage and this amount can increase every year. If you qualify for extra help (low income subsidy), you won’t be charged a penalty.

 

Why change Part D plans?

Beneficiaries may want to change Part D prescription drug plans (PDPs) for a number of reasons: (i) the PDP has notified the beneficiary that it plans to drop one or more of their drugs from their formulary (list of available medications); (ii) the beneficiary is reaching the coverage gap (donut hole) sooner than anticipated and may want to purchase a PDP with coverage through the coverage gap, if one is available; (iii) the PDP has notified the beneficiary that it will no longer participate in the Medicare Part D program; (iv) the PDP will increase its premium or co-pays higher than the beneficiary wants to pay and a less expensive plan may be available and (v) a beneficiary is not happy with the PDP’s quality of service or the plan has received low rankings for a number of years. For 2019 beneficiaries in New Jersey can expect to choose from a number of PDPs.

 

Compare plans each year.

Beneficiaries should remember that PDPs change every year and it is recommended that beneficiaries compare plans to insure that they are in the plan that best suits their needs. When comparing plans, keep in mind to look at the “estimated annual drug costs,” i.e. what it will cost you out of pocket for the entire year, from January 1 through December 31 of each year. Plans can be compared at the Medicare web site:  www.medicare.gov. If you do not have access to a computer, call Medicare at 1-800-Medicare to assist in researching and enrolling in a new plan. Medicare can enroll a beneficiary over the telephone.  When you call, make sure you have a list of all your medications, including dosages. Another resource for Medicare beneficiaries is the State Health Insurance Assistance Program (known as SHIP), telephone 1-800-792-8820. SHIP is federally funded and can provide beneficiaries with unbiased advice.  Call SHIP to make an appointment with a counselor. You do not need to use a broker or agent who may not be looking out for your best interest. Brokers and agents are usually being paid to enroll you in certain plans. Beneficiaries can also call the Senior Medicare Patrol of New Jersey at 732-777-1940.

 

Medicare Open Enrollment can also be a time of fraudulent schemes that can cost you money. The SMP wants you to be on the alert for scams. A word of advice:

When you realize that a scammer is calling. Just hang up. Do not be polite and just hang up. Also, let your answering machine do all the work. Never answer any call unless you recognize the number. If no message is left, you know the call is probably a scam or an unwanted solicitation. For any questions about Medicare and to report any Medicare scams, call the Senior Medicare Patrol of New Jersey at 732-777-1940.

Staying Active—Go4Life Month

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Did you know September is Go4Life month? Go4Life month is, “an exercise and physical activity campaign from the National Institute on Aging at NIH…designed to help you fit exercise and physical activity into your daily life.” Inspired by Go4Life month, we’d like to share with you some of our tips for getting into (and sticking with) a regular exercise and physical activity regimen. Below are 4 common reasons people often don’t get enough physical activity, and how you can combat them. As always, you should consult a doctor before engaging in a new exercise program, especially if you have any health concerns or medical conditions.

1. Always Feeling Too Busy
Do you always feel like you have too much going on? Like you don’t have time to be physically active? Instead of trying to fit in longer exercise and physical activity periods, try working in smaller periods of activity or working physical activity into your already scheduled activities.

Short exercise intervals have many of the same benefits as longer intervals.

Exercising as little as 10-minutes at a time has real health benefits. Try to set aside a few 10-minute intervals throughout the day to exercise. To get the maximum benefits for your body, try varying your exercises throughout the day. For instance, take a brisk walk in the morning and then do some body weight strength training in the afternoon. In the evening you could do some balancing exercises and a few good stretches for flexibility before bedtime. If you still find yourself unable to squeeze in dedicated exercise time work with the time you do have. If you have only a few minutes, use that time to exercise.

In addition to exercise, recent studies show we also need to be more physically active throughout the day. Being inactive for lengthy periods risk the potential to undo many of exercise’s benefits and can contribute to heart disease, high blood pressure, obesity, increased risk of falls, and feelings of depression and anxiety. There are many ways to get more physical activity into your daily life without disrupting your regular activities. Here are some to try:

Remember to move throughout the day.

• Take the stairs instead of the escalator or take the escalator instead of the elevator and try to walk at least a few steps if you’re able to do so safely.
• Clean your house
• Set yourself an alarm to get up and move for at least 3 minutes every 30 minutes, or at least 5 minutes every hour.
• Walk or bike ride to your errands or to work when possible.
• Have walking meetings and walking lunches at work.
• When meeting with friends and family, center things around some kind of physical activity, you’ll be a great amount of physical activity while you create wonderful memories.
• If you need to spend long periods of time sitting consider investing in a foot/hand elliptical machine that will keep you physically engaged while you sit

2. Motivation
Whether it’s lack of interest or physical limits getting in the way, it’s not always easy to be motivated to exercise or be more active. There are, however, several ways you can work around this and increase your motivation and your physical activity.

Do What You Find Fun
Not into running? Try recreational swimming. Tennis doesn’t interest you? Sign up for some dancing lessons. You love team sports? Why not look into local baseball, basketball, and bowling leagues?

If you haven’t found an activity or exercise yet that really engages you, don’t give up! Keep trying new activities until you find the one that fits your needs and desires. Maybe your local park or community college has a tai chi or yoga class, you could start a neighborhood team sports or running league, and the internet is a great place to search for local groups looking to meetup for a variety of activities for all ages and abilities. And while you’re trying new things and finding the right activity for you you’ll be doing yourself a double-service—learning and trying new things keeps your body and brain active!

Having an exercise-buddy is a great way to stay motivated!

Use the Buddy System
Exercising alone can be hard. That’s where having an exercise friend(s) can come in handy! There are a variety of ways to make sure you have the social motivation to exercise—you can have a regular meeting with a friend to exercise together, you can join a local league or group of exercisers, or you can sign up for a fitness class that gives you a standing commitment each week.

If you prefer to exercise alone, but still need the motivation of a friend, that’s no problem! Having an exercise partner to motivate you can be as simple as checking in with each other on a regular basis to make sure you’re meeting your exercise and activity goals. The best part about the “buddy system” is it not only motivates you, it motivates both of you.

Set a Reminder
For many people, getting into an exercise and activity routine is as simple as scheduling it. Download a fitness tracker on your phone or print an exercise calendar from online (you’ll find hundreds for free if you search “exercise calendar” or “fitness calendar”). Decide what activities or exercise you’ll do on which days and log them. Finally, set yourself reminders or put your calendar in a place where you’ll see it often. You’ll be surprised at how much more active you become!

3. Safety
It’s always important to be safe when being active. Whether you’re in perfect health, recovering from a setback, or dealing with a chronic condition, it’s crucial to be safe while still being active. Here are a few tips to keep you safe while you stay active:

Don’t Push Too Hard, Too Fast
If you’re new to exercise or if you’re coming back to an exercise regimen after a break, take it slow and be careful. Working out too vigorously can cause injury and further derail your fitness plans.

Listen to Your Body
Exercise is about finding the appropriate level of activity for your body, not pushing yourself to an extreme. Speak with a medical profession to talk about what activities are appropriate for you. Track improvements in your health and fitness and use those to judge whether or not your exercise and physical activity is too much. And if you’re experiencing pain due to your exercise routine stop and seek advice from a health professional.

Paying attention will keep your activity goals on track.

Be Aware of Your Surroundings 
Whether you’re inside or outside, make sure you pay attention to your surroundings as you’re staying active. Check the weather before you go outside and pay attention to changes in weather, insect activity, and pollen levels.

If you’ll be going outside, know the route you plan to take and how long you’ll be gone. If you’re going alone tell someone else your plans (or carry a cell phone) so they can be alerted if you need to call for help. And if the weather is cold make sure to wear layers—sweat cools off a body rapidly and can chill you after your body cools down from exercising. Watch out for cracks in pavement, fallen branches, or holes that could trip you or cause you to lose your footing. If you’re exercising indoors make sure you clear enough space for the activity you’ll be doing. Clean small objects off the floor you may trip over, and don’t exercise near furniture.

4. Expense
Money is a common concern and many people don’t have the money (or desire) to buy exercise equipment. They can’t afford monthly gym passes and may think they “can’t afford” to exercise. In reality, though, anyone can exercise, regardless of income! You may not be able to sign up for a membership at a fancy new gym, but there are ways to exercise and be active within any budget, including these:

Small free weights or dumbbells (like those above) are usually relatively inexpensive. You can also fill an empty water bottle or milk jug with water, sand, or pebbles for a free, adjustable weight!

Use Your Body
The freest and most available exercise equipment is your own body. You can take a walk or a run, practice yoga or tai chi, or strength train using your own body weight (think push-ups, squats, etc.). Of course, if you have equipment already, like a bicycle, go for a bike ride, or engage in other sports. If going outside isn’t a good option, walk around your house or engage in an activity like mall walking.

Cheaper Alternatives to Fancy Equipment
Another alternative is to look for cheaper equipment. Jumping rope is a very effective workout for your whole body, and jump ropes can be purchased for only a few dollars. You can also look at local used sporting goods stores and thrift stores or the web for used exercise equipment. You can even make your own weights out of soup cans and water bottles!

Less Expensive Ways to Learn
Check your local offices on aging, senior centers, and libraries to see what, if any, fitness programs they may provide and if any are available for free. If you have health insurance or Medicare check with your provider to see if you’re eligible for any free or reduced-cost gym memberships, fitness programs, or other health initiatives.

Other low-cost ways to learn an exercise are buying a fitness DVD or book, or checking one out from your local library. You can also look at websites like YouTube, which carries hundreds of fitness and exercise videos in a wide range of activities for people of all abilities, for free.

Get Going!
Increasing your physical activity and exercise isn’t always easy. There can be obstacles or setbacks, but the he benefits of physical activity and exercise are numerous: increased fitness and well-being, relief and improvement of many chronic conditions, improved mental health, social engagement, and beyond! Thank you for reading, now take a break from all this reading and get moving!

To find your local Area Office on Aging, call the toll-free number at: 1-877-222-3737