Medicare Open Enrollment – comparing your options

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October 15 to December 7 is your window to select a Medicare plan. Let us help.

Medicare Open Enrollment for your 2017 plan is from October 15 to December 7, 2016.   Before you make a selection, here are some resources to help you compare your options.

Medicare provides a tool where you can compare options before you make a decision. You can find it at this link.

The information you need is:

  • Your Medicare number
  • If you have a Medigap or Medicare supplement plan, the name and type of the plan
  • Your zip code
  • A list of your medicines prescribed by each of your doctors
  • The name and location of your preferred pharmacy

You can search through options using your specific information or you can do a general search. I highly recommend you perform a search with your specific information at least once before you make final decisions. That will give you the best look at your anticipated likely costs.

The tool will walk you through step by step.

  1. It starts with your zip code and information from your Medicare card.
  2. Enter your current Medicare coverage type. Include whether you get extra help paying for your medication costs.
  3. Enter your prescribed medicines. Include the strength, whether you get your medicine every month or every 3 months, and whether you get your medicines from a local pharmacy or a mail order pharmacy.
    1. Be sure to include all of your medicines
    2. If your doctor has talked about maybe starting new medicine, include these, too. This will make sure the plan you choose will cover all of these medicines.
  4. Select your pharmacy. Note, if your pharmacy doesn’t show up at first, expand the number of miles from your home so that your pharmacy will be on the list.
  5. You can then choose whether you want to compare medication only Medicare D plans, Medicare Health Plans with drug coverage, and Medicare Health Plans without drug coverage.
    1. If you aren’t sure, select all three options
    2. If you know which you want to compare, select just that option
  6. A list of all options will appear on the next page. They appear in order of cost with the lowest annual cost option appearing first after Original Medicare. You have the option to select different sort options.
  7. Select three plans that you want to directly compare.
    1. The three options will be displayed side by side.
    2. You can compare three at a time as many times as you want.
    3. All costs for the year include deductibles, co-pays, gap payments, and other fees will be displayed.
    4. Look at your total annual cost
    5. Look at the deductible which is money you will pay at the first part of the year
    6. Look at the projected money you will pay in the coverage gap

To look at your options with Medigap plans, you can go to this link. This one will let you compare types of Medigap plans and their costs.

NOTE – A friend, and expert in the field, clarified that Medicare Advantage plans can be purchased at any time. Her comment: “Medicare Supplement policies do not have an annual open enrollment, but changes can be made based on your health after your original open enrollment or a special enrollment period.”

If you have any questions about how to use these tools or how to compare your options, please contact us at www.medsmash.com/contact.

BIBLICAL APPLICATION

For Medicare plan decisions, comparisons are good. They are key to making the best decision.

In the rest of your life, comparisons can be hazardous. How often do you compare yourself to someone else? You might not even realize you’re doing it.

Do you ever have negative thoughts about yourself when you see something you admire in someone else?

Do you ever feel extra good about yourself when you can do something that someone else can’t do?

In what sneaky ways can ENVY enter your thoughts?

I’ve read a couple of really good blogs about this from pastors recently. I know I’m guilty of comparison without ever intending for it to happen. I fall into a thought process of envy or comparison then catch myself and feel so ashamed.

Apparently I’m not alone. There are many Bible verses about the problems with envy.

Galatians 5:26 ESV

Let us not become conceited, provoking one another, envying one another.

1 Peter 2:1 ESV

So put away all malice and all deceit and hypocrisy and envy and all slander.

Instructions in the Bible can be very clear. It is clear ENVY is to be avoided. And if it’s mentioned this many times, it must be common.

Titus 3:3 ESV

For we ourselves were once foolish, disobedient, led astray, slaves to various passions and pleasures, passing our days in malice and envy, hated by others and hating one another.

James 3:16 ESV

For where jealousy and selfish ambition exist, there will be disorder and every vile practice.

The antidote to envy is to lay it all before the Lord. God has a very special, very specific plan just for you. Your gifts, your strengths, your weaknesses, your opportunities, your looks, your dreams are very UNIQUELY yours.

It doesn’t matter how other people are blessed. There are other blessings that are all for you!

Proverbs 16:9 ESV

The heart of man plans his way, but the Lord establishes his steps.

Proverbs 19:21 ESV

Many are the plans in the mind of a man, but it is the purpose of the Lord that will stand.

This could be the week to turn your eyes from what everyone else has. Instead, look at what God has in store just for you. Ask, He’d be happy to show you all the good things you have and what is still coming you way!!

Blessings,

Michelle

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Breast Cancer Treatment

697px-Pink_ribbon.svgIt is Breast Cancer Awareness Month. We are seeing pink in all directions.

Breast cancer is the most common type of cancer in women (with the possible exception of some skin cancers).

One in eight women will be diagnosed with invasive breast cancer.

Ductal carcinoma in situ is a type of breast cancer that is contained in the duct, so it is not an invasive breast cancer. Another 60,000 women will be diagnosed with this during the year.

The risk of breast cancer increases with age and seems to peak in the 70’s.

All women at all ages should get regular mammograms. These can find the cancer early. Most guidelines recommend every year starting at age 40. This screening should continue for as long as a woman is still loving and living life! You might have heard on the news this week the American Cancer Society has changed its guidelines for annual mammograms. For woman at average risk for breast cancer, these new guidelines are to start at age 45 and go to every other year at age 55. Note, for women at high risk, screening starts earlier and remains yearly.

When a diagnosis is made, find a breast cancer center who can support you through each decision and each phase that follows. You want to be surrounded by a team of caring professionals who are patient and explain everything until you fully understand.

Surgery, radiation, chemotherapy, and medications are often parts of the treatment options. Different combinations of these treatments will be used based on the important specifics of your cancer and your preferences.

When breast cancer is estrogen-responsive, the following medications are often part of the treatment regimen.

Tamoxifen is often used after diagnosis and initial treatment. It can also be used to lower breast cancer risk in high risk women. It is an antiestrogen medication, so it decreases the impact of estrogen that often drives the changes that lead to breast cancer. The typical length of treatment has been five years. There is new data that it should be taken for 10 years in some women with breast cancer. Be sure to discuss this with that great team of providers you have to see how long you should take it. The main side effects are hot flashes and changes in your menses if you are premenopausal. Tamoxifen can also cause fatigue and increase your risk of clotting.

Aromatase inhibitors are another class of medication sometimes used as part of the treatment for breast cancer or to prevent breast cancer in high risk women. There are three medicines currently in this class. They are anastrazole (brand Arimidex), exemestant (brand Aromasin), and letrozole (brand Femara). These medications decrease the available estrogens by stopping the conversion of androgens to estrogens. These medications can increase your cholesterol and decrease your bone density (increase your risk for osteoporosis). They can also cause hot flashes and fatigue.

Some women take one of the above medications. Others take one type for a period of time then switch to the other. Which type of medication and for how long is an important decision made with your healthcare providers. The decision is based on some tests about your specific type of cancer, its responsiveness to estrogen, any other medical conditions you have, and your preferences.

I highly encourage you to discuss the benefits of the medications and any risks, including side effects, with your cancer treatment team. Your pharmacist is another source of detailed information about these and other medicines.

For more information about breast cancer treatment medications, contact us at www.medsmash.com.

If you want to get more involved in the search for a cure, I encourage you to read about the Army of Women organized by Dr. Susan Love. This program has made millions of volunteer women sources of new data in the search for a cure. I have participated in a couple of studies. It takes little time. One study collected only information. The other did a bone scan. No tests or procedures or data will be taken from you without your full consent. You can made a difference!

Biblical Application

Diagnoses such as breast cancer can invoke many feelings. One of those can be a fear of loss. Even before diagnoses are finalized, options are considered, prognoses are made, our minds can take us down paths of fear, anxiety, depression, hopelessness, futility, or impending doom.

God is aware of our needs and our weaknesses. He knows how our mind works when faced with a diagnosis like this.

The Bible is full of verses of hope and assurance. You truly can lean on God in all situations, no matter how frightening they may seem.

Isaiah 41:10 ESV

Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.

Philippians 4:6-7 ESV

Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.

Psalm 56:3 ESV

When I am afraid, I put my trust in you.

2 Timothy 1:7 ESV

For God gave us a spirit not of fear but of power and love and self-control.

Deuteronomy 31:6 ESV

Be strong and courageous. Do not fear or be in dread of them, for it is the Lord your God who goes with you. He will not leave you or forsake you.”

Claim and cling to this hope, love, and assurance that is yours in Christ. You are never alone. You are never abandoned. You are eternally loved.

I encourage you to share this hope beyond understanding with anyone you know facing breast cancer. You can be a light in their dark time, especially if they have not experienced the power of your God.

“Again and again, I’ve found Him faithful to respond and the closer I move to Him, the safer I feel and the better I rest.”

Patsy Clairmont

Blessings,

Michelle

Image thanks to MesserWoland – own work created in Inkscape, based on the graphics by Niki K

Timing Is Everything – STROKE

Cerebrovascular Accident (CVA), also known as stroke, usually comes on quickly without warning. We should all know the warning signs.

F—Face: Ask the person to smile. Does one side of the face droop?

A—Arms: Ask the person to raise both arms. Does one arm drift downward?


S—Speech: Ask the person to repeat a simple phrase. Is their speech slurred or strange?

T—Time: If you observe any of these signs, call 9-1-1 immediately.

Take immediate action. When you get to the hospital, a brain CT scan will be done. This is to determine if there is a stroke. It will also determine if it is a stroke from a clot or from a bleed (ruptured vessel in the brain). With quick treatment, stroke damage can be reversed or never happen. However if the timing is delayed, stroke damage can be permanent and debilitating and alter a life forever.

It is better to be evaluated and be fine than to delay stroke treatment. If you take quick action, and stroke is caught early, the clot can be removed or the bleeding stopped.

Strokes can happen at any age. 1/3 are under age 65.

Nearly 800,000 people in the US have a stroke each year.

1 in every 20 deaths is due to stroke.

Your risks are higher if you have –

  • High blood pressure
  • Heart disease
  • Atrial fibrillation
  • Diabetes
  • Sickle cell disease
  • High cholesterol
  • Family history of stroke

or if you smoke.

If you ever have these symptoms for a few minutes, then they go away, still call 911. A Transient Ischemic Attack (TIA) is a temporary blockage of a brain blood vessel. It is a huge warning sign that you are at risk for a full stroke. Never ignore these!

If you would like to be assessed for you personal stroke risks contact www.medsmash.com.

Biblical Application

The same is true so many of our actions. God’s timing is impeccable. Sometimes God says ‘Go’ and you should go quickly and not hesitate. Other times God says wait.  Waiting can be hard, but throughout the Bible we are encouraged to wait.

Habakkuk 2:3 ESV

For still the vision awaits its appointed time; it hastens to the end—it will not lie. If it seems slow, wait for it; it will surely come; it will not delay.

Isaiah 40:31 ESV 

But they who wait for the Lord shall renew their strength; they shall mount up with wings like eagles; they shall run and not be weary; they shall walk and not faint.

Psalm 27:14 ESV 

Wait for the Lord; be strong, and let your heart take courage; wait for the Lord!

Ecclesiastes 8:6ESV  

For there is a time and a way for everything, although man’s trouble lies heavy on him.

Proverbs 3:5-6 ESV

Trust in the Lord with all your heart, and do not lean on your own understanding. In all your ways acknowledge him, and he will make straight your paths.

Know your stroke warning signs, and act immediately!  Listen for God’s leading in all aspects of life.  His timing is perfect!

Blessings,

MIchelle Fritsch