How to Fix Medicare

Something needs to be done about Medicare.  If no adjustments are made to the current program, in another ten years it will no longer be able to cover the full amount of seniors' hospital bills.  Different proposals are being floated by politicians in Washington and by advocates for senior citizens, and these proposals were recently evaluated by AARP  in the October, 2013 ARRP Bulletin.

Here are the two approaches currently being considered to solve the Medicare problem.  They are completely different and, according to the AARP analysis, the second option is by far the most preferable.  Since many of my readers are politically active, I thought I would lay out the choices so you can advocate for the changes that you believe would be best.

Option #1 - Increase Medicare Copays to Seniors

Some Washington politicians have proposed that senior citizens begin to be charged copays for certain services, such as their home health care visits.  For example, the suggested amounts range from about $100 to $600 for each 60 day period of home health care.

AARP points out that this was tried once before and it was later repealed because it placed such a heavy burden on many seniors.  Such a bill would cause some seniors to forego home health care and other services, which could actually cost Medicare more if patients end up being hospitalized.  In addition, it could simply switch the burden for these services to Medicaid, which would then put a heavier burden on the states.  Finally, the premiums for Medigap insurance policies would also increase.

Option #2 - Reduce Medicare Fraud and Abuse

There is a new bipartisan bill before Congress that is known as the PRIME Act - "Preventing and Reducing Improper Medicare and Medicaid Expenditures Act."  This bill is aimed at saving taxpayers an estimated $60 - $90 billion a year in Medicare fraud and abuse.  Here are some of the highlights of the bill:

* It makes it more difficult for criminals to steal the identities of physicians and bill for Medicare services that have not been performed.

* Increases the penalties for stealing the identities of patients.  It outlaws the illegal sale, purchase and distribution of Medicaid and Medicare ID numbers.

* Increases the federal reward for fraud tips and establishes a Senior Medicare Patrol.

* Cracks down on doctors who improperly bill Medicare.  Steps would be taken to close loopholes, stop double billing and generally do a better job of tracking payments.

* Penalizes private companies that handle bill paying for Medicare if they do not meet specific payment accuracy goals.

Share Your Opinion With Congresss

Personally, I believe that every possible effort should be made to decrease Medicare fraud before higher fees are charged to senior citizens.  I cringe every time I hear a news story about doctors being arrested for billing Medicare for treatments that either never took place or that were unnecessary.  Even if fees eventually need to be increased, I believe that the PRIME Act should be passed, first.

What do you think?  Do you have other suggestions for lowering Medicare costs and keeping it more sustainable?

No matter which Medicare option you prefer, you can express your opinion to Congress by calling 1-877-940-1510.

With discussions occurring right now over the budget and debt ceiling, now is the time for you to let members of Congress know how you feel.  Sooner or later, this issue will affect nearly every American citizen.

You are reading from the blog:  http://www.baby-boomer-retirement.com

Photo of women is courtesy of www.morguefile.com

Minto Homes - Florida Retirement Communities

Until recently, I had never heard of Minto Homes.  Much to my surprise, however, I learned that Minto is a Canadian company that has been building quality projects for over 60 years.  Over the past few years, they have expanded into the Florida housing market, offering choices in a wide range of prices from about $200,000 to $1,000,000 in master planned communities.

If you are considering a relocation to Florida, there is a good chance that you may see some Minto houses in several of the more popular neighborhoods ... both those that are age restricted for senior citizens as well as those that are open to everyone.  Therefore, I thought it would be helpful to my readers to learn more about this well-respected home builder.

You can also find links to other articles about a variety of retirement communities in the United States and overseas by using the tabs at the top of this blog.

Shown below are the current developments in which Minto is involved.

Mento Homes in Florida

Harbour Isle on Anna Maria Sound

This is your opportunity to live along the beach on a private island in Anna Maria Sound (pictured above).  New homes range from about $380,000 to $500,000.  Although this is not a golf community, there are a number of golf courses nearby.  Within the community you will find a private clubhouse, pool, cabanas, and a marina.  The homes are energy efficient and your homeowner's dues include maintenance, for a carefree lifestyle.

Sun City Center in the Tampa / Sarasota area

This over-55 community contains paired villas as well as single family homes.  Prices for Minto homes in the community range from about $170,000 to $500,000.  There are other builders who also build residences in Sun City Center.  The community has its own hospital and several nursing homes.  There are about 20 golf courses, two indoor pools, an outdoor pool and many other amenities.  Minto offers a stay and play program that may interest you, too.  For just $99, you can stay in a Minto home in Sun City Center for two nights, while enjoying some of the amenities on the property.  This is a great way to decide if this neighborhood is right for you.

Twin Eagles near Naples

Minto has recently completed  two new model homes in this luxury development that contains two highly rated golf courses and a lavish clubhouse.  Single family home prices start at about $500,000 and go up to over $1,000,000.   If you purchase a home from Minto in this community, it currently comes with a free golf membership, although the members are responsible for paying annual golf dues.

Town Park in Port St. Lucie

This is another adult community for those who prefer to live in an age restricted neighborhood.  Home prices are very affordable, ranging from the $200,000's to the $300,000's.  The community offers a wide variety of amenities and is near a number of restaurants and retailers.

Better Business Bureau Report on Minto Homes

In doing research online, I did not find any complaints or angry articles written about Minto Homes.  I thought it was also worthwhile, however, to check out their Better Business Bureau report, just to be on the safe side.

The Better Business Bureau gives Minto Homes an A-.   The BBB has received four complaints about the company during the past three years.  Only one of the complaints occurred in the past 12 months.  Of the complaints that were file, one complaint was over advertising or sales; the other three complaints dealt with problems with the product or service that was offered.  All of the complaint files have been handled and closed by the BBB.

The BBB report goes on to say they they know of no government actions against the company and they have nothing negative to report regarding the company's adertising

Contact Information:

In addition to finding more information on the websites listed in the source section below, you can also call Minto directly at:

1-800-562-9606

Sources for the Information in this Article

http://en.wikipedia.org/wiki/Sun_City_Center,_Florida
http://www.minto.com/florida/new-homes/projects.html
http://www.bbb.org/south-east-florida/business-reviews/home-builders/minto-communities-in-pompano-beach-fl-27003727

You are reading from the blog:  http://baby-boomer-retirement.blogspot.com

Photo of Anna Maria Sound is courtesy of wikipedia.org/commons

Myths About Over 55 Retirement Communities

Having living in an age restricted over-55 retirement community for more than nine years, I have noticed that there are a lot of myths about these communities.  As a result, I thought this would be a good time to clarify a few things and dispel some of these myths.

What You Should Know about Active Adult Communities

1.  Many people believe that in order to move into an over-55 community both members of a couple must be at least 55 years old.  However, only the husband or wife needs to be age 55 or older.  Their spouse can be any age.  It is also possible for a resident who is over the age of 55 to have a roommate who is at least age 40, or they can have an adult of any age as their live-in caregiver.  There are also special exemptions for residents who have a dependent adult child who is mentally or physically handicapped, although you may have to provide evidence of the adult child's disability.  Contact the retirement community that interests you to see if they have any specific requirements or limitations, such as whether live-in caregivers can use the amenities.

2.  Often younger people of retirement age believe that everyone in an age restricted community is extremely old.  The truth of this may depend on how old the community is.  For example, the community where I live was founded in the 1960's.  Therefore, there are a number of residents who have lived here for 30 years or longer. Consequently, the median age is 76, although it has been falling in recent years because of the influx of younger retirees. There are thousands of residents who are much younger than the median age.  In fact, the Baby Boomers club is the most popular and fastest growing club in our community.  If you are looking at a new age-restricted community, the median age may even be under age 70.

3.  Sometimes people are hesitant to move to one of these communities because they have the impression that everyone is either a shut-in or that they spend their days sitting on the front porch in rocking chairs.  While there are definitely some shut-ins in any retirement community, the vast majority of people are very physically and mentally active.  In our community, we have a group of synchronized swimmers, horseback riding classes, tennis courts, two busy golf courses and a wide variety of exercise programs including line dancing, circuit training, yoga, water aerobics, and much more.  There is a large group of bridge players and over 200 clubs. There are also regularly scheduled dances throughout the community. 

4.  Another misconception is that your children and grandchildren will not be able to stay overnight in your home with you.  In truth, guests under the age of 18 can legally stay up to 60 days a year.  In fact, when one of our daughters moved to Southern California from another state, she and her two young children stayed with us for about six weeks until she found a job and an apartment of her own.

5.  Baby Boomers who still have active careers may feel uncomfortable about whether they should move into any place labeled a retirement community while they are still working.  However, about a quarter of the people who live in our community have jobs.  Some of them work full-time, like my husband, and others work part-time, as I did until I recently retired.  Not only do many people work outside the community, but our retirement community also offers jobs to hundreds of residents.  These residents hold a wide variety of jobs including positions as gate guards, bus drivers and office clerks.  Many retirees find that working part-time for the homeowner's association is a great way to supplement their retirement income.  In fact, homeowner's associations in retirement communities may be one of the easiest places for retirees to be able to find part-time jobs.

6.  Another mistaken impression some new residents have is that these communities are so safe that the residents do not need to practice good personal security.  As a result, it is not uncommon for people to leave their homes unlocked while they go for a walk, leave their cars unlocked when they visit friends, or leave their purses sitting in plain view on the front seat of their cars.  (I have frequently observed all of these behaviors.) Good personal security is as important in a retirement community as anywhere else.  While these communities usually do have a low crime rate, crime does exist.  It isn't wise to tempt outside visitors and workers in the community by practicing lax security.

I hope this has dispelled some of the myths that you may have had about living in a retirement community!  If you have other questions, please leave them in the comment section and I will modify this article to answer the readers' inquiries.


You are reading from the blog:  baby-boomer-retirement.blogspot.com

Public domain photo of a golf course is courtesy of www.morguefile.com

Would You Recognize a Heart Attack?

When my mother was 65, only one year older than I am now, she had a massive heart attack, followed by triple by-pass surgery the next morning.  Until the heart attack hit her, she thought she was only feeling a little uncomfortable because of the heat that day.  She and my Dad were in the process of cleaning out my grandmother's house after my grandmother had moved to assisted living.  They spent the day cleaning and packing up granny's belongings.  It was a hot summer day and my parents were carrying things in and out of the house, so the fact that my mother was perspiring heavily and feeling a little weak did not alarm her ... until she collapsed.

Symptoms of Heart Attacks 

We are all accustomed to the movie version of heart attacks in which a man puts his hands to his chest and collapses.  However, while this dramatic event will sometimes occur, it is not the first or most likely sign that you may be having a heart attack.  Listed below are the symptoms that both men and women should be concerned about:

Excessive perspiration, including a red face
Shortness of breath when you have not been exerting yourself
Indigestion
A heavy feeling in the chest or back
Achy, flu-like symptoms
Pain in the jaw, neck, back, or chest that doesn't go away
Extreme and sudden weakness or fatigue

All of these symptoms are especially alarming if they come on quickly and they are not relieved when you sit or lie down.   However, if you are experiencing these symptoms and cannot figure out why, you need to seriously consider the possibility that you are having a heart attack.

As you'll see in the comment section below, Domestic Diva said, "Your warning symptoms should be taken seriously. I think one of the reactions you'll find experienced by many heart attack survivors is that what they felt was somehow different. It wasn't quite like indigestion they've had before, or a flu they've suffered in the past. If you've lived to your 60s and experience a discomfort you've never had in all those years, it's worth getting checked out."  I moved her comment up here because I thought her words were something everyone should read.

Heart Disease Does Not Discriminate

When you read the list of symptoms above, many of them can also indicate very common illnesses, such as the flu, a strained muscle, or heat exhaustion.  Because many heart attack symptoms are vague, it is no wonder that my mother thought she was simply suffering from the effects of the heat.  Although she was a smoker, she was not over-weight and she had no history of heart disease.  She had no idea that she was in the process of having a heart attack until she collapsed and woke up in the hospital.

Many people still think of heart disease as an illness that primarily kills men.  However, nothing could be further from the truth.  Women are actually about 15% more likely to have a heart attack than men, and they have double the chance of having a heart attack within six years of the first one.

Everyone should know that heart attacks kill women as well as men.  In addition, women (and their family members) need to know that women, in particular, can have a heart attack and never experience any chest pain!  About one out of three women will die of heart disease.  About two-thirds of them will have no prior symptoms. 

Our family was fortunate.  My mother is still alive at age 81, sixteen years after her heart attack and open heart surgery.  She has gone on to live an active lifestyle and, until recently, played golf on a regular basis. While she is suffering from other age-related health problems today, I'm pleased that she was able to survive her heart attack sixteen years ago.

For more information about this killer disease, go to the website of The American Heart Association.

If you are nearing retirement age and want more information about how to have a higher quality of life during your retirement years, please check out the index articles below.  They contain links to a number of helpful articles on a variety of topics.

Gifts, Travel and Family Relationships

Great Places for Boomers to Retire Overseas

Great Places to Retire in the United States

Health and Medical Topics for Baby Boomers

Money and Financial Planning for Retirement

You are reading from the blog:  http://baby-boomer-retirement.com

Public domain photo of a heart is courtesy of www.morguefile.com.