Tuesday, July 30, 2019

The Villages Retirement Community in Florida - A Popular Choice!

One of the most popular, well-known and appealing retirement communities in the United States is The Villages.  It is a master planned community in Central Florida, about 45 miles northwest of Orlando.  It is divided into a number of special-purpose communities.  Most of the housing is reserved for seniors, which means at least one resident in at least 80 percent of the homes must be over the age of 55, and no one under the age of 19 can be a permanent resident. There are also three subdivisions which have been reserved for families. The Villages planned community has an estimated population of nearly 123,000 people in 2019 and was one of the fastest growing communities in the country between 2010 and 2017.

There is so much for residents to do while living in The Villages, including many of the activities you would find in a top-rated country club, such as golf and tennis.  In 2017, Forbes listed The Villages as one of The 25 Best Places to Retire in the United States.  The same year, 55Places rated it as the number one most popular active adult community for the fifth year in a row.

How to Learn More about The Villages

If you are interested in learning more about what life is like for residents of The Villages, North American Moving Services has published a very comprehensive relocation guide which covers nearly every question you are likely to have about the community ... home sizes and prices, amenities and activities, restaurants, job and educational opportunities, and more.

Ann Crislip with North American Moving Services contacted me recently and offered to provide me with a link to their online guide, which my readers are welcome to download in order to get in-depth information about everything The Villages has to offer.  Ann also wrote a brief introduction (below) to the guide and you will find the link to the guide at the end of her introduction.  This guide is completely free and is a great tool to help readers decide if The Villages could be the right retirement destination for them.  There is no obligation for you to use the services of North American Moving Services in order to read their guide, so I am especially appreciative of their offer to publish a link to it on my blog. 

Introduction to The Villages Moving Guide
by Ann Crislip

Are you looking for a place to settle down in retirement and make friends of a similar age? Listed as one of Forbes’ 2018 25 Best Places to Retire, The Villages offers the best of your favorite activities and pursuits, including golf, shopping, dining, performing arts, social clubs, exercise, swimming, and socializing, all organized around old-fashioned town squares. A move to The Villages offers the promise of a retirement that's full of fun, relaxation, and Florida sunshine.

Moving to The Villages, Florida: https://www.northamerican.com/moving-resources/relocation-guides/moving-to-the-villages (Ad)

Thank you to Ann Crislip for introducing us to your company's outstanding resource!

Attention Readers:  The author of this blog does not recommend one retirement community over another.  I simply report the findings of various companies, and provide you with the necessary information to make your own decision about the best retirement community for you.  However, I do try to point out places which seem to be particularly appealing to most people over the age of 55, including The Villages.

If you are interested in learning more about great places to retire in the United States and other countries, financial planning, Social Security, Medicare, common medical problems and more, use the tabs or pull down menu at the top of the page to find links to hundreds of additional articles.

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

Photo credit:  North American moving services

Tuesday, July 23, 2019

Heart Attack and Stroke Risk - Know Your Numbers!

It is so easy to think our bodies are doing just fine, simply because we have not yet suffered from a health crisis.  As a result, we often ignore subtle signs which suggest something is wrong, especially when the only indicators are lab numbers which are slightly outside the ideal range.  We begin to ask ourselves, "how important could it be?" when our numbers are abnormal.

In March, 2019, the AARP Magazine ran an article on the numbers they consider most important in reducing our risk of heart attacks and strokes.  It also explained when we should be concerned about abnormal numbers and what we can do by ourselves to improve our test scores.

Personally, I found the article interesting.  I checked my numbers from my last physical and discovered that most of them were in the normal range.   However, like a lot of Americans, my BMI was too high and that is an issue I need to work on.  One number which was a new one to me was my VO2 MAX.  It was easy to calculate, however, and I was delighted that, despite my excess weight, it calculated that my fitness level was that of someone nearly three years younger than my real age.  I would like to reduce it even more than that. You'll learn more about how to calculate your VO2 MAX later in this article.

Below is a brief recap of the AARP recommendations, so you can see how you are doing, too.

Maintain a Healthy Cholesterol

Ideally, your cholesterol should be below 200.  However, according to AARP, a score of up to 240 may still be considered borderline.  Above 240, you should be concerned.  You will want to limit your consumption of red meat and full-fat dairy products if your number is too high.  Having a vegetarian day once or twice a week can also make a difference.  In addition, increase the amount you exercise until you are able to remain continuously active for at least 30 minutes, five days a week.

Watch Your Blood Pressure

Everyone should have a good quality blood pressure monitor (Ad) at home.  It is not enough to track it once a year at your doctor's office, when you may be nervous.  Ideally, your best blood pressure of the day should be under 130/80, although some doctors are still comfortable if it is as high as 140/80.  Try taking your blood pressure at different times of day, especially before you have exercised and consumed anything with caffeine in it.  If it is running a little high, eat more home cooked meals.  It is much easier to control your salt intake when you cook at home, and salt is one cause of high blood pressure.  In addition to lowering your salt intake, increase your potassium levels by eating avocados, bananas, potatoes, spinach and other vegetables.  Potassium reduces the sodium and water retention in your body, thereby lowering your blood pressure.

Measure Your Resting Heart Rate

Many modern blood pressure monitors and fitness trackers, such as newer models of Fitbit, (Ad) will also report your resting heart rate.  If not, you can measure it by using an ordinary watch. Count your heart beats for 15 seconds and multiply by 4.  Ideally, it should be between 60 and 100 beats per minute. Athletes are likely to have a lower resting heart rate.  If it is outside this range, ask your doctor if you should be concerned.

Watch Your Blood Glucose and AlC Levels

When your body becomes unable to regulate your blood glucose, you are at higher risk of diabetes, which also increases your heart attack and stroke risk.  Your blood glucose should be under 100.  In addition, your doctor will want to measure your A1C blood sugar level.  This test actually indicates your blood sugar levels over the preceding three months, so simply eating right for a day or two before your blood is tested will not lower your score.  A normal reading is under 5.7 percent.  In order to maintain healthy blood glucose and A1C levels, you should eat a diet which is low in sugar and high in protein, fruits, vegetables and whole grains.  Avoid sodas and juices.  According to the AARP article, you may also want to talk to your doctor about taking Vitamin D, which can lower your blood glucose levels and help other systems in your body, as well.

Check your Body Mass Index - BMI

Doctors have discovered that your Body Mass Index is a better indicator of health than your actual weight.  However, it is not always accurate.  Often, athletic people will appear to have a high BMI, when in reality their body fat is quite low.  Ideally, your BMI should be below 24.9.  If it is between 25 and 29.9, you are considered overweight.  A BMI over 30 would be considered obese.  The best way to lower your BMI is to drop some weight.  Even a reduction of 5 percent of your current weight can make a significant difference in your health.

Know Your Waist Circumference

A simple tape measure can help you know whether or not you are carrying too much of your weight in your stomach.  Exhale, and measure your waist.  Bend to one side for a moment to find your waist, if you are not certain where to measure.  Most men should have a waist circumference under 40 inches; women should have one under 35 inches.

Learn Your VO2 MAX Score

This was a number which was totally new to me.  If you belong to a gym, they may be able to calculate it for you by asking you to run on a treadmill to the point of exhaustion.  This was not realistic for me!  However, the good news is that there is a written online questionnaire which is remarkably accurate at making the calculations for you.  Go to worldfitnesslevel.org and take a few minutes to answer their questions.  When I did mine, they determined that my fitness age was three years younger than my real age, and the ability of my body to get oxygen to my heart was "good."  If you are unhappy with your score, you can improve it by increasing the intensity of your exercise and losing a little weight.

Keep Track of Other Numbers

Although AARP Magazine primarily discussed the numbers mentioned above, you may also want to discuss any other abnormal readings you have with your physician.  They do not always take the time to go over your lab work with you.  However, if your kidney function is beginning to decline (measured by rising creatinine levels), the sooner you change your diet, the more you will be able to slow down the decline in your kidneys.

Other lab tests can also be meaningful and help you determine whether your liver enzymes are optimal, as well as the condition of your thyroid and other glands. Find out the meaning of abnormal readings, whether the doctor mentions them to you or not.  Make a point of emailing your doctor about any abnormal test results and ask what you can do to get them back into the normal range.  Look up what an abnormal reading means, and check reputable online sites like WebMD, the Mayo Clinic or the Cleveland Clinic to learn more about the significance of your blood tests and what you can do to improve them.

If you hope to maintain optimal health as you age, you may also want to read "The Blue Zones Solution: Eating and Living Like the World's Healthiest People."  (Ad) It is based on research into why people in some areas of the world, including parts of the U.S., tend to live unusually long, healthy lives.

In addition, you can learn more about common health issues as you age, Medicare, Social Security, where to retire, financial planning and more by using the tabs or pull-down menu at the top of the page to find links to hundreds of additional articles on this blog.

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

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Tuesday, July 16, 2019

Medicare Updates in 2019 and Beyond


This week we have a new report from our Medicare expert regarding the changes which have been made to Medicare in 2019, and the expected changes in 2020 or later.  The expert who wrote this post is Danielle Kunkle Roberts, a recognized Medicare insurance expert and Forbes Finance Council member.  Some of you may have already read some of her other helpful guest posts which she has written for this blog over the past few years.  You will find contact information for Danielle Roberts in the sidebar of this blog, as well as at the bottom of the post.  She and the staff of her company are always willing to answer the questions of our readers, as well as help you find a Medicare Supplement or Advantage Plan to meet your healthcare needs and which is available in your state.

Updates to Medicare This Year and Ones to Look Out for Next Year

 

by Danielle Kunkle Roberts

Lately, Medicare has been announcing update after update. Some of these updates have been in the works for multiple years and are just now being pushed through. Updates to Medicare include things  such as plans being discontinued, new benefits, and more.

Exciting updates have been made to Medicare already in 2019, and we expect to see these updates progress in 2020. There are several updates which have been passed, but will not take effect until the start of 2020. Also, with the presidential election in 2020, we are bound to see more updates to Medicare within the next few years.

2019 Updates to Medicare

Medicare made a few changes to Medicare Advantage plans in 2019.  Between 2018 and 2019, there were about 400 new Medicare Advantage plans added to the mix. In addition to new plans, The Centers for Medicare and Medicaid Services (CMS) added new benefits to the list of benefits which Medicare Advantage plans are allowed to offer.

For years, Medicare Advantage plans have been able to offer benefits which Original Medicare (Part A and Part B) does not offer. Benefits such as drug, dental, vision, and hearing can be found in many Medicare Advantage plans. Now, in 2019, Medicare Advantage plans are allowed to also offer home health care and telehealth benefits.

New Benefits

Original Medicare does not cover home health care for those who only need help with activities of daily living (ADL). Therefore, Medicare beneficiaries who have wanted to stay at home in retirement but were unable to care for themselves have had to pay out-of-pocket for custodial care at home. 

However, now that Medicare Advantage plans offer some home health care services, these beneficiaries can enroll in a plan with these benefits during the Annual Election Period so they can continue to live at home. Home health care benefits which may be covered are adult daycare services, custodial care, transportation, home modifications, palliative care at home, and meal delivery.

Telehealth is a new benefit offered by some Medicare Advantage plans which allows their enrollees who live in rural areas to have better access to specialists who are not close enough for the patient to see in person. Now beneficiaries who have this benefit can have a video call visit with a specialist from their primary care doctor’s office.

Medicare Advantage Try Before You Buy

Another update involving Medicare Advantage plans is the new Medicare Advantage Open Enrollment Period (MA OEP). This period is from January 1st until March 31st. During this period, MA enrollees have the chance to change or drop their MA plan. 

This is a great update, because beneficiaries who choose the wrong MA plan during the Annual Election Period (AEP) can have a second chance to choose a better plan for their situation.

2020 Updates to Medicare

For the past couple of years, we have known about an update which would not be effective until January 1, 2020. This update is the Medicare Supplement (or Medigap) Plan C, Plan F, and High-Deductible Plan F discontinuation

Legislation has been passed which restricts Medigap plans from paying the Part B deductible for their enrollees. All three of the above plans currently cover the Part B deductible. Therefore, these plans will no longer be available to new Medicare beneficiaries as of 2020.

However, if you have one of these plans prior to 2020, you will be able to keep it for many years to come. Also, if you already have Part A prior to 2020, you will still be able to apply for any of these plans with a carrier who offers them.  You will likely have to answer health questions before being approved for one of these plan.

Possible Updates to Medicare in 2020

Since the presidential election will be held in 2020, we should all be on the lookout for important updates to Medicare. Each person running for President in 2020 is proposing changes to Medicare. 

There are proposals such as Medicare for All, Medicare at 50, and Medicare budget cuts. All of these would influence our current Medicare program in a big way. However, nothing is for certain as of right now.

Remember, Medicare always changes to some extent, each and every year. So, changes like ones mentioned in this article are not out of the ordinary.

About Danielle Robert's company, Boomer Benefits:

"Founded in 2005 in Fort Worth, TX, Boomer Benefits is an award-winning insurance agency for national insurance carriers such as Blue Cross Blue Shield, Aetna, Cigna, Mutual of Omaha and many other A-rated carriers. We are licensed in 47 states. Over the years, we’ve learned just about everything there is to know about Medicare, and we’ve become known as the baby boomers insurance agency. We pass that knowledge on to you – absolutely free. There is never a charge for our services. Boomer Benefits Consulting is free."

Readers can contact Danielle Roberts and her wonderful staff at Boomer Benefits at:

https://boomerbenefits.com/
1-855-732-9055

If you are interested in learning more about Medicare, Social Security, financial planning, where to retire, common health issues as you age and more, use the tabs or pull down menu at the top of the page to find links to hundreds of additional helpful articles on a variety of retirement topics.

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

Photo credit:  Danielle Roberts 

Tuesday, July 9, 2019

Food as Medicine - Help Heal Yourself

When my husband was diagnosed with Chronic Kidney Disease ten years ago, we were alarmed to discover that the only way he could slow down the progression of the disease would be for him to carefully follow a restrictive diet. Eventually we realized this is true for many people with a wide variety of medical conditions. We have friends who have been diagnosed with heart disease, diabetes (or pre-diabetes), cancer or various intestinal disorders such as C. Difida, and in many cases they have also been told the best way to improve these conditions is to follow the appropriate diet.

While there are similarities among the different healthy diets, each one has specific foods which tend to be emphasized in order to provide the patient with the best results.  Because of this, whenever you or a loved one has been diagnosed with any serious disease, it is important to learn about the specific diet which will best control that condition and either help you heal your body or, at the very least, slow down the progression of your disease.

Learn How Food Can Help You Heal

You may want to start your treatment program by discussing dietary changes with your doctor.  However, most physicians did not study nutrition in medical school.  As a result, they may not have any more information than a brochure to get you started down the right path.

Most insurance companies, including Medicare, will cover the cost of a visit to a nutritionist who can talk to you about your current diet and explain how you can make appropriate changes in order to support your specific healthcare regimen.  In many cases, a good nutritionist may also be able to include some healthier versions of your favorite foods so you do not need to give up everything you love to eat.  They understand that you will not stick to a diet if the food does not taste good to you.

In addition, you may want to pick up a book to use whenever your diet confuses you and you are not sure what to eat.  A good choice is "Eat to Beat Disease: The New Science of How the Body Can Heal Itself."   

Dr. William Li, a heart expert and the author of the above book, has pulled together years of research to come up with specific doses of the best foods to help treat a variety of diseases. Regardless of your medical condition, it is worth reading.



Special Diets Can Benefit You

What are some of the special diets you can try following in order to help heal or slow down your disease progression?


If you have been diagnosed with Chronic Kidney Disease, you may want to read  the book "Stopping Kidney Disease."

If you are concerned about memory loss, the MIND Diet has been proven to be helpful.  The Mediterranean Diet has been shown to improve heart health.  There are also special diets to help people who have been diagnosed with cancer and diabetes.  Reading about the correct medical-based diet for your condition can make it easier to find satisfying foods to eat.

When I took the Brain Health Class with instructors from the MIND program at the University of California, they emphasized that there were no drugs which have been discovered which will either postpone or treat most cases of dementia, but they have observed that eating a diet rich in plants, in addition to getting regular exercise, did seem to make a difference for many people.

By following the right diet and making appropriate lifestyle changes, your medications will work better and you will help your doctors perform their job, rather than hinder them.

Does Diet Really Make Much of a Difference?

Despite all the research, many people remain skeptical that following the right diet can really make that much of a difference in treating their disease.  It is important that people understand that for some diseases, such as chronic kidney disease, the right diet is the ONLY thing which can slow down the disease and help you postpone dialysis.

Diet is also extremely important in dealing with diabetes, whether or not you are taking a medication.  In 2002, researchers compared the effectiveness of diet compared to taking the medication Metformin in preventing Type 2 diabetes in people who were considered at high risk. One group of people were assigned a diet which was low in sugar, salt and saturated fat. They were also told to eat lean protein, as well as to add more fresh fruits and vegetables to their meals.  The other group was told NOT to change their diets.  Instead, they were prescribed Metformin.  Those taking Metformin lowered their risk of of later developing diabetes by 31%.  The group who changed their diets and exercised regularly lowered their risk of diabetes by 58%.  The dietary and lifestyle changes were nearly twice as effective as taking the medication alone.*

In studies performed by heart expert Dr. Dean Ornish, it was discovered that people who followed his heart-healthy program were sometimes able to reverse their heart blockages and reduce their episodes of angina.

Eating the right diet for your disease is an effective way to deal with a serious illness.  When diet, lifestyle changes, medication and other treatments are combined, it can make a significance difference in the lives of most people.

Other Lifestyle Choices Can Help Fight Disease

Of course, food is not the only lifestyle change which might help your body fight off a dangerous disease.  It is also important to follow your doctor's orders regarding exercise, alcohol or sugar consumption, lowering your stress, and ending your addiction to cigarettes or other tobacco products.  No matter what disease you have, it is important to take a holistic or whole-body approach to the healing process.

If you are interested in learning more about common medical issues as you age, Medicare, Social Security, financial planning, where to retire, travel and more, use the tabs or pull-down menu at the top of the page to find links to hundreds of additional articles.

* Source:  http://www.diabetesincontrol.com/lifestyle-changes-superior-to-metformin-for-diabetes-prevention/

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

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