What’s inside:

✧

Medicare Costs of Insulin ...................... 2 Upcoming Bus Trips .............................. 3 January Menus ........................ 4

& 5 Medicare Enrollment Changes ........... 6 Nancy’s News and “Good Ole Days” .... 7 Extended Medicare Coverage ............. 8

January 2023 - Volume XLVIII - Number 1

1-800-514-0066 or 608-776-4960

15701 County Road K, Suite 2, Darlington, WI 53530

www.lchsd.org or www.adrcswwi.org

Everyday a New Year’s Day? by Ben Biddick

D

id you know celebrating the arrival of a new year dates back approximately 4,000 years 1. Human beings clearly value the tradition Ben Biddick of bidding goodbye to one year and celebrating the arrival of the new. In America, people often throw a party, watch the ball drop in Times Square, reflect on the year gone by, and resolve to develop healthier habits in the new. Local gyms are often packed by people resolved ingrain healthier habits during the first few weeks of January only to be pin drop empty at the end of February. We often wonder why this is and what we can do to make the desired change “stick.” Whether intended or not, the American holiday of New Year’s Day highlights a mindfulness concept. Mindfulness has been defined by Jon Kabat-Zinn as “awareness that arises through paying attention, on purpose, in the present moment, without judgement.” Kabat-Zinn began studying mindfulness in an effort to better serve medical patients suffering from chronic pain conditions. What he learned and what people experience as a result has been transformative 2.

By orienting ourselves to the present moment without judging our experience as good or bad and paying specific attention on purpose to what is happening, we trigger a number of health benefits. We find our experience to be less immersed in fears of what may occur in the future creating anxiety. We also don’t get entangled in thoughts of the past which may spark feelings of guilt or depression. We notice our thoughts and allow them to pass through the sky of our mind like clouds. We begin to explore the present with a greater orientation toward the good that exists in our lives, a sense of gratitude, and the unburdened experience simply of being alive and aware of it.

ourselves from them by inhabiting the present moment. We recognize the things in the past which happened are gone. We’re able to let them go and recognize these experiences for what they were. They were learning opportunities, periods of growth, or events that shaped our experience of today. By granting our past selves the grace not to be perfect, we experience a greater peace that allows us to be the imperfect people we are and always have been. Guilt and shame can be shed like an unnecessary As people practice mindfulness skin. more often, each day becomes the Daily mindfulness may be just what new beginning we enjoy so much we need to make these healthy when we celebrate New Year’s concepts “stick” instead of berating Day. Each mindfulness practice ourselves for an inability to renew bids our restless mind’s worries our habits by only celebrating the of the future to rest as all of these miracle of living once a year. By troubling potential experiences are celebrating it daily, we have a much not here yet. In fact, we begin to different experience. increasingly realize, they rarely ever Learn more about mindfulness and arrive. We often suffer simply at the opportunities to be compassionate thought of something which could and consistent care partners at potentially happen! We forfeit these our Facebook page at https:// imaginary troubles for the peace of w w w. f a c e b o o k . c o m / a d r c s w w i . the present moment. dementia/ Each mindfulness practice also bids our past goodbye as we inhabit the present in greater measure with our senses. Events from the past are transformed. We separate

Sources: 1. https://www.history.com/ topics/holidays/new-years. 2. https:// www.mindful.org/jon-kabat-zinndefining-mindfulness/#:~:text=The%20 Definition%20of%20

A New Year. A New You?

H

by Ben Biddick

change to take themselves “off autopilot (1).” This can be done with reminders about future benefits you’ll experience if your behavior changes. It can also be done by practicing intentional awareness when you’re stressed. By being aware that you’re becoming stressed, this gives you the ability to act on your own behalf. You can then prevent stress-related pressure channeling you toward prior, self-defeating patterns of behavior like eating for comfort or brushing off effortful activity like exercise.

people who support you in your commitment to change. By expressing your thoughts and emotions to another person who does not cast judgement but assists you process what you’re experiencing can lead to a more mindful experience of living. It also prevents guilt and shame while empowering you toward health!

Researchers who’ve studied behavior change Another significant action you can take to change describe how important it is for a person desiring your behavior is to intentionally ally yourself with

Source: 1. https://www.cuimc.columbia.edu/news/ science-behind-behavior-change

ave you boarded the roller coaster of emotions the Holidays bring every year? Are they compounded by serving as a care partner to someone who is experiencing dementia? As you look to the New Year are you tempted to write down resolutions that you cross your fingers and hope you will care about long enough to make a significant, consistent change? Or have you already given up on the idea of resolutions due to prior unsuccessful attempts at changing your behavior?

If you’re a care partner who wants more information about managing the stresses associated with caregiving, please reach out!

2 Upper Horizon Aging & Disability Resource Center January 2023

Holiday Eating with Diabetes Provides information and assistance on services and resources available to keep individuals living well and independently.

15701 County Road K, Suite 2, Darlington, WI 53530 (608) 776-4960 www.adrcswwi.org CONTACT INFORMATION Dana Harcus ADRC Manager Gina Douglas ADRC Specialist Katherine Scharpf ADRC Specialist Kay Schulte Elder Benefit Specialist Michelle Leffler Disability Benefit Specialist Allison Ploessl Adult Protective Services Coordinator Ben Biddick Regional Dementia Care Specialist Bonnie Beam-Stratz Regional Dementia Care Specialist

M

If you are hosting a meal and know that a guest has diabetes, there are things you can do, too, such as:

Here are some helpful tips for holiday eating with diabetes:

1. Do not make your guests wait too long to eat.

1. Eat breakfast and eat regularly throughout the day. Do not fast before a big meal. Skipping meals can make it harder to manage your blood sugar.

2. Have a variety of healthy snacks or appetizers available in case there is a delay to the meal.

2. Limit or avoid alcohol and other highcalorie drinks. Alcohol, especially on an empty stomach, can lower blood sugar. 3. Try to limit starchy foods. You may decide to splurge on seasonal “special” foods like pie rather than filling up on foods you may eat at other times of the year. Focus on smaller portions of your favorite starchy foods, and remember, you don’t have to sample everything that is offered! 4. Plan some type of physical movement. Exercise is a great way to lower blood sugar levels. Whether it’s a post-meal

a monthly publication of the

Aging & Disability Resource Center - Lafayette County 15701 County Road K, Suite 2, Darlington, WI 53530 (608) 776-4960 Regional Website: www.adrcswwi.org Did not receive a copy of the Lafayette County Upper Horizon in the Shopping News? Give us a call, copies are available while supplies last. Upper Horizon can also be viewed online at www.yourshoppingnews.com or www.lafayettecounty.org, then click on departments and finally, click on ADRC. NOTICE: The Aging and Disability Resource Center (ADRC) of Southwest Wisconsin – Lafayette County does not discriminate on the basis of disability in admission to, access to, or operation of its programs, services or activities. This notice is provided as required by Title II of the Americans with Disabilities Act of 1990. Questions, concerns, complaints or requests for additional information regarding the ADRC may be forwarded to: Aging & Disability Resource Center - Lafayette County, 627 Main Street, Darlington, WI 53530. The Lafayette County Upper Horizon is a monthly publication for the ADRC – Lafayette County whose purpose is to provide awareness and information on benefits and services.

Watch for the next issue of Lafayette County Upper Horizon within the Tuesday, January 31, 2023 Shopping News.

3. Offer several low or no-calorie beverage options such as flavored water, diet soda, coffee or tea. 4. Consider whether there are any lower carb/ sugar substitutions for favorite recipes. 5. Plan physical activity during your gathering. If you have diabetes, try to stick to these guidelines, but don’t be too hard on yourself if you don’t eat perfectly. If you are a host, be as supportive as you can. The key is not to follow rules by the letter, but that you keep an awareness about how timing, types of food, and physical activity can help you all enjoy the holidays together.

Medicare Costs of Insulin: New Rule in 2023

A monthly publication produced by the Shopping News and the Aging and Disability Resource Center - Lafayette County.

✧

walk, dance party or an extra-lively game of charades, now is a great time to start a new tradition of movement!

ost people tend to let a little loose when it comes to holiday eating. Social eating and drinking, favorite treats and traditional once-a-year foods are all part of the fun of the holidays. However, this can be a tricky time for individuals living with diabetes.

ADVERTISE Your Product or Service in the Lafayette County Upper Horizons!

Call (608) 348-2374

Article by the GWAAR Legal Services Team

O

Article by the GWAAR Legal Services Team

ne of the biggest changes to come out of the Inflation Reduction Act (IRA) that passed in 2022 applies to Medicare coverage of insulin. In 2023, out-of-pocket costs for all insulin drugs is now capped at $35 per 30-day prescription under all Medicare drug plans. 1

The change in the law occurred too late to be reflected on Medicare’s Planfinder tool for comparing drug plans for 2023. (Enrollment ends December 7, 2022 for plan changes effective January 1, 2023). Therefore, if a person takes insulin and wants to compare plans, they will need to factor this reduction into the calculations. If individuals using insulin choose the wrong plan during the Open Enrollment Period, they will be granted a Special Enrollment Period (SEP) to switch plans in 2023. They can do this by calling 1-800-Medicare. If a person is on what is called the Low-Income Subsidy (LIS or “Extra Help”), they will continue to pay the lower LIS co-pays. It is important to note that Medicare plans do not necessarily cover all brands and types of insulin, and coverage of insulin drugs can change from year to year. For this reason, it’s important for individuals who depend on insulin to check each year during Open Enrollment (October 15-Decemeber 7). It is also important to note that this new rule does not apply to drugs that act like insulin but are not actually

insulin, like Trulicity (Dulaglutide). In addition, there are differences between Medicare Part D and Medicare Part B coverage of insulin and insulin products. The $35 limit applies to Medicare Part D, only. Another consequence of the rule’s sudden implementation is that individuals may need to initially pay a higher amount for insulin, and then ask for reimbursement from their plan. This will vary by plan, so individuals should contact their plan at the beginning of 2023 and ask about the process. The following steps are recommended for all individuals who rely on insulin: • Check the plan’s formulary to make sure the brand and type of insulin is covered • Confirm the type of insulin and supplies is covered under Part D and not Part B • Calculate yearly costs by factoring in the $35 monthly limit • Check with the plan regarding reimbursements • Use the one-time SEP to change plans in 2023 if the plan does not fit with the person’s needs For more information, visit https://www.medicare.gov/coverage/insulin?eType=EmailBlastContent&eId=34438942-60d6-4c53-a82b5dac6e32a592 1 Similarly, if a person gets a 60day supply of insulin, they should not pay more than $70, and a person with a 90-day supply of insulin should not pay more than $105.

January 2023 Aging & Disability Resource Center Upper Horizon 3

The Many Gifts of Dementia

P

by Ben Biddick

eople with dementia offer us so many gifts. It often takes learning some important lessons before we understand the language they speak. This language is contained more in their Ben Biddick actions and behaviors than in words. Once deciphered we realize just how powerful this communication is. It’s bigger than words. Even if they were able to speak them, the spoken words would not be big or full enough. One gift we are given by people who have dementia is a gratitude for so much of what we take for granted. Intimacy is forged in shared moments of understanding, shared laughter, shared anger, and shared pain as we face the challenges of life together. As dementia’s damage impacts the mind of the person we share our life with, the concept of being together begins to fray and separate. The care partner, in honor of the togetherness they shared, begins the often-lonely process of giving a thousand daily gifts that often seem to go unnoticed or unvalued. It is the deepest kind of love a person can give when they continue to give without

A

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recompense. We recognize just how valuable it was to have been together and to be together. A second gift is an awareness of the value of human energy. As the pathology of a dementia process damages brain cells, we witness just how spectacular the human brain is. We witness how satisfying it is to be able to speak, listen, and understand another human being. We witness how frustrating it is for people to grapple with capabilities which were once performed with great ease now requiring great energy and concentration to accomplish. As they exhaust themselves trying to connect with us, we are again reminded of how glorious it is simply to have a nearly unbounded energy that allows us to sense, experience, and share moments together. During this holiday season we hope you can experience moments of inhabiting a person’s world who has dementia without trying to correct them or yank them into ours. They’re doing their very best. Due to the damage in their brain they’re unable to inhabit the world we’re experiencing. Be there with them in theirs. Together.

Share Your Input to Help Create the State of Wisconsin’s Next Dementia Plan!

re you interested in sharing your experiences with dementia care in the State of Wisconsin? Let your voice be heard to influence the development of the 20242028 State of Wisconsin Dementia Plan. By completing an easy online survey, your input will be compiled and analyzed to shape the next plan! The notes from these conversations will influence local decisions and the state plan. What you say will be shared with our partners, but your name will not be attached. Participation is voluntary. Through these conversations, we hope to identify problems with the current system and to figure out innovative ways to improve dementia care and support caregivers. To make sure everyone is on the same page, when we talk about dementia, we are referring to loss of memory, language, and other thinking skills that are severe enough to interfere with daily life. Alzheimer’s is the most common cause of dementia. Caregivers provide care to people who need some degree of assistance with everyday tasks on a regular or daily basis. The term caregiver refers to both those who are paid to provide care (such as home health aides) and those who are not paid to provide care (such as family members). To access the online survey you can email [email protected]. You can also turn on your smart phone camera and place this black and white square graphic in your camera’s field of view. This will take you directly to the survey. There will also be listening sessions available for you to attend on January 20, 2023 at 12:30 p.m. and February 10, 2023 at 12:30 p.m. Any questions reach out to your local ADRC.

Ride the Bus with Bill! Call ADRC at (608) 776-4960 to Reserve Your Seat Today!

Happy New Year and Welcome 2023! This is the time of the year to declare resolutions and make impactful changes. We would like to add additional trips in 2023. Be on the lookout for fun adventures. The AARP is offering tax assistance again this year. If Bill Govier you need transportation for the tax appointment, contact the ADRC as soon as possible before your appointment. If you would like to book a spot on any trip please call the ADRC front desk at (608) 776-4960.

Upcoming Trips JANUARY Monday, January 2 ........................New Year’s Holiday WE ARE CLOSED Tuesday, January 3 .......................................Dubuque Wednesday, January 4 .................................... Monroe Tuesday, January 10 .....................................Dubuque Tuesday, January 17 .....................................Dubuque Wednesday, January 18 .................................. Monroe Tuesday, January 24 .....................................Dubuque Tuesday, January 31 .....................................Platteville

FEBRUARY Wednesday, February 1 .................................. Monroe Tuesday, February 7 ..................................... Dubuque Thursday, February 9 ................ Madison East & West Tuesday, February 14 ................................... Dubuque Wednesday, February 15 ............................... Monroe Tuesday, February 21 ................................... Dubuque Tuesday, February 28 ................................... Platteville

Pre-Plan now so your family won’t have to later Poor planning affects everyone… Good planning will too. Reduce the emotional stress today! 334 W. Elm St., Lancaster Mon.-Fri. 9AM-5PM

Lancastermonumentcompany.com • 608-723-4537

adno=269564

4 Upper Horizon Aging & Disability Resource Center January 2023

APPY NEW YEAR! Wow, another year has passed and we are looking forward to 2023. We hope the holidays were good for you, and our meals have helped you with some good food and nutrition.

Live a Healthier Life

Remember Things Better

Boost Your Brain & Memory

Greetings from S.U.N. Senior Dining and Meals on Wheels

H

Learn New Tools to:

It’s those warm, comfort foods that get us through the long cold winter. And we all have our traditions.

Be More Organized

It is the end of November as I write this, and I realize that November is Native American Heritage Month. We are serving someone from the Oneida Nation: the tribe officially resides in Outagamie County. At this time of year, it is the last month that harvesting of the white corn takes place. White corn has been a traditional staple of the Oneida diet for hundreds of years and traveled with them from New York in 1822 when the tribe was relocated to Wisconsin. This year marks the 200 year anniversary of the Oneidas’ move to Wisconsin. White corn is a type of flint corn. It is dried and processed using a hardwood ash or baking soda to remove the outside husk prior to eating.

Pay Closer Attention

7 week, multi-faceted, whole person program offering a unique approach to brain fitness. Instructor led, each of the sessions includes informational video segments, followed by group discussion and activities.

Mondays: January 30th through March 13th, 2023 2:00pm—4:00pm; FREE This class will be offered via Zoom

REGISTER EARLY—SPACE IS LIMITED

To register please call the ADRC of SW Wisconsin at:

608-324-3600 or email [email protected].

January 2023 Aging & Disability Resource Center Upper Horizon 5

This process is called nixtamalization which releases the niacin, or vitamin B3, of the corn as well as increased protein and calcium. The Oneidas played a vital role in the Revolutionary War, feeding General George Washington’s starving army in the winter of 1777. Oneida people carried hundreds of bushels of white corn over 200 miles to Valley Forge. Polly Cooper, then taught the army how to cook it so they didn’t get bloat from eating raw corn. She received a shawl from George Washington’s wife as appreciation. Did any of you know this? I didn’t, and appreciate getting this information from Crystal Meltz, RD, a proud member of the Oneida tribe. We have started to receive donations from the front page article in the News & Views last month. We will print what we have in the February issue. I want to give a special thanks to Valerie Hiltbrand, ADRC Manager of Iowa County, for offering us the front page to talk about our program, and the need for financial contributions to keep it going. We appreciate any and all donations, no matter how small.

We also want to give special thanks to both Iowa and Lafayette county boards, for increasing the county levy for our program for 2023. This is really vital for the SUN Program. I know that funds are tight everywhere, and everyone can use more, so we are very appreciative that senior meals are among the priorities of both counties.

NEEDED: Volunteers, Especially Sub Drivers. See Kathy Kay in Darlington or call (608) 776-4969. SO REWARDING!

I have mentioned that during COVID, our counts soared, especially for home delivery. For several months, we only did home delivery as the congregate sites were closed. For both 2020 and 2021, we received extra COVID funds through three separate bills passed by Congress. They were necessary. But starting in 2023, we will not have these funds. Of course, we never know how many seniors will be in need of meals, or

SUN Meals Served in November 2022

Site Belmont Benton Blanchardville (Breakfast) Darlington Argyle Shullsburg Totals

want to come to the sites; we try to meet every request as it occurs within reason. As a reminder, the Quest Card, or Food Share, can be used for the SUN meals. Some seniors are still not aware of that. And during COVID, extra funds are automatically added every month. If you previously only had a small amount, and didn’t think it was worth it to use toward meals, please check your balance; you likely have a lot more than you think. Just call our office at 608-930-9845, and we will walk you through it. It is very easy on our end as well – everything is done electronically. If you can’t donate the full amount for your meals, this could supplement your funds. Recently we have found a few people who had very large balances that they were unaware of, that could be used toward the senior meals. We want to help you in any way receive meals if you need them – and we don’t want those funds to expire! Stay warm, and eat well. We can help you with that! Thanks for all your generosity.

usr Cecile McMDianrecto

Senior Dining JANUARY MENUS Fellowship, Food

Congregate 2 109 68 85 142 0 0 406

Delivered 360 170 114 0 0 489 248 1,381

Total 362 279 182 85 142 489 248

Total Meals Served 1,787

SITE ACTIVITIES:

All sites are safe and open for activities. Call the individual site and speak with the manager (name and number on menus). We welcome all ideas for revamping the sites and providing social activities, as well as a nutritious meal. See below for some current happenings:

Belmont: Check with Site. Benton: First Wednesday of the month, January 4 - Bingo! Blanchardville: Check with Site. Darlington: Mondays at 12:30 p.m. - Bridge and Euchre; Tuesdays at 9:00 a.m. - Exercise Class 1st and 3rd Tuesdays at 12:30 p.m. - Bingo Wednesdays at 9:30 a.m. - WII; 1:00 - Knitters Thursdays - More Bridge Fridays at 12:30 p.m. - Hasenpfeffer Cards Shullsburg: Check with Site.

Fun

Meals are served Monday-Friday at 11:30 a.m. with milk served at each meal. Menus are subject to change. Call for your meal reservation by 12:30 p.m., at least one day in advance. Suggested Donation For Meal: $5.50 for congregate meals and $6.00 for home-delivered meals. For people 60 years of age or older.

Belmont Benton Blanchardville Shullsburg For Belmont, call Kendall at the Community Building, (608) 762-5114. For Benton, call Farrah at the VFW Building (608) 759-6671.

MONDAY January 2

Happy New Year! No Meals Served January 9

Creamy Chicken Chili w/Beans Fresh Spinach Salad Mixed Fruit Crackers Sugar Cookie January 16

Meatloaf Choice of Potato Sliced Carrots Corn Muffin Fresh Orange Wedges January 23

Beef Stroganoff over Noodles Stewed Tomatoes Sweet & Tangy Bean Salad Peaches Oatmeal Raisin Cookie

For Blanchardville, call Viking Cafe, (608) 523-4327 - Lunch at 11:30 a.m. For Shullsburg, call Paula at the Community Center, (608) 965-4424, ext. 226.

TUESDAY

WEDNESDAY

THURSDAY

January 3

January 4

January 5

Ham, Broccoli & Potato Chowder Pea & Cheese Salad Pineapple Tidbits Corn Muffin Strudel Bites

Chicken Ala King w/Mixed Vegetables over a Biscuit Mixed Green Salad Fruit Pie - Cook’s Choice

Roast Pork Sweet Potatoes Sliced Beets Applesauce Dinner Roll Chocolate Cake w/Peanut Butter Icing

January 10

January 11

January 12

Roast Beef w/Gravy Mashed Potatoes Scalloped Corn Choice of Bread Ambrosia Dessert

Salisbury Steak in Mushroom Sauce Noodles Roasted Brussels Sprouts Pears Scotcheroo

Baked Chicken Red Potatoes Squash Wheat Roll Waldorf Dessert

January 17

January 18

January 19

Chicken & Dressing Casserole Green Beans Fresh Cranberry Salad Pumpkin Pie w/Topping

Portuguese Bean & Kale Soup Egg Salad Sandwich on Whole Wheat Bread Pickled Beets Tropical Fruit

Lasagna Winter Vegetables Tossed Salad w/Romaine Garlic Bread Cherry Crisp

January 24

January 25

January 26

Cranberry Pork Chop Sweet Potatoes Creamed Spinach Rye Bread Apple Crisp

Pasty Coleslaw Gelatin w/Fruit

Creamy Tomato Soup Chicken Salad Sandwich on Wheat Broccoli, Bacon & Cheese Salad Angel Food Cake w/Strawberries

FRIDAY January 6

Battered Cod Parsley Red Potatoes Sliced Carrots Coleslaw Rye Bread Fruit Cocktail Bar January 13

Shrimp Alfredo over Fettucini Broccoli Florets Mixed Green Salad Garlic Bread Lemon Gelatin w/Crushed Pineapple January 20

Salmon Loaf Baked Potato w/Sour Cream Creamed Peas Choice of Bread Mandarin Oranges January 27

Cheesy Egg Bake w/Peppers & Onions Hashbrowns Cinnamon Roll Orange Juice Yogurt w/Sliced Bananas

Argyle Darlington South Wayne For Argyle call Kathy at (608) 776-4969 Home Delivery Only!

MONDAY January 2

Happy New Year! No Meals Served January 9

Beef Stew over a Biscuit Fruit Cookie

January 16

Pork Roast Sweet Potatoes Green Beans Applesauce Bread Pudding January 23

Beef Tips & Gravy over Noodles Whole Kernel Corn Carrots Pineapple Tidbits Cake w/Frosting

For Darlington call Kathy at Municipal Building, (608) 776-4969

For South Wayne call Kathy at (608) 776-4969. Home Delivery Only!

TUESDAY

WEDNESDAY

THURSDAY

January 3

January 4

January 5

Goulash Green Beans Pickled Beets Wheat Bread Apple Crisp

Roast Beef w/Gravy Mashed Potatoes Boiled Cabbage Rye Bread Lime Pears

Pizza Mixed Green Salad Fruit Fluff Garlic Breadstick Cherry Crisp

January 10

January 11

January 12

Pork Chop Mashed Potatoes w/Gravy Carrots Oranges Pudding Dessert

Meatloaf Scalloped Potatoes Green Bean Casserole Dinner Roll Peaches Gelatin Cake

Pasty w/Gravy Cabbage Salad Cheesecake Topped w/Fruit

January 17

January 18

January 19

Salisbury Steak Mashed Potatoes w/Gravy Cauliflower Wheat Bread Tropical Fruit Baked Bar

Chicken Pot Pie over a Biscuit Broccoli Fruit Chocolate Revel Bar

Pizza Lettuce Salad Garlic Breadstick Gelatin w/Fruit

January 24

January 25

January 26

Chili w/Crackers Sliced Cheese Cornbread Seven Layer Salad Apple Crisp

Meatballs Scalloped Potatoes Baked Beans Wheat Bread Strawberries over Angel Food Cake

Chicken Vegetable Soup w/Crackers Sliced Cheese Lettuce Salad Peaches Pudding Dessert

FRIDAY January 6

Orange Chicken w/Stir Fry Vegetables Rice Vegetable Egg Roll Mandarin Oranges Banana Bar January 13

Baked Fish Au Gratin Potatoes Peas Wheat Bread Three Bean Salad Ice Cream January 20

Breaded Fish Potato Wedges Baked Beans Pears Cookie January 27

Tuna Noodle Casserole Peas Coleslaw Apple Slices

4 Upper Horizon Aging & Disability Resource Center January 2023

APPY NEW YEAR! Wow, another year has passed and we are looking forward to 2023. We hope the holidays were good for you, and our meals have helped you with some good food and nutrition.

Live a Healthier Life

Remember Things Better

Boost Your Brain & Memory

Greetings from S.U.N. Senior Dining and Meals on Wheels

H

Learn New Tools to:

It’s those warm, comfort foods that get us through the long cold winter. And we all have our traditions.

Be More Organized

It is the end of November as I write this, and I realize that November is Native American Heritage Month. We are serving someone from the Oneida Nation: the tribe officially resides in Outagamie County. At this time of year, it is the last month that harvesting of the white corn takes place. White corn has been a traditional staple of the Oneida diet for hundreds of years and traveled with them from New York in 1822 when the tribe was relocated to Wisconsin. This year marks the 200 year anniversary of the Oneidas’ move to Wisconsin. White corn is a type of flint corn. It is dried and processed using a hardwood ash or baking soda to remove the outside husk prior to eating.

Pay Closer Attention

7 week, multi-faceted, whole person program offering a unique approach to brain fitness. Instructor led, each of the sessions includes informational video segments, followed by group discussion and activities.

Mondays: January 30th through March 13th, 2023 2:00pm—4:00pm; FREE This class will be offered via Zoom

REGISTER EARLY—SPACE IS LIMITED

To register please call the ADRC of SW Wisconsin at:

608-324-3600 or email [email protected].

January 2023 Aging & Disability Resource Center Upper Horizon 5

This process is called nixtamalization which releases the niacin, or vitamin B3, of the corn as well as increased protein and calcium. The Oneidas played a vital role in the Revolutionary War, feeding General George Washington’s starving army in the winter of 1777. Oneida people carried hundreds of bushels of white corn over 200 miles to Valley Forge. Polly Cooper, then taught the army how to cook it so they didn’t get bloat from eating raw corn. She received a shawl from George Washington’s wife as appreciation. Did any of you know this? I didn’t, and appreciate getting this information from Crystal Meltz, RD, a proud member of the Oneida tribe. We have started to receive donations from the front page article in the News & Views last month. We will print what we have in the February issue. I want to give a special thanks to Valerie Hiltbrand, ADRC Manager of Iowa County, for offering us the front page to talk about our program, and the need for financial contributions to keep it going. We appreciate any and all donations, no matter how small.

We also want to give special thanks to both Iowa and Lafayette county boards, for increasing the county levy for our program for 2023. This is really vital for the SUN Program. I know that funds are tight everywhere, and everyone can use more, so we are very appreciative that senior meals are among the priorities of both counties.

NEEDED: Volunteers, Especially Sub Drivers. See Kathy Kay in Darlington or call (608) 776-4969. SO REWARDING!

I have mentioned that during COVID, our counts soared, especially for home delivery. For several months, we only did home delivery as the congregate sites were closed. For both 2020 and 2021, we received extra COVID funds through three separate bills passed by Congress. They were necessary. But starting in 2023, we will not have these funds. Of course, we never know how many seniors will be in need of meals, or

SUN Meals Served in November 2022

Site Belmont Benton Blanchardville (Breakfast) Darlington Argyle Shullsburg Totals

want to come to the sites; we try to meet every request as it occurs within reason. As a reminder, the Quest Card, or Food Share, can be used for the SUN meals. Some seniors are still not aware of that. And during COVID, extra funds are automatically added every month. If you previously only had a small amount, and didn’t think it was worth it to use toward meals, please check your balance; you likely have a lot more than you think. Just call our office at 608-930-9845, and we will walk you through it. It is very easy on our end as well – everything is done electronically. If you can’t donate the full amount for your meals, this could supplement your funds. Recently we have found a few people who had very large balances that they were unaware of, that could be used toward the senior meals. We want to help you in any way receive meals if you need them – and we don’t want those funds to expire! Stay warm, and eat well. We can help you with that! Thanks for all your generosity.

usr Cecile McMDianrecto

Senior Dining JANUARY MENUS Fellowship, Food

Congregate 2 109 68 85 142 0 0 406

Delivered 360 170 114 0 0 489 248 1,381

Total 362 279 182 85 142 489 248

Total Meals Served 1,787

SITE ACTIVITIES:

All sites are safe and open for activities. Call the individual site and speak with the manager (name and number on menus). We welcome all ideas for revamping the sites and providing social activities, as well as a nutritious meal. See below for some current happenings:

Belmont: Check with Site. Benton: First Wednesday of the month, January 4 - Bingo! Blanchardville: Check with Site. Darlington: Mondays at 12:30 p.m. - Bridge and Euchre; Tuesdays at 9:00 a.m. - Exercise Class 1st and 3rd Tuesdays at 12:30 p.m. - Bingo Wednesdays at 9:30 a.m. - WII; 1:00 - Knitters Thursdays - More Bridge Fridays at 12:30 p.m. - Hasenpfeffer Cards Shullsburg: Check with Site.

Fun

Meals are served Monday-Friday at 11:30 a.m. with milk served at each meal. Menus are subject to change. Call for your meal reservation by 12:30 p.m., at least one day in advance. Suggested Donation For Meal: $5.50 for congregate meals and $6.00 for home-delivered meals. For people 60 years of age or older.

Belmont Benton Blanchardville Shullsburg For Belmont, call Kendall at the Community Building, (608) 762-5114. For Benton, call Farrah at the VFW Building (608) 759-6671.

MONDAY January 2

Happy New Year! No Meals Served January 9

Creamy Chicken Chili w/Beans Fresh Spinach Salad Mixed Fruit Crackers Sugar Cookie January 16

Meatloaf Choice of Potato Sliced Carrots Corn Muffin Fresh Orange Wedges January 23

Beef Stroganoff over Noodles Stewed Tomatoes Sweet & Tangy Bean Salad Peaches Oatmeal Raisin Cookie

For Blanchardville, call Viking Cafe, (608) 523-4327 - Lunch at 11:30 a.m. For Shullsburg, call Paula at the Community Center, (608) 965-4424, ext. 226.

TUESDAY

WEDNESDAY

THURSDAY

January 3

January 4

January 5

Ham, Broccoli & Potato Chowder Pea & Cheese Salad Pineapple Tidbits Corn Muffin Strudel Bites

Chicken Ala King w/Mixed Vegetables over a Biscuit Mixed Green Salad Fruit Pie - Cook’s Choice

Roast Pork Sweet Potatoes Sliced Beets Applesauce Dinner Roll Chocolate Cake w/Peanut Butter Icing

January 10

January 11

January 12

Roast Beef w/Gravy Mashed Potatoes Scalloped Corn Choice of Bread Ambrosia Dessert

Salisbury Steak in Mushroom Sauce Noodles Roasted Brussels Sprouts Pears Scotcheroo

Baked Chicken Red Potatoes Squash Wheat Roll Waldorf Dessert

January 17

January 18

January 19

Chicken & Dressing Casserole Green Beans Fresh Cranberry Salad Pumpkin Pie w/Topping

Portuguese Bean & Kale Soup Egg Salad Sandwich on Whole Wheat Bread Pickled Beets Tropical Fruit

Lasagna Winter Vegetables Tossed Salad w/Romaine Garlic Bread Cherry Crisp

January 24

January 25

January 26

Cranberry Pork Chop Sweet Potatoes Creamed Spinach Rye Bread Apple Crisp

Pasty Coleslaw Gelatin w/Fruit

Creamy Tomato Soup Chicken Salad Sandwich on Wheat Broccoli, Bacon & Cheese Salad Angel Food Cake w/Strawberries

FRIDAY January 6

Battered Cod Parsley Red Potatoes Sliced Carrots Coleslaw Rye Bread Fruit Cocktail Bar January 13

Shrimp Alfredo over Fettucini Broccoli Florets Mixed Green Salad Garlic Bread Lemon Gelatin w/Crushed Pineapple January 20

Salmon Loaf Baked Potato w/Sour Cream Creamed Peas Choice of Bread Mandarin Oranges January 27

Cheesy Egg Bake w/Peppers & Onions Hashbrowns Cinnamon Roll Orange Juice Yogurt w/Sliced Bananas

Argyle Darlington South Wayne For Argyle call Kathy at (608) 776-4969 Home Delivery Only!

MONDAY January 2

Happy New Year! No Meals Served January 9

Beef Stew over a Biscuit Fruit Cookie

January 16

Pork Roast Sweet Potatoes Green Beans Applesauce Bread Pudding January 23

Beef Tips & Gravy over Noodles Whole Kernel Corn Carrots Pineapple Tidbits Cake w/Frosting

For Darlington call Kathy at Municipal Building, (608) 776-4969

For South Wayne call Kathy at (608) 776-4969. Home Delivery Only!

TUESDAY

WEDNESDAY

THURSDAY

January 3

January 4

January 5

Goulash Green Beans Pickled Beets Wheat Bread Apple Crisp

Roast Beef w/Gravy Mashed Potatoes Boiled Cabbage Rye Bread Lime Pears

Pizza Mixed Green Salad Fruit Fluff Garlic Breadstick Cherry Crisp

January 10

January 11

January 12

Pork Chop Mashed Potatoes w/Gravy Carrots Oranges Pudding Dessert

Meatloaf Scalloped Potatoes Green Bean Casserole Dinner Roll Peaches Gelatin Cake

Pasty w/Gravy Cabbage Salad Cheesecake Topped w/Fruit

January 17

January 18

January 19

Salisbury Steak Mashed Potatoes w/Gravy Cauliflower Wheat Bread Tropical Fruit Baked Bar

Chicken Pot Pie over a Biscuit Broccoli Fruit Chocolate Revel Bar

Pizza Lettuce Salad Garlic Breadstick Gelatin w/Fruit

January 24

January 25

January 26

Chili w/Crackers Sliced Cheese Cornbread Seven Layer Salad Apple Crisp

Meatballs Scalloped Potatoes Baked Beans Wheat Bread Strawberries over Angel Food Cake

Chicken Vegetable Soup w/Crackers Sliced Cheese Lettuce Salad Peaches Pudding Dessert

FRIDAY January 6

Orange Chicken w/Stir Fry Vegetables Rice Vegetable Egg Roll Mandarin Oranges Banana Bar January 13

Baked Fish Au Gratin Potatoes Peas Wheat Bread Three Bean Salad Ice Cream January 20

Breaded Fish Potato Wedges Baked Beans Pears Cookie January 27

Tuna Noodle Casserole Peas Coleslaw Apple Slices

6 Upper Horizon Aging & Disability Resource Center January 2023

Medicare Enrollment Changes Coming January 1, 2023

T

Article by the GWAAR Legal Services Team

he Centers for Medicare & Medicaid Services (CMS) recently issued rules that will simplify Medicare enrollment and coverage start dates beginning January 1, 2023. These rules change Medicare coverage start dates for people who enroll in Premium Part A or Part B during the last three months of their Initial Enrollment Periods (IEPs) or the annual General Enrollment Period (GEP). The rules also create new Special Enrollment Periods (SEPs) for people enrolling in Medicare outside of their IEPs or the GEP.

on or after January 1, 2023 and after the end of the emergency declaration. The SEP may enroll during the last three months also be used if the disaster or of their IEP will be enrolled in emergency takes place where Premium Part A and/or Medicare the individual’s authorized Part B the month after enrollment. representative, legal guardian, Premium-free Part A coverage will or person who makes health still be effective the first day of care decisions on their behalf the month they turn 65 for people lives. enrolling during their IEP. In addition, people who enroll during • A n SEP for health plan or the first three months of their IEP employer error for individuals will still have coverage begin the who can show that their first day of the month they turn 65. employer or health plan Remember that people with firstmaterially misrepresented of-the-month birthdays start their information related to enrolling IEPs earlier, and they become in Medicare on time. The SEP also includes brokers In general, the date an eligible for Medicare the first day and agents of health plans as individual’s Premium Part A and/ of the month before they turn 65. sources of misinformation. This or Part B coverage becomes Likewise, beginning January 1, SEP will last for six months after effective depends on the date of 2023, people who enroll during the individual tells SSA, and it enrollment. Under rules in effect the GEP will have allows the individual to write until December 31, 2022: Premium Part A and/or Part B a statement describing what • F or people who enroll during any coverage start the month after happened if documentation of the first three months of their enrollment. If they are enrolling in of misinformation from the IEP, coverage will be effective Premium-free Part A for this first employer or health plan is not the first month of eligibility. time during the GEP, their Part A available. • F or people enroll during their coverage will backdate up to six IEP in the month they become months. This change significantly • A n SEP for formerly incarcerated individuals that will allow them eligible, their coverage will be reduces the gap in coverage that to enroll following their release effective the month after they can occur with a GEP enrollment. from correctional facilities. This sign up. In addition, the new CMS rules SEP will last for 12 months • F or people who enroll during finalized the following new SEPs after they are released and any of the last three months of for enrollment into Medicare Part A allow them to choose between their IEP, their coverage will be or Part B without a late enrollment up to six months of retroactive effective 2-3 months after they penalty: coverage back to their release sign up. date or coverage beginning • A n SEP for individuals impacted • F or people who enroll during the month after the month of by an emergency or disaster the General Enrollment Period enrollment. An individual who for beneficiaries who missed (GEP), which runs from January selects retroactive coverage an enrollment opportunity 1st through March 31st every must pay the premiums for the because they were affected by year, enrollments are effective retroactive covered time period. a disaster or other emergency July 1st. declared by a Federal, state, • A n SEP to coordinate with As of January 1, 2023, people who become eligible for Medicare

or local government agency. This SEP will last for six months

Monthly FREE At-Home COVID-19 Tests Available A A ll Wisconsin households are now eligible to order one free COVID-19 test kit containing five rapid antigen tests every month. The tests can be ordered online and are delivered to your door. With the holidays coming up, more people will be traveling and gathering together. Testing helps people know if they have COVID-19 so they can take actions to help limit the chance of spreading the virus to those around them. Be aware that the FDA has extended expiration dates for many COVID-19 self-tests. When you receive your tests, do not be concerned if the expiration date appears to have passed. Your tests are still reliable and good to use for up to an additional six months. You can look up your package of test kits by entering the lot number to find the specific extended expiration date at this website: https://ihealthlabs.com/pages/news#expiration. You can order your monthly at-home COVID-19 tests here: sayyescovidhometest.org.

termination of coverage that

individuals who have missed a Medicare enrollment period to enroll in Medicare after their Medicaid coverage ends. The SEP lasts for six months after the last date of Medicaid coverage. Individuals may choose between retroactive coverage back to their last date of Medicaid coverage (but no earlier than January 1, 2023) or coverage beginning the month after the month of enrollment. If an individual selects retroactive coverage, they must pay the premiums for the retroactive covered time period. In addition, individuals who would have been eligible for this SEP but who enrolled during the COVID-19 Public Health Emergency before January 1, 2023 are eligible to have any late enrollment penalties refunded and removed. • A n SEP for other exceptional conditions that will, on a caseby-case basis, allow for an enrollment period for individuals when circumstances beyond their control prevented them from enrolling during the IEP, GEP or other SEPs. This SEP will last for a minimum of six months.

To enroll in Medicare Part A or Part B during your IEP, an SEP, or the annual GEP, please contact your local Social Security office. You can find your local office by entering your ZIP code here: https://secure.ssa.gov/ICON/ main.jsp. Some individuals may be able to enroll in Medicare Medicaid online here: https://www.ssa.gov/ will allow benefits/medicare/#anchor4.

AARP Tax Program

ARP is planning to provide the tax program again starting in February. This year’s program will be similar to last year’s although masks, at this point, will be encouraged but not be required. Taxpayers will be interviewed, as well as tax documents scanned and then returned. The first appointment will last about one-half hour. A second appointment, usually a week later, will be made to pick up and sign the printed tax return at the same site. During the week, an AARP tax volunteer may call if more information is needed. It will be very important to bring all required tax documents and proof of identification (photo ID’s and Social Security cards) to the first appointment. Due to this format, a replacement appointment may not be able to be made if you do not bring all your tax documents and identification. There will be six dates available in Darlington and two in Argyle. DARLINGTON: ARGYLE: February 20 and 27 February 13 March 6 and 27 March 13 April 3 and 10 To schedule an appointment, please call the ADRC intake worker, starting Tuesday, January 10, at (608) 776-4960.

January 2023 Aging & Disability Resource Center Upper Horizon 7

Nancy’s News and the “Good Ole Days”! W

e will soon be w e l c o m i n g January 2023! It seems like a few months ago we were welcoming 2022. How time Nancy Amenda flies! January is usually a cold month with lots of snow and usually we are already wishing for spring. By the time you read this we will have celebrated Christmas and are facing a big job putting all the Christmas stuff away. Plus a little extra stuff accumulated along the way. Thank heavens for the plastic totes that we have come to rely on for packing things away. As I say every year after Christmas I am going through all my totes and get rid of some stuff or for a better word “junk”. It would be a miracle if I did! It would be like making a New Year resolution - in one ear and out the other! Since January is a cold snowy month what did people in the

by Nancy Amenda

“good old days” do for fun or entertainment. I remember going to house parties where the adults played cards and the kids had a great time playing with the other kids. Every family bought a dish to pass and we kids managed to stay awake just so we didn’t miss all the good food that was served later. After everyone got done eating the adults started playing cards again. The kids started to play again but before long we were tired and we found someplace to sleep. Some homes had a downstairs bedroom and everyone that came would toss their coats on top of the bed and that is where most parents found their kids sleeping on top of all the coats. Sometimes there would be a baby among the kids sleeping in the pile. I remember Mom waking us up and being very tired and struggling to get our coats on late at night and going out in the cold to go home. We had an older model car and the heater never got the car warm until

we got home and Dad had to keep scraping off the frost so he could see to drive. When we got home the house was cold because the wood burning stoves went out. If we had to use the little house out back before we went to bed that place was even colder. That was one place you didn’t waste time. By the time we got to bed the bed was cold and I swear I just closed my eyes and I heard, “Time to get up for chores!” Thank heavens the barn is warm! Things couldn’t have been too bad because we were ready to go visit again!! In the winter we were inside more and enjoyed listening to Art Linkletter on the radio with Mom during the day. Part of his show was a segment where he would interview little kids to find out what they had to say about their family. He asked one kid; where did your folks meet? – My folks met at a night club – What was your father doing? - He was a bartender – And your mother? – She was attending

a PTA meeting! His show was always entertaining especially with the small kids because they said whatever came into their minds even if it was a family secret. Another day time show Mom listened too was Ma Perkins who owned a lumber yard in a fictitious town of Rushville Center. We didn’t listen to this radio show because it wasn’t very exciting for a kid. It was filled with the daily life of the lumber yard and residents of the town. Another favorite was right after lunch Mom would listen to the Swiss music on WEKZ with a lot of lively polka music and a lot of yodeling going on. What a better way to recharge yourself for the rest of the day. On behalf of our family I would like to send a special wish to everyone for a great 2023 filled with lots of fun things to do and lots of good health to do it with!

Nancy

February Foot Clinics

In February 2023 Jamie Schultz will be seeing foot clinic clients. The cost is $25 at the clinic and $35 in home. Shullsburg - February 6 Shullsburg and Blanchardville - February 14 Call Jamie at (608) 358-4964.

BUILD YOUR OWN PERSONAL PLAYBOOK FOR AGING WELL. THIS FUN, INNOVATIVE PROGRAM EMPOWERS YOU TO TAKE KEY STEPS TO IMPROVE YOUR WELL-BEING, ADDS STABILITY TO YOUR LIFE AND STRENGTHEN TIES TO YOUR COMMUNITY.

Class begins January 12, Call (608) 930-9850 to sign up! This FREE 10-class series will be held in Darlington and Dodgeville OR online via Zoom on Thursdays, January 12th - March 16th, 2023 from 9:30-11am ** Must sign up by Jan 4!! For more information, contact the facilitators: Bridget Mouchon: (608) 776-4820 [email protected] Ruth Schriefer: (608) 930-9850 [email protected]

• Navigating Longer Lives • Exercise • Sleep • Healthy Eating / Hydration • Financial Fitness • Medication Management • Advance Planning • Healthy Relationships • Falls Prevention • Community Engagement

The University of Wisconsin-Madison Division of Extension is an EEO/AA institution committed to diversity among its employees and in its programs

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8 Upper Horizon Aging & Disability Resource Center January 2023

Extended Medicare Coverage of Immunosuppressive Drugs for Kidney Transplant Recipients Article by the GWAAR Legal Services Team

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eginning January 1, 2023, kidney transplant recipients who were enrolled in Medicare because they were diagnosed with end-stage renal disease (ESRD) will qualify for lifetime Medicare coverage of their immunosuppressive drugs if they do not have other insurance coverage. Before this, people who were eligible for ESRD Medicare lost Medicare coverage 36 months after a kidney transplant. Unfortunately, this meant that people had trouble paying for these drugs and sometimes rationed or stopped taking their medication, increasing the risk that the transplant would fail. People who meet the following criteria are eligible for indefinite coverage of their immunosuppressive medications under Medicare Part B (Part B-ID): • Received a kidney transplant Medicare-approved facility,

from

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• Not enrolled in Medicaid, • Medicare coverage under Part A has ended, and • Not enrolled in any other public or private health insurance with an immunosuppressive drug benefit. Public insurance includes Medicaid, VA health care, and TRICARE. Examples of private insurance coverage includes an employer

group health plan, Marketplace coverage, and individual health insurance plan. Individuals who are eligible for Part B-ID but later enroll in coverage that includes immunosuppressive coverage will be required to notify the Social Security Administration (SSA) within 60 days of enrolling in that new coverage. On the other hand, people who currently have other immunosuppressive coverage but lose it in the future can enroll in Part B-ID at that time as long as they meet the eligibility criteria. Please note that the Part B-ID benefit only covers available transplant immunosuppressive drugs approved by the Food and Drug Administration. The examples of health insurance mentioned above provide more comprehensive health coverage. Part B-ID does not cover other medical services, like doctor visits or lab tests that take place more than 36 months after the transplant. All other Medicare benefits for kidney transplant recipients who are under age 65 and not eligible for Medicare based on disability will end 36 months after the transplant. Individuals who enroll in the Part BID benefit will be provided with a new Medicare card that will include the specific language that describes the benefit. The monthly premium for Part B-ID will be equal to 15% of the monthly rate for Medicare beneficiaries age 65 and over. The amount is determined by the U.S. Department of Health

A Bit of Humor

Lars: Say Ole I went by your house last night and noticed you kissing your wife in the window. Ole: The yokes on you. I vasn’t even home last night. Lena: “Vimmen spend one-third of their life looking for a husband… den then they spend another two-thirds vundering vhere he is.”

ELDER ABUSE

Wisconsin State Law physical ab on elder ab use, materi use include al (financia s or self-neg l) abuse an lect of a pe d neglect rson who is To report E age 60 or o lder Abuse lder. or for m

call (608)

ore inform ation 776-4902.

and Human Services in September of each year. For 2023, the monthly premium for Part B-ID will be $97.10. This is equivalent to 15% of the combined individual and federal government portion of the full Part B benefit ($659.60 in 2023). In addition, the annual Part B deductible ($226 in 2023) and 20% coinsurance apply. Low-income individuals who are entitled to Medicare based on enrollment in the Part BID benefit may also be eligible for enrollment in one of the Medicare Savings Programs for payment of some or all of their Part B-ID benefit premiums and cost sharing. Enrollment in Part B-ID began on October 1, 2022 for kidney transplant recipients whose Medicare enrollment has ended. For individuals who have already enrolled, coverage will begin on January 1, 2023. Kidney transplant recipients whose Medicare enrollment ends on or after January 1, 2023 can enroll in Part B-ID at any time by contacting their local SSA office. Coverage will begin the month following the month in which they sign up for individuals who enroll in Part B-ID after December 31, 2022. Individuals who are currently enrolled in ESRD Medicare will receive a notice from SSA as they approach 36 months post-transplant. This notice will include information on the extended immunosuppressive benefit and eligibility.

ortipuom s n o nges C n r e h Sout t benefits • Re rt cnheafits

N O T TAKE

u be tions abo pply for Ask ques appointment • A e ic serv s Make an rollment n e Share, g in Provid for: Food ts fi e n e Planning aging b s, Family nt. lu P and man re a e , BadgerC Supplem Medicaid , and Caretaker 0 Services 94-578 1-888-7 i.gov cess.w c a . w 822 ww 5-293-1 5 8 1 : Fax

Veteran Service

Veteran Service Office Provides intments. transportation for medical appo tion There is a requested dollar dona 48 hours notice of appointments. For more information, call at Sam Fuller, Veteran Service Officer

(608) 776-4886

Medicare Part D

EDUCATE YOURSELF AND SAVE MONEY!