2021-22 Senior Resources Health Care Directory

S ENIOR R ESOURCES' 2021/2022 Health CareGuide for Older Adults Counties Served: Milwaukee Ozaukee Washington Waukesha Comprehensive Information On: • Adult Day Services • Care Coordination • Home Care/Non-Medical • Home Health • Home Medical Equipment • Hospice • Hospitals • Skilled Nursing Facilities

Compliments of:

Visit us online: www.seniorresourcesonline.com Senior Resources, Inc. • P.O. Box 285 Germantown, WI 53022-0285

A N I NTRODuCTION AND O vERvIEW Of ThE D IRECTORy Milwaukee County listings show the area of Milwaukee where a facility is located. Please refer to the Milwaukee County map on page 3 for a geo- graphic breakdown. Information was obtained from returned question- naires and phone calls to N EED A DDITIONAl C OPIES ? Individuals –We do provide these directories to profes- sionals to give out to the community. If you can’t find a copy or want a copy of any of our other directo- ries, please call or e-mail us. We do ask for a $3 donation if possible to help cover our shipping costs. If you are looking for Wisconsin based services in

W

Professionals – Senior Resources’ Directories are provided free to profession- als. These directories can be given out to older adults and family members to assist them in locating appropriate services. If you are a professional working with older adults and need additional copies, please call or e-mail us and we will be happy to get you additional copies. elcome to the twentieth edition of Senior Resources’ Health Care Guide for Older Adults . This directory was developed to assist older adults and their families locate appropriate health care options in Milwaukee, Ozaukee, Washington and Waukesha counties. This directory is broken down into eight main sections. Each section begins with a narrative describing the ser- vice offered followed by a comprehensive listing of providers in that section.

facilities listed in this directo- ry. Every effort was made to verify the accuracy of this data. Inclusion in this direc- tory does not constitute a rec- ommendation. Senior Resources is not responsible for inaccuracies in this direc- tory. We hope this information is helpful to you. This directo- ry will be updated and pub- lished annually. We would appreciate any comments or suggestions regarding this directory. Please call 262-253-0901. areas where we do not print a directory, please check out our comprehensive website of Services for Older Adults in the state of Wisconsin at www.seniorresourcesonline.com. Senior Resources, Inc. PO Box 285 Germantown, WI 53022 262-253-0901 info@seniorresourcesonline.com

2 0 2 1 -2 2 S E N I O R R E S O U R C E S | 1

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

S E N I O R

T ABLE OF C ONTENTS

R E S O U R C E S

A BOUT T HE D IRECTORY

• Introduction and Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .1 • Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 • Map of Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . .3 • Informational Phone Numbers . . . . . . . . . . . . . . . . . . . . . . . .4 • Overview of the Medicare Program. . . . . . . . . . . . . . . . . . . .6 • Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . .7 • Family Care & Family Care Partnership . . . . . . . . . . . . . . . .8 • What Is An ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 • What Is The IRIS Program? . . . . . . . . . . . . . . . . . . . . . . . . .11 • What Is A Dual-Eligible Special Needs Plan? . . . . . . . . . . .12 • On-Site Medical Care - The Doctor Is In! . . . . . . . . . . . . . .14 • Questions To Ask Before Moving or Downsizing . . . . . . . . .16

GARy KNIPPEN President

JOE lAuERMAN Production Coordinator seniorresources@wi.rr.com

Senior Resources, Inc. P.O. Box 285 Germantown, WI 53022-0285 (262)-253-0901 info@seniorresources online.com

A DULT D AY S ERVICES pg 18

• Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 • Ozaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 • Washington County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 • Waukesha County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

C ARE C OORDINATION pg 26

• Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Find us on the Web: www.seniorresourcesonline.com

H OME M EDICAL E QUIPMENT pg 30 • Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 H OME C ARE / N ON -M EDICAL pg 34 • Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

Note: Every effort was made to verify the accuracy of the information contained in this directory. This information is provided with the under- standing that the consumer will contact providers to obtain information them- selves prior to making a final decision regarding services. Advertisements do not con- stitute endorsement by Senior Resources, Inc. All rights reserved. The con- tents of this publication may not be reproduced without written consent of the publisher.

H OME H EALTH S ERVICES pg 62

• Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64

H OSPICE pg 80

• Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82

H OSPITALS pg 92

• How to Choose a Rehabilitation Provider . . . . . . . . . . . . . .92 • Hospitals: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 • Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 • Ozaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 • Washington County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 • Waukesha County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102

S KILLED N URSING F ACILITIES pg 106

• Short Term Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 • Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 • Ozaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 • Washington County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 • Waukesha County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

2 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

M AP O f M IlWAuKEE C OuNTy • broken out by area

Visit o u r n ewly redesign ed website! www.SeniorResourcesonline.com

262-253-0901

info@seniorresourcesonline.com

S E N I O R R E S O U R C E S | 3

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

Information and Referral Services Information and referral ser- vices are agencies that provide options for seniors in the com- munity. Multiple listings and referral phone numbers for senior services are available through these agencies.

Alzheimer’s Assistance Alzheimer's Association 800-272-3900 Alzheimer’s Disease and Related Dementias Education and Referral Center 800-438-4380 Benefit Specialist Benefit Specialists assist older persons with their private and governmental benefits, such as private insurance or Medicare. Specialists are employed by each county aging unit to provide accurate and current information regarding available benefits. Milwaukee 414-278-1222 Ozaukee 262-284-8120 Washington 262-335-4497 Waukesha 262-548-7848 Title 19 Title 19, or medical assistance, is available to persons who are eligible for Supplemental Security Income (SSI) and to people age 65 or older who are medically needy individuals, who are below established poverty levels after deducting medical expenses. Wisconsin automatically places an individ- ual on Title 19 if they receive SSI.

I NfORMATIONAl P hONE N uMBERS

Aging & Disability Resource Center

National Eldercare Locator 1-800-677-1116

These offices provide informa- tion and services to the elderly. These offices are excellent sources of information. Milwaukee County Aging Resource Center 1220 W. vilet, Ste 300 Milwaukee, WI 53205 414-289-6874 Ozaukee County Aging and Disability Resource Center 121 West Main Street Port Washington, WI 53074 262-284-8120 Washington County Aging and Disability Resource Center 333 East Washington Street Suite 1000 West Bend, WI 53095 262-335-4497

Milwaukee County Aging Resource Center 414-289-6874 Ozaukee County Aging & Disability Resource Center 262-284-8120 Washington County Aging & Disability Resource Center 262-335-4497 Waukesha County Aging & Disability Resource Center 262-548-7848

Milwaukee 888-947-6583

Waukesha County Aging and Disability Resource Center

Ozaukee , Washington & Waukesha Counties 888-446-1239

514 Riverview Avenue Waukesha, WI 53188 262-548-7848

4 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

SOUTH CENTRAL DIRECTORY

NOW ACCEPTING ADS!

Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 285 Germantown, WI 53022

Tel: 262-253-0901 Fax: 262-253-0903

S E N I O R R E S O U R C E S | 5

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

M

the patient's responsibility. The 2021 coinsurance amount is $185.50 per day. After the first 20 days, a person must be making "reasonable, measur- able progress" in their rehabilitation, or continue to need "skilled nursing" care to continue on Medicare benefits. Once a person reaches their "maximal potential", Medicare benefits end. This can happen anytime after the first 20 days. • Medicare Part A provides no coverage beyond 100 days Is Home Health Care covered under Medicare? Yes, Medicare pays 100% for all covered and medically necessary home health services under Part A (or Part B if beneficiary does not have Part A) as long as the beneficiary continues to meet the cover- age requirements. Medicare will pay for an unlimited number of visits during an unlim- ited period, as long as it is medically neces- sary and coverage requirements are met. It is the intent of home health visits under Part A to deliver skilled medical attention to homebound patients. Home health care is not available for chronic illness or to help with Activities of Daily Living (ADL's). Requirements include: • Home Health Care Agency must be Medicare certified. • Patient must be under a doctor's care and the doctor must authorize medical treatment. • Patient must be in need of skilled care . Hospice care is a service provided to termi- nally ill persons with a life expectancy of six months or less. Medicare defines a hospice as a public agency or a private organization whose primary role is to provide pain relief and symptom management to terminally ill patients. This benefit does not generally cover inpatient room or board charges. Medicare requirements include: • Doctor certification that patient is ter- minally ill and has a life expectancy of less that 6 months • A Medicare-certified hospice program must provide care Medicare pays 100% of most covered ser- vices. Medicare pays for up to two 90-day periods, one 30-day period, and a fourth unlimited extension period. The beneficiary pays a small co-insurance fee only for out- patient drugs and inpatient respite care. For more information on Medicare, please visit www.medicare.gov.

O vERvIEW Of ThE M EDICARE P ROGRAM Most seniors become eligible for Part A coverage when they reach age 65 and become entitled to Social Security retire- ment benefits. They do not have to pay a monthly payment called a premium for Part A because they or a spouse paid Medicare taxes while they were working. Some seniors, such as those who have not completed the mandatory number of working quarters for Social Security bene- fits, enroll on a voluntary, premium-paying basis. Medicare Part A begins when someone enters a hospital. Medicare Part A has hospital deductibles. • First 60 days, Medicare pays all but $1,484 • Days 61 to 90, Medicare pays all but $371/day • Days 91 to 150, Medicare pays all but $742/day • Beyond 150 days, Medicare pays nothing Remember, Medicare is a health insur- ance program aimed at covering acute health care costs such as hospitalization (Part A) and periodic doctor visits (Part B). It does not cover most nursing home fees, nor does it offer extensive home health care for the chronic ills often expe- riences with age. What does Medicare cover for nursing home care? Very little! Medicare Part A helps pay for inpatient skilled nursing care in a Medicare participating skilled nursing facility (SNF) or rehabilitation ser- vice facility following a 3 day hospital stay if a person's condition requires skilled nursing services or rehabilitation services such as Physical Therapy (PT), Occupational Therapy (OT), and Speech Pathology (SP). Doesn't everyone get 100 days coverage in a SNF? No. Medicare will pay up to 100 days. • Days 1-20, Medicare Part A pays 100% • Days 21 - 100, Medicare pays all but the daily co-insurance amount that is

edicare is a National Health Insurance Program administered by the Health Care Financing Administration (HCFA). Benefits are for: People 65 years of and older. Some people with disabilities under age 65. People with End Stage Renal Disease (per- manent kidney failure requiring dialysis or a transplant) Medicare has Two Parts: Part A (Hospital Insurance) Part B (Medical Insurance) Medicare Part B covers physician services, outpatient hospital care, ambulance ser- vices, prosthetic devices, medical equip- ment, and supplies. You pay the Medicare Part B premium of $148.50 per month for single individuals with an income of $88,000 and a married couple with less than $176,000 (2021 rate). • Single with income greater than $88,000 and less than $111,000 or married with income greater than $176,000 and less than $222,000 - $207.90 monthly Part B Premium • Single with income greater than $111,000 and less than $138,000 or married with income greater than $222,000 and less than $276,000 - $297.00 monthly Part B Premium • Single with income greater than $138,000 and less than $165,000 or married with income greater than $276,000 and less than $330,000 - $386.10 monthly Part B Premium • Single with income greater than $165,000 and less than $500,000 or married with income over $330,000 and less than $750,000 - $475.20 monthly Part B Premium • Single with income greater than $500,000 or married with income over $750,000 monthly Part B premium of $504.90 Part A (Hospital Insurance) Medicare Part A primarily provides cover- age for inpatient hospital care. It also pro- vides hospice care. Limited coverage is provided for skilled nursing home and home health. No coverage is provided for assisted living.

| S E N I O R R E S O U R C E S 2 0 2 1 -2 2

6

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

T

O vERvIEW Of ThE M EDICAID P ROGRAM 3. Life Insurance : Life insurance is exempt if the face value of all policies is less than $1,500. If the face value exceeds $1,500, full cash value counts towards resource limit. Term insurance has no cash value and is exclud- ed from countable assets. 4. Household goods and per- sonal effects : Generally no inquiry unless reason to suspect unusual value. 5. Pre-paid funeral arrange- ments : Each fiscal group mem- ber may have one or more irrevocable burial trusts, of which the total face value may not exceed $4,500. Any princi- pal amount over $4,500 is a countable asset. Although Wisconsin law allows $3,000 to be irrevocable, Wisconsin’s Medicaid state plan allows an additional $1,500 to be consid- ered as though it were irrevoca- ble by law for these burial trusts. This is why $4,500 is allowed. Married couples can own exempt assets listed above plus: 1. One automobile per household is excluded regardless of the value if it is used for transporta- tion of the eligible individual or couple or a member of the eligi- ble individual's or couple's household. 2. IRA of the community spouse

How much money may a couple "Shelter"? The Spousal Impoverishment Act passed by the U.S. Congress in 1988 and the Omnibus Budget Reconciliation Act of 1993 (OBRA'93) provides the legal means for anyone to shelter assets and qualify for financial assistance through an entitlement program. This act protects married individuals from depleting their assets due to an extend- ed nursing home stay. If the couple's combined assets are: $0 - $100,000 "community spouse" may keep .....$50,000+$2,000 $100,001 - $260,760 "community spouse" may keep .....HALF+$2,000 $260,760 + "community spouse" may keep ....$130,380 plus $2,000 for a total of $132,380 These figures are adjusted annually for inflation. For more information, please visit the Wisconsin Medicaid webpage.

his article focuses on the Medicaid program as it applies to elder- ly and disabled individuals. There are three common names for one program. 1. Medical assistance 2. Medicaid 3. Title 19 Medicaid is a welfare program jointly funded between the Federal and State government. It is designed to assist in paying for skilled nursing facility expenses and many other medical expenses for individuals who have mini- mal assets and inadequate income to pay for these expenses. The individual is normally responsible to pay for all of his/her own long term care expenses: generally, if the cost of this care exceeds the individual's income and the individual is asset-qualified, Medicaid supplements the individual's own payment. Within the Federal guidelines, each state is able to establish their own eligi- bility standards, determine the type, amount and duration of services, set the rate for payment of services, and administer their own program. This article will outline the eligibility requirements for Wisconsin as of 2021. A single adult qualifies if they meet the following criteria: The applicant can't retain more than $2,000 plus exempt assets 1. Home : Homestead property is exempt regardless of the value if the applicant intends to return home, or if a disabled child is liv- ing in it. 2. Car : One automobile per house- hold is excluded regardless of the value if it is used for transportation of the eligible individual or couple or a member of the eligible indi- vidual's or couple's household.

Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 285 Germantown, WI 53022

Tel: 262-253-0901 Fax: 262-253-0903

S E N I O R R E S O U R C E S | 7

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

f AMIly C ARE AND f AMIly C ARE P ARTNERShIP support without pay. Natural Supports are the best way to reach your personal goals because they are relation- ships built on trust, kindness and caring – that results in better quality care for you. Once your Natural Supports are in place, other services can be added if they support your personal goals. Family Care Partnership Members of family Care Partnership benefit from the same long-term care as family Care, while also receiving all-inclusive health care from a network of physicians. linking these services together makes family Care Partnership both convenient and effec- tive. your Care Team is not only involved in helping you meet your long-term care needs, but your health care needs as well. That makes your Care Plan even more comprehensive. To be eligible for family Care, you must: •Be at least 18 years old •live in a county where family Care is offered

F

•Meet financial and func- tionality requirements •Be eligible for Medicaid To be eligible for family Care Partnership, you must meet all of the family Care require- ments listed above, plus: •If you are eligible for Medicare, you must enroll in, and remain enrolled in, all parts of Medicare for which you are eligible (Part A, Part B, and/or Part D) Enrollment into the family Care program is conducted through your county’s Aging and Disability Resource Center (ADRC). for more information about eligibility or to enroll, call your local ADRC below: Milwaukee County ARC 414-289-6874 Milwaukee County DRC 414-289-6660 Ozaukee County ADRC 262-238-8120 Washington County ADRC 262-335-4497 Waukesha County ADRC 262-548-7848

amily Care and family Care Partnership are two pro- grams that provide seniors and adults with disabilities with the long-term care supports they need to live independent- ly. family Care helps individu- als like you live in your own home and in your community. family Care Partnership does that too, while also providing and coordinating all-inclusive health care for members. here’s a quick description of each program. Family Care family Care provides long- term care supports to meet your specific needs as deter- mined by you and your Care Team. Once enrolled, you’re assigned a dedicated Care Team, including a registered nurse and care manager, who will work with you and your family to make sure you receive the care and support you need to reach your person- al goals. The result is a Care Plan, personalized to you, that is reviewed regularly by you and your Care Team, and is adjusted as your needs change. Care Plans begin with Natural Supports. Natural Supports are the people who are a part of your life and provide help and

8 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

A TTORNEY J OANNE L EIFHEIT • Medicaid Analysis and Veterans Benefits • Special Needs Trusts and Asset Protection

• Powers of Attorney • Disability Planning • Probate

• Estate Planning • Elder Law Issues • Wills & Trusts • Guardianships

(262) 347-2820

N27 W23953 Paul Road, Suite 107 Pewaukee, WI 53072 Located one mile north of the Machine Shed Restaurant Check our website for upcoming dates to our complimentary monthly educational estate planning & Medicaid workshop! www.LawOfficeofJL.com

S E N I O R R E S O U R C E S | 9

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

T

WhAT IS AN ADRC?

he place for information and assistance! Aging and Disability Resource Centers (ADRCs) are the first place to go to get accurate, unbi- ased information on all aspects of life related to aging or living with a disability. ADRCs are friendly, welcoming places where anyone - individuals, concerned families or friends, or professionals working with issues related to aging or dis- abilities - can go for information tailored to their situation. The ADRC provides information on broad range of programs and ser- vices, helps people understand the various long term care options available to them, helps people apply for programs and benefits, and serves as the access point for publicly-funded long term care. These services can be provided at the ADRC, via telephone, or through a home visit, whichever is more convenient to the individ- ual seeking help. ADRCs are available in all Wisconsin counties. To find an ADRC go to http://www.dhs.wisconsin.gov /lTCare/adrc/index.htm SERVICES PROVIDED BY THE ADRC Information and Assistance: • Information about local ser- vices and resource • Assistance in finding ser- vices to match your needs o housekeeping and chore services o health (healthy lifestyles, manage- ment of chronic condi- tions, dementia, etc)

Benefit Counseling: • Benefit specialists provide information and advocacy about government and other benefits that you may be entitled to receive, such as Medicare, Medicaid, Social Security, Disability, low income housing, etc. Access to Funding for Long Term Care: • The ADRC can determine if you will be eligible for public funding for your long term care. • The ADRC can explain the program choices you have that will provide your long term care. These programs include family Care, IRIS and in some areas Partnership and PACE. Health and Wellness: • ADRC can connect you to wellness programs to help keep you healthy and inde- pendent, such as Stepping On falls prevention, living with Chronic conditions and others.

o Transportation o Nutrition, home delivered meals o housing, including senior and low income housing o Assisted living, nursing homes and other long term care facilities o financial assistance linkages o legal issues (guardianship, power of attorney, client rights advoca- cy) o Abuse, neglect and financial exploita- tion o Adaptive equipment choices you have when making decisions about where to live, what kind of help you need, where to receive that care and help, and how to pay for it. • One-on-one consultation to help you think through the pros and cons of the various options in light of your situation, values, resources and prefer- ences. Long Term Care Options Counseling: • Information about the

10 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

I

W hAT IS ThE IRIS P ROGRAM ? has an IRIS Consultant Agency (ICA) and fiscal Employer Agent (fEA) to help support them in self- direction and handling the requirements of the IRIS pro- gram. your IRIS consultant will work with you one-on- one, get to know you and learn what is important to you. For some, self-direction is a new idea. At TMG, Wisconsin’s 1 st IRIS Consultant Agency, it’s all we do.

Where can I learn more about IRIS and how do I enroll? If you want to enroll in IRIS, you will need to contact your local Aging and Disability Resource Center (ADRC). ADRC repre- sentatives offer free, unbiased information about long-term care options and resources in Wisconsin for older adults, peo- ple with disabilities, and their families. To locate the ADRC in your county, visit: www.dhs.wiscon- sin.gov/adrc Source: WI Department of health Services website and IRIS Participant handbook

RIS (Include, Respect, I Self-Direct) is Wisconsin’s self- directed long-term care pro- gram for older adults and peo- ple with disabilities who are eligible for Medicaid. IRIS is designed to help you live your life with the support you need. How it works you have many choices when you join IRIS. Once a budget is established for you based on your long-term care needs and goals, you will choose: • What goods, supports and services you need. • When and where you want your supports provided. • Who will provide them. All IRIS participants have a support and service plan. IRIS has a broad set of ser- vices available for you to maintain or improve your quality of life. Support from others you’re responsible for man- aging your IRIS budget, act- ing as an employer to work- ers you choose to hire and following IRIS program rules. however, joining IRIS doesn’t mean doing things all by yourself. you will have others to help you along the way. Every IRIS participant

Para algunos, la autodirección es una idea nueva. En TMG, la 1 a agencia consultora IRIS en Wisconsin, es lo que hacemos.

tmgwisconsin.com (844) 864-8987

Local. Experienced. Resourceful. ’ :]QOZ 3f^S`W[S\bO da. Ingeniosa. Ask your Aging and Disability Resource Center about your long-term care options. Pregunte en su Centro de Recursos para el Envejecimiento y la Discapacidad acerca de sus opciones de cuidados a largo plazo.

S E N I O R R E S O U R C E S | 11

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

F

W hAT IS A D uAl -E lIGIBlE S PECIAl N EEDS P lAN ? vided directly through Medicare (hospital and physician coverage) but might also get additional benefits not typically cov- ered by Original Medicare. These benefits are usually designed for someone with specialized medical needs or limited income in mind. Added benefits often include coverage for over-the- counter and personal care items like vitamins, cold remedies, pain relievers, toothpaste, skin lotion, incontinence supplies, first aid supplies and many other products. There are often benefits for dental coverage (crowns, cleanings, x-rays, fillings, and extractions), eye- glasses or contacts, and emergency response buttons. Also, dual-eligible individu- als often do not have month- ly premiums to participate in these types of plans. DSNPs include prescription drug coverage (Medicare Part D), allowing the member to Members of this type of plan have the same benefits pro-

12 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2 or people who have both Medicare and Medicaid, there is a special type of Medicare Advantage plan made just for them – it’s called a Dual-Eligible Special Needs Plan, or DSNP. In 2020, more than 2.6 million people were enrolled in a DSNP (CMS, 2020). This type of plan is not new - in fact, DSNPs have been available since 2006. So, what exactly is a DSNP and what makes it attractive? Dual-eligible Special Needs plans are available to people who qualify for Medicaid and Medicare (Parts A and B). People with both these benefits are considered “dual-eligible.” They must also live in a plan’s service area. The benefits provided by Medicare and Medicaid are important to those who receive them. however, understand- ing which program covers what services at what time or for how long can be complicat- ed! Add to that, dual-eligible individuals often have a sepa- rate prescription drug plan. With a DSNP plan, all the ben- efit providers are wrapped up into one neat package. The advantage of a DSNP is that individuals can gain access to more benefits; often with little to no monthly cost.

receive all Medicare benefits through one plan. A DSNP includes some level of care coordination. The plan’s coordinator may help a mem- ber access their providers, schedule appointments, answer questions about bills, and provide reminders about prevention services such as flu shots. The goal of care coordi- nation is to help members maintain their health by hav- ing routine health visits and make sure they are using their benefits to their greatest advantage. Those who qualify for a Dual- Eligible Special Needs plan may not need to wait until the annual enrollment period to join. If you are new to Medicare or Medicaid, you may enroll any time of the year. you can learn if you are eligible for a DSNP by contact- ing My Choice Wisconsin at 800-963-0035 or www.mychoicewi.org. you may also contact a State health Insurance Assistance Program (ShIP) advisor or check the Medicare.gov Plan finder for plans in your area. Citation: 2020 CMS enrollment data Article submitted by Lisa Heinz, Medicare Advisor, My Choice Wisconsin

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

my choice Medicare Dual Advantage

My Choice Wisconsin Medicare Dual Advantage is a Medicare Advantage insurance plan for people with both Medicare and Medicaid. This plan includes benefits for total wellness like a $100 monthly allowance towards OTC products and a dental benefit that expands your access to care providers. To learn more, call a Medicare Advisor at…

800-963-0035 TTY: 711 www.mychoicewi.org We cover: $0 premium | $0 deductible Part A: Hospital Visits & Expenses Part B: Doctor Visits & Tests Part D: Prescription Drugs

Caring starts here. Extra benefits that save you money:

Personal Emergency Response Button (PERS)

Vision Coverage

Dental Coverage

Over-the-Counter (OTC) Catalog

xxxxxxxxxxxxxxxxxx

My Choice Wisconsin Health Plan, Inc. complies with applicable Federal Civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800- 963-0035 (TTY: 711). LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-963-0035 (TTY: 711). My Choice Wisconsin Medicare Dual Advantage is an HMO SNP (Special Needs Plan) with a Medicare contract and a contract with the Wisconsin Department of Health Services for the Medicaid Program. Enrollment in My Choice Wisconsin Medicare Dual Advantage depends on contract renewal. This is not a complete description of benefits and services. Visit us online or call 800-963-0035 and ask to speak with a Medicare Advisor for information on our 2021 Summary of Benefits.

H5209_4HalfPgAd_M DHS Approved 12/21/2020

Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin.

Ifyou are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web.

Online: www.seniorresourcesonline.com • Email: info@seniorresourcesonline.com Mail: P.O. Box 2 8 5 , Germantown, WI 5 3 0 2 2 • Tel: 2 6 2 -2 5 3 -0 9 0 1 • Fax: 2 6 2 -2 5 3 -0 9 0 3

S E N I O R R E S O U R C E S | 13

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

O N - SITE M EDICAl C ARE – T hE D OCTOR IS IN ! side effects and interactions, which may be difficult for the patient to manage alone. On-site primary care allows for a complete review of the patient’s ongoing plan of care thereby reducing risks from medications, and improving understanding of the full picture of the patient’s health status. On-site primary care visits from a medical provider help establish a more per- sonal doctor-patient relation- ship. Seeing patients at their place of residence allows the provider to work with the on-site care team to monitor medications more closely, evaluate living space for possible safety issues, and get a better sense of how the patient is doing in general. Care team collaboration with other on-site service partners such as home care and hos- pice staff also allows for bet- ter communication and effi- ciencies in care for these patients.

O

n-site medical care is designed to meet the unique and growing needs of patients living in residential care com- munities. Residents of care communities more often than not, have complex chronic conditions, memory issues, and multiple medications requiring close oversight by a physician care team. By using a collabora- tive, team-based, on-site, med- ical care program, it is possible to reduce the need for emer- gency room visits and trips to the hospital which leads to sig- nificant improvement in the overall care of the patient and peace of mind for their fami- lies. for those with loved ones in residential care communities, it can be a daunting challenge to transport them to a clinic setting for regular office visits. If there are complex care needs, multiple specialty visits can add to this burden. It is not unusual for patients in res- idential care communities to experience fragmented care with lack of overall care plan oversight. If multiple doctors are involved trying to manage a variety of chronic issues, this can result in a number of pre- scriptions, all with different

Those who reside in residen- tial communities deserve com- passionate medical care, social and psychological support, and awareness of their wishes. On-site providers have found that getting to know the patient at home, on a regular basis, helps accomplish this goal, and has an enormous positive impact on the well- being of the patient.

Article Submitted By: Bluestone Physician Services

Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 285 Germantown, WI 53022

Tel: 262-253-0901 Fax: 262-253-0903

14 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

EXPERT CARE. MORE CONVENIENCE.

Bluestone’s specialized teams provide our unique model of care to patients in senior living communities. Regularly scheduled visits and close collaboration with patients, families and community sta ff lead to better care for those with chronic conditions. BluestoneMD.com • 262.354.3744

We Make Podiatry Housecalls!! We will bring the podiatry office to you! Wisconsin Visiting Podiatry Dr Richard Kennison, DPM, MBA Milwaukee, Racine, Kenosha and surrounding areas!! Most Insurances Accepted!! Certain Restrictions Apply! For More Information: 1. Call us at (224) 234-7304 or, 2. Please Visit Us at www.WisconsinVisitingPodiatry.com

S E N I O R R E S O U R C E S | 15

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

Q uESTIONS T O A SK B EfORE M OvING O R D OWNSIzING · Are you afraid when the doorbell rings unexpect- edly? · Are you afraid of being alone or getting sick with no one to help? · Do you refuse to go out in inclement weather? · Is the neighborhood get- ting too noisy? · Is the neighborhood get- ting too busy? · Do you need more interesting activities to fill your time? · Do you feel the need to be around people your own age? · have you been ill and are having difficulty get- ting back into your for- mer routines? Being ill can zap our energies and make it difficult to get back to the way things were. · Are you ill and finding it difficult to cope with everything else? · Would you like to be in a more secure environ- ment? · have you recently lost a spouse and are finding it difficult to function

M

without the extra sup- port?

oving or downsizing can be emotional and stress- ful. If you are unsure of whether or not you should move, read the following questions and ponder your answers. The thoughts they provoke should help point you in the right direction. IN WhICh Of ThE fOl- lOWING AREAS ARE yOu hAvING DIffICulTy? · Do you hesitate about going out to do necessary errands? · Do you refuse to leave the house for social activities? · Is it difficult to take a shower or bath? · Are you getting everyday tasks done to your satis- faction? · Is it painful to go up and down stairs? · Do you dread the thought of extra tasks; yard work, shoveling, mowing the lawn? · Are weekly tasks becom- ing overwhelming; changing beds, washing floors, vacuuming…? · Do you remember to take your medication? Do you find yourself wondering whether or not you have taken your medica- tion? · Are you preparing healthy and appetizing meals?

If you answered yes to most of the above questions, then you probably need to be thinking about a more secure environment. Everyone has the right to feel comfortable where they live. If you answered no to most of the questions, then you should be able to stay where you are. Of course, that choice is up to you. There might be other reasons com- pelling you to move, or you might find that a different lifestyle would suit you bet- ter. If you decide to stay, getting extra assistance may be the solution to minor problems. Remember that it’s easier to move when you’re healthy and able to make your own choices about your new home. We wish you the best with the decisions you are about to undertake, whether it be staying put or moving.

16 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

WE BUY HOUSES IN WISCONSIN We buy AS IS! FAST closings on your timeline. Contact us today for a FAIR CASH offer! 414.699.5888 www.captainsave-a-home.com captainsaveahomewi@gmail.com

Serving Waukesha and Milwaukee Counties for over 30 years

S E N I O R R E S O U R C E S | 17

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

A DulT D Ay S ERvICES

A

dult Day Services are a practical and appealing part of the solution to long-term care needs of older adults, as well as younger disabled persons. for many, Adult Day Services are an option to nursing home or other residential or institutional forms of care. Adult Day Centers are designed to serve adults who are experiencing a decrease in physical, mental and social functioning and who need the protective environ- ment that Adult Day Services can provide. Adult Day Centers are able to care for persons with Alzheimer's Disease or related disorders, mental retardation and developmental disabilities, chronic mental illness, and physical problems related to aging and disability. Not all centers are able to provide care for all of these various popula- tions. If you are looking for care for yourself or a loved one, it will be important to find out what kinds of people the center you are checking into is able to care for. has the staff been trained to care for the special needs of persons with the kinds of needs you or your loved one has? Are there other people in the center with similar kinds of needs? Is the program integrat- ed, that is do all persons regardless of disability, or spe- cial needs participate in one

to meet those needs. Adult Day Centers have a variety of professional staff based on the range of services that they pro- vide and may include nurses, social workers, therapists and other staff specially trained to work in the day care setting. for frail older adults, Adult Day Center activities may include everything from partic- ipating in a variety of programs such as current event discus- sion groups, arts and craft activities, health education, and passive exercise groups. Music and art activities give partici- pants an opportunity to express themselves in a variety of ways, as well as opportunities to learn and develop new skills. Adult Day Services are less expensive than institutional care. fees for Adult Day Services vary from center to center based on what services are included in the fee. Some centers may be able to offer low income persons a reduced fee based on ability to pay. Milwaukee........................20 Ozaukee ..........................23 Washington ......................23 Waukesha ........................23 COUNTY INDEX

program or are there special- ized programs and services available? These are just some of the questions you should ask. Adults who can benefit most from the special care provided in an Adult Day Center are those who need supervision, social interaction and assistance with more than one activity of daily liv- ing such as eating, walking, toileting, bathing or dressing. Centers provide a wide vari- ety of services such as Recreational Therapy, Meals, Social Services, Transportation, Personal Care including bathing, hair and nail care, Nursing Services, Rehabilitation Therapy including physical, occupa- tional and speech therapy, and Medical Services. Not every center will pro- vide all of these services. Many programs, especially in urban areas, may provide the full range of services. Individual participants should receive the services that they need based on an assessment by the center's professional staff and the development of a plan of care

18 | S E N I O R R E S O U R C E S

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

8;@3@5;3> 3EE;EF3@57 3H3;>34>7

S E N I O R R E S O U R C E S | 19

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2

20 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2 Milwau k ee Cou n ty

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com Milwau k ee Cou n ty

S E N I O R R E S O U R C E S | 21

2 0 2 1 -2 2

22 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2 Milwau k ee Cou n ty

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com Milwau k ee, Ozau k ee,

Washgin ton & Wau k esha Cou n ties

Washington County

Washington County

Ozaukee County

Washington County

Waukesha County

S E N I O R R E S O U R C E S | 23

2 0 2 1 -2 2

Waukesha County

Waukesha County

Wau k esha Cou n ty

Waukesha County

24 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin.

Ifyou are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web.

Online: www.seniorresourcesonline.com • Email: info@seniorresourcesonline.com Mail: P.O. Box 2 8 5 , Germantown, WI 5 3 0 2 2 • Tel: 2 6 2 -2 5 3 -0 9 0 1 • Fax: 2 6 2 -2 5 3 -0 9 0 3

Visit o u r n ewly redesign ed website! www.SeniorResourcesonline.com

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com 262-253-0901

info@seniorresourcesonline.com

S E N I O R R E S O U R C E S | 25

2 0 2 1 -2 2

G

P ROfESSIONAl C ARE M ANAGERS BENEfITS Of CARE MANAGE- MENT SERvICES Benefits of using care manage- ment services are many, and may include: • Personalized and compassion- ate service, focusing on the client’s needs and preferences • 24/7 availability for urgent needs • Continuity of care: coordina- tion and communication with family members, medical and care providers, and legal/financial professionals • Cost containment: the care manager’s knowledge and expertise can help you to avoid costly mistakes by carefully matching appropriate services to client’s needs. SElECTING A CARE MANAGER There are many agencies which provide Care Coordination or Care Management. Those providers who are members of the Aging life Care Association (AlCA), formerly known as the National Association of Professional Geriatric Care Managers (NAPGCM), meet strin- gent criteria for professional edu- cation, experience, and certifica- tion, and adhere to AlCA Standards of Practice and Code of Ethics. Additional information is available on the AlCA website, www.aginglifecare.org In selecting the agency you wish to work with, you may want to ask about the following: STAff TRAINING AND QuAlI- fICATIONS: • What is staff’s educational background and work experi- ence? how long have they been providing care manage- ment services?

• What are their professional cre- dentials and affiliations? Are they licensed or certified? If so, by who? • Are they members of the Aging life Care Association? AGENCy STRuCTuRE: • Is the agency a free-standing care management agency, part of a larger health care network, or one which also provides other services? • What are the referral relation- ships they have with other ser- vice providers? fEE STRuCTuRE: • What are the rates and fee struc- ture? • Does the agency receive pay- ments from other sources (e.g., placement or referral fees?) Article submitted by Stowell Associates Care Managed Home Care

eriatric Care Managers (GCM) or Aging life Care Managers (AlCM) are health and human ser- vice specialists who provide guid- ance, support, access to resources, and ongoing follow-up for older adults, adults with disabilities or chronic health care needs, and their families and support networks. Care Managers come from a variety of professional backgrounds (social work, nursing, gerontology, among others), and have a specialized focus on issues related to aging, chronic disease management and disabili- ties. The care manager is an experienced guide and resource for families and professionals. They have extensive knowledge about costs, quality, and availability of services in their com- munity, and can connect you with the right service at the right time. Care managers also assist clients in attaining their maximum functional potential and quality of life. SERvICES PROvIDED By A PRO- fESSIONAl CARE MANAGER: Care managers provide personalized services, based on individual client circumstances. These services may include: • Comprehensive assessments to identify problems or concerns, and provide solutions • Arrangement for qualified in- home care or other needed assistance • Identification of living options which are consistent with client needs and preferences; reloca- tion planning and implementa- tion • Referral to qualified legal, finan- cial, or medical specialists, based on a review of client cir- cumstances and needs • Ongoing oversight, monitoring, and advocacy • Individual/family counseling and support • Crisis intervention

| S E N I O R R E S O U R C E S 2 0 2 1 -2 2

26

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

GAINPEACE OFMIND at a challenging time for you r family. Integrating care management with caregiving to provide the highest quality home care in Southeastern Wisconsin.

CAREGIVING SERVICES PERSONAL CARE • Bathing • Toile ƟŶ g • Inc ŽŶƟŶ ence Care • Oral Hygiene • Feeding • Transferring & Li ŌŝŶ g • 24/7 Availability

CARE MANAGEMENT PROFESSIONAL SERVICES • Senior Hou sing and Reloc ĂƟŽ n • Coor ĚŝŶĂƟŽŶ of HealthCare • Su ppor Ɵ ve C ŽŶƐƵůƟŶ g • Home Safety Ev ĂůƵĂƟŽŶ s • Family Re ůĂƟŽŶƐŚŝ p Management • Crisis Management • Life Care Management • Medic ĂƟŽŶ Management • P ĂůůŝĂƟ ve Care

SUPPORT SERVICES • Meal Prep • Light Hou sekeeping • Lau ndry • Errand Services • Recre ĂƟŽŶĂů Ac Ɵ v ŝƟ es • Grooming & Dressing Gu idance • Transpor ƚĂƟŽŶ ƚ o Shopping, Healtcare Appointments, and Social engagements

for Urgent Si ƚƵĂƟŽŶ s

RACINE 262-880-5864 WAUKESHA 262-521-3016

KENOSHA 262-287-0805 MILWAUKEE 414-963-2600

www.stowellassociates.com inquiry@stowellassociates.com

~~ OUR IMPACT ~~ Impact Care Management is a private-pay Care Management agency that directs and connects our clients to quality support services that address their safety, health and well-being. Our purpose is to make an immediate impact in our client’s life through advocacy, quality care and compassion.

Our Care Managers are licensed RN’s and Social Workers who are knowledgeable in dementia support, mental illness, complex medical and family dynamic cases. We are a trusted agency that can support families, who live near and far, who are overwhelmed, or are not in a position to coordinate local quality care for their loved ones. Impact’s commitment is to: ♦ Advocate for the client’s safety, medical and holistic needs ♦ Direct and connect to the necessary support services ♦ Counsel and support individuals, and their families Our Expertise and Collaboration Our Care Managers advocate, direct and connect our clients to personalized and holistic care needs. Our goal is to collaborate with numerous community partners to further connect our clients to the following support services: ♦ Medical and Therapy Coordination ♦ In home Skilled Nursing and Medication Management ♦ Care and Behavioral Support Plans ♦ Personal care, Homemaking and Companionship ♦ Mental Health Support Services ♦ Hospice and Palliative Care ♦ Legal and Financial Management ♦ Pre-Planned Funeral Arrangements and Burial Trusts Impact's commitment is to Advocate for the client's safety, medical and holistic needs. To learn more about our impact, please contact us at 414-485-0273.

S E N I O R R E S O U R C E S | 27

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

2 0 2 1 -2 2