Senior Resources 2024 Health Care Guide

S ENIOR R ESOURCES' 2 2024 Health Care Guide 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

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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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S E N I O R

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a bouT T He d ireCTory

• What Is The IRIS Program? . . . . . . . . . . . . . . . . . . . . . . . . . .3 • Introduction and Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 • Map of Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . .5 • Informational Phone Numbers . . . . . . . . . . . . . . . . . . . . . . . .6 • Bereavement and Grief In Older Adults . . . . . . . . . . . . . . . . .7 • What Is An ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 • Overview of the Medicare Program. . . . . . . . . . . . . . . . . . .10 • Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . .11 • Family Care & Family Care Partnership . . . . . . . . . . . . . . .12 • Medicare Dual-Eligible Special Needs Plan . . . . . . . . . . . .14

GARY KNIPPEN President info@seniorresources online.com

JOE LAUERMAN Production Coordinator jlauerman@wi.rr.com

Senior Resources, Inc. P.O. Box 285 Germantown, WI 53022 tel: (262)-253-0901 fax: (262)-253-0903 info@seniorresources online.com

a dulT d ay s erviCes pg 16

• Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 • Ozaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 • Washington County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 • Waukesha County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

SCAN TO VISIT

C are C oordiNaTioN pg 22

• Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 H ome m ediCal e quipmeNT pg 26 • Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 H ome C are / N oN -m ediCal pg 30 • Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

OUR WEBSITE!

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

H ome H ealTH s erviCes pg 54

• Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

H ospiCe pg 70

• What Is Palliative Care? . . . . . . . . . . . . . . . . . . . . . . . . . . .72 • Provider Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

H ospiTals pg 84

s killed N ursiNg f aCiliTies pg 96 • How to Choose a Rehabilitation Provider . . . . . . . . . . . . . .84 • Hospitals: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 • Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 • Ozaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 • Washington County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 • Waukesha County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 • Short Term Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 • Milwaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100 • Ozaukee County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 • Washington County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 • Waukesha County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117

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payments to other supports on your plan, like agency supports and other items you purchase to meet your goals.

W HAT IS THE IRIS P ROGRAM ? IRIS Consultant Agencies Your IRIS Consultant Agency can help you self-direct and handle the requirements of the IRIS program. You will choose an IRIS consultant that will work with you one-on-one. Your IRIS consultant will take time to get to know you and learn what is important to you. IRIS Fiscal Employer Agents Your IRIS fiscal employer agent can help do background checks on workers you hire, process payroll, and help with other employer tasks. Your fiscal employer agent also processes

RIS (Include, Respect, I Self Direct) is Wisconsin’s self-directed long-term care program for older adults and people with disabilities who are eligible for Medicaid. IRIS is designed to help you live your life with the support you need. In IRIS you have many choices in deciding how you want things done. When you join IRIS, a bud get is established for you based on your long-term care needs and goals. However, you choose: • What goods, supports and services you need; • When and where you want your supports provided; • Who will provide them; and • How you use your IRIS monthly budget effectively and wisely. All IRIS participants have a support and service plan. Your plan is based on your long-term care goals and how you want to achieve them, using your IRIS budget. When you build your plan, you’ll think about the things that will maintain or improve the quality of your life. IRIS has a broad set of services available to you. You will be responsible for managing your IRIS budget, acting as an employer to work ers you choose to hire and fol lowing IRIS program rules and policies. However, joining IRIS doesn’t mean doing things all by yourself. You will have oth ers to help you along the way. Every IRIS participant has an IRIS Consultant Agency (ICA) and Fiscal Employer Agent (FEA) to help support them in self-direction. How it works Support from others

Where can I learn more about IRIS, and how do I enroll?

If you are interested in learning more about IRIS or your other long-term care options, you will need to contact your local Aging and Disability Resource Center (ADRC). ADRC representatives offer free, unbiased information about long-term care options and resources in Wisconsin for older adults, people with disabilities, and their families. To locate the ADRC in your county, visit: www.dhs.wisconsin.gov/adrc Source: WI Department of Health Services website and IRIS Participant Handbook

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A N I NTRODUCTION AND O vERvIEWOF 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 5 for a geo graphic breakdown. Information was obtained from returned question naires and phone calls to

elcome to the twenty second edition of Senior Resources’ Health Care Guide for Older Adults . This directo ry 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

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

comprehensive listing of providers in that section.

N EED A DDITIONAL C OPIES ?

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.

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 $4 donation if possible to help cover our shipping costs.

If you are looking for Wisconsin based services in

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M AP O F M ILWAUKEE C OUNTY • broken out by area

Or scan here...

Visit our newly redesigned website! www.SeniorResourcesonline.com

262-253-0901

info@seniorresourcesonline.com

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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 800-438-4380

I NFORMATIONAL P HONE N UMBERS

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 844-614-5468 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.

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 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 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 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

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B EREAvEMENT AND G RIEF IN O LDER A DULTS enced by a minority of grievers and is characterized by persistence – often for years – of acute grief symptoms, including intense yearning or longing for and/or preoccupation with thoughts and memories of the deceased person, along with other symptoms such as identity disruption, a marked sense of disbelief, avoidance of reminders of the loss, and as a result of death, intense emotional

rief is a natural response experienced after a loss, usually the death of a loved one. Individual experiences of grief vary over time and are influenced, among others, by the nature of the loss, as well as cul tural and religious rituals. Acute grief occurs in the early peri od -- generally considered as the first 6 months -- after bereavement, and usually dominates the bereaved per son’s life during this period. In acute grief, strong feelings of yearning, longing and sorrow, insistent thoughts and memories of the per son who died, emotional pain (including anxiety, anger, remorse, and/or guilt), and loneliness are common. accepting the finality and conse quences of the death, revising the internalized relationship with the deceased, re-envisioning the future such that there is a possibility for happiness in a world without the deceased, and the capacity for joy and satisfaction is restored in ongo ing life. When mourning is success ful, the painful and disruptive expe rience of acute grief is transformed into a form of grief termed integrated grief. Most acute grievers recover their pre-loss functioning and transi tion to integrated grief usually with in a year. Prolonged grief disorder (PGD) is a treatable clinical condition that is per sistent and pervasive and interferes with functioning. PGD is experi Mourning is a learning process of adapting to a loss. Adaptation entails

pain, difficulty engaging in ongoing life, emotional numbness, feeling life is meaningless, and/or intense loneli ness. PGD puts the grieving individ ual at risk for intense distress, poor physical health and quality of life, cognitive decline, shortened life expectancy, and suicide. Despite this problem's magnitude, we cannot distinguish those with acute grief who successfully transition to integrated grief from those prone to develop PGD. It is unclear who with acute grief warrants early interven tion, what interventions are most effective, and when to initiate an intervention.

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WHAT IS AN ADRC?

he place for information

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.

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 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 SERVICES PROVIDED BY THE ADRC

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

ment of chronic condi tions, dementia, etc)

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the patient's responsibility. The 2024 coinsurance amount is $204.00 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 vERvIEWOF 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 $1,632 • Days 61 to 90, Medicare pays all but $408/day • Days 91 to 150, Medicare pays all but $816/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: 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 $174.70 per month for single individuals with an income of $103,000 and a married couple with less than $206,000 (2024 rate). • Single with income greater than $103,000 and less than $129,000 or married with income greater than $206,000 and less than $258,000 - $244.60 monthly Part B Premium • Single with income greater than $129,000 and less than $161,000 or married with income greater than $258,000 and less than $322,000 - $349.40 monthly Part B Premium • Single with income greater than $161,000 and less than $193,000 or married with income greater than $322,000 and less than $386,000 - $454.20 monthly Part B Premium • Single with income greater than $193,000 and less than $500,000 or married with income over $386,000 and less than $750,000 - $559.00 monthly Part B Premium • Single with income greater than $500,000 or married with income over $750,000 monthly Part B premium of $594.00 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. Part A (Hospital Insurance) Part B (Medical Insurance)

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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 - $297,240 "community $297,240 + "community spouse" may keep ....$148,260 plus $2,000 for a total of $150,260 These figures are adjusted annually for inflation. For more information, please visit the Wisconsin Medicaid webpage. spouse" may keep .....HALF+$2,000

O vERvIEWOF THE M EDICAID P ROGRAM 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 excluded from countable assets. 4. Household goods and per sonal effects : Generally no inquiry unless reason to sus pect 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 trans portation of the eligible individ ual or couple or a member of the eligible individual's or cou ple'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

his article focuses on the Medicaid program as it applies to elderly and disabled individuals. There are three common names for one pro gram.

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 minimal assets and inadequate income to pay for these expenses. The individ ual 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 eli gibility 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 2023 . 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 transporta tion of the eligible individual or couple or a member of the eligi ble individual's or couple's house hold. 3. Life Insurance : Life insurance is

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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.

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•Meet financial and func tionality requirements •Be eligible for Medicaid

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. 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 Here’s a quick description of each program.

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

To be eligible for Family Care, you must:

•Be at least 18 years old •Live in a county where Family Care is offered

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My Choice Wisconsin provides government-funded programs to frail seniors, adults with disabilities, individuals, and families. We care for the whole person and well-being of all by o ering services that promote independence, value diversity, and inspire self-advocacy.

800-963-0035 TTY: 711 www.mychoicewi.org/sr

DHS Approved 10/15/2020

For information on long term care options, call your local Aging and Disability Resource Center.

Wisconsin Assisted Living Association’s mission is to support providers in enhancing the best quality of life for residents in assisted living in Wisconsin through

advocacy, education, communication, and quality initiatives.

EWALA.ORG (608) 204-7446

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“W HYWOULD I WANTA M EDICARE D UAL E LIGIBLE S PECIAL N EEDS P LAN IF I ALREADY HAvE M EDICARE ?” This is a great way for you to save money on items such as cold and flu medicine, vita mins, incontinence products, and even toothpaste and skin lotion. With the My Choice Wisconsin Dual Advantage Plan, this benefit is $100 each month, and it rolls over until the end of the year if you do not use the full benefit each through a DSNP may be: • Monthly Over-the-Counter Allowance Original Medicare generally does not cover dental pro cedures—even basic proce dures, teeth cleanings, or x rays. With My Choice Wisconsin Medicare Dual Advantage, we offer $2,500 per year in dental benefits that can be used for porce lain crowns, dentures, x rays, oral exams, cleanings, etc. In addition to saving money, this is an important aspect of overall health often overlooked. month. This is a potential savings of $1,200 in a year! • Dental Benefits

here is a lot of confusion when it comes to Dual Eligible Special Needs Plans (also called a DSNP). So why would you want a DSNP, like My Choice Wisconsin’s Dual Advantage Plan, if you already have Medicare? Your Medicare benefits do not change A common misunderstanding is that if a person signs up for a DSNP, it will affect the amount of Medicare coverage they are already receiving. This is not the case, as all DSNPs have the same coverage as Medicare. A Dual Eligible Special Needs Plan is a type of Medicare Advantage plan specifically for people with Medicare and Medicaid. If you are enrolled in Medicare Parts A and Part B, or are becoming eligible for Medicare, you may choose to have your coverage directly through the government or from a Medicare Advantage plan. With a Medicare Advantage plan, you are still a Medicare member. The Dual Eligible Special Needs plan becomes the payer of your Medicare benefits. Plus, it gives you access to more benefits than are available through Medicare. A DSNP has a provider network, so it is important to check that your providers are covered by the plan you are interested in joining. A Dual Advantage Medicare Advisor can help with this. You get additional benefits with no additional cost Examples of extra benefits available

$150 each year for eyeglasses and contacts. This makes eye wear expenses not covered by Medicaid a bit more affordable and allows for upgrades to eye glass frames and tinting to lens es. There are even more benefits like meals after a hospital or facility dis charge, medical alert buttons, and installation of home safety devices. Your services are under one roof By enrolling in a DSNP, Hospital, medical, and prescription drug costs are all covered in one plan with little or no cost to the mem bers. DSNPs are designed to help coordinate care. My Choice Wisconsin includes care coordination as well. We can assist with things such as schedul ing appointments, finding doctors, and getting the most from your health coverage. You can learn if you are eligible by contacting My Choice Wisconsin at 1-800-963-0035 (TTY 711) or www.mychoicewi.org. You may also contact a State Health Insurance Assistance (SHIP) advi sor or check the Medicare.gov Plan Finder for more plans in your area. My Choice Wisconsin Medicare Dual Advantage is an HMO SNP with a Medicare contract. Enrollment in My Choice Wisconsin Medicare Dual Advantage depends on contract renewal.

• Vision Benefit

Our vision benefit covers

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my choice Medicare Dual Advantage

My Choice Wisconsin Medicare Dual Advantage (HMO) 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/sr-ne We cover: $0 premium | $0 deductible Part A: Hospital Visits & Expenses Part B: Doctor Visits & Tests Part D: Prescription Drugs

Extra benefits that save you money:

Vision Coverage

After Hospitalization/ Nursing Facility Stay Meals

Over-the-Counter (OTC) Catalog

Dental Coverage

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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 2022 Summary of Benefits.

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

If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web. Online here... Online: www.seniorresourcesonline.com • Email: info@seniorresourcesonline.com Mail: P.O. Box 285, Germantown, WI 53022 • Tel: 262-253-0901 • Fax: 262-253-0903 >

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2024

A DULT D AY S ERvICES

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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.

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 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 full range of services. Individual participants

COUNTY INDEX

Milwaukee........................18 Ozaukee ..........................20 Washington ......................20 Waukesha ........................21

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2024

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. 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: SELECTING A CARE MANAGER

• 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?

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

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?)

STAFF TRAINING AND QUALI FICATIONS:

Serving Southeast Wisconsin since 2013

• What is staff’s educational

background and work experi ence? How long have they been providing care manage ment services?

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2024

H OME M EDICAL E QUIPMENT AND S UPPLIES

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ndependence. Security. Good health. Goals desired by us all. But, as we grow older, attaining and maintaining these goals is more challenging. Innovations and advance ments in home medical equip ment have made it easier for older adults to reach these goals and to remain in their own homes. Home can be a personal residence or an apart ment in a continuing care/retirement community or other complex. Whether recovering from an accident, illness or surgery; liv ing with a disability; or, adjust ing to the normal effects of growing older, living at home can be a realistic and attainable goal. Home medical equipment companies provide the services, equipment and supplies to assist many individuals who believe home is where they want to be. In consultation with your physician and other health care professionals, the right products and services can be prescribed and provided. Many of these products and services are covered by Medicare, Medicaid or private insurance. Here is a partial list of home medical equipment and supplies: • aids for daily living • ambulatory aids • bathroom safety products

vices. To help you decide which provider to use, ask your physi cian or relatives and friends who may have been served by a home medical equipment com pany. Or, contact the companies yourself and ask questions that include: • Will the provider bill my insurance, Medicare and/or Medicaid when appropriate? • Does the provider train, supervise and monitor its clinical services and delivery personnel? • Will the company deliver the products and provide instruc tions on their use? • Does the company provide 24-hour service? • Is the provider accredited? Using products and services provided by home medical equipment companies can add to your good health and feeling of independence and security.

• braces and supports • compression hosiery • diabetes management supplies • infusion pumps and supplies • incontinence management products • lift chairs • ostomy and wound care management products • oxygen tanks and respirato ry care equipment • tube feeding pumps and supplies • wheelchairs and scooters Home medical equipment companies provide more then products. They can provide a range of professional services that include: • certified compression garment fitter • certified orthopedic fitter • enterostomal therapist • nutrition support dietitian • registered and licensed prac tical nurses • registered pharmacist • rehab specialist • respiratory therapist Your insurance coverage may include several preferred providers of home medical equipment, supplies and ser

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H OME C ARE / N ON -M EDICAL

should know how caregivers are screened and trained, and if the employer provides insurance and assumes responsibility for payroll and taxes; if they do not, you could be held responsible! A good company will make clear exactly where each party’s respon sibilities lay, so be sure to ask. Inquire how emergencies are han dled and if they can provide fill ins in case of a caregiver’s absence. Ask many questions and request references! A good company will assist you in reviewing the different home care options in your com munity. Most companies will provide an initial meeting (some

any older adults wish to remain in their own homes where a lifetime of memories brings them familiarity and comfort. As the years progress, family members may notice that once-simple daily activities have become more chal lenging for their loved one. Difficulty in consistently main taining the household or an increasing neglect for one’s own hygiene and personal needs are not uncommon. A little companion ship and support may be all that is needed to remedy the situa tion. The answer could be a non-medical homecare solution. Caregivers providing these ser vices are available to assist others with daily tasks to help them remain healthy and independent, wherever they call home, for as long as possible. Non-medical homecare agencies can provide caregivers who help others with daily liv ing activities. These tasks may include, but are not limited to: light housekeeping, assistance with meal planning and prepa ration, shopping and errands or companionship and other supportive services. Caregivers from homecare agencies can also remind their clients to take their regularly scheduled medications which the family or nurse has set up. In addi tion, they can supervise self care, or accompany clients to the grocery store, appoint ments and other engagements. Some companies can also pro vide direct personal care. This extends services to include assistance with bathing, dress ing, grooming, and inconti nence care.

Non-medical homecare ser vices can be provided by a vari ety of different types of compa nies. Some companies offer a wide range of medical and non-medical services, while others specialize exclusively in non-medical home care. There are also contract registries who will find a caregiver for you; however, they typically do not assume payroll, tax or insur ance responsibilities. It is very important to be cautious when inviting someone into the home of a loved one. You

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Contact us today for a FREE care consultation!

North Milwaukee County 414.239.9615 South Milwaukee County 414.882.4001 Ozaukee & Washington Counties 262.546.0226 Waukesha County 262.955.1498

Care for every moment.

Whether you need support a few days a week or your require 24/7 care, we can assist you with everyday activities so you can retain your independence and remain at home for as long as possible.

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Meal prep & nutrition Housekeeping & laundry Companionship Transportation & errands

24-hour & live-in care Medication reminders Transfer & ambulation assistance Personal care

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© 2023 Home Instead, Inc. All rights reserved. Each Home Instead office is an independently owned and operated franchise of Home Instead, Inc., an Honor Company. ®

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