It is important to strive for healthy eating. For dialysis patients, a proper diet can help maintain energy, bone health, heart health, and strength. The National Institutes of Health (NIH) Senior Healthrecommends that individuals who receive hemodialysis should monitor the amount of liquids they drink and avoid foods that are high in sodium, potassium, and phosphorus. All types of dialysis remove protein from an individual’s body, so it is important to eat protein-rich foods like meat and eggs. NIH also recommends that dialysis patients speak with the renal dietician at their dialysis center or transplant clinic to learn more about their specific dietary needs and develop a meal plan to support their treatment. |
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Dear Marci,
Dear Marci,
What changes can I make during Fall Open Enrollment?
– Herman (Chattanooga, TN)
Dear Herman,
Fall Open Enrollment, also known as the Annual Election Period, runs from October 15 to December 7 each year. This is the time of the year when Medicare beneficiaries can make changes to their existing coverage.
If you are enrolled in a Medicare Advantage Plan or a stand-alone Part D plan, your plan should send you an Annual Notice of Change (ANOC) that lists any changes to your plan for 2017. These changes could be that the plan will charge a different monthly premium, cover different services, or change its formulary (the plan’s list of covered drugs).
You should read this notice carefully to see if any of the changes affect you. For instance, if your ANOC tells you that your Part D plan will have an annual deductible next year, you may want to choose a new Part D plan that does not have a deductible.
There are a number of changes you can make during Fall Open Enrollment. You can:
- Switch from Original Medicare to a Medicare Advantage Plan (also called Part C)
- Switch from a Medicare Advantage Plan back to Original Medicare
- Switch from your current Medicare Advantage Plan to a new one
- Join a Part D prescription drug plan (if you do not have one)
- Switch from your current Part D prescription drug plan to a new one
- Do nothing and stay with your current coverage
Any changes you make will become effective January 1, 2017. You can make as many changes as you like during Fall Open Enrollment, but only the last change you make will be effective in January.
If you have questions about your coverage, plan options, or just need help in general, there are a number of resources you can use for assistance:
- Call 1-800-MEDICARE. You can call Medicare to learn about plan options in your area, confirm your current coverage, or change your coverage.
- Visit www.medicare.gov/find-a-plan. You can use this online tool to search for and compare plans.
- Call a Medicare Advantage Plan or a stand-alone Part D plan. By calling your plan you can learn about coverage and costs for the upcoming year, request a copy of the plan’s formulary, or enroll in the plan.
Fall Open Enrollment is a time to consider all of your health care options and needs. Even if you decide not change how you receive your Medicare benefits, it is a good idea to review your coverage and any changes that the plan may put in place for 2017.
– Marci
Nasal Spray Addiction: Is It a Cause for Concern?
When a stuffy nose strikes, the right nasal spray can provide much-needed relief. As they’re sold over-the-counter, many people assume that they can use them as needed without problems. But is this true?
The answer depends on the type of nasal spray being used. Some are safe to be used daily for several months. However, others can cause what is known as “nasal spray addiction” if used for more than just a few days.
Nasal spray addiction is not a true “addiction,” but it can cause damage to the inside of the nose. It can cause swelling and long-term stuffiness that leads to misuse and overuse of the spray.
In some cases, a person may need to undergo additional treatment – even surgery – to correct any damage.
To avoid this problem, it’s important to become familiar with the different types of nasal sprays and how to use them safely.
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Traveling Food Safety Tip !
It’s important to practice food safety while traveling, even within the United States, as food poisoning can occur anywhere. It is especially important to wash your hands with soap and water before you eat and to keep an alcohol-based hand sanitizer with you for situations when you don’t have access to a sink. The Academy of Nutrition and Dietetics provides a number of other recommendations for food safety while traveling:
- Be wary of buffets, as the food may not be kept fresh.
- If you buy hot or cold food at an airport or rest stop, be sure to eat it within 2 hours so that bacteria don’t have enough time to multiply.
- Fish, shellfish, meat, and eggs are always unsafe to eat raw, even if you are at a fancy restaurant or hotel.
- Clean off tray tables or picnic tables before placing your food down, and never place your food directly on those surfaces.
- When in doubt, don’t drink well or tap water.
Dear Marci.
Dear Marci, How does the Health Insurance Marketplace affect my Medicare coverage? – Josephine (Cumberland, RI) Dear Josephine, The Marketplace (also known as the Exchange) does not change your Medicare benefits or how you access them. Individual Marketplaces provide a way for people who lack health insurance to get coverage. However, Marketplace policies, also known as Qualified Health Plans (QHPs), are not meant for people who qualify for Medicare. Medicare Advantage Plans, Medigaps, and stand-alone Part D plans are not sold through the Marketplace. If you are eligible for Medicare, in most cases you should not use the Marketplace to get health and drug coverage. Limited exceptions include if you qualify for Medicare based on having End-Stage Renal Disease (ESRD), or if you do not qualify for premium-free Part A. In these cases, a Marketplace plan might be an option for you. Otherwise, if you already have Medicare, there are a few reasons you should not enroll in a QHP:
If you are enrolled in a QHP and then become eligible for Medicare, there are steps you should take to enroll in Medicare. These steps will help you avoid gaps in coverage or penalties:
If you have a Small Business Health Options Program (SHOP) plan that your current employer purchased through the Marketplace, then the rules are a little different. If you have a SHOP plan through a current employer, you will still need to enroll in Medicare; however, the timing of your enrollment and whether Medicare will pay first or seconddepends on the size of your employer and whether you qualify for Medicare based on age or disability. If you have a SHOP plan, talk with your employer about how your coverage works with Medicare. You may hear a lot about the Health Insurance Marketplaces, but just know that apart from for limited exceptions, Medicare beneficiaries do not need to use them to get their health care coverage. – Marci |
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