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Have Your Blood Pressure Readings in Both Arms

A recent study, published in The Lancet, shows that in order to get an accurate blood pressure reading, doctors should take the patient’s blood pressure in both the right and left arm. The findings showed that there was a difference in systolic blood pressure between the two arms – about 15 milimeters of mercury (mm Hg). This difference in the blood pressure is linked to an increased risk of peripheral artery disease (PAD) which is a condition where there is a narrowing of the arteries, especially in the legs and feet. The 15 millimeters difference of mercury in the two arms means the individual is 2.5 times more likely to have PAD and the risk of cerebrovasular disease is 1.6 times higher. It was also associated with a 70% greater risk of dying from heart disease.

The Lancet study brings out the fact that there already is an existing guideline for doctors showing that they should always take blood pressure readings from both arms. Dr. Christopher Clark, the lead author in the study said,  ”Recommendations to measure both arms exist in both British and American blood pressure managment guidelines.” He goes on to say, “This is out there as guidance, but it’s guidance that isn’t regularly followed.” A difference of just 10 millimeters was enough to raise the risk of peripheral vasular disease so having the difference of 15 millimeters should be enough to make more doctors pay attention to the guidelines.

Why would there be a difference in readings between the two arms? The authors of the study hypothesized that it could be the narrowing or hardening of a person’s arteries, especially on one side of their body.

Dr. Clark said, “If we don’t know to measure both arms, we’re not going to make the right diagnosis and the right treatment choices for our patients.” Since many doctors only measure one arm, the next time you visit your doctor, make sure to remind them to take your blood pressure readings in both arms. By doing this you are ensuring that you will receive the most accurate readings and more likely a correct diagnosis.

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Medicare Costs in 2012 (1 of 2)

The Medicare.gov website provides a wealth of information to those that need help understanding the many facets of how Medicare works. On occassion we post helpful information from Medicare’s website. Below you will find two charts – one that provides an overview of Medicare monthly premiums and one that provides the costs of Medicare Part A costs in 2012. Over the next couple of weeks we will share information from the Medicare website regarding Medicare Part B (medical insurance) costs as well as Medicare prescription drug plans (Part D) premiums. We hope you find this information beneficial. To find more useful tools from Medicare, click here to visit their site.

Medicare Monthly Premiums
Type of Monthyly Premium
Amount of Monthly Premium

Part A monthly premium (for people who pay a premium)

$451

Part A Late Enrollment Penalty

+10%

Part B monthly premium

$99.90 Higher-income consumers may pay more

Part B Late Enrollment Penalty

+10% for each full 12-month period that you could have Part B, but didn’t sign up for it

Part C monthly premium

Varies by plan

Part D monthly premium

Varies by plan 

Higher-income consumers may pay more

Part D Late Enrollment Penalty

Depends on how long you went without creditable prescription drug coverage

 

Medicare Part A (Hospital Insurance) Costs
Part A Services
Services
You Pay

Blood

In most cases, the hospital gets blood from a blood bank at no charge, and you won’t have to pay for it or replace it. If the hospital has to buy blood for you, you must either pay the hospital costs for the first 3 units of blood you get in a calendar year or have the blood donated.

Home Health Care

You pay:

  • $0 for home health care services
  • 20% of the Medicare-approved amount for durable medical equipment

Hospice Care

You pay:

  • $0 for hospice care
  • A copayment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management
  • 5% of the Medicare-approved amount for inpatient respite care (short-term care given by another caregiver, so the usual caregiver can rest)

Medicare doesn’t cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).

Hospital Inpatient Stay

You pay:

  • $1,156 deductible per benefit period
  • $0 for the first 60 days of each benefit period
  • $289 per day for days 61-90 of each benefit period
  • $578 per “lifetime reserve day” after day 90 of each benefit period(up to a maximum of 60 days over your lifetime)

Skilled Nursing Facility Stay

You pay:

  • $0 for the first 20 days each benefit period
  • $144.50 per day for days 21-100 each benefit period
  • $All costs for each day after day 100 in a benefit period

 Note: If you’re in a Medicare Advantage Plan, costs vary by plan and may be either higher or lower than those noted above.  Review the Evidence of Coverage from your plan.

Watch Obama’s Weekly Address: Securing Our Fiscal Future

Protecting Our Children From Lyme Disease

With springtime officially here, we may find ourselves spending more time enjoying the outdoors with our family. Our children play very hard outside – running through long grass and shrubs - where ticks could be dwelling – which makes our children very vunerable.  Being bit by a particular tick can be a very serious issue because some ticks may carry Lyme disease which can be transmitted if it bites someone. The animals that most often carry these ticks are white-footed field mice, deer, raccoons, opossums, skunks, weasels, foxes, shrews, moles, chipmunks, squirrels, and horses. We need to make sure our children are not bit by one of these ticks and if they have been bitten by one, we should know what to do in order to prevent possible serious health complications.

A few simple things you can do to help protect your kids from ticks while they are outside are:

  • to have them wear long pants tucked into their socks
  • to wear long sleeved shirts
  • to wear Light colored clothing so you are more apt to see the sesame seed sized tick
  • apply insect spray
  • check your child for the tick when they come in from the outdoors

In the early stages of Lyme disease, you may experience flue-like symptoms such as a stiff neck, chills, fever, headaches, and muscle aches just to name a few. You also may see a large expanding skin rash – the bullseye rash - around the area of the tick bite. Watch the video below from ABCNEWS.com –  GMA Health for more details about Lyme Disease and how to detect whether your child has been bit by one of these ticks and what treatment is necessary for your child.

Wellness Tip: Healthy Eating For Men

The following wellness tip is from eatright.org – the American Dietetic Association.

Food is more than just fuel. Your diet can help fight disease and keep you looking and acting younger. How a man eats throughout his life can help predict how well (or not) he ages.

Eating Right

A healthy diet for men includes: 

  • At least 2 cups of fruits and 2 ½ cups of vegetables each day. At least once a week, eat tomatoes or something made from tomatoes like pasta sauce. The antioxidant lycopene found in tomato products is good for prostate health.
  • At least five 1-ounce servings of whole grains each day. Replace refined grains with whole-grain bread, cereal, pasta, brown rice or oats
  • At least two to three servings of fish per week
  • At least 38 grams of fiber a day for younger men; 30 grams of fiber a day for men older than 50
  • Unsaturated fats like oils, nuts and salad dressings in place of saturated fats like full-fat dairy foods, butter and high-fat sweets
  • 4,700 milligrams a day of potassium from fruits, vegetables, fish and milk.

To read more information on healthy eating tips for men, visit The American Dietetic Association.

A Healthy Superbowl Recipe – Smoky Corn and Black Bean Pizza

The following recipe is from EatingWell and is a perfect healthy choice for your Superbowl party this Sunday!

From EatingWell:  June/July 2006

6 Servings – Active Time:  30 minutes – Total Time:  30 minutes

Nutrition Profile:  Low calorie – Low cholesterol – Healthy weight

The secret to a grilled pizza is having all your ingredients ready to go before you head out to the grill. Make it a meal: Toss the extra black beans, diced tomato and some avocado with pre-washed salad greens and a tangy vinaigrette and dinner is on the table in no time.

Ingredients

  • 1 plum tomato, diced
  • 1 cup canned black beans, rinsed
  • 1 cup fresh corn kernels, (about 2 ears)
  • 2 tablespoons cornmeal
  • 1 pound prepared whole-wheat pizza dough
  • 1/3 cup barbecue sauce
  • 1 cup shredded mozzarella, preferably smoked mozzarella

Preparation

  1. Preheat grill to medium.
  2. Combine tomato, beans and corn in a medium bowl. Sprinkle cornmeal onto a large baking sheet. Stretch the dough into about a 12-inch circle and lay it on top of the cornmeal, coating the entire underside of the dough.
  3. Transfer the crust from the baking sheet to the grill. Close the lid and cook until the crust is puffed and lightly browned on the bottom, 4 to 5 minutes.
  4. Using a large spatula, flip the crust. Spread barbecue sauce on it and quickly sprinkle with the tomato mixture and cheese. Close the lid; grill until the cheese is melted and the bottom of the crust is browned, 4 to 5 minutes.

Nutrition

Per serving: 316 calories; 6 g fat (3 g sat, 0 g mono); 13 mg cholesterol; 48 g carbohydrates; 3 g added sugars; 14 g protein; 4 g fiber; 530 mg sodium; 94 mg potassium.

Nutrition Bonus: Calcium (15% daily value).

3 Carbohydrate Serving

Exchanges: 3 starch, 3 medium-fat meat

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Could the Key to Healthy Skin be Right in Your Refrigerator?

Below is a great article about foods that that can help you have healthier skin. Enjoy!

15 Foods That Fight Breakouts

By Lucy Danziger, the Editor-in-Chief of SELF magazine.

If you’re craving clear, smooth skin (and who isn’t?), you don’t have to spend a fortune on cleansers and creams. In fact, you might already have everything you need to battle blemishes in a surprising place: your fridge. Turns out, what you put in your mouth is as important as what you slather on your face when it comes to curing and preventing common complexion woes.

We all heard this advice as teenagers—to try to fight breakouts by swearing off french fries or chocolate chip ice cream (I know, painful then and now!). But researchers are beginning to hone in on exactly which foods have acne-fighting powers, and lucky for me, they happen to be some of my favorites (Nuts! Spinach!). So if it’s flawless skin you seek, don’t think about what you can’t eat—toss these yummy bites in your shopping cart and try SELF’s delicious recipes to be your most beautiful inside and out.

Nibbles with Zinc

My go-to snack, almonds are rich in zinc, which may help banish existing blemishes and prevent new ones from forming. The mineral works to reduce inflammation to shrink bumps, and it also slows sebum production to reduce shine and prevent more breakouts from forming. Munch on a handful, or toss them into a savory Almond-Pear Galette.

Great sources of zinc:

1. almonds
2. baked beans
3. beef
4. chickpeas
5. oysters
6. pumpkin seeds (continue reading…)

An Important Announcement For CalCPA ProtectPlus Members

The Group Insurance Trust of the California Society of CPAs is pleased to announce that it has selected a new administrator for the CalCPA ProtectPlus programs. Effective later this fall, program administrator responsibilities will transition from Seabury and Smith Insurance Program Management to Banyan Administrators, LLC. Banyan is a firm with extensive experience in administering multiple employer health plan arrangements.

What’s Next?

  • Additional Web Features on CPAProtectPlus.com
  • Brainshark Multimedia Online Presentation
  • Detailed Administrative Guide Released
  • Annual Enrollment Communications

The Trust is committed to continually improving the ProtectPlus member experience and the quality of the CalCPA ProtectPlus programs. The administrator transition will allow ProtectPlus program members to take advantage of a host of new and enhanced services, including:

  • Simplified enrollment processes
  • Improved program invoice design
  • Enhanced communication capabilities – new web features; dynamic, multi-media presentations
  • Streamlined administration leveraging web-based technology
  • Online HR and Benefits reference materials

ProtectPlus Members
Your Annual Enrollment materials will be mailed to you on November 2, 2009 and will include new plan contact information.

News: (Watch) Obama’s Weekly Address – New Momentum for Health Reform

Medicare Rules You Need to Know: Part 2

MedicareIf You Retire at Age 65 For most people who retire on their 65th birthday, there are a set of choices to be made. Assuming you have contributed the minimum amount to qualify for Social Security, you will automatically receive hospitalization coverage under Medicare Part A.

Other medical expenses, such as doctors’ fees are covered under Medicare Part B. And though optional, subscribing to Medicare Part B is universally recommended.

The small premium for this coverage is automatically deducted from your Social Security payment, or will be billed to you if you have opted to delay collecting benefits. In addition to Medicare Parts A and B, the Social Security system gives you the opportunity to subscribe to prescription drug coverage under Medicare Part D. The complicated nature of this coverage has by now been well documented, so you should be sure to budget adequate time to determine the policy that will serve you best. (continue reading…)

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