Older Adults…the Resource Guide

Transcription

2015/16 | Older Adults…the Resource Guide
2015/16 Southeast Tennessee
Serving Older Adults, Adults with Disabilities and Their Families in
Bledsoe, Bradley, Grundy, Hamilton, Marion, McMinn,
Meigs, Polk, Rhea and Sequatchie Counties.
SOUTHEAST TENNESSEE DEVELOPMENT DISTRICT
Advocac y. Assistan ce .
Answers o n Aging .
An annual publication by the
Southeast Tennessee Area
Agency on Aging and Disability
Special Needs Trusts safeguard personal assets and provide for services or items
that public benefits do not cover – all without jeopardizing eligibility for
government benefits and public assistance programs.
Vista Points is focused on helping people living with disabilities, their parents and
caregivers, and the professionals who serve and guide them.
Peace of mind does not have to cost a fortune.
Call 888.422.4076
Services offered Nationwide
Darlene A. Kemp,
MPH, MBA-HCM
Vista Points, Inc. | Special Needs Trusts & Resource Center
1550 N. Mt. Juliet Road, Suite 203 | Mt. Juliet,TN 37122
www.vistapoints.org
4 Steps for Families to Help an
Aging Senior Parent
/
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4
Older Adults™…the Resource Guide
Southeast Tennessee Edition 2015-2016
5
A Letter from the Director of the Southeast Tennessee
Area Agency on Aging and Disability
Greetings,
We are happy to provide you with a free copy of the tenth
edition of Older Adults…the Resource Guide. The Guide is a
service of the Southeast Tennessee Area Agency on Aging and
Disability (AAAD). The mission of the AAAD is to both strive to
achieve a system of services that allows older persons and
persons with physical disabilities the opportunity for an
independent and productive lifespan. This, of course, includes
advocating for the populations we serve.
You need to know that the Resource Guide is being made
available to you at no cost by the companies and agencies that
have chosen to become our partners through purchasing
advertising. These partners provide vital services and products
that are available to you or someone you love.
As you look through The Guide you will discover that it contains…
1) A section that explains many of the services offered through the AAAD;
2) Along with a wealth of information to help you discover the community services and
resources that are available through numerous companies and agencies throughout Southeast
Tennessee.
We hope that you and your family will find Older Adults…the Resource Guide to be a useful
tool to aid you in your search for information and services.
Sincerely,
Steve Witt
Director
The Southeast Tennessee Development District/Area Agency on Aging and Disability is an
Equal Opportunity Employer/Program. Auxiliary aids and services are available upon request
to individuals with disabilities. TTY (423) 752-0640.
This information is made possible through funds from the Older Americans Act, the Tennessee
Commission on Aging and Disability and the Southeast Tennessee Development District/Area
Agency on Aging and Disability.
For information and referral please contact the Southeast Tennessee Area Agency on
Aging and Disability by calling our toll-free helpline at 866-836-6678 or by visiting
www.setaaad.org.
6
7
b Contents
40 Volunteer Opportunities
39 Veteran Services
GENERAL INFORMATION,
REFERRAL & COMMUNITY
OUTREACH
14 Primary Information and Referral
14 Additional Referral Resources
15 Senior Centers and Congregate
Meal Sites
16 Home Delivered Meals
16 Transportation
16 Handicapped Parking Permits
16 Non-Emergency Ambulance
Transport
SPECIAL INSERT – SOUTHEAST
TENNESSEE AREA AGENCY ON
AGING AND DISABILITY
18 Southeast Tennessee
Telephone Quick Guide
20 CHOICES Program
21 Family Caregiver Support
Program
22 Home Delivered Meals Program
23 Homemaker Program
24 Options for Community Living
24 Relative Caregiver Program
26 Senior Centers
30 Evidenced-Based Health
Promotions
31 Tennessee SHIP
31 Información en Español
40 Employment
42 Advocacy, Legal &
Self Empowerment
42 Advocacy & Self Empowerment
42 Legal Resources
42 Absentee Voting
42 Legal Records
42 Federal Elected Representatives
43 Legal Health Care/
Advance Directives
43 Advance Directive Forms
43 Funeral Preplanning
43 Preplanning Resources
CRISIS, BEHAVIORAL CARE
& CAREGIVER SUPPORT SERVICES
50 Social Services and
Emergency Assistance
50 Elder Abuse and Neglect
50 Crisis Intervention
50 Community Support
51 Food Stamps
51 Utilities Assistance
52 Companionship
52 Birthday/Anniversary Greetings
52 Bereavement/Widow Support
53 Family Support Services
53 Mental Health
Counseling/Centers
54 Alzheimer’s Services
54 Resources
54 Adult Day Care
CONSUMER HELP & INFORMATION
34 Discount Programs
34 Parks Admissions
34 Discount Pharmacies/Pharmacy
Services
35 Education and Leisure
36 Safety and Security
36 Safe Driving
36 Consumer Help
36 Government Information
36 Victim/Witness Assistance
Programs
38 Finances and Legal Matters
38 Tax Preparation Assistance
38 Special Needs Trusts
38 Credit Counseling
38 Estate Planning
8
SOCIAL SECURITY, MEDICARE &
MEDICAL INSURANCE
57 Tennessee State Health
Insurance Assistance Program
(SHIP)
58 Social Security and Health
Care Insurance
58 Social Security
58 Supplemental Security (SSI)
58 Medicare
58 Medicare Drug Benefit (Part D)
Costs
60 Medicare Supplemental
Insurance Providers
60 Medicare Advantage
60 Departments of Human Services
60 Identity Theft and Fraud
61 Long Term Care Insurance
61 Company Checklist
61 Policy Checklist
62 Medigap Insurance
62 Medigap Insurance
Considerations
MEDICAL & HEALTH
CARE SERVICES
66 Hospital Health Care Systems
66 Senior Medical Practices
66 Hospital Membership Programs
67 Prescription Assistance
67 Home Health Services
67 Range of Services
67 Questions to Ask
69 Terms
69 Home Health Care Providers
70 In-Home Support Services Non-Medical
71 Hospice Care
71 Questions to Ask
71 Providers
72 Medical Equipment &
Adaptive Devices
73 Medical Emergency
Response Systems
74 Disability & Rehab Services
74 Visual Disabilities
75 Speech & Hearing Disabilities
76 Additional Accessibility Resources
76 PACE Providers
77 Holistic Health and Wellness
Programs
79 Health-related Agencies &
Services
79 AIDS/HIV
79 Alcohol
79 Alzheimer’s Disease
79 Arthritis/Lupus
79 Cancer Support
80 Dental
80 Diabetes
80 Drug & Poison
80 Epilepsy
80 Heart
80 Huntington’s Disease
80 Kidney
80 Leukemia
80 Lung
82 Neuromuscular Diseases
82 Nutrition
82 Parkinson’s Disease
82 Sleep Disorders
82 Stroke
82 Support Groups
HOUSING & SKILLED
HEALTH CARE FACILITIES
84 Housing Options
84 Information & Assistance
84 Ombudsman
84 Metropolitan Housing Authority
84 Senior Housing Terms
85 Nursing Home Care Covered
by Medicaid
86 Nursing Home Care Covered
by Medicare
87 Home Improvement, Chore
Services & Moving Assistance
87 Moving Assistance Services
88 Reverse Mortgage Loans
88 Pros and Cons of Reverse
Mortgages
88 HUD-Approved Reverse
Mortgage Loans
Helpful Forms/Guides: In alphabetical order by topic
46 Advance Care Plan
48 Appointment of Health Care Agent
45 Caregiver Checklist
55 Caregiver Emergency Help Guide
78 Caregiver’s Checklist for
Planning Ahead
72 Do’s and Don’ts of 911
73 Help at Home: My Own Case
Management/Contingency Plan
65 Home Health Agency
Comparison Checklist
56 Home Safety Checklist
37 How to Communicate Your
Loved One’s Symptoms
Regarding Overall Well Being,
Pain and More
13 Important Documents
90 Independent/Assisted Living
Checklist
83 Is Nursing Home Placement the
Correct Decision?
44 Living Trusts vs. Wills
81 Medication Checklist
92 Moving Your Elder in With You:
Practical Tips and Suggestions
12 Nursing Home Checklist
11 Nutrition Tips for Caregivers
33 Online Aging Resources
89 Independent Living and
Apartment Complexes
89 Assisted Living Facilities
by County
91 Nursing Facilities/Nursing Homes
91 Grievance Resources
93 Nursing Home Facilities by County
94 Index
41 Questions to Ask Your
Healthcare Provider
63 Quick Summary of 2015
Medicare Benefits
68 Safety In the Home: Questions
to Consider
49 Transient Crimes and Elder Fraud: What You Need to Know
LOOK FOR THESE HANDY
FORMS AND GUIDES
THROUGOUT THE BOOK
9
b About This Guide
If you would like to be
part of the Southeast
Tennessee edition of
Older Adults®
call us...
1-800-921-9443
or reach us by e-mail...
[email protected]
This directory is the most comprehensive listing and explanation of providers
and services which cater to the needs of mature adults. It is designed to work for
YOU! It takes up little shelf space, yet ties together in an “at your fingertips”
format all the services, programs and products most needed by older adults.
Information contained herein has been supplied by the organizations and
facilities. While the information has been thoroughly cross-referenced and phone
verified as of July, 2015, Senior Impact Publications, L.L.C. and the Southeast
Tennessee Area Agency on Aging & Disability assume no responsibility for
omissions or errors. We welcome all updates and corrections.
This easy-to-use handbook of services for senior citizens
is most helpful for:
• Medicare HMO member
benefit
• Medicare Consumers
• Family Caregivers
• Physicians
• Medical Service Providers
• Eldercare Attorneys
• Financial Planners
• Human Resource Directors
• Home Health Care Nurses
and Aides
Other Cities Available!
o Greater Cincinnati
o Greater Cleveland
o Columbus
o Toledo
o Northern Kentucky
o East Central Ohio
o St. Louis
o Youngstown
—————
The Southeast Tennessee
Older Adults® Resource Guide
10th edition, September, 2015
———————————————
The Guide is available while supplies
last at the following locations:
• Southeast Tennessee Area Agency
on Aging and Disability
• At advertisers’ offices.
Advertisers are listed in bold in the
index and at the beginning of each
tabbed section.
o Rocky Mount, NC
o Lexington, KY
•
•
•
•
•
•
Nursing Home Personnel
Ministers and Clergy
Hospital Discharge Planners
Caseworkers
Medical Equipment Suppliers
Managers of Retirement
Housing
• Retailers Offering Products
or Services Used Primarily
by Senior Citizens
• Therapists
b
—————
SENIOR IMPACT PUBLICATIONS,
LLC
5980 Kugler Mill Rd., Suite 100
Cincinnati, Ohio 45236
1-800-921-9443 phone
(513) 791-8847 fax
E-mail: [email protected]
www.olderadults.net
Publisher: Rob Jutze
Advertising Sales: Irv Ginsburg
Design/Production:
Connie Arozarena, Iacono Productions
Contributors and Advisors:
The staff at the Southeast Tennessee Area
© Senior Impact Publications, L.L.C.
September, 2015.
All rights reserved.
All real estate advertised herein is subject to the Federal Fair Housing
Act which makes it illegal to advertise “any preference, limitation or
discrimination because of race, color, religion, sex, handicap, familial
status or national origin or intention to make such preference, limitation or
discrimination.” We will not knowingly accept any advertising for real estate which
is in violation of the law. All persons are hereby informed that all dwellings
advertised are available on an equal opportunity basis.
10
An Area Agency on Aging (AAA)...is a public or private non-profit agency designated by the state to
address the needs and concerns of all older adults at the local level. An Area Agency on Aging is a generic
term.
The Southeast Tennessee Area Agency on Aging and Disability, through the service providers in the region,
offers programs that make a difference in the lives of all older adults and persons with disabilities … from frail
older persons who can remain at home if they receive the right services to those who are healthy and can
benefit from the activities and socialization provided by community-based programs such as senior centers.
AAA’s were established under the Older Americans Act (OAA) in 1973 to respond to the needs of Americans
aged 60+ in every local community. The services available through AAA fall into five broad categories:
Information and access services; Community-based services; In-home services; Housing; and Elder rights.
Within each category a range of programs is available. See page 14 for more detailed information.
b Nutrition Tips for Caregivers
Make dining a pleasure and reap the nutrition
benefits by implementing the following:
v Create a relaxed environment during mealtimes.
l Keep the pace leisurely and the
conversation pleasant.
l Don’t dwell if one refuses to eat.
v If weight loss or minimal appetite are concerns,
l Offer smaller portions and more frequent
meals or snacks. For example, serve six small
meals per day, rather than 3 meals per day.
l Provide a variety of high calorie, nutrient rich
foods, such as cream of vegetable soup with
powdered milk added, mashed potatoes with
butter and whole milk, creamed spinach, or
apples with peanut butter and honey.
l Consider providing an instant breakfast drink
made with milk as a snack.
NO COST
v Serve a variety of nutritious, comfort foods.
REFERRAL SERVICE
v If your loved one has difficulty using utensils, try
offering finger foods. Some examples are diced
vegetables, bite size chicken, cheese cubes, or bread.
"
v If your loved one has swallowing problems, slightly
thickened liquids may help. Examples are
vegetable juice and fruit nectars. Please seek
medical advice for further evaluation and food
texture modifications.
v Ensure water and other fluids are available all day.
Include juices, broth, gelatin, ice pops,
decaffeinated coffee or tea.
As a Caregiver, don’t forget to take care of your
own nutritional needs.
For further questions, please contact your local Area
Agency on Aging.
#
$
$
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$
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FREE
Don’t Start Your Search Without Calling Us First!
CALL US
Assisted Living Locators Southeast TN
TODAY
www.159.AssistedLivingLocators.com
Call 423.668.0097 or 888.451.1732
11
b Nursing Home Checklist
WHAT TO LOOK FOR WHEN COMPARING FACILITIES
Is the latest Department of Health survey posted?
Facility:
A
B
C
Are residents rights posted? Information on contacting the ombudsman posted?
Are there outdoor areas for residents to use?
Is facility clean and free of odors?
Is the atmosphere pleasant: do lighting and noise levels fit current activities?
Are residents dressed in clean clothing appropriate for season and time of day?
Do staff seem to know residents by name and treat them with respect?
Do staff respond quickly to resident calls for assistance?
Is there a private area for residents to visit with family or friends?
Are there private telephones available for resident use?
Are there privacy curtains around beds? Are they clean and in good condition?
Do resident rooms have personal items (family pictures, etc)?
Is dining room cheerful and clean? Do meals appear appetizing?
Are residents eating most of their food? Are they receiving assistance if needed?
Do residents have drinking water available at bedside?
Are appropriate activities available to all residents? Those with special needs?
Do residents seem to be engaged in meaningful activities either by themselves or with others?
Are residents slumped over in chairs, staring at the wall, isolated or in a row watching television?
Are their residents in physical restraints (seat belts, vest restraints, side rails, chairs with tray)?
QUESTIONS TO ASK STAFF
Are smokers and non-smokers accommodated? Inside or outside?
Is there permanent assignment of staff to residents?
What is the employee turnover rate? Do employees receive health benefits?
Of the staff working today, how many are from an outside agency?
How are nurse aides screened and trained?
Do the quarterly care planning meetings accommodate family schedules?
Do various staff and professionals who care for patients participate in evaluating resident needs?
Are nursing assistants included in this process?
Is there a full-time director of activities?
Does the facility offer therapies such as physical, speech or occupational therapy?
Does the facility advertise special care units such as Alzheimer’s or rehab units?
What services or level of staff training make the special unit different from others?
How does the facility deal with missing clothing or other personal items such as dentures,
eyeglasses, etc.?
Under what circumstances must residents change rooms (payment source, change in
condition (Alzheimer’s), when Medicare days exhausted)?
How are resident complaints handled?
Does the facility have an active residents’ council? An active family council?
Does the ombudsman visit this facility regularly? Any volunteer ombudsman?
12
b Important Documents
Use this checklist to keep track of your key papers.
Gather them together (or make note of their location)
and place in a safety deposit box, or give to a trusted
family member who can retrieve them in an emergency.
Insurance
o Medicare card
o Secondary health
o Life
o Special care
o Long Term Care
o Catastrophic Illness
o Auto
o Home
o Other
Legal
o Auto title
o Deeds
o
Guaranties/Warranties
o Living will
o Living trust
o Power of attorney
o Power of attorney
for health
o Trust papers
o Will
Life Events
o Birth certificate
o Burial plot
o Funeral arrangements
o Immigration/
naturalization papers
o Marriage/divorce
papers
o Military papers
o Social Security card
Financial
o Bank notes
o Bank savings
accounts
o Bonds
o Broker name/phone
o Certificates of deposit
o Checking account
o Credit card list
o IRAs
o Mortgage papers
o Mutual funds
o Safety deposit key/
combination
o Stock certificates
o Tax records
General Information,
Referral &
Community Outreach
Handy forms and guides in this section:
Important Documents . . . . . . . . . . . . .13
Please support our advertisers for
making this guide possible. Tell them
you saw it in Older Adults™.
www.setaaad.org
Southeast Tennessee Area Agency on
Aging & Disability
TA KE NOTE
You’re not alone! You don’t have to miss work
for an extended period of time to care for an
elderly relative. Your local Senior Center
can help you find providers and services
including meals, transportation, chore services
and adult day supervision. Ask if eldercare benefits
programs are available through your employer.
Road and Weather
Information
Tennessee
Department of
Transportation
511
or
www.TN511.com
www.setaaad.org
13
Primary Information and Referral
OUTREACH
Southeast Tennessee Area Agency
1-866-836-6678
TTY
(423) 752-0640
P.O. BOX 4757, CHATTANOOGA 37405
www.setaaad.org
Advocates for and assists older persons 60 and older and
persons with disabilities 18 and older, their families, and
the agencies and organizations helping them. The agency
serves Bledsoe, Bradley, Grundy, Hamilton, Marion,
McMinn, Meigs, Polk, Rhea and Sequatchie counties.
Information and Assistance – Available to assist callers
with locating resources and services. All calls handled
in a confidential fashion.
State Health Insurance Assistance Program (SHIP) and
the Senior Medicare Patrol Project – Provides free and
objective counseling and assistance to persons with
questions or problems regarding Medicare and other
related health insurances, as well as prescription
assistance.
Home Delivered Meals Program – Provides a noontime
nutritionally balanced meal served in the consumer’s
home. Eligible individuals must be age 60 years of age or
older, have a physical disability, be homebound, and
unable to prepare a meal for themselves and have no
one available to prepare the meal.
Homemaker Program – Designed to provide help with
routine household activities including shopping, meal
preparation and light housekeeping. Eligible
individuals must be age 60 or better and have a
disability that makes them unable to perform
household management tasks.
Options for Community Living Program – Intended to
provide home and community based services to assist
frail older adults (60 and older) and adults with
disabilities (18 and older) to remain in their own
homes, avoiding premature institutionalization.
Services may include homemaker services, personal
care services and home delivered meals.
National Family Caregiver Support Program – Intended
to provide services for caregivers of seniors 60+, and
grandparents or other senior relatives who are primary
caregivers of children under age 18. Services may include
support through information, assistance, support groups
and workshops, respite services through adult day care,
short-term in-home respite, overnight respite, personal
DID YOU KNOW ?
In Tennessee, 61,252 grandparents report that
they are responsible for their grandchildren who
are living with them.
14
care and homemaker services, and supplementary
services such as personal emergency response systems,
assistive technology, help with purchasing medical
supplies not covered by insurance, minor repairs or
home modifications and home delivered meals.
Statewide Home and Community Based Services
Medicaid Waiver for Seniors and Disabled – Provides inhome services intended as a community-based costeffective alternative to institutional nursing facility care
for eligible individuals.
Public Guardianship for the Elderly Program –
Designed to aid persons age 60+ who are unable to
manage their own affairs and who have no family
member, friend, bank, or corporation willing and able
to act on their behalf.
Relative Caregiver Program – Provides services to support
grandparents and other relatives raising children to whom
they are related through blood, marriage or adoptions.
Support services are also provided for the children and
teenagers in Relative Caregiver families. Services
include: information and referral, counseling, material
assistance, caregiver support groups, activity/support
groups for children and teenagers, educational
workshops, respite and recreation, family advocacy,
outreach and emergency financial or start-up assistance.
ADDITIONAL REFERRAL RESOURCES
These agencies provide information about local services
and resources available to seniors. All either provide or
refer for advocacy and counseling, information and
referral, health screenings and wellness programs,
meals, outreach, social activities and transportation.
AARP (American Association for Retired Persons)
NATIONAL
1-888-OUR-AARP (687-2277)
AARP OF TENNESSEE
1-866-295-7274
www.aarp.org
Holds meetings and provides health, advocacy, social,
recreation, volunteer and employment opportunities,
insurance, income tax assistance, defensive driving
programs, housing information, prescription drug and
consumer discounts, and governmental advocacy.
Community service and health education programs.
Chattanooga Human Services
(423) 209-8374
317 OAK ST., STE. 218, CHATTANOOGA 37403
www.chattanooga.gov/human-services
Multi-faceted human services/social service delivery
agency for the poor and disadvantaged residents of
Hamilton Co. Provides emergency financial assistance
with bills, HUD housing counseling, energy subsidies
and surplus food.
Jewish Community Federation of
Greater Chattanooga
(423) 493-0270
5461 NORTH TERRACE RD. , CHATTANOOGA 37411
www.jewishchattanooga.com
Non-profit agency that provides various services for
the community. Community resource and referrals,
home visits, counseling, senior citizen programs and
van transportation. Weekly Kosher meal program with
home delivery to senior citizens who are homebound.
Tri-State Resource & Advocacy
Corp. (TRAC)
(423) 892-4774 or 1-800-868-8724
6925 SHALLOWFORD RD., STE. 300, CHATTANOOGA 37421
www.4trac.org
Opportunities for individuals with disabilities to lead
full and independent lives through peer counseling,
advocacy, job assistance and computer training. M-F,
8:30 A.M.–4:30 P.M.
United Way/211 Call Center
211 or (423) 265-8000
630 MARKET ST., P.O. BOX 4027, CHATTANOOGA 37405-0027
www.uwchatt.org
List of the area's most critical human service phone
numbers. Information and referral, and elderly services.
Senior Centers and Congregate Meal Sites
Senior Centers... Older adults can access a variety of services and have an opportunity to participate in individual and
group activities and classes. While programs vary by center, all offer outreach programs, health screenings and
counseling, and a variety of educational, fitness and volunteer programs.
Senior Congregate Meal Sites...Most state funded centers serve as group meal locations. The Congregate program is
intended for persons 60+ to have one nutritionally balanced meal on weekdays. Advance meal order reservations are
required by each site. For qualified participants, contributions are suggested but not required. Some Congregate Meals or
nutrition sites are in senior apartments or community centers. There may be transportation to meal sites.
Title III of the Older Americans Act provides for some transportation to congregate meal sites and senior centers within a
reasonable distance from the site. Title XIX of the Social Security Act (Medicaid) provides for transportation of Medicaid
patients for medical services.
n BLEDSOE COUNTY
Bledsoe Senior Activity Center
(423) 447-6111
148 FRAZIER ST., PO BOX 751, PIKEVILLE 37367
n BRADLEY COUNTY
Bradley Senior Activity Center
230 URBANE RD., CLEVELAND 37312
Walker Street Congregate
Nutrition Site
450 WALKER ST. NE, CLEVELAND 37311
n GRUNDY COUNTY
Gruetli Laager Senior Center
32377 ST. RT. 108, GRUETLI-LAAGER 37339
(423) 559-2171
(423) 476-1598
(931) 779-5494
Monteagle Congregate Nutrition Site (931) 924-3258
24 DIXIE LEE HWY., MONTEAGLE 37356
n HAMILTON COUNTY
Eastgate Senior Activity Center
(423) 855-9444
5600 BRAINERD RD., (INSIDE EASTGATE MALL), CHATTANOOGA 37411
Mary Walker Congregate Meal Program
2505 S. MARKET ST., CHATTANOOGA 37408
Soddy-Daisy Senior Center
190 DEPOT ST., SODDY-DAISY 37379
(423) 332-1702
n MARION COUNTY
South Pittsburg Congregate
Nutrition Center
310 CEDAR AVE., SOUTH PITTSBURG 37380
(423) 837-6325
n McMINN COUNTY
McMinn Senior Activity Center
205 MCMINN AVE., ATHENS 37303
(423) 745-6830
Whitwell Senior Center
(423) 658-5000
900 NORTH MAIN ST., STE. 2, WHITWELL 37397
www.cityofwhitwell.com/seniorcitizens
Etowah Senior Activity Center
435 COOPER ST., ETOWAH 37331
(423) 263-1209
n POLK COUNTY
Polk County Senior Center
840 CHEROKEE TRAIL, COPPERHILL 37317
(423) 496-7113
n MEIGS COUNTY
Meigs Senior Activity Center
(423) 334-3242
CITY/COUNTY BUILDING, 351 RIVER RD., DECATUR 37322
n RHEA COUNTY
Rhea Richland Senior Center
241 ALABAMA AVE., DAYTON 37321
n SEQUATCHIE COUNTY
Sequatchie Senior Activity Center
325 HEARD ST., DUNLAP 37327
(423) 775-6776
(423) 949-2228
15
OUTREACH
Eldercare Locator
1-800-677-1116
www.eldercare.gov
9 A.M. – 8 P.M., M – F. Helps families and friends find
information about community services nationwide.
HOME DELIVERED MEALS
OUTREACH
Persons age 60 or better who are homebound and unable
to shop for or prepare meals may be eligible for a home
delivered meal. The meal, which may be hot or frozen, is
balanced to provide one-third of the daily recommended
nutritional requirements. Special dietary restrictions such as
diabetic and low salt are followed. Home delivered meals
Transportation
Curb to curb transportation requires a rider to be able to
get from house to curb to enter vehicle.
American Red Cross – Hiwassee (Bradley Co.)
Chapter (Level 1) (423) 472-1595 or 1-800-696-3873
304 20TH ST. SE, CLEVELAND 37311
www.hiwasseeredcross.org
Assists military members and family contact relatives
during emergency situations.
CARTA (Chattanooga Area Regional
Transportation Authority)
(423) 629-1411
TDD
(423) 629-1473
1617 WILCOX BLVD., CHATTANOOGA 37406
www.gocarta.org
Reduced fares for seniors. 75¢ fare; ($2 for 24 hours
of service. (Ages 65+ - a CARTA special fare ID card
required). Main Line Routes provide service between
Downtown and other areas in Chattanooga.
CARTA Care–A–Van
(423) 698-9038
740 E. 12TH ST., CHATTANOOGA 37403
24 hrs. to two weeks advance notice. Serves
Chattanooga City Limits. Offered on first come, first
served basis. Lift vans to transport the disabled.
Catholic Charities
Interfaith Senior Services
(423) 265-2397
www.ccetn.org
Serves Hamilton County residents age 65+. Transport
by volunteers for those unable to drive themselves to
medical appointments. Requires two weeks notice.
Must be able to ride in a car. M-F, 8:30 A.M.–4:30 P.M.
Kidney Foundation
(423) 265-4397
7739 E. BRAINERD RD., STE. 109, CHATTANOOGA 37421
Limited direct support to patients with kidney
diseases. May include transportation to and from
dialysis, prescription medicine and medical supplies.
Rhea County Veterans Committee
(423) 775-7849
179 W. JACKSON AVE., PO BOX 1041, SPRING CITY 37381
Uses volunteers to transport veterans to medical
facilities in Murfreesboro and Nashville. Can
accommodate a wheelchair or up to 5 people.
SE Tennessee Human Resource Agency (SETHRA)
BLESDOE COUNTY
(423) 447-2444
OLD HIGH SCHOOL BLDG, BOX 88, 2531 S. MAIN ST., PIKEVILLE 37367
GRUNDY COUNTY
(931) 592-8260
PO BOX 34, HWY. 56, COALMONT 37313
16
are funded by a federal funding through Title III of the
Older Americans Act, state funds, USDA reimbursement
and contributions from program participants.
(423) 266-5781
1000 RIVERFRONT PKWY., CHATTANOOGA 37402
www.setaaad.org
MARION COUNTY
(423) 942-5946
110 GAMBLE LN., JASPER 37347
MCMINN COUNTY
(423) 745-8095
125 NORTH JACKSON ST., ATHENS 37303
MEIGS COUNTY
(423) 334-3305
CITY/COUNTY BLDG., 351 RIVER RD., BOX 303, DECATUR 37322
POLK COUNTY
(423) 338-2335
ELECT. COMM. BLDG., COURTHOUSE ANNEX, BENTON 37307
RHEA COUNTY
(423) 775-4010
125 COURT ST., UNIT 2, DAYTON 37321
SEQUATCHIE COUNTY
(423) 949-2191
312 RESOURCE RD., PO BOX 909, DUNLAP 37327
www.sethra.us
Variety of services for residents. Transportation to
congregate meal sites. Reservations 24 hours in advance.
Tennessee Community Services
Agency (TNCSA)
(423) 499-6081
5600 BRAINERD RD., STE. A-14, CHATTANOOGA 37411
www.tncsa.com
Providing services across Tenn. M-F, 8 A.M.–4:30 P.M.
HANDICAPPED PARKING PERMITS
Handicapped Parking Program
(615) 741-3101
TENNESSEE DEPARTMENT OF SAFETY
www.tn.gov/safety
For drivers or passengers confined to a wheelchair,
able to walk only with difficulty or uncertainty or with
vision of not more than 20/200 with corrective lenses.
NON-EMERGENCY AMBULANCE TRANSPORT
Some people need professional assistance in getting to
surgical or therapy sessions, chemo treatments, etc. Private
ambulance services are available to meet this need. Always
check with your physician/hospital for service. Police
and fire ambulance services are for emergency
situations only. They take you to the closest hospital ER.
Lifeguard Ambulance Service
2050 S. KELLEY ST., CHATTANOOGA 37404
(423) 499-9500
Memorial Emergency Medical Service (423) 495-3677
2525 DESALES AVE., CHATTANOOGA 37404
Most Services Offer:
• 24 hour/7 day service
• Direct billing for Medicare/Medicaid and other insurance
• Family member or friend can ride along
• Stretcher service. Not all are wheelchair equipped.
Southeast Tennessee Area Agency on Aging and Disability:
Your One Source for Information about
Home and Community Based Services
service area
Providing programs and services to adults
with disabilities, seniors and their families living
in the following counties:
Bledsoe, Bradley, Grundy, Hamilton, Marion,
McMinn, Meigs, Polk, Rhea, Sequatchie
home and community based services
጖
጖
጖
጖
጖
጖
጖
጖
጖
጖
Information and Referral
Home Delivered Meals
Homemaker Services
Options for Community Living
CHOICES
National Family Caregiver Support Program
Relative Caregiver Program
Help with Medicare Questions
Senior Centers
Evidence Based Health Promotion Programs
volunteer opportunities available
call with questions
or to make a
referral
423-424-4256
1-866-836-6678
www.setaaad.org
A program of the Southeast
Tennessee Development District
17
SOUTHEAST TN TELEPHONE QUICKGUIDE
COUNSELING SERVICES
HOME REPAIRS
Bradford Health Services.................892-2639
Catholic Charities ............................267-1297
Chattanooga Bible Institute
Counseling Center .........................756-2894
Chattanooga Veterans Center ......... 855-6570
Consumer Credit Counseling ......... 490-5620
Fortwood Center ..............................266-6751
Hospice of Chattanooga ................. 267-6828
Jewish Federation of
Greater Chattanooga .....................493-0270
Johnson Mental Health Center ........870-9033
Metropolitan Ministries..................... 624-9650
Partnership for Family, Children
and Adults...................................... 697-7130
Ridgemont Comm. Counseling Ctr.. 648-2423
Mobile Crisis Team ..............1-888-242-1340
Samaritan Center ............................238-7777
Chattanooga Neighborhood
Enterprises .................................... 756-6201
Chattanooga Weatherization
Assistance .....................................648-0036
Hope for the Inner City ....................698-3178
Mountain T.O.P. .................... (931) 692-3999
Rural Development...........................756-2239
Southeast TN Human
Resource Agency ..........................949-2191
Southeast TN Development District,
Community Development Program..266-5781
VOCARE……………………………...755-2870
Widow’s Harvest Ministries.............. 266-0260
FINANCIAL/FOOD/UTILITIES
EMERGENCY ASSISTANCE
211 Chattanooga....................................... 211
Associated Charities of Etowah .......263-9260
Catholic Charities ............................266-1891
Chattanooga Area Food Bank .........622-1800
Chattanooga Human Services.........757-5541
Chattanooga Rescue Mission……...756-4222
Cleveland Daily Bread………………715-9193
Community Kitchen .........................756-3126
Coordinated Charities of Athens......745-9625
266-1772
Good Neighbors
HaCoBa Care Center…………….…... 821-4724
Hamilton Co. Emergency Assistance . 209-6855
Hope for the Inner City ................... 698-3178
Ladies of Charity..............................624-3222
LIHEAP………………………………. 643-6434
Metropolitan Ministries..................... 624-9650
472-0769
Neighbors in Need
Northside Neighborhood House ......267-2217
Red Cross (Bradley Co.) .................472-1595
Red Cross (Hamilton Co.) ...............265-3455
Salvation Army ................................ 756-1023
Samaritan Center ............................238-7777
SETHRA (ask for the # to
your county’s branch) ................... 949-2191
SNAP………………….............1-866-311-4287
The Caring Place…………………….472-4414
United Way of Bradley County.........479-2020
18
HOUSING
Housing Info Line (Hamilton Co.) .... 752-4893
LEGAL & ELDER ABUSE ASSISTANCE
Adult Protective Services ......1-888-277-8366
Legal Aid of East Tennessee ...........756-4013
MEDICAL/DENTAL/OPTICAL
CARE ASSISTANCE
ACE Dental Center…………………. 300-6819
Affordable Dentures......................... 894-9179
Bradley County Health Department..728-7020
Dodson Avenue Health Center ........778-2800
Grundy Co. Health Dept. ........(931) 692-3641
Hamilton County Health Dept ......... 209-8100
In His Name (McMinn Co.) ………... 744-8010
Hope for the Inner City ....................698-3178
Lions Club Sight Program…………..472-1525
Lone Oak Clinic ...............................886-4040
Marion County Health Department.. 942-2238
McMinn County Health Dept............745-7431
Meigs County Health Department ...334-5185
Polk County Health Dept. ………......338-4533
Rhea County Health Department ....775-7819
Ooltewah Health Center ..................238-4269
Sequatchie County Health Dept. .....949-3619
Sequoyah Health Center .................842-3031
Southside Community
Health Center ................................778-2700
Volunteers in Medicine……………...855-8220
SOUTHEAST TN TELEPHONE QUICKGUIDE
MEDICAL EXPENSE ASSISTANCE
Metropolitan Ministries .................... 624-9650
Salvation Army (Hamilton Co.) ........756-1023
Kidney Foundation........................... 265-4397
MEDICARE HELP
See Page 58
Medicare ................................1-800-633-4227
State Health Insurance Assistance
Program (SHIP)....................1-877-801-0044
OTHER TENNESSEE AREA AGENCIES
ON AGING AND DISABILITY
First Tennessee AAAD……....(423) 928-3258
East Tennessee AAAD……... (865) 251-4897
Upper Cumberland AAAD...…(931) 432-6170
Greater Nashville AAAD…..…(615) 255-1010
South Central TN AAAD……..(931) 379-2929
Northwest AAAD…………….. (731) 587-4023
Southwest AAAD…………….. (731) 668-6967
Aging Commission of the
Mid-South AAAD…………… (901) 222-4111
SOUTHEAST TN HUMAN RESOURCE
AGENCY (SETHRA) BY COUNTY
Bledsoe County………...…………… 447-2444
Bradley County………………...….…478-3053
Bradley County/Cleveland Urban
Area Transit………………...……....478-1396
Grundy County………………..(931) 592-8260
Hamilton County……………...…...…698-7337
Marion County………………...…….. 942-5946
McMinn County………………………745-8095
Meigs County……………………..….334-3305
Polk County-Benton………………....338-2335
Polk County-Copperhill……………...496-2644
Rhea County……………………....…775-4010
Sequatchie County……………..…... 949-2191
SETHRA Toll-Free……..…….1-800-852-6155
TRANSPORTATION
CARTA Care-A-Van (Chatt) ............629-1473
Loving Hands Helping Hearts……... 894-4927
SETHRA (ask for the # to
your county’s branch)....................949-2191
Special Transit System (STS)..........949-2191
SOUTHEAST TENNESSEE AREA
AGENCY ON AGING AND DISABILITY
1-866-836-6678
SERVICES FOR THE DISABLED
(NOT PROVIDED BY SETAAAD)
Adult Protective Services ..... 1-888-277-8366
AIM Center…………………………...624-4800
Chattanooga Goodwill .................... 629-2501
Deaf Services at Partnership for Family,
Children and Adults.......................697-7130
Family Support Program…………… 664-5120
Goodwill HELP (Health Equipment Link
Program)………...………….1-866-272-2061
Mom’s Meals…………...…….1-866-204-6111
National Association on Mental
Illness (NAMI)……………………...827-4049
Signal Centers ................................ 698-8528
Siskin Hospital Rehab .....................634-1200
Speech & Hearing Center................ 622-6900
TN Dept. of Mental Health..... 1-800-560-5767
TN Dept. of Intellectual and
Developmental Disabilities...(615) 532-6530
Information and
Referral
Specialists assist
callers to identify
resources and
needed referrals.
19
CHOICES
The CHOICES home and community based services are intended to provide a communitybased and cost-effective alternative to institutional nursing facility care for eligible individuals.
ELIGIBILITY
Individuals wishing to enroll in CHOICES must meet the following requirements:
• Be a resident of the State of Tennessee
• Meet the financial requirement to receive Medicaid LTSS
(Long-Term Services and Supports)
• Meet TennCare Pre-Admission Evaluation (PAE) medical
criteria for Level I nursing facility care
• Be an adult 21 years old or older
• Be able to receive services in the home at a cost less than that of nursing home care
SERVICES
Personal Care Visits
Hands-on help with self care tasks like getting
out of bed, taking a bath, getting dressed,
eating meals, or using the bathroom. If you
need hands-on care, it may also include help
with household chores or errands.
Attendant Care
The same kinds of help you’d get with personal
care visits, but for longer periods of time.
Home Delivered Meals
Up to 1 meal per day.
Personal Emergency Response Systems
A call button so you can get help in an
emergency.
Adult Day Care
A place that provides supervised care and
activities during the day.
In-home Respite Care
Someone to stay with you in your home for a
short time so your caregiver can get some rest.
In-patient Respite Care
A short stay in a nursing home or assisted care
living facility so your caregiver can get some
rest.
Assistive Technology
Certain low-cost items that help you do things
more easily or safely in your home like
grabbers to reach things.
Minor Home Modifications
Changes to your home that will help you get
around more easily and safely like grab bars or
a wheelchair ramp.
Pest Control
Spraying your home for bugs or mice
.
Some of these services can be provided through Consumer Direction.
Consumer Direction is a way of getting some of the home care you need. It offers more
choice and control over WHO gives your home care and HOW your care is given. You
actually employ the people who provide some of your home care services - they work for you
(instead of an agency). This means you must be able to do the things that an employer
would do - like hire, train and educate workers.
You can hire a family member, friend, neighbor or other person you know to provide care in
Consumer Direction, but there are some limitations. We want to support, but not replace
care provided by family and friends. You’ll find out more if you sign up for CHOICES.
The Southeast Tennessee Area Agency on Agency and Disability serves the counties of
Bledsoe, Bradley, Grundy, Hamilton, Marion, McMinn, Meigs, Polk, Rhea, and Sequatchie.
For more information about our programs or to make a referral: call 1-866-836-6678 or visit www.setaaad.org
20
FAMILY CAREGIVER SUPPORT PROGRAM
The National Family Caregiver Support Program was created
as a result of the reauthorization of the Older Americans Act in
2000. The program was developed by the Administration on
Aging after listening to the needs expressed by hundreds of
family caregivers in discussions held across the country.
WHO IS ELIGIBILE FOR SERVICES?
1. Anyone who is a caregiver of a senior 60 years of age and
older.
2. Anyone who is a caregiver of a person of any age who has
a diagnosis of Alzheimer’s disease.
3. Grandparents or other senior relatives who are primary
caregivers of children not more than 18 years of age.
FIVE CATEGORIES OF SERVICES TO BE PROVIDED
1. Information for caregivers about available services
2. Assistance to caregivers in gaining access to services
3. Caregiver training through workshops and conferences,
support groups and individual counseling – to assist
caregivers in making decisions and solving problems
relating to their caregiving roles.
4. Respite Services – to enable caregivers to be temporarily
relieved from their caregiving responsibilities. (i.e. Adult Day
Care, Short-Term In-Home Respite, Overnight Respite,
Personal Care—help with bathing, grooming, etc.,
Homemaker Service)
5. Supplementary Services – offered on a limited basis to
complement the care provided by family caregivers. (i.e.
Personal Emergency Response Systems, Assistive
Technology, Help with purchasing medical supplies not
covered by insurance, Minor Repairs or Home
Modifications, Home Delivered Meals, Incontinence
Supplies)
SUPPORT GROUPS
Support groups bring
people together who area
facing similar issues.
Members of the support
group share experiences
and advice in regards to
caregiving.
For more information on
caregiver support groups
in your area please call
1-866-836-6678.
HOW THE PROGRAM WORKS
In Southeast Tennessee, after being enrolled in the Family Caregiver Support Program, the
primary caregiver in this program may use up to $2,000 in respite services over 12 months.
The key concept in the program is CAREGIVER CHOICE. The caregiver makes the
decisions about:
x
The type(s) of respite care services to be used;
x
Which service provider(s) to use (from the list of those with whom the AAAD has an
agreement); and
x
When the service(s) will be used.
21
HOME DELIVERED MEALS PROGRAM
Know anyone who needs a noontime meal delivered daily? This program provides a noontime nutritionally balanced meal, served in the consumer’s home.
Funding is made available through the Older Americans Act is administered locally by the
Southeast Tennessee Area Agency on Aging and Disability.
ELIGIBILITY
Individuals wishing to enroll in the Home Delivered Meals
Program must:
x Be a resident of the State of Tennessee
x Be 60 years of age or older
x Have a physical disability and be homebound
x Have limitations in Activities of Daily Living and
Independent Activities of Daily Living
x Be unable to prepare a meal for themselves and have
no one available to prepare the meal
SERVICES
The hot lunch contains an entrée, two vegetables, bread,
milk and a dessert. All meals are low in salt and fat.
Meals without dessert and with skim milk are available
with doctor’s approval. Frozen meals can be picked up on
Fridays for individuals in outlying areas where volunteers
are not available for delivery.
HOW TO ACCESS THE PROGRAM
The Home Delivered Meals Program allows older persons
and persons with disabilities to have independent
lifestyles for as long as possible. An Information and
Assistance Coordinator takes referrals by phone and
screens for eligibility. Eligible consumers are assessed by
a Service Coordinator who recommends and arranges for
appropriate in-home services.
VOLUNTEERS
Volunteers for the Home
Delivered Meals Program are
always needed in all ten
counties. For more
information about becoming a
volunteer call the number
listed below and ask to speak
with a representative of the
nutrition program.
To make a referral call,
1-866-836-6678 or 1-866-TENNOPT.
COST
Meals are provided at no cost to the consumer but
contributions are a vital part of maintaining the program.
Suggested contributions are $1.50 per meal or more.
22
SOUTHEAST
TENNESSEE
AREA
AGENCY
ON AGING
AND
DISABILITY
PROGRAM
SERVICE
AREA
1-866-836-6678
HOMEMAKER PROGRAM
The program is designed to provide trained staff to assist elderly consumers who, because
of illness or disability, need help with routine household activities, including meal planning,
maintaining a safe living environment, budgeting, shopping, meal preparation, general
household management and light housekeeping.
ELIGIBILITY
Individuals wishing to enroll in the Homemaker Program need to:
• Be a resident of the State of Tennessee
• Be 60 years of age or older
• Must have a disability that makes them unable to perform household management tasks
• Must have limitations in Activities of Daily Living and Independent Activities of Daily Living
SERVICES
The program provides routine light housekeeping including but not limited to: sweeping,
mopping, dusting, vacuuming, cleaning kitchens and bathrooms, changing bed linens,
making beds, laundry, ironing, mending, preparing meals and education about preparation of
nutritious appetizing meals.
The Homemaker Program allows older persons to have independent lifestyles for as long as
possible. An Information and Referral Specialist takes referrals by phone and screens for
eligibility. Eligible consumers are assessed by a Service Specialist who recommends and
arranges for appropriate in-home services. To make a referral, call 1-866-836-6678 or
1-866-TENNOPT.
23
OPTIONS FOR COMMUNITY LIVING
The statewide
statewide Options
Options for
for Community Living
Living Progr
Program
am serves elderly and
disabled iindividuals
ndividuals by pr
providing
oviding home and co
community
mmunity based
based s
services
ervices tto
oa
assist
ssist ffrail
older
rail o
lder
adults and adult
adults
s wit
with
h disabiliti
disabilities
es to remain iin
own
wn homes,
homes, and avoids premature
n ttheir
heir o
institutionalization.
ELIGIBILITY
Individuals wishing
wishing tto
o enr
oll in the O
Individuals
enroll
Options
ollowing
ptions Program need to meet the ffollowing
requirements:
requirements:
• Be a resi
resident
dent of the State of Tennessee
• Be 18 years of age or older
• Must have a physical disability
• Must have limitations in Activities
Independent Activities
Activities of Daily
Activities of Daily Living and Independent
Living
SERVICES
individual pl
An individual
plan
each
participant
may
include:
ay inclu
de:
an is developed for ea
ch particip
ant and m
household
Homemaker Serv
Ser
Services
vices – Co
Consumers
nsumers ma
may
y rreceive
eceive a
assistance
ssistance with general household
xx Homemaker
ch
chores
ores such
such a
as
s sw
sweeping,
eeping, m
mopping,
opping, d
dusting,
usting, making
making the
the bed,
bed, washing
washing dishes,
dishes, p
physical
hysical
laundry, etc.
nsumers ma
y re
ceive a
ssistance w
ith a
ctivities o
aily
xx Personal Care Services – Co
Consumers
may
receive
assistance
with
activities
off d
daily
s, and other activit
ies that enable the
living and related essential household task
tasks,
activities
remain iin
n the home.
consumer to remain
Nutritionally balanced meals, that provi
de at least one thi
rd of
xx Home Del
Delivered
ivered Meals – Nutritionally
provide
third
ill be served in the consumer’s home.
the Dietary Reference Intake (DRI) and w
will
der per
sons and persons wi
th
The Opti
Options
ons for Communit
Community
y Livi
Living
ng Progr
Program
am allows ol
older
persons
with
Information and
disabilities to have independent
independent lifestyles for as long as possible. An Information
eligibility. Eligible consumers are
Referral Specialist takes referral
referrals
s by phone and screens for eligibility.
assessed by a Service
Service Coordinator
Coordinator who recomm
recommends
ends and arranges for appropriate in-home
TENNOPT.
ser
services.
vices. To make
make a referral,
referral, call
call 1-866-836-6678
1-866-836-6678 or 1-8661-866-TENNOPT.
RELATIVE
RELA
ATIVE
TIV CAREGIVER PROGRAM
The Relative
Relative Caregi
Caregiver
ver Pr
Program
ogram (RCP) is set up to be a
“One Stop Shop” for relatives ra
raising
ising nonbirth children (i.e.,
grandparents rai
raising
sing childr
children,
en, etc.). It is a comprehensi
comprehensive
ve
system of information, supp
support
ort ser
services
vices and referr
referral
al
designed to promote resource awareness
awareness and
and stability
stability for
for
families. This program provides
provides these families support and
assist
assistance
ance in order to prevent the childr
children
en from entering or
re-entering state custody
the families
families and
custody and supports the
and
children
once
exit
custody
ch
ildren o
nce tthey
hey e
xit cu
stody to live with a relative.
Funded
Funde
d in pa
part
rt by the
Tennessee Departm
Tennessee
Department
ent of
dren’s Servi
ces
Child
Children’s
Services
The South
Southeast
east Tennessee
Tennessee Area Agency on Agency and
and Disability
Disability serves the counties of
Bledsoe, Bradley, Grundy, Ham
Hamilton,
ilton, Marion, McMinn, Meigs, Polk, Rhea, and Sequatch
Sequatchie.
ie.
For mo
more
re info
information
rmation a
about
bout our program
programs
s or to ma
make
ke a referral: cal
calll 1-866
1-866-836-6678
-836-6678 or vis
visit
it www
www.setaaad.org
w.setaaad.org
24
RELATIVE CAREGIVER PROGRAM continued
WHO DOES RCP SERVE?
RCP is available in every county across Tennessee. The
Tennessee Valley Region RCP serves the following counties:
Hamilton, Bledsoe, Bradley, Franklin, Grundy, Marion, McMinn,
WHO QUALIFIES FOR RCP?
x Caregivers who have primary care and control of the child
through formal or informal family arrangements. They may or
may not have legal custody or guardianship. Caregivers DO
NOT have to have a formal relationship with Department of
Children’s Services to qualify.
x Caregivers who have children who are age 18 or under; age
19, if the child will complete high school or vocational
training before age 20.
x Caregivers who are related to their children through blood or
marriage.
x Caregivers who reside in the service area.
x Caregivers who are able to provide a safe home for the child
and be committed to providing that home as long as is
necessary and appropriate
WHAT DOES RCP OFFER TO THE FAMILIES AND CHILDREN ENROLLED?
Information and Referral (i.e., information about Legal Services, Individual and Family
Counseling, Material Assistance, Homemaker Services, Housing Assistance, Mental Health
Services, Food Assistance, Tutoring)
HOW DO YOU ENROLL IN THE RELATIVE CAREGIVER PROGRAM?
x Call 1-866-735-8752 to provide your basic contact information.
x The Coordinator will then send your information to the Family
Advocate.
x The Family Advocate will set up a time to meet with you at your home.
x During this visit, the Advocate will assess your needs, determine what
kind of assistance you are eligible for, create an action plan for you
and your family and answer any other questions you have about the
Program.
x The Family Advocate will then place you in either Direct Services care
or Case Management depending upon your current needs.
x After the initial home visit, you will be qualified to attend enrichment
activities provided by RCP as well as support groups!
To Make a Referral or to Enroll in the Relative Caregiver Program, Call 1-866-735-8752
25
SENIOR CENTERS
Senior centers are community focal points and are the first and foremost source of vital
community based social and nutrition supports to help older Americans remain independent in
their communities. Since their advent in 1945, senior centers have played a significant role in
community-based services for older adults by providing opportunities for recreation,
socialization, volunteer development, information and referral, advocacy, education, outreach,
nutrition and health promotion.
The senior centers in the Southeast Tennessee District are located in the counties of Bledsoe,
Bradley, Grundy, Hamilton, Marion, McMinn, Meigs, Polk, Rhea and Sequatchie. Older Adults
can access a variety of services and participate in individual and group activities and classes.
While programs vary by center, all offer outreach programs, health screenings and counseling,
and a variety of interesting educational, fitness and volunteer programs.
For more information on how to get involved in your local senior center see the contact
information below.
BLEDSOE COUNTY
Bledsoe County Senior Center
P.O. Box 751, 148 Frazier St.
Pikeville, TN 37367
(423) 447-6111
Monday - Friday, 9:00 a.m. - 3:00 p.m. CST
JoAnn Britt - Center Director/Meal Coordinator
BRADLEY COUNTY
Bradley/Cleveland Senior Activity Center
230 Urbane Rd.
Cleveland, TN 37312
(423) 559-2171
Monday - Friday, 8:00 a.m. - 4:00 p.m.
Sharon Westfield - Center Director
Walker Street Congregate Nutrition Site
450 Walker St. NE
Cleveland, TN 37311
(423) 476-1598
Carol Westfield - Meal Coordinator
See page 39 for additional SHIP Host Site locations along with counseling days, times and
contact information.
26
SENIOR CENTERS continued
GRUNDY COUNTY
Gruetli-Laager Senior Center
32377 St. Rt. 108, P.O. Box 93
Gruetli-Laager, TN 37339
(931) 779-5494
Monday - Friday, 8:30 a.m. - 3:30 p.m. CST
Susan Long - Center Director/Meal Coordinator
Monteagle Congregate Nutrition Site
24 Dixie Lee Hwy
Monteagle, TN 37356
(931) 924-3258
Lewis Summers - Meal Coordinator
HAMILTON COUNTY
Boynton Congregate Nutrition Site
957 Boynton Dr.
Chattanooga, TN 37403
(423) 315-9685
Thelma Chaney - Meal Coordinator
Eastgate Senior Activity Center
5600 Brainerd Rd., Suite C 10-11
(423) 855-9444
Monday - Friday, 8:30 a.m. - 5:00 p.m.
Saturday, 8:30 a.m. - 1:30 p.m.
Mary Walker Congregate Nutrition Site
2505 S. Market St.
(423) 322-4594
Shanette Ward - Meal Coordinator
Whiteside Faith Manor
Congregate Nutrition Site
735 E. Tenth St.
(423) 315-9686
Ethel Willingham - Meal Coordinator
* Senior Center hours and activities are
subject to change. Please contact your
local Senior Center for the most up-to-date
information.
Senior Center Activities
SHIP Host Site
Congregate Nutrition Sites
27
MARION COUNTY
Whitwell Senior Center
900 Main St. Suite 2 (Basement)
Whitwell, TN 37397
(423) 658-5000
[email protected]
Open Monday - Friday, 9:00 a.m. - 2:00 p.m.
Barbara Johnston - Center Director/Meal Coordinator
* Senior Center hours are subject to
change. Please contact your local
Senior Center for the most up-to-date
information.
Senior Center Activities
SHIP Host Site
Congregate Nutrition Sites
South Pittsburg Congregate Meal Site
Chester Powell Senior Apartments
330 Cedar Ave.
South Pittsburg, TN 37381
(423) 837-6325
Judy Walters - Meal Coordinator
MCMINN COUNTY
Etowah Area Senior Citizens Center, Inc.
435 Cooper St.
Etowah, TN 37331
(423) 263-1209
[email protected]
Judy Ogletree - Center Director
McMinn Senior Activity Center
Physical Address
Mailing Address
205 McMinn Ave.
P.O. Box 41
Athens, TN 37303
Athens, TN 37371
(423) 745-6830
[email protected]
(varying weekend/evening hours)
Holly Currier - Center Director
See page 39 for additional SHIP Host Site locations along with counseling days, times and
contact information.
28
MEIGS COUNTY
Meigs Senior Activity Center
351 River Rd., P.O. Box 762
Decatur, TN 37322
(423) 334-3242
Debbie Couch - Center Director/Meal Coordinator
POLK COUNTY
Copperbasin Senior Activity Center
840 Cherokee Trail
Copperhill, TN 37317
(423) 496-7113
Open Monday–Friday, 8:00 a.m.–1:00 p.m.
Mary Millholland – Center Director
RHEA COUNTY
Rhea Richland Senior Center
241 Alabama Ave.
Dayton, TN 37321
(423) 775-6776
[email protected]
Marilyn Monday - Center Director
SEQUATCHIE COUNTY
Sequatchie County Senior Citizens Center
P.O.Box 2351 103 Heard St.
Dunlap, TN 37327
(423) 949-2228
[email protected]
Open Monday–Friday, 8:30 a.m. – 2:30 p.m. CST
Deborah Camp - Center Director/ Meal Coordinator
29
EVIDENCED-BASED HEALTH PROMOTIONS
Health Promotion classes are offered annually throughout the Southeast Tennessee Region.
Most of the evidence-based workshops are offered at area Senior Centers which are
considered to be focal points where persons 60+ participate in a wide array of activities. The
workshops provide participants structured activities that include group discussions, problemsolving, skill building, assertiveness training, videos, sharing practical solutions and exercise
training.
A MATTER OF BALANCE
The program is geared for adults who are able
to walk and who are concerned about falling,
interested in improving flexibility, balance and
strength and have restricted their activities
because of concerns about falling.
CARE TRANSITIONS
The program is targeted to adults who are
transitioning from hospital to home who have a
diagnosis such as congestive heart failure,
diabetes or stroke. The program is designed to
assist individuals with complex care needs to
learn more self-management skills to ensure
needs are met during transitions from hospital
to home.
WALK WITH EASE
Adults living with arthritis and other
chronic conditions will benefit from Walk
with Ease program. The goal is for the
participant to reduce their pain and
discomfort of arthritis, increase balance
and strength, and build confidence in the
ability to be physically active.
CHRONIC DISEASE SELF-MANAGEMENT
This program is designed for adults with
chronic health conditions. The goal of the
program is to enable participants to build selfconfidence and to take part in maintaining their
overall health and managing their chronic
health conditions.
DIABETES SELF-MANAGEMENT PROGRAM
This program teaches the skills needed in the
self-management of diabetes and to maintain
and/or increase life’s activities.
TUMONDO CONTROL DE SU SALUD
The program targets Spanish-speaking adults
with chronic health conditions. The goal of the
program is to enable participants to build selfconfidence and to take part in maintaining their
overall health and managing their chronic
health conditions.
VISIT WWW.SETAAAD.ORG FOR
CURRENT EVIDENCE-BASED HEALTH
PROMOTION PROGRAMMING
30
TENNESSEE SHIP
Tennessee State Health Insurance Assistance Program (SHIP)
The SHIP Program is a statewide program that provides free and objective counseling
and assistance to persons with questions or problems regarding Medicare and other related
health insurances as well as prescription assistance. In Tennessee, SHIP operates through
the state’s nine Area Agencies on Aging & Disability (AAAD’s), including Bledsoe,
Bradley, Grundy, Hamilton, Marion, McMinn, Meigs, Polk, Rhea and Sequatchie
counties. These agencies offer a variety of services besides SHIP, all aimed at persons who
are elderly and/or have disabilities to live better lives.
Contact your local State Health Insurance Assistance
program by calling (Toll free): 1-877-801-0044
MEDICARE
OPEN ENROLLMENT IS
OCTOBER 15
THROUGH
DECEMBER 7
INFORMACION EN ESPANOL
Bienvenidos al punto de ayuda central de servicios de cuidado a largo plazo en Tennessee.
LÍNEA DE AYUDA
(1-866-836-6678 – marca a nuestra oficina en Chattanooga,
se habla español)
Esta línea de ayuda esta disponible para proveér información acerca de
los servicios listados a continuación que pertenecen a la Agencia del
Area del Envejecimiento y Discapacidad (Area Agency on Aging and Disability) así como asistencia
para la localización de otros recursos y servicios comunitarios en el área.
ALIMENTOS ENTREGADOS EN CASA
Personas de 60 años en adelante que no salgan de sus viviendas, o que no puedan preparse de
comer por sí mismos pueden calificar para el programa de entrega de comidas en casa. Las
comidas son balanceadas y puedes ser calientes o congeladas. Estas brindarán una tercera parte
de los requerimientos nutricionales diarios.
SERVICIOS BÁSICOS EN CASA
Los Servicios Básicos en Casa están diseñados para ayudar con las actividades rutinales de una
casa, estas incluyen ir de compras, preparación de alimentos, y limpieza básica del hogar. Los
individuos que califican para éste programa deben ser mayores de 60 años o que tengan una
discapacidad física que no les permiten realizar las labores del hogar.
La Agencia de la Tercera Edad y Discapacidad del Sureste de Tennessee (Southeast Tennessee Area Agency on
Aging and Disability) proveé servicios a los siguientes condados Bledsoe, Bradley, Grundy, Hamilton, Marion,
McMinn, Meigs, Polk, Rhea, y Sequatchie. Para más información acerca de nuestros programas llamar al
1-866-836-6678, se habla español. Visite www.setaaad.org
31
INFORMACION EN ESPANOL
CHOICES
El programa CHOICES proveé servicios en casa a personas mayores de 65 años o adultos
mayores de 21 años que tengan un discapacidad física que de otra forma califican para servicios de
asilo de la tercera edad a través del programa Medicaid. El propósito de este programa es prevenir
la intitucionalización prematura. Los servicios proporcionados inlcuyen: Cuidador Personal,
Asistente de Actividades Personales, Sistema de Respuesta en Caso de Emergencia, Alimentos
Entregados en Casa, Servicios Básicos en Casa, Servicios auxiliares de apoyo familiar en casa u
hospital, Modificaciones Mínimas del Hogar, Servicios de Fumigación, Guarderia para Adultos,
Hogar para Personas de la Tercera, Tecnología de Asistencia, y Residencias Alternativas en la
Comunidad.
AYUDA CON PREGUNTAS Y PREOCUPACIONES ACERCA DE MEDICARE
(1-877-801-0044 – marca a nuestra oficina en Chattanooga)
Se proveé consejo y asistencia grátis a personas con preguntas o problemas del programa
Medicare y otros Seguros Médicos, así como la asistencia con medicamentos.
PROGRAMA OPCIONES PARA VIVIR EN LA COMUNIDAD
El programa Opciones esta diseñado para proveér servicios en casa y en la comunidad que ayuden
a personas mayores fragiles y adultos con discapacidades (mayores de 18 años) a permanecer en
sus casas el más tiempo posible. El objetivo es ayudarles a mantener un nivel de independencia
adecuada y evitar institucionalización prematura. Servicios disponibles inlcuyen Servicios Básicos
en Casa, Cuidador Personal y Alimentos Entregados en Casa.
PROGRAMA NACIONAL DE APOYO A CUIDADORES FAMILIARES
Este programa proveé servicios de descanso para los ciudadores de personas mayores de 60 años
y personas que sufran de demencia a cualquier edad. El propósito del programa es darle un
descanso de las responsabilidades diarias de cuidar a su familiar. Los servicios de descanso
inlcuyen, guarderia para adultos, servicios de descanso en casa a corto plazo, cuidador personal,
Servicios Básicos en Casa, y Cuidados Nocturnos. Otros servicios se encuentran disponibles en
bases limitadas.
El apoyo a los cuidadores de familia se proveé a través de seminarios educativos, conferencias y
lineas telefónicas de Información.
PROGRAMA DE CIUDADOR DE FAMILIARES MENORES DE EDAD
El Programa de Ciudador de Familiares Menores de Edad está diseñado para abuelos y otros
familiares que están criando a niños hijos de familiares de sangre, adoptados o por matrionio.
También se tienen servicios para los niños y adolescentes que se encuentran viviendo en familias
que participan en el Programa de Ciudador de Familiares Menores de Edad. Los servicios incluyen,
Líneas Telefónicas de Ayuda, Asesoría Psicológica, Material de Ayuda, Grupos de Apoyo para
Cuidadores, Actividades y Grupos de Apoyo para niños y Adolescentes, Seminarios Educativos,
Servicios de descanso y de recreación, Apoyo Familiar, Ayuda Comunitaria y de Finanzas en caso
de Emergencia. El programa está patrocinado por el Departamento de Servicios Infantiles del
Estado de Tennessee. Los condados participantes son Bledsoe, Bradley, Franklin, Grundy,
Hamilton, Marion, McMinn, Meigs, Polk, Rhea y Sequatchie.
GUARDIÁN PÚBLICO DE LA TERCERA EDAD
Este programa está diseñado para personas mayores de 60 años o más que hayan sido declarados
en corte como incapaces de manejar sus propios intereses y que no tienen familia, amigos, banco o
corporación dispuesta a hacerse cargo y tomar esta responsabilidad.
La Agencia de la Tercera Edad y Discapacidad del Sureste de Tennessee (Southeast Tennessee Area Agency on
Aging and Disability) proveé servicios a los siguientes condados Bledsoe, Bradley, Grundy, Hamilton, Marion,
McMinn, Meigs, Polk, Rhea, y Sequatchie. Para más información acerca de nuestros programas llamar al
1-866-836-6678, se habla español. Visite www.setaaad.org
32
b
ONLINE AGING RESOURCES
Aging and Disability
www.setaaad.org
Online Older Adults Guide and other helpful
information for seniors and caregivers
www.olderadults.net
Consumer Help
& Information
Online Aging Resources . . . . . . . . . . . . . .33
How to Communicate You Loved One’s
Symptoms Regarding Overall Well Being,
Pain and More . . . . . . . . . . . . . . . . . . . .37
Questions to Ask Your
Healthcare Provider . . . . . . . . . . . . . . .41
Living Wills vs. Trusts . . . . . . . . . . . . . . . .44
Caregiver Checklist . . . . . . . . . . . . . . . . .45
Advance Care Plan . . . . . . . . . . . . . . . . . .46
Appointment of Health Care Agent . . . . .48
AARP
www.aarp.org
Leading Age
www.leadingage.org
The Alzheimer’s Association
www.alz.org
American Society of Aging
www.asaging.org
Advertisers who offer services
that pertain to this section:
U.S. Administration on Aging
www.aoa.gov
Special Needs Trusts
National Council on Aging
www.ncoa.org
Vista Points Special
Needs Trusts . . . . . . . .Inside Back Cover
National Senior Citizens Law Center
www.nsclc.org.
Road Scholar/Elderhostel Office
www.roadscholar.org
Advantage Funeral and
Cremation Services . . . . . . . . . . . . . . . .43
www.setaaad.org
Aging & Disability
SeniorCom
www.senior.com
SeniorLaw Home Page
www.seniorlaw.com
Setting Priorities for Retirement Years
www.spry.org
Social Security Administration
www.ssa.gov
Third Age Media
www.thirdage.com
Funeral Preplanning Services
Issues of importance to older adults
www.elderweb.com
How do I get my medals?
If you are due medals for acts of honor and
bravery, you can have them issued by
sending the request on Standard Form 180,
Request Pertaining to Military Records. If
you can’t get a copy of Form 180, type or
handwrite a request including your full
name, date of birth, signature, branch of
service, service ID, Social Security
number, dates of service, a copy of your discharge
papers, daytime phone number and return address.
All services write to: National Personnel Records
Center, 1 Archives Dr., St. Louis, MO 63138, or fax
application to (314) 801-9195.
call for all services, (314) 801-0800,
email: [email protected]
or on the web at: www.archives/gov/veterans/
www.setaaad.org
33
Discount Programs
See also Education & Leisure and Utilities Assistance.
CONSUMER HELP
DON’T FORGET
Many businesses and
Always
ask if a senior
restaurants offer senior
citizen’s discount is
citizen discounts, special
available!
shopping hours, and
incentive programs
and/or clubs. Most arts and entertainment events also
offer special rates for seniors. Hospital adult
membership programs may offer discounts on medical
and pharmaceutical supplies.
1-888-OUR-AARP (687-2277)
NATIONAL
AARP OF TENNESSEE
1-866-295-7274
www.aarp.org
Holds regularly scheduled meetings and provides
health, advocacy, social, recreation, volunteer and
employment opportunities. Insurance, income tax
assistance, defensive driving programs, housing
option information, prescription drug and consumer
discounts, and governmental advocacy are also
provided. Community service and health education.
PARKS ADMISSIONS
National Park Service
(865) 436-1200
U.S. DEPT. OF INTERIOR — AMERICA THE BEAUTIFUL LAND PASS
GREAT SMOKY MOUNTAINS NATIONAL PARK, 107 PARK
HEADQUARTERS RD., GATLINBURG, TN 37738
www.nps.gov
$10 lifetime pass provides access to federally operated
parks, monuments, historic sites, recreation areas and
wildlife refuges. Allows 50% discount on boat
launching and camping fees in national parks (not
lodging). Does not apply to county, state or city parks.
M-F, 8 A.M.–4:30 P.M.
DISCOUNT PHARMACIES/PHARMACY SERVICES
Need help with your prescription medications? The retail
chains listed below offer generic drugs at a low cost.
K-Mart
90-day supply for $15
Age 50+ save 5–20%
Why do I need a support group? If you are a caregiver
for a person who is frail or has cognitive
impairments, attending support groups
can help you feel less alone and more in
control of your life. By talking to others who
share experiences in coping with the disease, you
can learn useful information and tips to help you
with the problems and decisions you may face.
CA RE GIVE R TIP
34
Target
Wal-Mart / Sam’s Club Pharmacy
Walgreens
*Membership fee required ($20 individual or $35
family per year)
Generics for less than $1 per week (Based on $12 for
a 90-day supply under Prescription Savings club
pricing). 10% reward on all Walgreen brand and
photofinishing services.
n FRee OR LOW DISCOUNT CARDS
AARP Prescription Discounts
1-877-422-7719
www.aarp.pharmacy.com
Eligibility: Must be 50 years of age or older and a
member of AARP which costs $16 per year.
Benefits: Discounts averaging 30%
Cost: Free with AARP membership
FamilyWize Prescription
Drug Savings Program
1-800-222-2818
www.familywize.org
Eligibility: Everyone
Benefits: An average of 20% or more on prescriptions
Cost: Free
Contact: Contact your local United Way.
Pharmacy Reward
www.pharmacyreward.com/needymeds/index.cfm
Benefits: You pay the pharmacy's lowest price
Eligibility : Everyone
Cost: Free
Well Card
www.wellcardsavings.com
Benefits : 10% to 50%
Eligibility : Everyone
Cost: Free
1-855-588-1300
TA KE NOTE
You must complete either a Living Will or a Life
Prolonging Procedures Declaration. You should also
have an Appointment of a Health Care Representative
or a Durable Power of Attorney for Health Care (as well
as for legal and financial affairs). Some doctors, nurses
and administrators may be reluctant to follow
living will orders.
It’s important to tell your doctor, executor,
guardian, family and close friends that you
have these documents and where they are
located. Make sure all copies are signed and notarized.
Education and Leisure
Chattanooga-Hamilton County
Bicentennial Library
(423) 757-5310
CENTRAL LIBRARY, 1001 BROAD ST., CHATTANOOGA 37402
www.lib.chattanooga.gov
Check the website or your local branch to find out
about programs and help for seniors.
Chattanooga History Center
(423) 265-3247
2 WEST AQUARIUM WAY, STE. 200, CHATTANOOGA 37402
www.chattanoogahistory.org
Office hours: 9 A.M.–5 P.M. weekdays. With our new
facility under construction, we continue to present
clases, workshops, special events and site specific
history tours. We maintain an extensive collection of
Chattanooga area artifacts, and serve as a resource for
researchers.
• If it sounds too good to be true, it usually is.
• Free prizes or trips usually are not!
• Giving your credit card number to
someone you don’t know is like giving
them a blank check!
• Never give out your credit card number to someone
who calls to solicit you over the phone or
approaches you in your home.
TAKE NOTE
Tennessee Senior Olympics
MC MINN COUNTY SENIOR CITIZENS, INC.
(423) 745-6830
205 MCMINN AVE., ATHENS 37371
www.tnseniorolympics.com
The Tennessee Senior Olympics encourage older
adults to stay active, and gives them a reason to renew
past skills and learn new ones.
Key goals are to maintain and
improve the health and wellness
of Tennessee’s seniors, provide a
competitive athletic, recreational
and creative experience and to
provide an opportunity for
socialization for seniors from
across the state.
IMPORTANT
Routine ambulance transport is not the
same as emergency care. If you need
emergency care, call 911.
?
Want to help others?
Want to learn more about Medicare?
Want to learn more about Part D?
Become a Volunteer!
If you have one-half day per month to be available
in a central location in your county and are willing
to take an active role in your community, then this
project is definitely for you! We will provide you
with a 2–3 day training session designed to
answer your questions about Medicare and teach
you the necessary skills needed to help others.
If you are interested in becoming a volunteer or
would simply like more information, please contact:
Southeast TN Area Agency on Aging & Disability
State Health Insurance Assistance Program
1-877-801-0044
TA KE NOTE
You need four documents to help protect
your wishes or to assume responsible
caregiving for a loved one: a General
Durable Power of Attorney (for financial and
legal); an Appointment of Health Care
Representative; either a Statutory Living Will or a
Living Will with a Vegetative State Proviso; and a
Life Prolonging Procedures Declaration.
Tell your doctor, executor, guardian, family and
close friends that you have these documents and
where they are. Make sure all copies are signed
and notarized.
35
CONSUMER HELP
Road Scholar/elderhostel
(617) 426-7788
11 AVE. DELAFAYETTE, BOSTON, MA 02111
www.roadscholar.org
Offers educational tours in all states and 150
countries.
Safety and Security
See also Education and Medical Emergency Response
Systems.
SAFE DRIVING
CONSUMER HELP
AARP Driver Safety Program
1-888-227-7669
www.aarp.org
AARP offers classroom driver education classes to alert
older drivers to changes in traffic, their own changing
physiology and current regulations. Most insurance
companies offer 5–15% discounts for completing
courses. $17 members; $19 non-members.
Tennessee Safety and Health Council (423) 553-1945
6720 HERITAGE BUSINESS CT., STE. 602, CHATTANOOGA 37421
www.tnsafetycouncil.org/
Defensive driving school offered.
Auto Safety Hotline
1-800-424-9393
Department of Transportation hotline.
CONSUMER HELP
1-888-OUR-AARP (687-2277)
NATIONAL
AARP OF TENNESSEE
1-866-295-7274
www.aarp.org
Holds regular meetings. Provides health, advocacy,
social, recreation, volunteer and employment help.
Insurance, income tax assistance, defensive driving
and housing option information, prescription drug
and consumer discounts, and governmental advocacy
are also provided. Community service and health
education programs.
Better Business Bureau
(423) 266-6144
508 N. MARKET ST., CHATTANOOGA 37405
www.chattanooga.bbb.org
Reports on companies, charities and investment
opportunities. Helps resolve disputes with local
companies. Mediation and/or arbitration available.
The Direct Marketing Association
(212) 768-7277
C/O DMA, P.O. BOX 9008, FARMINGDALE, NY 11735-9008
You can write to have your name removed from
national lists to reduce the amount of nationally
originated junk mail and telephone solicitations
received at your home. May take three months.
Tennessee Division of
Consumer Affairs (615) 741-4737 or 1-800-342-8385
500 JAMES ROBERTSON PKWY., 12TH FL., NASHVILLE 37243-0600
www.tn.gov/consumer
Agency works to protect consumers from deceptive
business practices.
36
Crime Stoppers
(423) 698-3333
3410 AMNICOLA HIGHWAY, CHATTANOOGA 37406
Telephone line that anyone can call and confidentially
give information about criminal activity to police.
Callers will be assigned a code number and can
therefore remain anonymous.
GOVERNMENT INFORMATION
Federal Information Center
1-800-688-9889
www.usa.gov
Phone prompts provide information on:
#0 Customer service representative
#1 Library of topics
VICTIM/WITNESS ASSISTANCE PROGRAMS
Advocacy – Coalition Against Domestic and
Community Violence
(423) 875-0120
1 CHEROKEE BLVD., 2ND FL., CHATTANOOGA 37405
www.dvcchatt.org
Umbrella organization including agencies,
organizations, offices and departments, law
enforcement and courts involved in providing services
to victims/perpetrators of domestic and family
violence. Family Violence issus include: sexual assault,
elder abuse, juvenile crime, shool and workplace
violence, etc.
Crime Victims’ Compensation
Fund/Tennessee
(615) 741-2734
DIV OF CLAIMS ADMINISTRATION,
502 DEADRICK ST., NASHVILLE 37243
www.treasury.tn.gov/injury
State agency that assists innocent crime victims in
filing for compensation to alleviate the financial
hardship suffered as victims of violent crime or drunk
driver injuries. Reimbursement may include medical,
counseling, funeral and loss of wage compensation.
Crimes must be reported to law enforcement
authorities within 48 hours. Claims must be filed
within one year of the date of the incident. The
claimant must fully cooperate with the investigation
and prosecution of the offender and the victim must
not have contributed in any respect to the crime.
TAKE NOTE
Hospitals, hospice providers, social service
agencies, neighborhood senior centers
and religious organizations all have an
ongoing need for volunteers.
Overall Well-being
o Is the patient eating well? Any sudden changes in
diet or fussiness about eating? Any sudden cravings?
o Is his weight stable? If not, what is happening?
o Is he sleeping well? Unable to fall asleep? Wakes
up and is unable to go back to sleep?
Has nightmares? Sleeps restlessly?
o Is he getting some kind of exercise? Suddenly doing
more or less than typical?
o Is there any sign of abuse or neglect that you’ve
noticed? If so, what is it?
General Condition
o Does the patient seem to have "slowed down"
noticeably since the last visit? If so, in what way?
o Does he have any unusual bleeding? Where?
How much?
o Does he seem to be breathing easily? If not, what is
the quality of the breathing?
Rapid Shallow Gasping Rattling Other___________
o Does he cough when he eats or drinks?
o Is his digestive system working well? If not, what
seems to be the matter?
Excessive gas Heartburn Diarrhea Constipation
Other _________________
o Are his limbs moving as they usually do? Is he
struggling to handle things?
o Have any rashes or welts appeared recently?
Where? What do they look like?
o Has a mole changed shape or become dark? Has a
new one appeared somewhere? If so, where?
o In general, does the treatment plan seem to be
working? If not, what seems to be wrong?
o Is a particular problem the reason for this office visit?
If so, what are the major symptoms or concerns?
Pain
o Is the patient complaining about pain? What does
he say it feels like?
Sharp Stabbing Dull Pounding Achy Tingling
Other ______________
o Where is it located?
All over Headache Abdomen Limbs
Other location _______________
o On a scale of 1-10, with 1 being no pain and 10
being the worst pain imaginable, how does the
patient rate his pain?
o How long has the pain lasted?
o Does it move around or stay in one place?
o Does it come and go, or is it there all the time?
o Does the pain seem to occur in relation to
something else (e.g., eating, standing up suddenly,
while reaching for something overhead)?
o Is there anything that makes the pain better or worse?
o Does pain medication help? If so, how much?
Medications
o Is the patient taking his medications on time? At the
prescribed dose? If not, what seems to be going
wrong?
o Is he complaining about or suffering from any side
effects? If so, what are they (drowsiness,
hyperactivity, etc.)?
o Does anything seem to have suddenly changed in
his response to medication? If so, what is it?
o Did he stop taking a medication for any reason? If
so, why and what happened as a result?
emotional & Mental Well-being
o Does the patient seem to be as mentally sharp and
alert, or has there been a noticeable decrease in
mental function? What are the symptoms?
o How is his memory, both long-term and short-term?
Has it changed recently? If so, in what way?
o Can he still do and enjoy activities as in the past? Has
something suddenly become boring or unpleasant?
o Does he feel responsible for being ill and/or angry
about his condition?
o Does he fear the truth and put off doctor visits based on
what he thinks the doctor may say about his problem?
o Is he able to laugh and enjoy life?
o Does he seem to be more emotionally overwrought
than usual? In what way?
Anxious Depressed Fearful Sad Hyped-up Excitable
Other ___________
Spiritual Well-being
o Are there any restrictions on treatment that need to
be considered due to the patient’s spiritual beliefs or
practices? If so, what are they?
o Has the patient continued his usual spiritual
practices (e.g., going to church, meditation, saying
the rosary, prayer, using a home altar)? If not, what
has changed?
o Has he started expressing doubts about faith or
spiritual practices?
o Does he seem more reflective and quiet than usual?
If so, does this seem to be okay?
o Is he starting to talk about wanting to "go home" in
the sense of dying
Other Conditions
Each illness has its own set of unique symptoms. Ask
your doctor if there are particular symptoms that should
be monitored.
Excerpted from Communicating Effectively with
Healthcare Providers
©National Family Caregivers Association
www.nfcacares.org 800/896-3650
37
CONSUMER HELP
b How to Communicate Your Loved One’s Symptoms Regarding
Overall Well Being, Pain and More
Finances and Legal Matters
TAX PREPARATION ASSISTANCE
Both state and federal tax offices assist taxpayers over
the telephone. During filing season (January–April),
specially trained AARP and VITA volunteers help seniors
complete tax forms.
CONSUMER HELP
Many tax returns are filed by, or on behalf of, individuals
who are not required to file. If your earned income is
below the minimum IRS amount (changes yearly), you
do not have to file. Some exceptions apply. For forms
and publications, call the IRS Form Distribution Center
at 1-800-829-1040.
Adults 65+ who meet income guidelines may
qualify for a refund of up to $100. To apply for
the unified tax credit, applicants must file form
SC-40 by July 1. Forms available from VITA
and at AARP sites.
Property Tax Relief
If you are 65 years or older, or if you are
100% disabled, you may qualify for city or
county property tax relief. Please contact your local
city and/or county offices for additional information.
Internal Revenue
Service
(423) 855-6460 or 1-800-829-1040
5740 UPTAIN RD., CHATTANOOGA 37411
www.irs.gov
Hours: MONDAY-FRIDAY, 8:30 A.M.-4:30 P.M.
Tennessee Department of Revenue
(615) 253-0600
(615) 532-6438
ESTATE TAXES
ANDREW JACKSON BLDG., 500 DEADERICK ST., NASHVILLE 37242
Answers questions about state taxes.
VITA (Volunteer Income Tax Assistance)
Prepares tax returns for low income and elderly.
Taxes are prepared at the following locations:
• Alexian Brothers Chattanooga
• Alexian Brothers Soddy-Daisy
• Brainerd Recreation Center
• Church Koinonia Credit Union
• City Human Services
• East Chattanooga Recreation Center
• Northgate Mall
• Orchard Knob Baptist Church / Matthews House
• Shepherd Recreation Center
IMPORTANT!
Many people have lawyers establish trusts but do not
move assets into them. All assets passed via a will
must first pass through probate. Assets placed in a
trust aren’t subject to probate. Make sure to make provisions
to fund your trust. Before assets have been spent down,
make sure you have purchased a funeral insurance plan.
38
SPECIAL NEEDS TRUSTS/FINANCIAL
Vista Points Special Needs Trusts
1-888-422-4076
1550 NORTH MOUNT JULIET RD., STE. 203, MT. JULIET 37122
www.vistapoints.org
Vista Points, Inc. is a non-profit resource center
dedicated to raising awareness about Special Needs
Trusts. Vista Points promotes the advantages of
Special Needs Trusts to those who will most benefit
from them, including people living with a disability,
their parents and caregivers, and the professionals
who serve and guide them. The organization serves as
the trustee for the Tennessee Pooled Trust as well as
other types of trusts.
CREDIT COUNSELING
Consumer Credit Counseling
(423) 490-5620
PARTNERSHIP FOR FAMILIES, CHILDREN AND ADULTS
2245 OLAN MILLS DR., CHATTANOOGA 37421
Budget counseling, debt management and consumer
financial education. HUD-approved counselor for
housing issues such as purchase, rent, pre and post
bankruptcy, and reverse mortgages.
ESTATE PLANNING
See also Advance Directives which are a key part of your
estate planning process.
Chattanooga Bar Association
(423) 756-3222
PIONEER BLDG., 801 BROAD ST., STE. 420, CHATTANOOGA
37402
www.chattanoogalaw.org
Referrals to attorneys for private consultation.
n TeRMS
estate Tax
Federal government taxes estates on an
escalating percentage.
Joint Tenancy
Two or more people (such as a couple) own or hold
title to an asset. If held with right of survivorship,
probate is avoided until the death of the last joint
tenant/spouse. There are pros and cons of joint
tenancy which should be discussed with an attorney.
Living Trust
Allows you to transfer ownership of property and
assets to a trust which is administered by someone
you appoint, including yourself. There are both
changeable and non-changeable (revocable and
irrevocable) trusts, each of which have differing
effects on taxes and government benefits.
Revocable Living Trust
A planning tool that takes the place of a will and avoids
probate. Transfers assets to a trust that is administered
by a named trustee, which could be yourself. Allows
you to control who you wish to receive your assets
and who will manage and distribute them after your
death or disability. A successor trustee will assume
management without need for a legal guardianship. It
can be changed or revoked at any time.
Unlimited Marital Deduction
No estate taxes are imposed on surviving spouse
regardless of size of estate. However, estate tax is
imposed at the time of death of the surviving spouse if
the estate exceeds the threshold amount.
Will
A legal document which declares how you want your
assets distributed after your death. Every will must be
signed by the maker. If you must change your will,
this can be done by making an addition to the original
will called a codicil. Do not write below the signature
on the original will. Draw up a new change document/
codicil. Upon death, the person named executor of
the estate should go to Probate Office Court to begin
execution of the will. If there is no will, the court will
distribute assets according to state law.
n TeRMS AND INFORMATION ReLATING
TO THe CARe OF ANOTHeR PeRSON
Durable General Power of Attorney
Gives power to another to make legal or financial
decisions such as check cashing, banking needs, filling
out tax forms, etc. if you are unable to do so. The
powers can be narrow or broad. You should not use a
form to assign power of attorney as they are often
flawed and not legally binding. Use an attorney or call
the Legal Aid Society.
Durable Power of Attorney for Healthcare
Gives power to another to make medical decisions if
you are unable to do so. It should be used along with
a Living Will Declaration. Living Wills are extremely
limited to life and death medical care. It is an important
companion document in the event of incompetency,
but not life or death decision making.
Guardianship/Conservatorship
A conservator can be appointed by the appropriate
Court after an application for conservatorship has
been filed and evidence has been submitted that the
individual is incompetent and thus unable to manage
decisions related to his/her person or finances. The
person whose competency is in question, the proposed
ward, is given the opportunity to refute the need for a
conservator if he/she chooses. The effect of a finding of
incompetency is the removal of all the ward’s rights.
There are strict court procedures for supervising and
maintaining conservatorship/guardianship.
Representative Payee
The person designated by the Social Security or
Veterans Administration to receive a benefit check on
behalf of another person. For example, a check for
James Smith is paid to Lucy Jones (Lucy Jones must be
able to provide a full accounting of her use of the
money on behalf of James Smith if requested to do
so). The designation may be altered by requesting a
change at the SSA or VA office.
VETERAN SERVICES
American Red Cross
(423) 265-3455
801 MCCALLIE AVE., CHATTANOOGA 37403
www.chattanoogaredcross.org/
Services to members of the armed forces and their
families.
Paralyzed Veterans of America
800-424-8200
801 EIGHTEENTH STREET NW, WASHINGTON, DC 20006-3517
Advocates for paralyzed veterans and their families for
VA benefits and eligibility for government programs.
Tennessee Dept. of Veterans Affairs (423) 634-7123
540 MCCALLIE AVE., STE. 109, CHATTANOOGA 37402
Veterans’ Benefits
INFORMATION & REFERRAL
1-800-827-1000
www.va.gov
Information on veterans’ benefits. Also offers
education, home loan, medical and disability
assistance.
VETERA NS TAKE NOTE
Property tax relief is available for disabled veterans and
their surviving spouses.
Veterans with a service-connected disability of 100% may
qualify for a deduction.
Contact your County Trustee’s or City Collecting
Official’s Office for more information and an
application. You also need proof of property ownership
through a tax receipt, proof of disability (you need
Form F-16, which can be filled out at the County
Trustee or City Collecting Official office). A form of
personal identification is also needed.
39
CONSUMER HELP
Probate
Court proceeding which arranges for resolution of all
legal and financial matters of the deceased. Title and
asset changes are made according to the wishes in a
valid will, or state directives in the absence of a will.
Probate takes an average of nine to 24 months. Fees
include attorneys, court, asset appraisals and
sometimes bond premiums (5–15% of estate value).
Information is public record. Probate proceedings are
required in every state in which property is owned.
Ways to avoid probate include joint ownership of all
assets such as bank accounts, IRAs, life insurance or a
house mortgage. These will all go into probate,
however, upon the death of the second spouse.
Volunteer Opportunities
CONSUMER HELP
1-888-OUR-AARP (687-2277)
NATIONAL
AARP OF TENNESSEE
1-866-295-7274
www.aarp.org
Holds regularly scheduled meetings and provides health,
advocacy, social, recreation, volunteer and employment
opportunities. Insurance, income tax assistance,
defensive driving programs, housing option information,
prescription drug and consumer discounts, and
governmental advocacy are also provided. Community
service and health education programs.
American Red Cross
(423) 265-3455
Volunteers help provide assistance to victims of
disasters.
Big Brothers/Big Sisters
(423) 698-8016
2015 BAILEY AVE., CHATTANOOGA 37404
www.bbbschatt.org
Children are paired with an adult volunteer for
guidance, friendship and companionship.
Catholic Charities of east TN
(423) 265-2122
859 MCCALLIE AVE., CHATTANOOGA, TN 37403
Volunteers of all faiths volunteer. They are critical to
our ability to serve over 7 million people of diverse
faiths and diverse needs. M-F, 8:30 A.M.–4:30 P.M.
Chattanooga Room In the Inn
(423) 624-6144
230 N. HIGHLAND PARK AVE., CHATTANOOGA 37404
Residential home providing support programs and
services for homeless women and children.
Employment
Today’s job market respects experience and companies
are hiring older workers as cost-effective solutions to
acquiring talent. Studies show that older workers can
improve a company’s productivity while reducing its
personnel costs. Older workers account for fewer onthe-job injuries, have excellent attendance records and
offer dependability and maturity.
Center for Community
Career education
(423) 425-4475
UNIVERSITY OF TENNESSEE AT CHATTANOOGA,
744 MCCALLIE AVE., DEPT. 3053, CHATTANOOGA 37403-2598
Non-profit career and educational counseling training
center. Part of UT Chattanooga campus.
Chattanooga Goodwill Industries
(423) 629-2501
3500 DODDS AVE., CHATTANOOGA 37407
Employment/training services for those with
disabilities. Job placement matches people with
proper employment.
40
Foster Grandparent Program
(423) 643-6416
501 WEST 12TH STREET , CHATTANOOGA 37402
www.chattfgp.webs.com
Volunteer opportunities for seniors age 55+ to serve
20 hrs/wk. mentoring special-needs children in one of
35 non-profit agencies in Hamilton, Bradley or McMinn
co’s. Non-taxable stipend provided for eligible volunteers.
Transportation assistance, training and other benefits.
Service Corps of Retired
executives (SCORe)
(423) 553-1722
5726 MARLIN RD., STE. 515, CHATTANOOGA 37411
Retired business people lend expertise and advice on
a one-on-one basis. Also has workshops and seminars.
State Health Insurance Assistance Program/
Senior Medicare Patrol Project
1-877-801-0044
Volunteering as a SHIP/SMPP counselor is a great
opportunity to assist Medicare recipients with
understanding their health care coverage. If
interested, please contact the SHIP hotline above.
The Volunteer Center
(423) 752-0300
UNITED WAY, 630 MARKET ST., CHATTANOOGA 37402
For all 10 counties covered by the Southeast
Tennessee Area Agency on Aging and Disability.
Volunteer Guardianship Program
(423) 424-4280
SOUTHEAST TENNESSEE AREA AGENCY ON AGING AND DISABILITY
1000 RIVERFRONT PKWY., CHATTANOOGA 37402
Southeast Tennessee Career Centers
CHATTANOOGA
(423) 894-5354
5600 BRAINERD RD., STE. 5A, CHATTANOOGA 37411
ATHENS
(423) 745-2038
410 NORTH CONGRESS PKWY., ATHENS 37303
CLEVELAND
(423) 790-5552
301 KEITH STREET, SUITE 102, CLEVELAND 37311
DAYTON
(423) 570-1107
200 4TH AVE., DAYTON 37321
www.secareercenter.org
Urban League of
Greater Chattanooga
(423) 756-1762
730 E. ML KING, CHATTANOOGA 37403
www.ulchatt.net
Job placement. Helps upgrade skills of unemployed
or underemployed. Call for programs offered.
b Questions to Ask Your Healthcare Provider
About Medical Care in General
o What might have caused this illness?
o What is this illness called?
o Is this illness likely to go away on its own?
o Is the pain likely to diminish or go away?
o How do you want to treat this illness?
o What are other ways to treat this illness?
o What are the risks with these treatments?
o What is the likely future of this illness with the
recommended treatment?
Without the recommended treatment?
o What is the time frame for the treatment?
o Is a hospital stay necessary?
o What is the expected recovery time?
o What lifestyle changes can my care recipient expect
in the future?
About Medical Tests and Procedures
o Is the recommended test or procedure necessary to
confirm or disprove a diagnosis?
o Will the findings of the test change the way the
disease is managed?
o What are the risks involved?
o What happens if my care recipient refuses to
undergo this test?
o How expensive is the test and will it be covered by
insurance?
o Will the test require a change in any of the
medications my care recipient is taking?
o What are the chances of inaccurate test results?
o What is the test procedure?
o How will the test feel? Will it be painful?
o How should I help my care recipient prepare for this
test?
o Will my care recipient need help getting home
afterward?
o Who will interpret the test results?
o Will someone call with the test results or should I
phone for them?
o Can test results be sent directly to me or my care
recipient?
About How the Doctor’s Office Works
o What days/hours is the office open?
o How are medical emergencies handled?
o When is the best time to reach the doctor by phone,
fax or e-mail?
o Which method of communication does the doctor
prefer?
o Who can answer questions if the doctor is not
available?
o Who can I call after hours or when the doctor is
away?
Regarding the Costs of Medical Care
o What private insurance plans do you accept?
o Do you accept Medicaid/Medicare assignments?
o What costs are covered by Medicaid/Medicare?
Supplemental insurance?
o What costs are not covered by insurance?
o Approximately how much can I expect to pay in the
long run for treatment?
Regarding Discharge Planning
As part of the discharge planning process, many issues
related to the patient’s care need to be resolved. As
soon as you know your loved one is going to be
admitted to the hospital, find out who is in charge of the
discharge process and arrange a meeting to gather
specific answers to the following questions.
o Where is the patient going to go after discharge?
(Return to the previous setting? Go someplace else
temporarily? Move permanently to a new location?)
o Who will provide additional home health care if it is
needed?
o Does the patient need any home health equipment?
What kind?
o Do physical and/or occupational therapy visits need
to be arranged?
o What additional services may be needed and for
how long (e.g., Meals-on-Wheels, hospice care,
housekeeping, etc.)?
o What paperwork needs to be processed to get
these services lined up?
o How will the added expenses be paid for?
o What additional skills do you need to learn so you
can care for your loved one properly?
Excerpted from Communicating Effectively with
Healthcare Providers
©National Family Caregivers Association
www.nfcacares.org 800/896-3650
41
CONSUMER HELP
Review this list of questions as you are planning and preparing for any interaction with the health care system (e.g.,
doctor visit, trip to the emergency room, hospital discharge planning session, etc.) The questions are organized by
category. Select the questions that best fit your needs. Feel free to add your own.
Advocacy, Legal & Self Empowerment
ADVOCACY & SELF EMPOWERMENT
CONSUMER HELP
1-888-OUR-AARP (687-2277)
NATIONAL
AARP OF TENNESSEE
1-866-295-7274
www.aarp.org
Holds meetings and provides health, advocacy, social,
recreation, volunteer and employment opportunities.
Community service and health education programs.
1-866-836-6678
P.O. BOX 4757, CHATTANOOGA 37405
www.setaaad.org
Advocates for and assists older persons, and persons
with disabilities and their family members.
Ombudsman Program
(423) 755-2877
PARTNERSHIP FOR FAMILIES, CHILDREN AND ADULTS,
EASTGATE TOWN CTR., 5600 BRAINERD RD., STE. B-34, 37411
Investigates complaints and resolves conflicts about
nursing homes, home care and adult care homes.
1-888-422-4076
1550 NORTH MOUNT JULIET RD., STE. 203, MT. JULIET 37122
www.vistapoints.org
Vista Points, Inc. is a non-profit resource center
dedicated to raising awareness about Special Needs
Trusts. Vista Points promotes the advantages of Special
Needs Trusts to those who will most benefit from them,
including people living with a disability, their parents
and caregivers, and the professionals who serve and
guide them. The organization serves as the trustee for the
Tennessee Pooled Trust as well as other types of trusts.
LEGAL RESOURCES
Legal Aid of east Tennessee
(423) 756-4013
535 CHESTNUT ST., STE. 360, CHATTANOOGA 37402
www.laet.org
Assists individuals with civil legal problems through
legal representation. For residents of Bledsoe, Bradley,
Grundy, Hamilton, Marion, Meigs, McMinn, Polk, Rhea
and Sequatchie counties. Free to residents age 60+.
Chambliss, Bahner & Stophel, P.C.
(423) 756-3000
605 CHESTNUT ST., STE. 1700, CHATTANOOGA 37450
ABSENTEE VOTING
Tennessee Department of State
(615) 741-7956
DIVISION OF ELECTION, 312 ROSA L. PARKS AVE.,
7TH FL., SNODGRASS TOWER, NASHVILLE 37243
www.tn.gov/sos/election/index.htm
A registered voter may request an
application for by-mail ballot no earlier than
ninety days before the election and no later
than seven days before the election. To be
42
processed for the next election, the application must
be received by the election commission no later than
seven days before the election.
LEGAL RECORDS
Birth and Marriage Certificates
STATE OFFICE
(615) 741-1763
TENNESSEE VITAL RECORDS, CENTRAL SERVICES BLDG., 1ST FLOOR,
421 5TH AVENUE NORTH, NASHVILLE 37243
health.state.tn.us/vr/index.htm
HAMILTON COUNTY HEALTH DEPARTMENT
(423) 209-8025
Records are available beginning with January, 1914 births.
Records of some births that occurred in the major cities
from 1881-1913 are also available. A certified photocopy
of the original record may be obtained at a fee of $15.00
for the first copy and $5.00 for each additional copy
of the same record requested at the same time. For
persons born from 1949 to the present, a certified copy
produced by computer is also available at a fee of
$8.00 for the first copy and $5.00 for each additional
copy of the same record requested at the same time.
Marriage and divorce records are available for the past
50 years (beginning with January 1, 1953), at a fee of
$15.00 for the first copy and $5.00 for each additional
copy of the same record requested at the same time.
FEDERAL ELECTED REPRESENTATIVES
Representative Scott Dejalais
(4th District) (R)
(202) 225-6831
413 CANNON HOB, WASHINGTON, DC 20515
Representative John J. Duncan, Jr.
(2nd District) (R)
(202) 225-5435
2207 RAYBURN HOB, WASHINGTON, DC 20515
Representative Chuck Fleischmann
(3rd District) (R)
(202) 225-3271
230 CANNON HOB, WASHINGTON, DC 20515
Senator Lamar Alexander (R)
(202) 224-4944
455 DIRKSEN SENATE OFFICE BLDG., WASHINGTON, DC 20510
Senator Bob Corker (R)
(202) 224-3344
425 DIRKSEN SENATE OFFICE BLDG., WASHINGTON, DC 20510
TAKE NOTE
Make life (and death) easier for yourself and your
family. Visit your local funeral home to
prearrange your funeral plans before the
need arises. Your funeral director can
discuss different funding options for you if you
desire to prefund. Preplanning and prefunding are two
different things. You can preplan without prefunding.
Legal Health Care/Advance Directives
In 2004, Tennessee law was revised to recognize more
than one written advance directive for health care
decision making: the “Living Will” or “Advance Care
Plan” and the “Medical Power of Attorney” or
“Appointment of Health Care Agent.”
Advance Care Plan (Living Will)
(See pages 46-47 for form)
An Advance Care Plan tells doctors what to do when
you are too sick to communicate. It can indicate when
medical treatment should stop, or whether you want
passive feeding to be withdrawn. The directives are
limited only to care which artificially or technologically
postpones death–not comfort care. The Advance Care
Plan must be signed by you, witnessed by a notary or
two non-related adults, excluding your physician and
Funeral Preplanning
Funeral preplanning is not a favorite topic, but absolutely
essential in total estate planning. There are more than 50
decisions to be made at the time of death. Decisions need
to be made about funeral director’s services, length of
visitation, type and location(s) of religious services,
securing the clergy, the eulogy, flowers, escort, selecting
memorial cards and card verses and writing and placement
of a newspaper obituary. Choices of burial vault, casket,
cemetery plot, cemetery marker, urn embalming and
restorative or cosmetic services must also be selected.
Disposition of the physical body involves decisions
about organ and/or body donation, burial or cremation.
Everyone should consider checking the average funeral
and cemetery costs. By preplanning, you determine
what your costs will be by making decisions about plot,
vault, marker, interment or mausoleum space.
Both prepaid funeral and cemetery contracts should be
made to ensure peace of mind and the honoring of one’s
wishes. Most certainly, a burial insurance plan should be
pre-purchased before a family member begins to spend
down assets in a nursing center.
There are several prefunding options available including
an insurance policy which guarantees that all costs of
the services and funeral items that you purchase will be
paid for at the time of death. All policies have built-in
inflation clauses to cover the costs of those items at the
time of death. Check with your funeral director on what
items are guaranteed and what is the best plan for you.
nursing home advisor. At the time of determination, your
attending and one additional physician must certify
terminal condition or permanently unconscious state.
Appointment of Health Care Agent (See pg. 48 for form)
Everyone should have one! An Appointment of Health
Care Agent designates a person to make healthcare
decisions for you if you cannot make healthcare
decisions yourself, including any healthcare decisions
that you could have made for yourself if able.
ADVANCE DIRECTIVE FORMS
To obtain a form, call:
Tennessee Department of Health
(615) 532-6595
Hospital membership programs may also have forms.
3 Notify your nearest Social Security office that the
n
beneficiary is deceased. You may need a copy of
birth, marriage and/or death certificate.
3 It is the surviving family who either writes or provides
n
information for the obituary notice. In your estate
planning consider how you or your loved one would
like to be remembered. Talk about how the notice
should read—in advance of a stressful time.
3 If applicable, notify an attorney to file probate.
n
PREPLANNING RESOURCES
Cremation Services
(423) 265-4414
Chattanooga Funeral Home,
Crematory and Florist
(423) 698-2541
LOCATIONS: EAST CHAPEL IN EAST RIDGE
NORTH CHAPEL IN HIXSON
VALLEY VIEW CHAPEL IN OOLTEWAH
EAST BRAINERD CHAPEL ON EAST BRAINERD ROAD
3 Notify all insurance companies and send them copies
n
of the death certificate.
3 Transfer or cancel all bank accounts, credit cards,
n
club memberships, etc.
3 Make at least 10 copies of the death certificate and
n
the obituary notice.
43
CONSUMER HELP
See also Legal Advocacy and Important Documents.
b Living Trusts vs. Wills
The Federal Government allows a couple to pass all or a portion of their estate to heirs tax–free. These amounts
change, so check with your financial advisor for current amounts. This can be accomplished with either a
professionally prepared will or a living trust – depending on the circumstances.
CONSUMER HELP
Living trusts can be an effective estate planning tool but they are not needed by everyone. Funding a trust means
transferring assets such as your home, car or bank accounts into the legal entity (trust) from your own name. Assets
then are owned by the trust – not yourself. You or someone you designate then administers the trust as the trustee.
If you name yourself as trustee, you still retain total control of those assets in the trust.
Unlike a will, the use of which alone still requires probate at death, a living trust is executed during a person’s lifetime.
You can administer your own trust and upon your death or incapacitation, a named successor trustee will assume
management. This prevents probate and/or the need to apply for guardianship or conservatorship. There are both
changeable and non-changeable (revocable and non-revocable) trusts, each of which have differing effects on taxes
and government benefits.
Any tax deferred accounts, such as an IRA or 401(k), should not be placed in trust. The IRS considers this a taxable
distribution and will charge you taxes and a 10% penalty.
Considerations :
Living Trust
• Can distribute my estate according to my wishes.
Simple Will
• Can effectively accomplish the same with joint
ownership and designation within a will.
• A living trust allows for effective tax planning
strategies with the maximum level of control.
• There are many strategies which can be used to
reduce or eliminate federal and state taxes with or
without a living trust.
• Avoid probate and/or attorney fees associated with
probate.
• You can hold property in joint names or Payable at
Death accounts. Assets with named beneficiaries also
avoid probate.
• Probate is expensive and slow. Files are open to the
public. Wills can be challenged by heirs who are
legally entitled to notice of distribution.
• It depends on the complexity of your estate. Trust
administration can also be expensive, slow and
complex. Very few people actually go to court to
read files.
• No cut-off for creditors to file claims.
• No claims can be filed after one year.
• Avoids probate in each state in which property is
owned.
• Your will must be validated by the probate court in
each state in which you own property.
• A named successor trustee assumes management upon
your incapacitation without the need to petition the
court to name a conservator to act for you.
• Provides a safeguard against a dishonest heir or trustee.
Probate court requires strict accounting and closely
supervises estate administration.
• If your life insurance policy is owned by the trust and
your estate is worth more than the allowable limit,
the trust will have to pay taxes on the proceeds.
• Life insurance proceeds are not taxable to an
individual while that individual is living.
• Guardianship is avoided in the event of incapacity.
• A Durable Power of Attorney can accomplish the
same thing without incurring the expense of setting
up a Living Trust or having to fund it.
• Generally simpler and less time
consuming than probate.
44
b Caregiver Checklist
Medical
o What medical condition(s) does the
elder have?
o What are the typical symptoms and
effects of this condition(s)?
o What is the recommended treatment?
o What is the prognosis?
o What kind of caregiving is most appropriate for the
medical condition?
o What are the names and phone numbers of your
elder’s doctor(s)?
Daily Care
o What daily care needs does your elder have -
personal care, housekeeping, home health care or
other assistance?
Long Term Plans
o What are your plans for the future?
o What will you do if there is a crisis?
o What are the likely changes in care needs in
the future?
Financial
Caregivers
o What outside help or governmental help is
o Will outside caregivers or home care agencies
o What financial means are available to pay for care
or other necessities?
available to help cover costs?
o Do you need a financial planner to help organize
financial matters?
o Will family members have to cover any costs from
their own pockets?
Legal
o Are all of the legal documents - wills, powers of
attorney, living wills or trusts - in order?
o Do you know where legal documents are?
o Do you know who your elder’s attorney is?
Access
o Do you have keys to your elder’s house
and car?
o Do you have phone numbers for doctors, attorneys
and other professionals?
o Could you locate and have access to important
o Who will be providing care?
o Will family members provide all of the care?
be hired?
Professional Help
o Do you need a geriatric care worker to help manage
the day-to-day activities of your relative?
o What social workers, therapists or other
professionals are available to help?
Transportation
o How will your elder get around?
o What transportation services are available in
the community?
o Which of these transportation services are
appropriate for your elder?
o Which family members are available to provide
transportation and when?
information in a crisis?
45
CONSUMER HELP
Organization is the key to properly assist and care for an elderly patient or relative.
Every family and situation is different – with different issues, problems and challenges. Use this
checklist as you design a care plan – refer back to it and update as needed.
STATE OF TENNESSEE ADVANCE CARE PLAN
CONSUMER HELP
46
CONSUMER HELP
47
STATE OF TENNESSEE APPOINTMENT OF HEALTH CARE AGENT
CONSUMER HELP
48
b Transient Crimes and Elder Fraud
What you Need to Know
Most crimes committed against older adults are
“transient crimes,”many involving home repairs or
diversions. These occur where a person requests to come
into the home to use the bathroom, ask for a drink of
water, or to “check out” an unreported problem.
Older adults are especially vulnerable to be victims
of transient crimes because:
+ They live alone and are eager to socialize.
+ They know that they can’t make needed repairs
and fear losing independence, thinking that family
members will believe that they are unable to
maintain their own homes.
+ They are eager to please and be helpful.
+ They have money at home and in the bank.
+ They may have declining eyesight, hearing or
memory which hinder understanding and
identification for prosecution.
+ They may be more susceptible to intimidation
and influence.
BE AWARE
matter how good it sounds, you really can’t get something for nothing or get a “deal” that’s too good to pass up.
l Do not allow ANY stranger into your home. No
exceptions. Bathrooms and water are usually just a few
short blocks away – a stranger does not need yours.
l All gas, water, electric and cable workers have ID badges
and would never ask to “check your system” to gain
entry, offer to “correct” a problem or a cash refund.
l Do not sign any contract or use any service offered
by a person that approaches you cold by phone or
especially “door to door.”
l Get all work contracts in writing with firm quotes and
detailed description of the work to be performed, wait
at least three days until the work begins and if you have
any questions at all, talk it over with someone you trust.
l No
Crisis, Behavioral
Care & Caregiver
Support Services
Transient Crimes and Elder Fraud:
What You Need to Know . . . . . . . . . . .49
Caregiver Emergency Help Guide . . . . . .55
Home Safety Checklist . . . . . . . . . . . . . . .56
making this guide possible. Tell them you
saw it in Older Adults™.
If you’re a caregiver, this list may be helpful:
1. Learn as much as you can about your care
recipient’s illness(es), disease or condition.
2. Learn how to provide proper care for your care recipient.
3. Join a support group to learn about resources,
options and to prevent isolation.
4. Plan regular breaks. Use relatives, neighbors,
church members and volunteer organizations.
5. Use appropriate community resources for services
such as home delivered meals, home care
services, adult day services, medical equipment
supply stores, health care pharmacies, etc.
6. Keep in mind your care recipient’s wishes when
making decisions, but make ones based on safety
and the overall well-being of all concerned.
The most common transient crimes are driveway sealing
(small amount leftover from another job), roof sealing,
brick or mortar repair, shingle replacement, painting,
landscaping, power washing and exterminating. The
most common forms of fraud are use of bogus or diluted
material, excess empty containers presented to
exaggerate the amount of material used, the finding of
non-existent “damage,” failure to perform work and
extortion for higher payment after the job is completed.
Don’t be afraid to call if you suspect elder fraud. The
police want to help catch those who prey on the elderly.
Source: Cincinnati Police Department
www.setaaad.org
Caregivers...
• Are you at risk for burnout?
• Are you tired all the time?
• Are you gaining or losing weight without trying?
• Are you cutting yourself off from friends and
the outside world?
• Do you feel guilty, depressed,
angry or hopeless?
Anger, guilt and frustration are
normal. If you are feeling
under-appreciated and overworked,
take time for and care of yourself. You
will be a better caregiver if you feel
complete and whole as a person.
49
Social Services and Emergency Assistance
ELDER ABUSE AND NEGLECT
SUPPORT SERVICES
Some Indicators of Elder Abuse and Neglect
Abuse: Physical, Psychological, Sexual
• Change in behavior
• Cuts, bruises, burns
• Confinement
• Isolation
• Harassment
Neglect: By Self or Others
• Mental confusion
• Poor hygiene/environment
• Inadequate health care
• Unable to perform tasks of daily living
Exploitation
• Unusual bank withdrawals
• Change in power of attorney or legal matters
• Lack of personal belongings
• Different signatures on checks
Adult Protective Services
1-888-277-8366
Allegations of abuse, neglect, or misappropriation of
personal property against adults with disabilities and
elders are investigated thoroughly.
Partnership for Families,
Children and Adults
(423) 755-2870
5600 BRAINERD RD., STE. B-24, CHATTANOOGA 37411
Elderly and Disabled Victims Program assists in
preventing and resolving issues of abuse, neglect,
victimization and exploitation. The goal of the
program is to help individuals remain independent
and improve their safety and well being.
Tennessee Department of Human Services
BLEDSOE COUNTY
(423) 447-2193
323 ROCKFORT RD., PO BOX 396, PIKEVILLE 37367
BRADLEY COUNTY
(423) 478-0300
950 STAR VUE DR. SW, STE. 1, CLEVELAND 37311
GRUNDY COUNTY
(931) 592-9231
13153 US 41 ORCHARD RD., PO BOX 399, TRACY CITY 37387
HAMILTON COUNTY
(423) 634-6200
5600 BRAINERD RD., CHATTANOOGA 37411
MARION COUNTY
(423) 634-2880
4926 MAIN ST., STE. A, JASPER 37347
MCMINN COUNTY
(423) 744-2800
1008 KNIGHT RD., STE. B, ATHENS 37303
MEIGS COUNTY
(423) 334-5787
17619 HWY. 58 N, STE. B, DECATUR 37322
POLK COUNTY
(423) 338-5332
240 CHEROKEE CIR., BENTON 37307
RHEA COUNTY
(423) 847-8208
224 FOURTH AVE., STE. 102, DAYTON 37321
SEQUATCHIE COUNTY
(423) 949-4621
1845 OLD YORK HWY E., DUNLAP 37327
Provides emergency protective services to adults who
are in danger of abuse, further physical harm, or
unable to protect themselves under their current
living arrangements.
50
STOP ELD ER ABUSE!
24 Hour
Elder Abuse Hotline:
1-800-992-6978
CRISIS INTERVENTION
Children and Adults
(423) 755-2822
300 E 8TH ST., CHATTANOOGA 37404
Emergency shelter for those who have been physically
and/or sexually abused. Counseling is focused on
crisis intervention and situation stabilization.
COMMUNITY SUPPORT
Southeast Tennessee Human Resource
Agency (SETHRA)
BLESDOE COUNTY
(423) 447-2444
OLD HIGH SCHOOL BLDG., 2531 S. MAIN ST., PIKEVILLE 37367
GRUNDY COUNTY
(931) 592-8260
PO BOX 34, HWY. 56, COALMONT 376313
MARION COUNTY
(423) 942-5946
110 GAMBLE LN., HASPER 37347
MCMINN COUNTY
(423) 745-8095
125 NORTH JACKSON ST., ATHENS 37303
MEIGS COUNTY
(423) 334-3305
CITY/COUNTY BLDG., RIVER RD., PO BOX 303, DECATUR 37322
POLK COUNTY
(423) 338-2335
ELECT. COMM. BLDG., COURTHOUSE ANNEX,
PO BOX 526, BENTON 37307
RHEA COUNTY
(423) 775-4010
125 COURT ST., UNIT 2, DAYTON 37321
SEQUATCHIE COUNTY
(423) 949-2191
312 RESOURCE RD., PO BOX 909, DUNLAP 37327
Community agency providing a variety of services for
residents. Programs include distribution of commodities,
emergency utility assistance, rent assistance and
weatherization to families to re-establish their lives.
For transportation to congregate meal sites in the ten
counties of Southeast Tennessee, reservations must be
made 24 hours in advance through the Nutrition Site.
Emergency Shelter
There are several facilities that offer short-term shelter
to homeless men and women. Most shelters can’t
accept very frail seniors who are unable to completely
care for themselves. Space is often limited. For help in
finding a shelter and making arrangements to go there,
call First Call for Help at (423) 752-0300 or dial 211.
American Red Cross
(423) 265-3455
(423) 472-1595
Food vouchers, clothing and shelter to disaster victims.
Chattanooga Community Kitchen
(423) 756-4222
Transitional housing for families. Emergency clothing.
Meals and activites for the homeless and needy.
Chattanooga Department of
Youth and Family Development
(423) 643-6400
501 W 12TH ST., CHATTANOOGA 37402
Provides emergency financial assistance, HUD housing
counseling, energy subsidies and surplus food.
Chattanooga Rescue Mission
(423) 756-3126
1512 S. HOLTZCLAW AVE., CHATTANOOGA 37404
Emergency night shelter. Clothing also available.
Ladies of Charity Greater Good Thrift Store
(423) 624-3222
2821 ROSSVILLE BLVD., CHATTANOOGA 37407
Food vouchers, clothing, help with prescriptions,
meals, adult day care and emergency food pantry. For
referred clients.
La Paz De Dios
(423) 624-8414
1402 BAILEY AVE., CHATTANOOGA 37404
Resource for Hispanic community. Tu.– Th., 8 A.M.–
5 P.M.
Metropolitan Ministries
(423) 624-9650
www.metropolitanministries.org
Temporary financial assistance for utility bills and
prescription medicine for people in need.
Children and Adults
(423) 755-2822
Temporary emergency shelter for families without
resources. Also provides emergency food services.
Salvation Army
(423) 756-1023
Emergency shelter for women and children when
the temperature drops below a certain degree. M-F,
8:30 A.M.–4:40 P.M.
Samaritan Center
(423) 238-7777
9231 LEE HWY., OOLTEWAH 37363
Basic needs for the needy. Thrift store, Mon.–Thurs.,
9 A.M.–7 P.M.; Sun., 1–4 P.M.
Tennessee Community Services
Agency (TNCSA)
(423) 499-6081
5600 BRAINERD RD., STE. B-14, CHATTANOOGA 37411
TNCSA meets the needs of individuals, families and
communities by coordinating and providing services
across Tennessee.
Union Gospel Mission
(423) 752-4998
124 SIGNAL HILLS DR., CHATTANOOGA 37405
Provides residential/recovery program for adult males.
We Care Community Services
(423) 775-4333
1273 DAYTON MOUNTAIN HWY., PO BOX 307, DAYTON 37321
www.wecaredayton.org
Provides transitional housing for up to two weeks for
those in crisis. Emergency food and prescription
assistance also available for those in Rhea County
(except for Spring City).
FOOD STAMPS
BLEDSOE COUNTY
(423) 447-2193
BRADLEY COUNTY
(423) 478-0300
GRUNDY COUNTY
(931) 592-9231
HAMILTON COUNTY
(423) 634-6200
MARION COUNTY
(423) 643-2880
MCMINN COUNTY
(423) 744-2800
MEIGS COUNTY
(423) 334-5787
17619 HWY. 58 N, STE. D, DECATUR 37322
POLK COUNTY
(423) 338-5332
RHEA COUNTY
(423) 847-8208
SEQUATCHIE COUNTY
(423) 949-4621
Intake, verification and approval of monthly allotment
of food stamps. Allotment is based on total family
income, number in household and other assets.
UTILITIES ASSISTANCE
Upon request, utilities and creditors will contact
concerned family members if an elderly relative fails to
pay bills. Call individual utilities, creditors, or banks for
details on special services to assist elderly customers.
Local utility companies offer a variety of budget and
payment plans to help customers maintain service. If
you are having difficulty paying bills, contact the utility
company to negotiate a workable payment plan. Local
governments also often have funds available to help
older adults with utility payments.
51
SUPPORT SERVICES
Bradley/Cleveland
Community Services
(423) 479-4111
Variety of services to the elderly and underprivileged
of Bradley County. Emergency assistance program.
Low Income Home Energy Assistance Program
CHATTANOOGA HUMAN SERVICES DEPARTMENT (423) 209-8374
317 OAK ST., STE. 218, CHATTANOOGA 37403
TENNESSEE ADULT AND FAMILY
SERVICES ENERGY ASSISTANCE PROGRAM
(423) 209-6855
Funds to help meet the utility costs of low-income
elderly and disabled. Administered through contracts
to a network of 20 non-profit and local government
agencies experienced in providing energy assistance
programs. Eligibility is based on established federal
poverty guidelines. Applications taken year round for
the Energy Assistance Program. Eligible applicants can
receive assistance once per year of $300-$600. The
assistance is in the form of a payment to the utility
company or home energy provider.
United Way of Greater Chattanooga/
211 Call Center
(423) 265-8000 or 211
630 MARKET ST., PO BOX 4027, CHATTANOOGA 37405
http://tn211.mycommunitypt.com
Information and referral service has trained resource
managers to help callers determine the appropriate local
agency to refer them to for assistance with services.
Southeast Tennessee Human
Resource Agency – LIHEAP
(423) 949-2191
312 RESERVE RD., PO BOX 909, DUNLAP 37327
Provides energy assistance to qualified applicants.
Salvation Army Energy Asst. Program (423) 305-6200
2140 E. 28TH ST., CHATTANOOGA 37407
www.csarmy.org
Energy assistance to qualified applicants year round.
SUPPORT SERVICES
Companionship
See also Coalitions on Aging and Mental Health Services
be congratulated on air. Willard will send a personal
note to everyone not mentioned.
Many AARP chapters, churches and senior centers offer
companionship and support. Services free unless noted.
Personal Care Choices
CLEVELAND OFFICE
ATHENS OFFICE
(423) 479-3036
(423) 745-2881
BIRTHDAY/ANNIVERSARY GREETINGS
Greetings from the White House
(202) 456-1414
FAX
(202) 395-1232
OFFICE OF THE PRESIDENT, WHITE HOUSE GREETINGS OFFICE,
RM. 39, WASHINGTON, DC 20502-0039
The President sends a greeting card to those
celebrating their 80th or later birthday and to couples
celebrating their 50th anniversary. 6 week advance
notice required. Request should include person’s
name(s), address, age and date of birth, or date of
wedding for anniversary. It is best to fax your
information or go online to the website.
The Today Show
(202) 885-5018
WILLARD SCOTT, THE TODAY SHOW - NBC, 4001 NEBRASKA
AVE., RM. 160, WASHINGTON, DC 20016
For persons age 100+ and couples celebrating their
75th wedding anniversary, send a photograph, name,
address, birth date and a short description about the
person at least 6 months in advance. It is best to call
to hear a recording about how persons are chosen to
BEREAVEMENT/WIDOW SUPPORT
Here are some thoughts to help you cope with the
death of a loved one...
• Ask for and accept help. Recognize that anger,
sadness, loneliness and fear are okay feelings.
Your friends and family want to help. Let them.
•
Recognize that other people care but might be
uncomfortable and don’t know what to say to you.
Be assertive and help them remember the good
times they too shared with your loved one.
•
Give yourself permission to grieve and talk about
your loss, your love, happy times and memories.
•
Use this time of change to rid yourself of everything
in your life that doesn’t work for you. Don’t do
anything out of a sense of obligation that does not
feel good for you.
The following organizations offer on-going support
groups:
Amedysis Hospice
(423) 499-0018
7161 LEE HWY., STE. 400, CHATTANOOGA 37421
Catholic Charities
(423) 267-1297
CAREGIVER TIP
Sometimes older adults can experience emotional
difficulties and/or behave strangely due to
medications they are taking.
Consult with your loved one’s healthcare
provider to discuss possible organic causes of
depression or erratic behavior.
52
Forward Bereavement Group
(423) 622-1418
OLPH CHURCH, CHATTANOOGA 37412
Support group for those who have recently lost a
spouse by death. Group meets at various times and
locations over an eight week period. Several different
groups meet during the year.
Grief Support Group
(423) 495-7778
MEMORIAL NORTH PARK CANCER RESOURCE CENTER,
PROFESSIONAL BLDG., SUITE 402, CHATTANOOGA 37343
For those who have lost a loved one. Meets 2nd Wed.
of the month at 11:30 A.M.
TAKE NOTE
Many airlines offer discounted fares for people
who have to fly on short notice for a family
funeral. You must be a member of the
deceased’s immediate family. You may be required to
provide death certificate, name and phone number of
funeral home or other proof. Make sure to ask if there
might be a more inexpensive fare than bereavement.
Hospice of Chattanooga
(423) 892-4289
4411 OAKWOOD DR., CHATTANOOGA 37416
www.hospiceofchattanooga.org
Bereavement counseling for anyone who needs it.
Call for support group information.
Widows’ Harvest Ministries
(423) 266-0260
213 W. 16TH ST., CHATTANOOGA 37408
Faith-based ministry for widows, typically age 60+,
lonely/abandoned, live in high crime areas,
vulnerable. Prayer ministry and free home/lawn
maintenance/repair.
BLEDSOE COUNTY
(423) 447-2193
BRADLEY COUNTY
(423) 478-0300
GRUNDY COUNTY
(931) 592-9231
HAMILTON COUNTY
(423) 634-6200
MARION COUNTY
(423) 634-2880
MCMINN COUNTY
(423) 744-2800
MEIGS COUNTY
(423) 334-5787
17619 HWY. 58 N, STE. D, DECATUR 37322
POLK COUNTY
(423) 338-5332
RHEA COUNTY
(423) 847-8208
SEQUATCHIE COUNTY
(423) 949-4621
Families First program provides support to families.
Bethel Bible Village Children’s Home (423) 842-5757
3001 HAMILL RD., HIXSON 37343
Has been caring for kids who need a home for over 50
years. Encourages the child toward spiritual and
educational goals to prepare them for their future.
Metropolitan Ministries
(423) 624-9650
Help with emergency needs, food vouchers and
prescription assistance. Call for details.
Children and Adults
(423) 697-7130
Counseling Center provides individual, group and
family counseling by licensed master’s level
counselors.
CA RE GIVE R TIP
Remember to replace the batteries in your smoke detector
when you change your clock in the spring and fall.
Mental Health Counseling/Centers
Services include inpatient treatment, day treatment and
outpatient counseling. Fees vary.
Johnson Mental Health Center
420 BELL AVE., CHATTANOOGA 37405
(423) 634-8884
A.I.M. Center
(423) 624-4800
472 WEST MLK BLVD., CHATTANOOGA 37402
Individual, family and group counseling.
Mountain View Treatment Center
1000 HIGHWAY 28, JASPER 37347
(423) 837-3350
Fortwood Center
(423) 266-6751
601 CUMBERLAND ST., STE. A, CHATTANOOGA 37404
Services include evaluations and therapeutic treatment
by psychiatrists, psychologists, examiners and support
staff. Full range of treatment services.
Hiwasee Mental Health Center
(423) 745-8802
1805 INGLESIDE AVE., ATHENS 37303
Clinical services, day treatment center, halfway house
and substance abuse services. Outpatient services.
Rhea Mental Health Center
(423) 570-0077
7200 RHEA COUNTY HWY., PO BOX 485, DAYTON 37321
Evaluations and therapeutic treatment by psychiatrists,
psychologists, examiners and support staff.
Other Providers:
Crisis Response Service . . . . . . . . . . .(423) 634-8995
Dakoda Place . . . . . . . . . . . . . . . . . . . .(423) 744-9540
Parkridge Valley Hospital . . . . . . . . . .(423) 894-4220
Valley Behavioral Health System . . . .1-800-542-9600
24 HOUR CRISIS LINE . . . . . . . . . . . . . . . .(423) 499-2300
53
SUPPORT SERVICES
Family Support Services
Alzheimer’s Services
Alzheimer’s Disease
Alzheimer’s (A.D.) is a form of dementia that is a
progressive, degenerative and incurable disease that
attacks brain cells, resulting in impaired memory, thinking
and behavior. It is not a natural consequence of aging.
Dementia
Dementia is the loss of intellectual functions (such as
memory deficit or confusion) that interfere with daily living.
Many conditions cause or mimic dementia, including
depression, tumors, drug reactions, nutritional deficiencies
and degenerative physiological diseases. Geriatric
assessment can help determine cause and suggest
treatment that can improve or reverse behavior patterns.
CAREGIVER TIP
SUPPORT SERVICES
• More than 7 of 10 people with Alzheimer’s disease
live at home; almost 75% of home care is provided
by family and friends. The remainder is “paid” care
costing an average of $12,500 per year. Families
pay most of that out of pocket.
• Alzheimer’s disease is the third most expensive
disease in the US after heart disease and cancer.
— The Alzheimer’s Association
RESOURCES
Alexian Brothers Valley Residence
(423) 875-6110
1164 MOUNTAIN CREEK ROAD, CHATTANOOGA 37415
www.alexianbrothers.net
Specialized assisted living, respite care, and adult day
services for those suffering from Alzheimer’s disease
or dementia.
Alzheimer’s Association – SE Tennessee Chapter
(423) 265-3600 or 1-800-272-3900
7625 HAMILTON PARK DR., STE. 22, CHATTANOOGA 37421
www.alz.org
Educates and supports families of persons with
dementing illness. Provides advocacy, outreach and
case management. Support groups, and help finding
and coordinating needed services.
Amara Home Service
(423) 756-2411
2821 CUMMINGS HWY., CHATTANOOGA 37419
www.amaracare.com
Assistance to Alzheimer’s patients’ homes, apartments,
nursing homes and retirement communities.
Adult Day Care
Adult Day Care provides assistance to families and
caregivers who have responsibility for an adult who cannot
be left alone. The stimulation of the Adult Day Care
experience may help participants maintain abilities. This
service provides needed respite for the caregiver.
Adult Day Treatment emphasizes care and activities for
those with a history of mental health problems.
n HAMILTON COUNTY
Adult Day Care at Standifer Place
2636 WALKER RD., CHATTANOOGA 37421
(423) 490-2188
Alexian Brothers PACE
(423) 698-0802
425 CUMBERLAND ST., CHATTANOOGA 37404
Our Program of All-inclusive Care for the Elderly (PACE),
is an innovative program designed to serve the frail
elderly residents of Hamilton County. The communitybased program enables participants to remain in their
homes through a unique system of care and support.
Alexian Brothers Valley Residence
(423) 875-6110
1164 MOUNTAIN CREEK RD., CHATTANOOGA 37405
Alexian Brothers Valley Residence provides specialized
assisted living, respite care and adult day services for
those suffering from Alzheimer’s or related dementia.
Behold Senior Activity Center
(423) 771-7568
6701 SHALLOWFORD RD., CHATTANOOGA 37421
www.beholdsac.com
Behold Senior Activity Center is perfect for your
54
family. We are an adult day care that believes every
adult is entitled to delight in his or her twilight years.
We can help foster an improved quality of life by
providing opportunities to nurture physical health,
mental health, and spiritual and social well being in a
safe and loving environment.
Orange Grove Center
(423) 629-1451
CHOICES PROGRAM, 615 DERBY ST., CHATTANOOGA 37404
www.orangegrovecenter.org
Rose of Sharon Senior Villa
5410 LEE AVE., CHATTANOOGA 37410
Sharon’s Adult Day Center
2000 RAULSTON ST., CHATTANOOGA 37404
5212 N. LEE HWY., CLEVELAND 37312
(423) 822-7673
(423) 698-2611
(423) 728-5656
Signal Centers Adult Day Program
(423) 698-8528
109 N. GERMANTOWN RD., CHATTANOOGA 37411
n BRADLEY COUNTY
Brookdale of Mt. Vernon
1775 MT. VERNON DR., CLEVELAND 37311
(423) 473-7300
n McMINN COUNTY
Brookdale of Athens
120 KEITH LN., ATHENS 37303
(423) 744-7272
Willow Acres
255 COUNTY RD. 730, RICEVILLE 37370
(423) 336-1677
b Caregiver Emergency Help Guide
Complete this form for easy reference if you must call for help.
Post in a place obvious to friends, family and emergency personnel.
See also Help at Home and Important Documents.
Doctor’s Name _________________________________________________ Phone _____________________________
Clergy Name___________________________________________________ Phone _____________________________
Hospital Choice____________________________________________________________________________________
Address_______________________________________________________ Zip Code ___________________________
Date of Birth______________________ Social Security No. ________________________________________________
Medicare No.________________________________ Medicaid No. __________________________________________
Veteran/Military I.D. ________________________________________________________________________________
Health Insurance Carrier ___________________ Policy No.______________ Phone _____________________________
Add’l Insurance Carrier ____________________ Policy No.______________ Phone _____________________________
WHO TO CALL
Name __________________________ Relationship________________ Phone _________________________________
Name __________________________ Relationship________________ Phone _________________________________
MEDICATIONS, DOSAGE, AND FREQUENCY (INCLUDE OVER-THE-COUNTER IF USED REGULARLY)
Pharmacy _____________________________________________________ Phone _____________________________
Medication
Prescription No.
Dosage
Prescribed By
_______________________________________________________________________ _________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Allergies _________________________________________________________________________________________
Health History/Health Problems _______________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
ADDITIONAL CONTACTS
Accountant ____________________________________________________ Phone _____________________________
Insurance Agent ________________________________________________ Phone _____________________________
Lawyer _______________________________________________________ Phone _____________________________
55
SUPPORT SERVICES
Full Name of Patient _____________________________________________ Phone _____________________________
b Home Safety Checklist
YES NO
N/A
YES NO
SUPPORT SERVICES
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Home Exterior
Address visible from the street
Entrance well lit, visible and barrier-free
Walkways sound and even
Steps in good condition and even
Handrails present and securely fastened
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Kitchen
Stove and sink areas well lit
Stove located away from window
with curtains
Pan handles turned away when cooking
Garments with long, loose sleeves not
worn while cooking
Hot pad gloves used rather than hot
pad holders
Countertops/work areas clean and safe
Fire extinguisher or baking soda
accessible to stove area
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
56
Bathroom(s)
Bathtub/shower equipped with nonskid
mat or strips
Grab bars securely installed and
used properly
Raised toilet is right height and
securely installed
Faucets are easily operated and
marked “hot” and “cold”
Electrical appliances are kept away
from bathtub area
Shower curtains are adequate height to
avoid tripping
Bedroom
Bed is adequate height
Night light is used
Flashlight or lamp is kept at bedside
Medication and Medical Equipment
Medical equipment stored safely
Equipment cords/plugs intact
Oxygen safety procedures posted
Medication stored in temperatureappropriate place
o Medication dated and reflects
effective dates
o Medications accessible
o Takes medications at appropriate times
N/A
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Home Interior
Security system in place and in
working order
Security bars, lexon or polycarbonate
on doors and windows
Easily managed deadbolt on all
entry doors
Temperature within comfortable range
Thermostat easily reached and
adjustable
Functional smoke detector on
each level
Phones accessible in major living areas
Pictures, objects on walls securely hung
Emergency numbers posted by
each telephone
Ability to dial emergency numbers
when necessary
Cords/plugs on all appliances, lamps,
phones are clean, in good condition and
out of pathways
Interior steps/stairs in good condition
with sturdy railings
Light switches located at top and
bottom of stairs
All stairwells and long hallways well lit
Adequate lighting in all work areas
All pathways clear of clutter and debris
Hazardous household agents stored in
a safe place
Space heaters placed away from rugs
and curtains
Hallways, bedrooms and bathrooms
have night lights
Rugs intact and securely fastened
Extension cords not used or are
safely secured
Walkers/wheelchairs/canes easily
maneuvered
All usable furniture, chairs, stools,
tables sturdy with no weak parts
General Safety
A safety exit is planned for emergencies
Maintains daily contact with people
outside the home
Adapted by ADR Associates. Reviewed and revised by Missouri Gateway Geriatric
Education Center Injury Prevention Project 10/97
2015 medicare premiums and
deductibles
Part A Deductible: $1,260
Part B Deductible: $147
Part B: Premiums are based on your income, but
generally will be $104.90.
Note: Your Part B premium will be higher
if your income is above a certain level
($85,000 single; $170,000 married)
Please keep in mind that these rates change annually.
Tennessee State Health Insurance
Assistance Program (SHIP)
The Tennessee State Health Insurance Assistance
Program is a statewide program that provides free
and objective counseling and assistance to persons
with questions or problems regarding Medicare and
other related health insurance. In Tennessee, SHIP
operates through the state’s nine Area Agencies on
Aging and Disability (AAAD’s). These agencies offer
a variety of services besides SHIP, all aimed at
helping persons who are elderly and/or have
disabilities to live better lives.
Social Security,
Medicare, &
Medical Insurance
Quick Summary of 2015
Medicare Benefits . . . . . . . . . . . . . . . . .63
advertisers who offer services
medicare advantage providers
Cigna HealthSpring . . . . . . . . . . . . . . . . .59
making this guide possible. Tell them
you saw it in Older Adults™.
SHIP is funded by the Centers for Medicare and
Medicaid Services (CMS), an agency of the federal
government under the Department of Health &
Human Services. Every state, plus Washington, D.C.
and two U.S. territories, has a SHIP.
SHIP works to give accurate and helpful information.
When SHIP is not able to answer a question or solve
a problem, a referral is made to other agencies and
resources. SHIP does its best to give consumers the
help that they need.
Y
our medicare claim number is usually your
Social Security number (SSN) followed by the
letter A. If you are covered under a spouse’s
SSN, the claim number will be your spouse’s
SSN followed by the letter B. The letter D
follows a SSN if coverage is provided through
a deceased spouse.
Get Your medicare Questions answered!
tennessee’s state insurance assistance
program – 1-877-801-0044 (toll-Free)
medicare
Eligibility – Enrollment – Coverages – Billing –
Medicare Advantage
medicare supplement or medigap insurance
10 Standard Plans – Enrollment Deadlines – Rights
medicare & Other insurance
Employee Plans – Retiree Plans – VA –
TRICARE for Life
long–term care
Buying Private LTC Insurance – Reverse Mortgage
Information – Nursing Home Medicaid
www.setaaad.org
This is misleading
and beneficiaries often think they only have Part A
or Part B coverage because of the letter following
the Medicare number. the type of coverage is
listed on your card as “Hospital (part a)”
and/or “medical (part b)” followed by an
effective date.
Older adults™…the Resource Guide
57
Social Security and Health Care Insurance
SOCIAL SECURITY
Social Security is the nation’s largest financial
assistance program for the elderly. The program funds a
variety of benefits, including: Medicare, Survivors
Benefits, Disability Benefits and Retirement Benefits.
social security
administration
1-866-964-0029 or 1-800-772-1213
TTY
1-800-325-0778
1290 PREMIER DR., CHATTANOOGA 37421
www.ssa.gov
NATIONAL OFFICE: M – F 7 A.M.–7 P.M. (BEST TO CALL BEFORE 9
A.M. OR AFTER 5 P.M.); LOCAL OFFICE: M–TU. TH.–F, 9 A.M.–3 P.M.,
WED., 9 A.M.–12 P.M.
railroad retirement board
1-877-772-5772
www.rrb.gov
Government benefits for railroaders and their families.
* If you have lost your Medicare card, you can call either of
the agencies listed above for a replacement card.
SUPPLEMENTAL SECURITY (SSI)
MEDICAL INSURANCE
SSI is a federal program which makes monthly
payments to disabled or aged (age 65+) individuals who
have limited income and resources. To be eligible a
person cannot have over $2000 in assets and a couple
over $3000, excluding the home and, in most instances,
one car. A Social Security representative must help
determine eligibility. The SSI maximum monthly check
amounts are $733 (single) and $1,100 (couple) in 2015.
Benefit amounts are adjusted each year.
MEDICARE
TTY
1-800-325-0778
CMS (Centers for Medicare and Medicaid Services) is the
federal agency which oversees Medicare and Medicaid.
medicare Hotline
TTY/TDD
Voice activated prompts.
1-800-633-4227
1-877-486-2048
FOr QuestiOns abOut:
• Medicare services and
• Medicare Administrative Contractors (MAC’s),
call 1-800-medicare (1-800-633-4227)
medicare carrier(s): Medicare Administrative
Contractors (MACS) - in most cases all providers must
send claims electronically to one of these Medicare claims
processing contractors for Medicare-covered services.
• Durable Medical Equipment Regional Carrier:
palmetto Gba (located in Columbia, SC)
• Fiscal Intermediary (Part A): riverbend Gba
(Government Benefits Administrator – part of Blue
Cross Blue Shield of Tennessee)
58
•
•
Regional Home Health Intermediary (Pays home
health and hospice bills and checks on quality of
home health care): palmetto Government benefit
administrators.
Part B Medicare Carrier: cigna medicare
enrolling in medicare
SOCIAL SECURITY
ADMINISTRATION
1-866-964-0029 or 1-800-772-1213
to report Fraud and abuse
MEDICARE
1-800-633-4227
SMP (EMPOWERING SENIORS TO
PREVENT MEDICARE FRAUD
1-866-836-7677
Fights Medicare/Medicaid waste, fraud and abuse.
Statewide project. Mission is to reduce Medicare/
Medicaid fraud, waste and abuse by increasing public
awareness and monitoring what is paid on a
beneficiary’s behalf and how to report suspicious
claims. SMPP recruits and trains retired professionals
and others to serve as volunteers in their communities
and local senior centers.
tricare for life
DEPT. OF DEFENSE
www.tricare.osd.mil
Military retiree health benefits.
Veteran’s benefits
DEPARTMENT OF VETERANS AFFAIRS
www.va.gov
1-800-444-5445
1-800-827-1000
MEDICARE DRUG BENEFIT (PART D) COSTS
Medicare drug benefit costs change each year. In 2015
your monthly premium varies by plan, but the national
average is $33.13/month. Your annual deductible also
varies, but it cannot be more than $310 if you do not
have Extra Help. If you have full Extra Help you will not
have a decuctible. If you have Partial Extra Help, your
deductible will be $66 or your plan’s deductible,
whichever is cheaper.
coinsurance/ copayments if You do not
Have extra Help
The varies by plan and by drug within plan. After
spending a pre-determined amount in total drug costs
(usually $2,960), you reach the coverage gap. During
the coverage gap you will have to pay 45 percent for
most brand name drugs and 65 percent for generic
drugs. This is because as a result of the health reform
law, the coverage gap is slowly being phased out. It will
be phased out by 2020 when you will typically pay no
more than 25 percent for your drugs at anytime during
the year after you've met your deductible. In all plans,
after you have spent $4,700 out of pocket you will leave
the coverage gap and reach catastrophic coverage.
Once you've spent $4,700 out-of-pocket in 2015 you're
out of the coverage gap. Once you get out of the
coverage gap (Medicare prescription drug coverage),
you automatically get "catastrophic coverage." It assures
you only pay a small coinsurance amount or copayment
for covered drugs for the rest of the year.
Sometimes, your out-of-pocket costs include those paid
by others, including family members most charities or
other persons, State Pharmaceutical Assistance
Programs, AIDs Drug Assistance Programs and the
Indian Health Service. Also included in the $4,700 is the
52.5 percent discount on brand-name drugs. The $4,700
does not include monthly premiums, the cost of drugs
that are not on your plans list of covered drugs, drugs
that you bought at pharmacies outside the plan’s
network, or the 21 percent discount for generic drugs.
coinsurance/ copayments if You Have extra Help
If you have Medicaid and your income must be below
$17,652 in 2015 for individuals or $23,892 for couples:
$1.15 for generics and $3.50 for brand-name drugs.
After your total drug costs reach $6,733.75, you will get
catastrophic coverage and pay $0 for each drug for the
rest of the calendar year.
MEDICAL INSURANCE
If you have Full Extra Help: $2.65 for generics and $6.60
for brand-name drugs. After your total drug costs reach
$6,680 you will get catastrophic coverage and pay $0 for
each drug for the rest of the calendar year.
if you have partial extra Help: 15 percent of each
prescription or your plan's standard coinsurance
(whichever is cheaper). After your total drug costs reach
$6,733.75, you will get catastrophic coverage and pay
$2.65 for generics and $6.60 for brand-name drugs for
the rest of the calendar year.
With the yearly increase in Medicare
rates, it is always a good idea to review
your Medicare supplemental insurance
policy.
Questions you should ask
yourself:
‚ Is my supplemental insurance
policy meeting my needs?
‚ Am I receiving the maximum
benefits I am entitled to on my
policy?
‚ Do I need additional coverage?
‚ Should I upgrade my policy?
59
MEDICARE SUPPLEMENTAL INSURANCE PROVIDERS
trH Health plans
www.trh.com
1-877-874-8323
tennessee department of commerce and insurance
www.tn.gov/insurance
MEDICARE ADVANTAGE
In addition to Original Medicare “fee-for-service,”
Medicare offers people on Medicare the option to receive
their health care through private insurance plans. These
private insurance options are part of Medicare Part C,
which has also been known as Medicare + Choice plans
and is now called Medicare Advantage.
These private health plans contract with Medicare and
are paid a fixed amount to provide Medicare benefits.
They are generally managed care plans. The most
common types are Health Maintenance Organizations
(HMO), Preferred Provider Organizations (PPO), Private
Fee-For Service (PFFS) plans or Provider Sponsored
Organizations (PSO).
MEDICAL INSURANCE
You may also see Medicare Advantage plans called
Point-of-Service plans (POS), Special Needs Plans
(SNP) and Medicare Medical Savings Accounts (MSA’s).
different types of plans have different rules for how
and where you can get coverage. If they choose, the
plans can provide additional benefits that Medicare does
not cover. They often charge a premium in addition to
the Medicare Part B premium. They also generally
charge a fixed amount called a “copayment” whenever
you receive a service.
You can join a medicare advantage plan if:
• You have Medicare Parts A and B,; and
• You live in the health plan’s service area; and
• You do not have End-Stage Renal Disease (ESRD). (If
you have ESRD, you can only join a “Special Needs
Plan” that specifically accepts people with ESRD, if
there is one in your area. SNP’s are generally HMO’s
or PPO’s designed for people with specific needs).
If you want Medicare drug coverage (Part D), generally
you must choose a private health plan that has this drug
coverage as part of its benefits package. (If you join an
MSA or a PFFS without drug coverage, you can join a
stand-alone drug plan known as a PDP).
cariten senior Health (Humana)
TDD/TTY
cigna Healthspring
PROSPECTIVE MEMBERS
TTY
www.CignaHealthSpring.com
60
1-800-457-4708
1-800-735-2988
1-855-707-7198
711
Humana marketpOint
TDD/TTY
1-800-336-6719
711
secureHorizons by united Healthcare 1-800-643-4845
TDD/TTY
1-800-643-4845 (ttY: 711)
DEPARTMENTS OF HUMAN SERVICES
bledsoe county
(423) 447-2193
bradley county
(423) 478-0300
Grundy county
(931) 592-9231
HWY 41, ORCHARD RD., PO BOX 399, TRACY CITY 37387
Hamilton county
(423) 634-6200
311 E. MLK BLVD., CHATTANOOGA 37403
marion county
(423) 634-2880
4926–A MAIN ST., JASPER 37347
mcminn county
(423) 744-2800
meigs county
(423) 334-5787
17619 STATE HWY. 58 N, DECATUR 37322
polk county
(423) 338-5332
rhea county
(423) 847-8208
sequatchie county
(423) 949-4621
IDENTITY THEFT AND FRAUD
Identity theft is a serious crime that happens when
someone uses your personal information without your
consent to commit fraud or other crimes. Your personal
information can include your name, or Social Security,
Medicare, bank account or credit card numbers.
Medicare is working hard to protect you from identity
theft. To help protect yourself when dealing with plans
and others about Medicare prescription drug coverage:
Keep all personal information, such as your
medicare number, safe.
• Protect your Medicare number as you would your
credit card information.
• Don’t give out your personal information until you are
sure that a person is working with Medicare and their
product is approved by Medicare.
Know the rules about when someone can ask for
your personal information. Follow these rules for:
medicare prescription drug plans:
• Will have the “Medicare Approved” “MedicareRx” seal
on their materials.
people who are really working with medicare:
• Can’t enroll you into a drug plan or ask you to pay for a
drug plan over the telephone, unless you are adding
prescription drug coverage to a Medicare Advantage
Plan or other Medicare Health Plan you already have.
remember, medicare does not recommend one
product over another.
Call 1-800- MEDICARE (1-800-633-4227) if you aren’t
sure about Medicare’s rules or if any of these rules
appear broken. do not respond to anyone or any
material that breaks medicare rules.
Know who you can trust: Most people are honest and
want to help you make health care decisions that are
best for you. Only give out your personal information to
someone you trust or to a doctor or supplier approved
by Medicare. Also, make sure that you are present when
your personal information is used.
You can trust and get help from:
• Family and trusted friends;
• Senior centers and organizations working with Medicare;
• State Health Insurance Assistance Programs - call
1-800-MEDICARE (1-800-633-4227) - or visit
www.medicare.gov on the web to get the phone number;
Long Term Care Insurance
See also Advance Directives.
Most people begin paying for nursing home care from
savings and assets, which can be quickly used up.
Once a person has become basically impoverished, the
Medicaid federal/state government-funded insurance
program pays for care. Anyone with assets exceeding
$100,000 to protect, in addition to a house, in the event
of illness, should research long term care insurance.
COMPANY CHECKLIST
3 How long has the company been in the long term
n
care business? A good company should have been in
business at least two years. Don’t be taken in by low
premiums to attract customers.
3 Research the company’s financial strength. A.M. Best
n
is an industry-respected independent rating firm. A+
Superior or A Excellent is okay. Stay away from any
rating below A. If you can’t get Best’s report at the
library, ask your agent.
3 Watch out for quick 2 – 3-day turnaround time for policy
n
approval. Expect a 4-week turnaround for approval.
3 Make sure the company performs medical
n
underwriting at the time of application rather than at
claim time.
• 1-800-MEDICARE (1-800-633-4227). TTY users
should call 1-877-486-2048; or
• Visit www.medicare.gov on the web.
if you think someone is misusing your personal
information, call:
• 1-800-MEDICARE (1-800-633-4227). TTY users
should call 1-877-486-2048; or
• The Fraud Hotline of the HHS Office of the Inspector
General at 1-800-447-8477; or
• Visit www.medicare.gov on the web.
note: If you filled out an application for extra help and
there is missing information, someone from SSA may
contact you to ask for the missing information. They will
only ask you for the information that’s missing from the
application.
If you feel like you are in danger for any reason, call
your local police department immediately.
If you lose your Medicare card, it’s stolen, or you need a
new Social Security card, go to www.socialsecurity.gov
on the web or call the SSA at 1-800-772-1213
(TTY users call 1-800-325-0778). If you get benefits
from the Railroad Retirement Board, call them at 1-877772-5772, or visit www.rrb.gov on the web.
For more information about how to protect yourself from
identity theft, visit www.consumer.gov/idtheft on the web.
3 How has the company treated current policyholders
n
when they update? Have enhancements been written,
on a guaranteed basis, for additional cost or has
medical requalification been required?
3 What is the company’s claim paying record? Know
n
the percentage of claims paid by the company. If new,
excessive claims may raise rates in future years.
POLICY CHECKLIST
3 Make sure the policy has a guaranteed renewable
n
clause so you can’t be canceled or singled out for
rate increases.
3 All levels of nursing care should be covered: skilled,
n
intermediate and custodial. How are they defined?
3 Is the policy tax qualified? If a policy is, the benefit is
n
generally not considered as income to the owner. You
may get a tax break and better protection.
When an insurance company limits your
coverage or denies you coverage, you
have the right to appeal the decision.
call legal aid of east tennessee:
1-800-572-7457
TA KE NOTE
61
MEDICAL INSURANCE
Note: State Health Insurance Assistance Programs and
other local organizations may help you enroll over the
telephone.
• Can’t ask for payment over the web. The plan must
send you a bill if you enroll over the web.
• Can’t come into your home uninvited to sell or endorse
any Medicare-related product, but they can call you
about their plan.
3 What is the deductible or waiting period? This can
n
range from 0 to 365 days. It should be one that fits
your budget since most people begin paying for
nursing home care from savings and assets.
3 Check for inflation protection – this rider offers either
n
a simple increase or one that is compounded, usually
three to six percent of the daily benefit annually. This
type of inflation rider has level premiums which is
important because costs increase with age. Make
sure you know if the rider renews automatically each
year or if you have to request renewal yourself.
3 Be sure to understand whether you are buying a
n
reimbursement or an indemnification policy.
Reimbursement policies will pay covered claims
received by the insurer. Indemnification policies pay
a stated amount each month regardless of claims
received, but they are usually more expensive.
3 What are the Activities of Daily Living (ADLs) that the
n
company uses? How are they defined and how many
must be lost to trigger benefits?
MEDICAL INSURANCE
3 Look for policies that cover home health care fully. Most
n
long term nursing care is provided inside the home.
Medigap Insurance
If you do not have insurance from a former employer
that fills gaps in Medicare, there are several insurance
companies that sell supplemental coverage to fill these
gaps. They sell policies called medigaps that help
cover medicare deductibles, coinsurance and some
additional benefits. There are 12 different standardized
Medigap plans, labeled A–L (except in Mass., Minn. and
Wisc.). not all plans are available in all areas.
note: The types of Medigap Plans that you can buy
have changed. There will be two new Medigap Plans –
“M” and “N.” Plans “E,” “H,” “I,” and “J” will no longer be
available to buy. If you already have purchased Plan E,
H, I, or J, you can keep that plan. Contact your plan for
more information.
Each Medigap plan pays for a particular set of benefits.
Plan A offers the fewest benefits and is usually the least
expensive. Plans that offer more benefits, like plan J,
are generally more expensive.
the most popular medigap plans are c and F,
because they cover major benefits and are less
expensive than other plans.
all medigap plans (a–l) must include the following
basic benefits:
• Hospital coinsurance coverage.
• 365 additional days of full hospital coverage.
• Full or partial coverage of the first 3 pints of blood you
need each year.
62
CA RE GIVE R TIP
If you are a member of a Medicare HMO
plan, you must use skilled nursing and
rehabilitation facilities that are listed in
the provider directory.
3 A good policy does not require you to be hospitalized
n
before benefits are payable. The need for nursing
home care and/or home health care may differ from
the reason for hospitalization.
3 What is the length of the benefit period? Does the
n
policy allow you to use your nursing home benefits in
the home when home health care benefits are
exhausted and vice versa?
3 Policy should specify Alzheimer’s Disease and frailty
n
and cover organic, mental and nervous disorders that
cause cognitive impairment which may prevent you
from dressing, bathing and toileting without help.
3 Check to assure that the waiver of premium applies
n
to both nursing home and home health care. This
continues to cover you at no further cost while
collecting benefits.
• Full or partial coverage for the 20% coinsurance for
doctor charges and other Part B services (K and L only
cover this after you have paid the out-of-pocket limit).
Depending on which Medigap plan you choose, you can
get coverage for additional expenses medicare
doesn’t cover, including:
• Hospital deductible (plans B to L).
• Skilled nursing facility coinsurance (plans C to L).
• Part B deductible (plans C, F and J).
• Excess doctor charges (plans F, G, I and J).
• Emergency care outside the U.S. (plans C to J).
• At-home recovery (plans D, G, I and J).
• Preventative care Medicare doesn’t cover (plans E and J)
No Medigap plan will be sold with drug coverage after
2005. if you do not have a medigap H, i, or J policy
with drug coverage, you cannot have drug coverage
through both your Medigap and the Medicare drug benefit.
MEDIGAP INSURANCE CONSIDERATIONS
3 Can the company cancel or refuse to renew the policy?
n
3 What are the policy exclusion limits for covered services?
n
3 If the annual premium is low, does the cost raise with age?
n
3 Will I have to wait before benefits will be paid?
n
3 Will I have to wait before existing health problems
n
are covered?
b Quick summary of 2015 medicare benefits
Helps pay for medically necessary inpatient care in a hospital or skilled nursing facility
service
Hospital or skilled nursing care
In-hospital semiprivate room,
meals and skilled nursing.
mental Health coverage as
an inpatient in a mental hospital
limited to 190 days in a lifetime.
post-hospital skilled rehabilitative
care in a skilled nursing facility
after a 3 day hospital stay.
part b
benefit
period
Hospital Days:
1–60
61–90
91–150
151+
Same as above
with a 190 day
lifetime limit.
Hospital Days:
1–20
21–100
101+
What You pay
Hospital Days:
$1,260 deductible
$315 per day
$630 per day
You pay in full
Same as above
with a 190 day
lifetime limit.
$0
$157.50 per day
You pay in full.
What medicare
pays of approved
amounts
Balance
Balance
Balance
$0
those eligible
People age 65 or older.
Some people under age
65 with disabilities.
Benefit period begins
on the first day of
admission for the
same condition. An
admission on day 61
or later requires a
new $1,260
deductible.
People with end-stage
renal disease.
What’s not
covered
Private rooms (unless
medically necessary)
Private duty nursing
Part B Medicare
services
Personal convenience
items (TV, telephone)
First three pints of
blood
Helps pay for doctor services, preventive screenings, home health care, hospice, medical equipment and supplies
$147 annual
deductible; $104.90
or more monthly
premium depending
on income; 20% of
Medicare approved
amount; 20% for
outpatient mental
health care; all
costs that exceed
the approved
amount.
80% of the Medicare Enrollees paying the
monthly part B premium.
approved amount
after the $147
deductible.
preventive care including annual Not applicable.
mammograms, colorectal and prostate screenings, annual bone mass
measurement, flu & pneumonia shots,
Hepatitis B for those at medium to
high risk, pelvic exams every 24
mo’s; pelvic exams and pap smears
every 12 mo’s for high-risk women.
After $147 deductible, nothing for
services; 20% of
the equipment and
supplies cost. 25%
of colonoscopy if
performed as an
outpatient.
All costs for fecal
Enrollees paying the
occult blood test, Pap monthly part B premium.
smear lab test, pelvic
and breast exams,
PSA test, flu and
pneumonia shots.
Balance (80%) of
everything else.
First three pints
unless you replace
them; 20% of rest
physician visits and diagnostic
consults, lab tests, physical,
occupational, and speech
therapies, approved chiropractic,
X-rays including mammograms,
outpatient surgical services,
eyeglasses after cataract surgery,
durable medical equipment and
supplies including prosthetic devices
and shoes for diabetics, ambulance
transport, in-area emergency services,
outpatient mental health care.
Not applicable
as long as
monthly
premiums are
paid. please see
page 65 for
monthly
premium rates
based on
income.
Home Health care includes doctor
ordered skilled nursing care, hospice
services, physical, speech and
occupational therapies, home health
aide services and medical supplies.
Not applicable as
long as Medicare
conditions are
met.
lab tests, biopsies, urinalysis
Not applicable.
blood
Not applicable.
After $147 annual
deductible, nothing
for services; 20%
of the equipment
and supplies cost.
Balance
Nothing after $147
deductible.
All costs after $147
deductible.
Patient must be homebound and under a doctor’s
order for intermittent
skilled care or terminally
ill for hospice services.
Balance
custOmer serVice
If you join an HMO, call their customer service number directly with
any questions you have about your care or benefits.
If you use traditional Medicare health insurance benefits, call for:
• Part A Hospital and SNF Claims:
• Part B Claims:
1-800-medicare or 1-800-325-0778 TTY
Some preventative care,
routine physical exam, eye
or foot care, dental, glasses,
(except after cataract
surgery) hearing aids,
orthopedic shoes, private
nursing, prescription
drugs, immunizations
(except those listed
under preventive care)
most medical costs
incurred out of the USA.
Custodial care, including
bathing, grooming, toileting, help getting in and
out of bed. For hospice,
treatments not related to
pain relief.
Cosmetic surgery.
Routine or yearly
medical exams. Other
screening tests or
shots except those
listed on this quick
summary.
take note: When an insurance company
limits your coverage or denies you coverage,
you have the right to appeal the decision.
call legal aid of east tennessee:
(423) 756-4013
To get a copy of the federal government handbook, audiotape, Braille, large print or Spanish versions
of Medicare and You, call 1-800-medicare or 1-877-486-2048 ttY or visit www.medicare.gov
63
MEDICAL INSURANCE
part a
My Health...My Medicare
MyMedicare.gov is a free, secure online service for accessing your Medicare information. As a
registered user on MyMedicare.gov you will have access to personalized information regarding
your Medicare benefits and services. You may use MyMedicare.gov to:
3
n
3
n
3
n
3
n
3
n
3
n
3
n
View claim status (excluding prescription drug plan claims)
Order a duplicate Medicare Summary Notice (MSN) or replacement Medicare card.
View eligibility, entitlement and preventative services information
View enrollment information including prescription drug plans
View or modify your drug list and pharmacy information
View addresses of record with Medicare Part B deductible status
MEDICAL INSURANCE
Access online forms, publications and messages sent to you by CMS
Visit: http://MyMedicare.gov to sign up!
Staying Healthy
Medicare’s Preventive Services
The best way to stay healthy is to live a healthy lifestyle. You can live a healthy lifestyle by
exercising, eating well, keeping a healthy weight and not smoking.
Another important way to stay healthy is to use preventative services provided by doctors and
health care providers. Preventative services can find health problems early when treatment works
best and can keep you from getting certain diseases or illnesses. Preventative services include
exams, lab tests and screenings. They also include shots, monitoring and information to help
you take care of your own health. Medicare pays for many preventive services to keep you healthy.
Medicare covers many different preventive services, however, the amount you pay for the
services varies depending on the type of health plan. Medicare now covers these three
preventive services:
3 One time “Welcome to Medicare” physical exam
n
3 Cardiovascular screening
n
3 Diabetes Screening to check for diabetes
n
For more information on preventative services you can visit www.medicare.gov or call
1-800-MEDICARE (1-800-633-4227).
64
b HOME HEALTH AGENCY COMPARISON
About the Agency
Number of Years in Business
A
b
Medical & Health
Care Services
Accreditation
Home Health Agency
Comparison Chart . . . . . . . . . . . . . . . .65
Safety in the Home:
Questions to Consider . . . . . . . . . . . . .68
Do’s and Don’ts of 911 . . . . . . . . . . . . . .72
My Own Care Management/
Contingency Plan . . . . . . . . . . . . . . . . .73
Caregiver’s Checklist for
Planning Ahead . . . . . . . . . . . . . . . . . . .78
Medication Checklist . . . . . . . . . . . . . . . .81
Certified (Medicare/Medicaid)
24 hours/day, 7 days/week availability
How is phone answered if emergency
Has written supervised care plan
Same person(s) to provide service
Person(s) bonded
Liability insurance
in-home Support Services - non-medical
Other:
billing informAtion
A
Alexian Brothers Home Care . . . . . . . . . . .5
Amara Home Care, Inc. . . . . . . . . . . . . . . .1
At Home Healthcare . . . . . . . . . . . . . . . . .5
5 Star Home Care . . . . . . . . . . . . . . . . . .2-3
Sharon’s In-Home Care . . . . . . . . . . . . . . .4
Standifer Place . . . . . . . . . . . . . . . . . . . . . .7
b
Basic hourly charges for skilled nursing:
for health aide
for personal/homemaker
for therapy
for medical equipment
for other services
hospice Providers
Hospice of Chattanooga . . . . .Back Cover, 4
funeral homes
Crematory and Florist . . . . . . . . . . . . . .71
Minimum hours per day
Calculation of travel time
Overtime and holidays
Frequency of billing
Files insurance claims
Accepts Medicare assignment
Other:
NEED MORE INFORMATION?
Visit us on the web at www.seniorimpact.net
for more information on topics of
interest to seniors and caregivers. View
the Older Adults Guide online, learn
about events in your area, read about
relevant issues currently affecting the
senior community, and much more!
TAKE NOTE
If you receive Medicare benefits through
an HMO, you do not need Medigap
insurance. You may wish to maintain
your Medigap policy until you are
sure you are satisfied with an HMO’s services.
www.setaaad.org
older Adults™…the Resource Guide
65
Hospital Health Care Systems
Hospitals provide a wide range of services including
emergency assistance, health screening and monitoring,
rehabilitation, home health care and aides, physician referral
and counseling. Neighborhood locations, mobile units,
specific disease assessment and treatment centers, as well
as hospital ownership of nursing agencies, in-home hospice
care, equipment and continuing care living facilities, warrant
the more accurate description of “health care system.”
n bleDSoe county
erlanger bledsoe
71 WHEELER TOWN AVE., PIKEVILLE 37367
n brADley county
Skyridge medical center
2305 CHAMBLISS AVE., CLEVELAND 37311
WESTSIDE CAMPUS: 2800 WESTSIDE DR.,
CLEVELAND 37312
(423) 447-2112
(423) 559-6000
(423) 339-4100
HEALTH SERVICES
n hAmilton county
erlanger hospital
975 E 3RD ST., CHATTANOOGA 37403
(423) 778-7000
NORTH CAMPUS
(423) 778-3300
632 MORRISON SPRINGS RD., CHATTANOOGA 37415
EAST CAMPUS - EMERGENCY SERVICES
(423) 778-8500
1755 GUNBARREL RD., CHATTANOOGA 37421
WOMEN’S SERVICES (EAST CAMPUS)
(423) 778-8700
DODSON AVE. COMMUNITY HEALTH CENTER
(423) 778-2800
1200 DODSON AVE., CHATTANOOGA 37406
SOUTHSIDE COMMUNITY HEALTH CENTER
(423) 778-2700
100 EAST 37TH ST., CHATTANOOGA 37410
ERLANGER NORTH SENIORS PROGRAM
(423) 778-3434
(GERIATRIC PSYCH UNIT)
632 MORRISON SPRINGS RD., CHATTANOOGA 37415
healthSouth chattanooga
rehabilitation hospital
(423) 698-0221
www.healthsouthchattanooga.com
Our hospital level of rehab provides patients with the
highest level of physical rehab that is covered by
Medicare and other insurance providers. Our
compassionate and experienced staff, as well as our
tailored rehab programs offer patients the best chance
to return back home in the shortest period of time.
Experience the HealthSouth Difference!
Kindred hospital
709 WALNUT ST., CHATTANOOGA 37402
memorial health care System
MEMORIAL HOSPITAL
2525 DE SALES AVE., CHATTANOOGA 37404
MEMORIAL NORTH PARK HOSPITAL
MEMORIAL WESTSIDE HEALTH CENTER
1200 GROVE ST., CHATTANOOGA 37402
66
(423) 266-7721
(423) 495-2525
(423) 495-7100
(423) 634-0225
Parkridge east hospital
(423) 894-7870
941 SPRING CREEK RD., CHATTANOOGA 37412
Parkridge medical center
GERIATRIC PSYCH UNIT
(423) 698-6061
(423) 493-1571
Parkridge Valley hospital
(423) 894-4220
2200 MORRIS HILL RD., CHATTANOOGA 37421
Siskin hospital for
Physical rehabilitation
ONE SISKIN PLAZA, CHATTANOOGA 37403
(423) 634-1200
Volunteers in medicine clinic,
chattanooga, inc.
(423) 855-8220
5705 MARLIN RD., STE. 1400, CHATTANOOGA 37411
Free clinic for qualified uninsured individuals and
families.
n mcminn county
Starr regional medical center
(423) 745-1411
1114 WEST MADISON AVE. NW, ATHENS 37303
Starr regional medical center etowah campus
886 HWY. 411 N, ETOWAH 37331
n mArion county
Parkridge West hospital
1000 HWY. 28, JASPER 37347
n rheA county
rhea county medical center
9400 RHEA COUNTY HWY., DAYTON 37321
(423) 263-3600
(423) 837-9500
(423) 775-1121
SENIOR MEDICAL PRACTICES
Doctors home Visits of Se tennessee (423) 451-7623
Returning to the “good old days” when doctors provided
medical care in the safety and security of your home.
HOSPITAL MEMBERSHIP PROGRAMS
Hospital membership programs for seniors are free or of
nominal charge. Benefits include a member newsletter,
help with insurance forms and advance directive
counseling, discounts on hospital, medical, travel
services and fitness programs. Additionally, health and
wellness programs are offered along with routine
screenings and immunizations.
erlanger hospital
(423) 778-linK (5465)
ERLANGER HEALTHLINK PLUS, 975 E. 3RD ST., CHATTANOOGA 37403
Skyridge medical center
(423) 559-6887
SENIOR CIRCLE, 2305 CHAMBLISS AVE., CLEVELAND 37311
Prescription drug manufacturers make some medications
available free of charge to low income persons. Your
doctor must make the request to the company.
Home Health Services
Home Health Care Coordination
Home health care agencies offer a range of services
that allow you to remain safely at home with some
assistance in daily living, whether it’s medical, cooking,
personal hygiene, transportation, companionship,
rehabilitation or support to aid the healing process after
illness, surgery or injury. If you need several services, a
medical or social worker will visit you in your home to
determine what services you need and will help you
arrange for them.
Selecting an Agency
Selection of a home health care agency is a personal
decision that must be made based upon your needs.
Nursing agencies can be found in the Yellow Pages
under Home Health Care or Nurses.
RANGE OF SERVICES
Many agencies provide free assessments to determine
the most cost effective plan of care. Per visit or hourly
rates vary by agency, skill level, acuity of care, length
and timing of services.
medicare coverage guidelines
Qualifying for home health benefits under Medicare is
never guaranteed. Minimally, the patient must be:
• Homebound
• Under the care of an M.D. who requests skilled care
• In need of skilled nursing or physical therapy
intermittently. (Patients who require more than
intermittent care, but refuse other alternatives, are
not eligible.)
examples of skilled nursing services that are
covered by medicare:
• Wound dressing involving prescription drug and
aseptic technique
• Bladder and bowel training in the case of
incontinence
• Injections
• Colostomy or ileostomy care
• Respiratory, physical, speech or occupational therapies
TAKE NOTE
Medicare Part B insurance can help pay for the
rental or purchase of durable medical
supplies such as oxygen equipment,
wheelchairs and other medically
necessary items for use in your home.
A doctor’s prescription is necessary.
needy meds
www.needymeds.org
Partnership for Prescription Assistance 1-888-477-2669
www.pparx.org
medicare does not cover any private duty nursing
costs. A patient may be very frail and require many
support services such as enemas, incontinence care,
bathing, personal grooming, transfer from bed to chair,
ambulatory assistance, prompting for performance of
basic activities of daily living (ADLs), meal preparation
and feeding, dressing, homemaking, chore and
companion services. Medicare will not pay for these if
all three of the guidelines are not met.
QUESTIONS TO ASK
3 How long has the agency been in business? Is it
n
affiliated with any hospital, community or social
service agency?
3 What services do we need? What will they cost, per
n
visit or per hour, including overtime or holiday charges?
How are charges calculated? Is there a minimum
number of hours or days per week? What happens
when our insurance and/or Medicare runs out?
3 Does the agency have 24 hour/day, 7 days/week
n
service in case of emergencies?
3 Will the agency representative consult with our
n
physician and family members to develop a written
care plan outlining specific duties caregivers are to
perform, at what intervals and for how long? Will all
necessary agency personnel know what our needs are?
3 How often will we be billed and who will we pay? Is third
n
party reimbursement available? Will the agency file
Medicare, Medicaid, HMO and private insurance claims?
3 Are regular physicals and TB screening required for
n
all workers? Do providers have CPR certification?
3 How is the agency accredited and is it Medicare
n
licensed and/or Medicaid certified?
3 Will the agency teach our family caregivers the health
n
care skills so that the patient can work toward
regaining independence?
3 Will the same person be reliable, dependable and
n
available throughout all care? Is there a nursing
supervisor who oversees all care and will help
address any questions or problems?
(Continued on Pg. 69)
67
HEALTH SERVICES
PRESCRIPTION ASSISTANCE
b Safety In the Home: Questions to Consider
lighting
• Is the lighting adequate but not glare-producing?_________
• Are the light switches easy to reach and to turn on?_______
• Can lights be turned on before entering rooms?___________
• Are night-lights used in appropriate places?____________
hazards
• Are there throw rugs, highly polished floors or other hazardous floor coverings? If so, where?_____________________
• Can they be removed or made less hazardous?_____________________
• Do area rugs have non slip backing and are the edges tacked to the floor?___________________________________
• Are cords, clutter or other obstacles in the pathways? _________If yes, can they be cleared?____________________
• Are doorways wide enough to accommodate assistive devices?________
• Do door thresholds create hazardous conditions?________________
• How does the person obtain objects from hard to reach places?(chairs can be hazards)_________________________
furniture
• Are chairs the right height and depth for the individual?_______________
• Do chairs have arm rests?______________________________________
• Are tables sturdy and will not tip if leaned on?________________________
• Is small furniture placed away from pathways?______________________
Stairways
• Are there light switches at the top and bottom of the stairs?____________
• Are there securely fastened handrails on both sides of stairs?__________
• Are all the steps even?_________________________________________
• Should colored tape be used to mark the edges of the steps, particularly the top and bottom?____________________
bathroom
• Are grab bars placed appropriately for the tub and toilet?______________
• Does the tub have skid proof straps or a rubber mat in the bottom?______
• Is there a tub or shower seat available?___________________________
• Can the shower head be replaced by a hand held shower head?________
• Is the height of the toilet appropriate?_____________________________
HEALTH SERVICES
bedroom
• Is the height of the bed appropriate?_____________________________
• Is the mattress firm enough at the edges to provide enough support for sitting?________________________________
• If the bed has wheels, are they locked securely?___________________
• Would side rails be a help or a hazard?____________________________
• When side rails are down, are they completely out of the way?____
• Is the pathway between bedroom and bathroom clear of objects and well lighted at night?_______________________
• Would a bedside commode be useful, especially at night?_____________
Kitchen
• Are storage areas used to the best advantage-e.g. frequently used objects in the most accessible places?__________
• Are appliance cords in good condition and out of the way?_____________
• Are non slip mats used in front of the sink?_________________________
• Are the markings on stoves and other appliances clearly visible?_______
emergency
• Is an emergency response system available(911)?___________________
• Does the person know how and when to use it?_____________________
• Would a private emergency call service be helpful?_________________
• Is the person’s vital information listed in a place where it would be accessible in an emergency?__________________
temperature
• Is the temperature comfortable for the person?______________________
• Can the person read the marking on the thermostat and adjust it? ______
• Is water temperature less than 110 Fahrenheit?_____________________
• During hot weather, is there adequate ventilation?___________________
• During cold weather, is the furnace working properly?________________
68
TERMS
case management
Professional social worker or nurse makes in-home
assessment and determines plan of care. Makes sure
care is achieving purpose of client safety and recovery.
clinical nurse Specialists
Have extensive training in a subspecialty such as geropsych or ET or IV therapy. They help train family
members to help care for the patient.
Discharge Planner
Works with patients and family members at hospital
dismissal to help with decisions for nursing home
placement, home health care, rehab, therapies, etc.
hi-tech Specialty nursing
Includes home transfusion therapies, central line,
porta catheters and dialysis services.
home health Aide
Provides assistance with personal care such as
bathing, dressing, walking, etc.
home infusion therapies
Enteral (ET): Tube feedings through the stomach
Paraenteral (TPN): Venous nutritional feedings
IV: Venous medication delivery
homemaker/Personal care Service
May assist with light housekeeping, meal planning and
preparation, laundry and companionship. Personal care
services include help with bathing, toileting, dressing,
walking, getting in and out of bed, grooming, etc.
medical Social Work
Licensed social worker consults with patient and
family, making referrals for chronic medical problems
and to available community resources.
occupational therapy
Includes exercises, adaptive equipment, splinting,
joint protection, energy conservation.
TAKE NOTE
A physician must provide written approval for
home health care to qualify for Medicare,
Medicaid and private insurance reimbursement.
Patient’s bill of rights
You are entitled to the highest quality of care with dignity,
respect, full information disclosure, forthright information
about fees and charges and the right to privacy.
Physical therapy
Includes exercise, equipment recommendations, gait
training, transfer training, ultrasound, whirlpool, etc.
Private Duty nursing
One-on-one individual skilled nursing care by an RN or
LPN in a person’s home. Generally charged hourly.
Can also have private duty aides.
respiratory therapy
Exercises to enhance breathing and lung oxygen supply.
Skilled nursing care
Tasks that cannot be performed or self-administered
by the average non-medical person without the direct
supervision of a licensed nurse. Provided by RNs,
LPNs or physical, speech or occupational therapists.
Must be ordered by a physician in conjunction with a
care plan. Definitions of skilled care vary among
Medicare, Medicaid and long term care insurance
policies. Examples of skilled nursing services are
injections, insertion of catheters, observation of
decubitus ulcers, manual removal of impaction and
diabetic teaching. Examples of non-skilled nursing
services are enemas, baths, skin care, administering
meds, routine post-cataract care.
Speech therapy
Includes assessment and intervention in hearing,
swallowing, expressive and receptive problems.
HOME HEALTH CARE PROVIDERS
At home healthcare
2316 SOUTH CONGRESS PKWY.,
ATHENS 37303
(423) 252-0752
4295 CROMWELL RD., STE. 305,
CHATTANOOGA 37421
(423) 385-8120
1355 MARKET ST., STE. 100, DAYTON 37321 (423) 428-9054
www.athomehealthtn.com
Homemaker, in-home respite, personal care, skilled
nursing and more. 24 hours/7days a week.
other Providers:
Amedysis Home Health
Chattanooga Office
Athens Office
Care All Homecare
Dunlap Office
Caresouth Home Health
Tracy City Office
Continuecare Healthservices
Chattanooga Office
(423) 490-1100
(423) 744-8404
(423) 949-6638
(931) 967-0633
(423) 624-8281
69
HEALTH SERVICES
3 Does the agency screen and bond all caregivers
n
and guarantee that its workers are protected with
written personnel policies and basic benefits such
as social security, liability, malpractice insurance
and worker’s compensation?
CAREGIVER TIP
homemaker services are available for
individuals who are unable to perform
their own housekeeping, grocery
shopping, or other errands.
Personal care services may include
bathing, toileting, help in walking or getting
out of a bed or chair, grooming and feeding.
HEALTH SERVICES
Family Home Care Services, LLC
Chattanooga Office
1-800-455-7808
Gentiva Health Services
Chattanooga Office
(423) 892-1122
Guardian Home Care
Athens Office
(423) 745-7131
Hixson/Chattanooga Office
(423) 870-9971
Cleveland Office
(423) 473-8886
Dunlap Office
(423) 949-9222
Home Care Solutions
Chattanooga Office
(423) 238-7878
Home Health Care of East Tennessee
Office
(423) 337-3833 or 1-800-790-0461
Life Care at Home of Tennessee
Chattanooga Office
(423) 510-1500
Cleveland Office
(423) 478-8023
Ducktown Office
(423) 496-1626
Memorial Health Care System Home Health
Chattanooga/Athens/Cleveland/
Dayton Office
(423) 495-8550
NHC Homecare
Chattanooga Office
(423) 877-1716
Athens Office
(423) 745-4246
PPS Home Infusion
Chattanooga Office
(423) 893-9335
Starr Regional Medical Center
Etowah Office
(423) 263-3600
IN-HOME SUPPORT SERVICES - NON-MEDICAL
older Adults™ would like to thank the providers whose
advertising support makes the printing of this guide
possible.
Amara home care, inc.
(423) 756-2411
2821 CUMMINGS HWY., CHATTANOOGA 37419
www.amaracare.com
Always on call. Sitters, caregivers, CNA’s, LPN’s and
RN’s. Licensed, bonded and insured.
Assistive Services at Standifer Place (423) 490-2188
At home healthcare
2316 SOUTH CONGRESS PKWY.,
ATHENS 37303
(423) 252-0752
4295 CROMWELL RD., STE. 305,
CHATTANOOGA 37421
(423) 385-8120
1355 MARKET ST., STE. 100, DAYTON 37321 (423) 428-9054
www.athomehealthtn.com
Homemaker, in-home respite, personal care, skilled
nursing and more. 24 hours/7days a week.
5 Star home care
(423) 893-8181
1618 GUNBARREL ROAD, SUITE 103, CHATTANOOGA 37421
www.5starHomeCare.com
5 hours of homecare services only $49. Personal care
services, light housekeeping, meal preparation,
medication reminders, transportation and more.
Please see our ad on pages 2 – 3.
home care at Standifer Place
Sharon’s in-home Personal care
2000 RAULSTON ST., CHATTANOOGA 37404
(423) 490-2188
(423) 698-2611
other ProViDerS:
Aid & Assist
At Home, Inc.
(423) 899-7000 or 1-888-872-0002
Alexian Brothers Homecare
(423) 634-0814
AllCare Health Services
1-866-9AllCare (925-5227)
Bradley County Health Dept. Homemaker Services
(423) 728-7020
BrightStar of Greater Chattanooga
(423) 296-6640
Caring Hearts of Dunlap, Inc.
(423) 949-8573
Good Neighbors
(423) 266-1772
Home Instead Senior Care
Chattanooga Office
(423) 893-9993
Dalton, GA Office
(706) 277-5721
Orange Grove Center CHOICES Program (423) 629-1451
Personal Care Choices
Cleveland Office
(423) 479-3036
Athens Office
(423) 745-2881
Quality of Life Home Care
Sweetwater Office
(423) 836-9505
Cleveland Office
(423) 458-2800
ResCare HomeCare
Chattanooga
(423) 855-4656
Cleveland
(423) 339-5526
Tennessee Community
Services Agency (TNCSA)
(423) 499-6081
Tell them you saw it in...
70
Older Adults!
Hospice is a special kind of humane, compassionate
care which provides sensitivity and support for those in
the final phase of a terminal illness. Care can be
provided in-home, in a hospital or in a nursing home.
Hospice is covered by Medicare, Medicaid and most
private insurance.
Components of Hospice Care
• Offers pain-comforting, not curative treatment
• Treats the person, not the disease
• Emphasizes quality, rather than length of life
• Considers the entire family, not just the patient
• Help and support to patient and family on a 24-hr.
basis
QUESTIONS TO ASK
3 What’s the response to your very first call?
n
3 How often does someone visit?
n
3 Who can be called after normal business hours and
n
how fast do they respond?
3 What will the actual out-of-pocket costs be?
n
3 How often will a home health aide visit if your patient
n
has intensive physical care needs?
3 If hospital care is needed, does the patient have the
n
choice of hospital and physician?
3 How long will it take to begin hospice service?
n
3 Does the patient need 24-hour care?
n
3 What, and how many hours of, services are provided?
n
3 What relationship does your doctor have with the
n
provider?
3 What happens if the patient no longer needs
n
in-hospital care but cannot go home?
3 Will someone be with the family at the time of death?
n
3 How long has the hospice been in business in the
n
area and is it affiliated with any hospital, community
or social service agency?
3 What is the average caseload carried by each nurse?
n
3 Will the same team stay with the patient throughout
n
the entire length of care?
3 Are there any special services or therapies offered
n
which meet your patient’s specific needs and wishes?
3 Will the hospice service file insurance claims for the
n
family? How will out-of-pocket expenses be handled?
3 What if Medicare or insurance coverage ends?
n
PROVIDERS
older Adults™ would like to thank the providers whose
advertising support makes the printing of this guide
possible.
hospice of chattanooga
(423) 892-4289
4411 OAKWOOD DR., CHATTANOOGA 37416
www.hospiceofchattanooga.org
Call 24 hours/day, 7 days/week. For the patient and
family living with a life threatening illness.
other ProViDerS:
Amedisys Hospice
Chattanooga Office
(423) 499-0018
Athens Office
(423) 507-8755
Monteagle Office
(931) 924-5014
Avalon Hospice
(423) 892-3737 or 1-877-892-3737
Caris Healthcare
(423) 899-4044
Family Home Care and Hospice
(423) 559-6092
Home Health Care of East Tennessee
Office
(423) 337-3833 or 1-800-790-0461
3 Is the hospice contracted with any nursing homes?
n
3 What long term bereavement family support is
n
available?
3 Is inpatient care provided in a designated hospice
n
unit?
CAREGIVER TIP
Not only does hospice benefit the terminally ill, it also
benefits the family through grief support
services. Bereavement counseling is available
for up to a year after the loved one has died.
71
HEALTH SERVICES
Hospice Care
Medical Equipment & Adaptive Devices
Access Durable medical
equipment, llc
(423) 877-3568
4062 HIXSON PK., CHATTANOOGA 37415-3110
Accu-med Supply inc.
8419 OAK VIEW DR., CHATTANOOGA 37421
(423) 648-5500
Advanced respiratory, inc.
(423) 825-4054
American home Patient, inc.
(medical equipment companies)
(423) 495-0233
Advantage healthcare
Anderson Drugs
(423) 698-4594
(423) 263-7824
Apria healthcare, inc.
(423) 499-0212
IMPROVING BALA NCE
Try this exercise to help improve your
balance. Stand to the side of a counter
and put your hand on it for support.
Position one foot directly in front of the
other; the heel of the front foot should
just touch the toes of the back foot. Distribute your
weight evenly on both feet. Steady yourself and let go
of the counter. Hold the position for 10 seconds.
bradley medical equipment
1800 S LEE HWY., CLEVELAND 37311-7328
(423) 472-4300
cherokee medical Supply
1690 25TH ST. NW, CLEVELAND 37311
(423) 476-5516
convalescent Supplies
(423) 745-5208
chattanooga mobility center
(423) 875-3456
4200 DAYTON BLVD., STE. A, CHATTANOOGA 37415-1753
continuecare healthservices, inc.
(423) 624-8281
1501 RIVERSIDE DR., STE. 350, CHATTANOOGA 37406-4329
healthcare Plus, inc.
1-800-394-5001
holland medical equipment, inc.
2900 DODDS AVE., CHATTANOOGA 37407
(423) 757-9400
henley medical
(423) 698-4200
home care Solutions
(423) 238-7878
9420 OOLTEWAH INDUSTRIAL DR., STE. 102, OOLTEWAH 37363
Kci uSA, inc.
1-800-275-4524
4289 BONNY OAKS DR., STE. 112, CHATTANOOGA 37406
Kingwood medical equipment
(423) 629-9940
3824 RINGGOLD RD., CHATTANOOGA 37412-1640
b Do’s and Don’ts of 911
HEALTH SERVICES
Dial 911 only for an emergency
Emergencies include a serious medical problem, fire,
any life-threatening situation or if you see a crime in
progress. If you must call 911, speak calmly and
clearly:
• Describe the type of incident you are reporting
• Describe your location and the location of the
emergency
• Be prepared to provide a description of persons
involved in any incident
• Do not hang up until the dispatcher tells you to
• Follow any instructions the dispatcher gives you
• Secure any dogs or pets that may interfere with the
emergency response
• Gather any medications a person may be taking
Do not dial 911 for a non-emergency. Take the time
now to find the numbers you might need to call in the
event of property damage, a non-life threatening
accident, theft or vandalism when the suspect is gone,
panhandlers, intoxicated persons who are not
disorderly or cars blocking the street or alleys.
72
if in Doubt call 911
fill in these phone numbers. make a copy and post
this by your telephone or on your refrigerator
door.
Police (PHONE) ___________________________________
Sheriff (PHONE) __________________________________
fire (PHONE) _____________________________________
Ambulance (PHONE) ______________________________
family member
NAME _______________________________________
PHONE ___________________________________________
neighbor
NAME _______________________________________
PHONE ___________________________________________
Many prescription drug manufacturers make some
medications available free of charge to low income
persons. Your doctor must make the request to the
pharmaceutical company.
lincare, inc.
(423) 949-4107
151 CHERRY ST., STE. B, DUNLAP 37327-4345
lookout medical Services
(423) 490-0055
4295 CROMWELL RD., STE. 104, CHATTANOOGA 37421-2167
medical center Pharmacy
(423) 476-5547
Professional respiratory Services
(423) 614-0297
2180 STEIN DR., #106, CHATTANOOGA 37421
Pulmonaire Service, inc.
(423) 756-7050
836 MCCALLIE AVE., CHATTANOOGA 37403-2600
Scenic city medical equipment
(423) 847-1202
6503 HIXSON PK., STE. B, HIXSON 37343-2586
Specialized oxygen Services, llc
(423) 847-0031
1008 EXECUTIVE DR., STE. 102, HIXSON 37343-2499
Superior medical Supply, inc.
www.superiormedical.net
1-800-793-7491
tri-State respiratory Service, inc.
(423) 478-9526
60 25TH ST., NW, STE. 4, CLEVELAND 37311
MEDICAL EMERGENCY RESPONSE SYSTEMS
Summon help 24 hours a day. In either voice or nonvoice activated units, an alert goes out to a response
center which tries to contact the subscriber, then predesignated persons if necessary. Some systems have
a timer option where, if the subscriber does not reset
a button every 24 hours, an alert is sent to the center.
A Vital link
ADt Personal emergency
response Systems
1-800-338-4825
1-800-554-3322
Alert one Services, inc.
1-800-693-5433
American Senior Safety Agency
1-888-473-2800
American medical Alarms, inc.
cSt/link to life
1-800-542-0438
Name __________________________ Phone __________________
routine housework/laundry:
Name __________________________ Phone __________________
Name __________________________ Phone __________________
Administer finances:
Name __________________________ Phone __________________
Name __________________________ Phone __________________
home health care (including giving medication):
Name __________________________ Phone __________________
Name __________________________ Phone __________________
transportation:
Name __________________________ Phone __________________
Name __________________________ Phone __________________
feeding:
Name __________________________ Phone __________________
Name __________________________ Phone __________________
bathing/dressing/grooming/toileting:
Name __________________________ Phone __________________
Name __________________________ Phone __________________
care coordination/arranging for services (friendly
visitor, telephone reassurance):
Name __________________________ Phone __________________
Name __________________________ Phone __________________
Name __________________________ Phone __________________
1-800-lifeline
Name __________________________ Phone __________________
1-800-882-2280
Philips lifeline Systems
Vri Personal emergency
response Service
meal preparation/shopping or home-delivered meals:
1-800-848-9399
1-800-780-5433
memorial healthcare lifeline
My own case management/contingency plan
List family, friends and/or agencies who help with these
tasks, or could help in an emergency.
Additional family, friends, agencies, church
members, pastors, etc., that could be contacted
for emergency help:
life Alarm Services
lifefone
b HELP AT HOME
(423) 495-8774
1-800-860-4230
Name __________________________ Phone __________________
Name __________________________ Phone __________________
Name __________________________ Phone __________________
Name __________________________ Phone __________________
Name __________________________ Phone __________________
73
HEALTH SERVICES
CAREGIVER TIP
Disability & Rehabilitation Services
See also Adult Day Care and Adaptive Devices.
Area hospitals and some nursing homes have
rehabilitation departments with speech, occupational
and physical therapists for people who have suffered a
stroke, limb amputation, head trauma, etc. Some
hospitals also have specialized rehabilitation programs
for problems such as cardiac or pulmonary disease.
healthSouth chattanooga
rehabilitation hospital
(423) 698-0221
www.healthsouthchattanooga.com
Our hospital level of rehab provides patients with the
highest level of physical rehab that is covered by
Medicare and other insurance providers. Our
compassionate and experienced staff, as well as our
tailored rehab programs offer patients the best chance
to return back home in the shortest period of time.
Experience the HealthSouth Difference!
national rehabilitation
information center
1-800-346-2742
TDD/TTY
(301) 459-5984
www.naric.com
Library of information and reference center for
disability and rehabilitation. M – F, 8:30 A.M. – 5:30 P.M.
HEALTH SERVICES
tri-State resource and
Advocacy corp.
1-800-868-8724 or (423) 892-4774
Opportunities for individuals with disabilities to lead
full and independent lives through peer counseling,
advocacy, job assistance and computer training.
u.S. Department of Justice
1-800-514-0301
950 PENNSYLVANIA AVE. N.W., DISABILITY RIGHTS,
SECTION-NYAV, WASHINGTON, D.C. 20530
www.ada.gov
Provides information about the ADA in Braille, large
print, audiotapes, or electronically on computer disk.
Veteran’s Administration
1-800-827-1000
www.va.gov
Information and assistance for military veterans.
other ProViDerS:
A.I.M. Center, Inc. . . . . . . . . . . . . . . . . .(423) 624-4800
ARC of Hamilton County . . . . . . . . . . . .(423) 624-6887
Bradley-Cleveland
Community Services . . . . . . . . . . . . . .(423) 479-4111
Chattanooga Area Brain
Injury Association . . . . . . . . . . . . . . . .(423) 634-1572
Disability Solutions –
Social Security Appeals . . . . . . . . . . . .(423) 473-6720
East TN Regional Resource Center . . .1-865-594-5691
74
Fortwood Center . . . . . . . . . . . . . . . . . . .(423) 266-6751
Goodwill Industries . . . . . . . . . . . . . . . . .(423) 629-2501
Hamilton County Emergency
Assistance Program . . . . . . . . . . . . . .(423) 209-8374
Hosanna Community Residence . . . . . .(423) 870-6880
Legal Aid of East Tennessee . . . . . . . .1-800-572-7457
Office of Consumer Affairs
and Civil Rights . . . . . . . . . . . . . . . . .1-800-560-5767
Paralyzed Veterans of
America, TN Chapter . . . . . . . . . . . . .1-800-795-3569
Partnership Elder Services . . . . . . . . . . .(423) 755-2870
Paws with a Cause . . . . . . . . . . . . . . . .1-800-253-7297
Social Security Administration . . . . . . . .1-800-772-1213
Southeast TN Career Centers
Athens . . . . . . . . . . . . . . . . . . . . . . . . .(423) 745-2028
Chattanooga . . . . . . . . . . . . . . . . . . . .(423) 894-5354
Statewide Independent
Living Council of TN . . . . . . . . . . . . . .(423) 255-0283
TN Council on
Developmental Disabilities . . . . . . . . .(615) 532-6615
TN Disability Coalition (Center for Independent
Living) . . . . . . . . . .(615) 383-9442 or 1-888-839-5333
TN Disability Pathfinder . . . . . . . . . . . . .1-800-640-4636
TN Technology Access Project . . . . . . .1-800-732-5059
TennCare Consumer
Advocacy Program . . . . . . . . . . . . . . .1-800-758-1638
Vocational Rehabilitation Services
Chattanooga Office . . . . . . . . . . . . . . .(423) 634-6700
Cleveland Office . . . . . . . . . . . . . . . . .(423) 478-0330
We Care Social Services of Dayton . . . .(423) 775-4333
Wheelchair Getaways of TN . . . . . . . . .1-888-340-8267
VISUAL DISABILITIES
Medicare does not cover expenses for routine eye
exams or glasses except after cataract surgery.
Medicaid may cover the cost for routine exams and
glasses. Some Medicare HMOs provide discounts.
canine companions
for independence
(707) 577-1700
Department of human Services –
Deaf and hard of hearing
(423) 634-6737
foundation fighting blindness
1-800-683-5555
cArtA (care-A-Van)
(423) 698-9038
Provides lift vans to transport those with visual
disabilities to needed services. Requests 24 hours to
two weeks in advance. First come, first served.
District 12-0 lions eye bank
(423) 899-2463
6573 HICKORY MEADOWS DR, CHATTANOOGA 37421
Procures, evaluates and distributes corneal tissue for
transplant. Community education about eye donation.
guide Dog foundation for the blind
1-800-548-4337
guiding eyes for the blind
leader Dogs for the blind
www.leaderdogs.org
1-800-942-0149
1-888-777-5332
library Services for the blind
and Physically handicapped
1-888-657-7323
learning Ally
1-800-803-7201
lighthouse international center
for Vision and Aging
1-800-829-0500
www.lighthouse.org
Provides education and programs about age-related
vision impairment. Information and resources.
mid-tennessee council of the blind (615) 356-4940
313 OVERRIDGE COVE, HERMITAGE 37076
Information and referral. No direct services. Run by
volunteers.
national eye care Project
1-800-222-eyeS (3937)
www.eyecareamerica.org
For those 65+ without access to an opthamologist.
Helps those who cannot pay. Referrals are made to
doctors who will provide eye care (not glasses).
national federation of the blind
(410) 659-9314
www.nfb.org
Publishes Braille Monitor and Future Reflections.
Pet Partners
www.petpartners.org
Prevent blindness tennessee
tennessee Services for the blind
and Visually impaired
(425) 679-5500
1-800-335-0450
1-800-628-7818
South Dakota Association of the blind
gadgetry Program
1-888-584-7440
1815 S. MAIN ST., SIOUX FALLS, SD 57105
Large print checking registers, address books and
calendars, Gadgetry items with adaptive devices.
SPEECH & HEARING DISABILITIES
Medicare doesn’t cover the expense of hearing aids or
routine hearing exams. Medicaid may cover some costs.
TDD/TTY users have speech and hearing impairments
and use a device which enables them to communicate
via written phone messages. Some senior centers have
TDD/TTY equipment.
Audiology Services of chattanooga
(423) 894-1133
independent living Aids/
Soundbytes
1-800-537-2118 or 1-888-816-8191
Products for the visual and hearing impaired. An
infrared headset enables you to listen to the TV, stereo
or VCR at a louder volume than others in the room.
Devices to make your phone ring louder or to alert
you when the phone or doorbell rings.
library Services for the Deaf and
hard of hearing
1-800-342-3262
mcminn Senior citizens, inc.
(423) 745-6830
PO BOX 41, ATHENS 37371
Hearing aid bank for low income seniors.
Partnership for families,
children and Adults
(423) 697-3842
1801 DUNCAN AVE., CHATTANOOGA 37404
www.partnershipfca.com
Program responds to the needs of the deaf and hard
of hearing by offering communication through
interpreting services using American Sign Language as
well as other support services which integrates them
into the mainstream of the community. Among the
services offered are: support counseling, information
and referral, video relay phones and job placement.
Speech and hearing center
(423) 622-6900
600 N HOLTZCLAW, STE. 200, CHATTANOOGA 37404
Diagnostic evaluations and testing for those who have
hearing impairments. Orders/fits hearing aids for those
who need them. Accomplishes aural rehabilitation.
Local Sertoma Club assists in purchasing hearing aids
for elderly persons on a low fixed income.
FREE MED ICAL EYE CARE FOR SENIORS
Those who are age 65 or older and who have not seen
an EyeMD in 3 or more years may be eligible to
receive a comprehensive, medical eye exam and up to
one year of care at no out-of-pocket cost for any
disease diagnosed during the initial exam.
Services that are not covered: Additional services
necessary for your care such as, hospitals, surgical
facilities, anesthesiologists and medications, are
beyond the scope of EyeCare America services. The
ophthalmologist is a volunteer who agrees to provide
only services within these program guidelines.
eyeglasses are not covered: EyeCare America
provides this medical eye care, only. The program
does not provide eyeglass prescriptions,
eyeglass/refraction exams (the prescription part of
exam) or cover the cost of glasses. If you are
concerned about the cost of these items, please
discuss this with the doctor BEFORE the examination.
Visit www.aao.org/eyecare-america/online-referralcenter for more information.
75
HEALTH SERVICES
general electric Answer center
1-800-626-2000
www.geappliances.com
Provides free Braille overlays and special knobs for
visually impaired customers with GE, Hotpoint or
post-1988 RCA major appliances. Give model and
serial number of your appliance. 24 hours/7 days.
tennessee council for the Deaf
and hard of hearing
TTY
(615) 313-4918
(615) 313-5695
tennessee relay center
1-800-848-0299
Dual relay telephone communications for hearing
impaired, sight impaired and elderly persons in the
state of Tennessee. Messages are relayed through
Nashville to the person called on behalf of the caller.
tennessee Services for the Deaf & hard of hearing
1-800-640-4636
ADDITIONAL ACCESSIBILITY RESOURCES
Americans with Disabilities Act
1-800-514-0301
TDD/TTY
1-800-514-0383
U.S. DEPT. OF JUSTICE, CIVIL RIGHTS DIV., 950 PENNSYLVANIA
AVE. N.W., DISABILITY RIGHTS, SECTION–NYAV, WASHINGTON,
D.C. 20530
www.ada.gov
Information is available in Braille, large print,
audiotapes or electronically on computer disk.
medication Safety tips
CA REGIVER TIP
n Vehicle ADAPtAtion
national mobility equipment
Dealers Association
1-800-833-0427
3327 W. BEARSS AVE., TAMPA, FL 33618
Association of vehicle adaptive equipment installers
publishes a newsletter. Addresses issues of adaptive
equipment liability, standards and makes referrals.
1-800-255-9877
CHRYSLER CORPORATION
FORD AND LINCOLN MERCURY
1-800-952-2248
FORD AND LINCOLN MERCURY TDD
1-800-tDD-0312
GENERAL MOTORS
1-800-323-9935
SATURN
1-800-553-6000
These auto manufacturers provide information
packets through their mobility programs with driver
assessment facilities, mobility equipment dealers and
state-specific resources for adapting a vehicle to
accommodate a disabled driver or passenger. Some
reimbursement for installing adaptive equipment on
their vehicles is available.
HEALTH SERVICES
PACE Providers
PAce – Program of All-inclusive care for the elderly
Alexian brothers PAce
(423) 698-0802
PACE is a unique capitated managed care benefit for
the frail elderly provided by a not-for-profit or public
entity. PACE features a comprehensive medical and
social service delivery system using an interdisciplinary
team approach in an adult day health center that is
supplemented by in-home and referral services in
accordance with participants’ needs.
PACE services include, but are not limited to, all
Medicare and Medicaid services. The program provides
the entire continuum of care and services to seniors with
chronic care needs while helping them remain in their
own homes for as long as possible. Care and services
include:
• Adult day care that offers nursing; physical,
occupational and recreational therapies; meals;
nutritional counseling; social work and personal
care.
76
Older adults have special medication needs and
issues. Many times they take several medications for
more than one medical condition. Importantly, the
body disposes of drugs differently as it ages.
Make sure you know:
•
The name of all your drugs.
•
Any and all possible side effects and if the drugs
interact with any foods, activities or other drugs.
•
•
How many times a day to take it; when; with or
without food; what to do if you miss a dose; how
long you need to take it; and if it needs to be refilled.
Any special storage instructions.
Use your prescription medications wisely
and make sure you consult with your
doctor or pharmacist before mixing any over-thecounter medicines with your prescriptions.
•
•
•
•
•
•
•
Home health care and personal care
Medical care provided by a PACE physician familiar
with the history, needs and preferences of each
participant
All necessary prescription drugs
Social services
Medical specialists such as audiology, dentistry,
optometry, podiatry and speech therapy
Respite care
Hospital and nursing home care when necessary
To be eligible to be a PACE participant, you must be
age 55 or older; meet a nursing facility level of care; and
live in the PACE organization service area.
CAREGIVER TIP
Sometimes older adults can experience emotional
difficulties and/or behave strangely due to
medications they are taking.
Consult with your loved one’s healthcare
provider to discuss possible organic causes
of depression or erratic behavior.
Holistic Health and Wellness Programs
Alexian brothers live
(423) 886-0552
At home Programtm
250 EAST 10TH STREET, CHATTANOOGA 37402
The Live At Home Program™ is the region’s most
innovative retirement care plan. Live At Home pays
for and provides the care needed for retirement in the
home setting, while connecting members with the
resources they need to live fulfilled, independent
lives. Care is provided directly through the Alexian
Brothers network.
Alexian brothers PAce
(423) 698-0802
Alexian Brothers Program of All-inclusive Care for the
Elderly (PACE), is an innovative program designed to
serve the frail elderly residents of Hamilton County.
The community-based program enables participants to
remain in their homes through a unique system of
care and support.
Alexian brothers Valley residence
(423) 875-6110
1164 MOUNTAIN CREEK ROAD, CHATTANOOGA 37405
Provides specialized assisted living, respite care and
adult day services for those suffering from Alzheimer’s
disease or related dementia.
cAtAlogS With DiSAbilitieS ProDuctS
These catalogs feature products for home and
recreational use including access ramps, large print
playing cards, wheelchair gloves, adaptive clothing,
post-mastectomy bras and swimwear.
Access to Recreation . . . . . . . . . . .1-800-634-4351
Dr. Leonard’s Healthcare . . . . . . . .1-800-785-0880
Grahamfield . . . . . . . . . . . . . . . . . .1-800-235-4661
JCPenney Special Needs . . . . . . .1-800-222-6161
Sears Health & Wellness . . . . . . . .1-800-349-4358
DiSAbility PublicAtionS
Paraplegia News/Sports’n Spokes .1-888-888-2201
Tell them you saw
it in...
Alexian grove
(423) 825-5557
100 ASBURY OAK LN., CHATTANOOGA 37419
Safe, comfortable, residential living retirement
apartments with support services on an affordable,
monthly rental basis in the beautiful setting of
Lookout Valley.
Alexian Village health
and rehabilitation center
(423) 517-9503
635 ALEXIAN WAY, SIGNAL MOUNTAIN 37377
Alexian Village Health and Rehabilitation Center offers
both short and long term care services. Its tranquil
setting is an ideal place to regain strength during the
healing process following surgery, stroke, heart
attack, illness or fall. Their caring staff provides highly
skilled physical, occupational, speech and nursing
therapies.
Alexian Village of tennessee
(423) 886-0542
Alexian Village of Tennessee is a vibrant continuing
care retirement community (CCRC) located on the
brow of Signal Mountain. It is an integral part of the
Alexian Brothers Senior Ministries’ continuum of care
and attracts retirees from all around the world with its
independent living apartments, assisted living,
rehabilitation, and nursing care facilities.
American yoga Association
P.O. BOX 19986, SARASOTA, FL 34236
www.americanyogaassociation.org
10 GREAT THINGS ABOUT GROWING OLDER
1. Grandchildren are great
2. Gray hair earns respect
3. More time to relax and reflect
4. Movies cost less
5. More precious memories
6. Early-bird specials
7. Your car insurance is cheaper
8. No more kids’ tuition to pay
9. Tolerance grows with age
10. Your clothes are in style again
77
HEALTH SERVICES
Hospitals and HMO’s encourage you to stay healthy with
a variety of health fairs, seminars and preventive
screenings such as cholesterol, hearing, vision and
diabetes management programs. Some have cardiac
rehabilitation centers, holistic health centers and
programs in Tai Chi, biofeedback, therapeutic massage,
yoga and much more.
b A Caregiver’s Checklist for Planning Ahead
People over the age of 85 are the fastest growing segment of our population. Well over half of the US
adult population either is or expects to be a family caregiver. Planning ahead for the possibility of
caregiving, making decisions ahead of time, locating resources, and having open discussions with family
members can help alleviate potential problems. Listed below are a few things to carefully consider when
getting affairs in order before a disaster or medical emergency arises.
general Questions
3 Who will be the primary caregiver?
3 How will other family members be involved?
3 Which responsibilities can be shared? How?
financial and legal questions
3 Do you know the bank accounts, account numbers, and types of accounts of your loved one?
3 Do you know what assets your loved one has, their value and locations?
3 Where are deeds and titles to all property?
3 Do you know all insurance information? Company name(s), policy number(s), beneficiary as stated on
the policies and the type of insurance owned? (health, life, long term care, automobile, etc)
3 What is the social security amount? Is it directly deposited? Where?
3 Where are social security and Medicare cards located?
3 What are the debts? Mortgages, car payments?
3 Does your loved one have an updated will, a power of attorney, a durable power of attorney? Where are
these documents?
HEALTH SERVICES
3 Has an Advanced Directive been prepared and given to the primary physician and any relatives who
may need this?
Physical condition questions
3 Has your loved one had a recent physical? A geriatric assessment?
3 What medications are being taken? Prescription? Over the counter?
3 Do you need to consult with your loved one’s pharmacist and doctor to see if any medications cause
interactions or should be avoided?
housing questions
3 Can your loved one live alone?
3 What housing options are acceptable to your loved one and family? Is a nursing facility or assisted
living facility needed? Is your loved one on waiting lists for these facilities if they are (or soon will be)
needed?
3 Is senior housing an option?
end of life questions
3 What are your loved ones wishes for funeral and burial arrangements?
3 Have any arrangements already been secured? What is the name and location of the funeral home?
78
Health-related Agencies & Services
AIDS/HIV
AiDS hotline – tennessee Department of health
COUNSELING
1-800-525-AiDS
8 A.M. – 12 A.M., 7 DAYS/WEEK
Highly trained counselors offer confidential help.
centers for Disease control – info.
1-800-232-4636
1600 CLIFTON RD., ATLANTA, GA 30333
www.cdc.gov
Clearinghouse with free government publications and
information about resources for AIDS/HIV/STDS/TB.
channels of love
(423) 756-4673
A Christian organization that serves the HIV/AIDS
infected/affected persons in greater Chattanooga area.
Weekly support groups serving HIV/AIDS infected/
affected persons as well as weekly meetings for family
and friends. M-Th, 9 A.M.-4:30 P.M.
chattanooga cAreS
(423) 265-2273
1000 E. 3RD ST., STE. 300, CHATTANOOGA 37405
www.chattanoogacares.og
Provides comprehensive case management for
persons infected with HIV/AIDS including counseling,
referrals, claims assistance, advocacy and emergency
assistance for rent, utilities and food. Case managers
serve 11 counties in southeast Tennessee area.
the home Place
(423) 698-9079
The mission of The Home Place is to provide housing
in a supportive and compassionate environment for
homeless/at risk persons living with HIV/AIDS.
ALCOHOL
Alcoholics Anonymous
(423) 499-6003
1-800-278-8962
24 HOUR HELPLINE
5611 RINGGOLD RD., STE. 130, EAST RIDGE 37412
Support group for people who seek information or
share common problems or concern about drinking
alcohol. Group meetings are held many times a week
at various locations in all parts of the community.
There are groups for teens as well as adults.
council for Alcohol &
Drug Abuse Services (cADAS)
(423) 756-7644
207 SPEARS AVE., CHATTANOOGA 37405
www.cadas.org
Operates a substance abuse center for the area. Day
treatment, outpatient, inpatient, detoxification and
rehabilitation for abusers of alcohol and drugs.
Counseling and prevention programs. Provides a DUI
school in Rhea County on alternate months.
ALZHEIMER’S DISEASE
Alzheimer's Association – mid-South
tennessee chapter (423) 265-3600 or 1-800-272-3900
7625 HAMILTON PARK DR., STE. 22, CHATTANOOGA 37421
23 support groups for persons and family members
affected by Alzheimer's disease. Group meets at
different locations. Offers Family Assistance Program.
See Page 62 for more information. M-F, 8:30 A.M.-4:30 P.M
ARTHRITIS/LUPUS
Arthritis foundation –
Southeast region, inc.
1-800-454-4662
209 10TH AVE. SOUTH, STE. 228, NASHVILLE 37203
Provides education and awareness about arthritis,
support groups and the latest research information.
national Arthritis foundation
1-800-933-7023
2970 PEACHTREE ST., STE. 200, ATLANTA, GA 30305
www.arthritis.org
Educational information and material about arthritis.
Information voice mail system to direct specific
informational/educational pamphlets.
CANCER SUPPORT
American cancer Society of
hamilton county
(423) 267-8613 or 1-800-227-2345
www.cancer.org
Education and public awareness about cancer. Various
educational materials are distributed to schools, group
meeting and individuals. Enhances public awareness of
cancer and advantages of early detection and treatment.
American institute for
cancer research
1-800-843-8114
1759 R STREET NW, WASHINGTON, D.C. 20009
www.aicr.org
This agency uses scientific research to educate the
public on the connection between diet, nutrition and
cancer. Operates a Nutrition Hotline staffed by a
professional dietitian, who will call back within 2 days.
Arthritis ranks as the number one cause of
disability in the US. Of the 40 million
Americans suffering from arthritis, more
than 15 million are age 65 or older. For
about 7 million, arthritis limits the ability to perform
everyday tasks such as dressing, climbing stars,
getting in and out of bed and walking.
TA KE NOTE
79
HEALTH SERVICES
Most agencies provide advocacy, counseling, support
and telephone reassurance. Informational literature is
available with a phone call. Services are free unless
noted. Most agencies have a speakers’ bureau.
breast cancer Support Services
(423) 629-2445
1400 MCCALLIE AVE., STE. 110, CHATTANOOGA 37404
www.bcss-chattanooga.org
Peer support and information, support groups, educational
programs and financial assistance. Prosthesis bank.
etowah Senior center
(423) 263-1209
435 COOPER ST., ETOWAH
Cancer support group meets every 4th Tues. at 7 P.M.
Doors open at 6:30. Cancer patients and survivors,
caregivers, family and anyone who wants to help in
any way such as providing transportation are welcome.
look good
feel better
(423) 267-8613 or 1-800-AcS-2345
AMERICAN CANCER SOCIETY OF HAMILTON COUNTY,
For women undergoing active treatment.
memorial cancer resource centers (423) 495-7778
MEMORIAL HOSPITAL, 605 GLENWOOD DR., STE. 307, 37404
www.memorial.org
DENTAL
lone oak free health
and Dental clinic
(423) 886-4040
A clinic providing treatment for basic illness and
dental services to all who need them. Hours, Mon.,
6–8 P.M.; Thurs, 10 A.M.–12 P.M.
DIABETES
HEALTH SERVICES
American Diabetes
Association
1-865-524-7868 or 1-888-342-2383
211 CENTER PARK DR., STE. 3010, KNOXVILLE 37922
www.diabetes.org
Provides educational programs to patients and the
public about diabetes and associated problems.
Distributes brochures, pamphlets, etc. to schools,
health professionals and other community groups.
Provides information and referral about diabetes.
DRUG & POISON
Poison control center hotline
1-800-222-1222
Provides a statewide toll-free medical hotline for
poison emergency and information calls. All calls are
answered by registered nurses, pharmacists and
physicians. All calls are faast, free and confidential.
CAREGIVER TIP
Of the 16 million Americans who have diabetes, only
half are diagnosed. More than 3 million persons
who suffer from diabetes are over the age of
65. Complications from diabetes include
blindness, amputation, heart disease, kidney
failure and premature death.
80
EPILEPSY
epilepsy foundation of Se tennessee (423) 634-1771
1 SISKIN PLAZA, CHATTANOOGA 37403
Provides support and education services.
HEART
American heart Association
www.heart.org
Research and education.
(423) 763-4400
HUNTINGTON’S DISEASE
huntington’s Disease Society of America
1-800-345-4372
MID-SOUTH/TENNESSEE AFFILIATE
505 8TH AVE., STE. 902, NEW YORK, NY 10018
www.hdsa.org
Support and counseling. Nursing home referral/training.
KIDNEY
chattanooga Kidney center
(423) 648-4900
2118 STEIN DR., CHATTANOOGA 37421
State-of-the-art hemodialysis facility providing dialysis
therapy to patients with End Stage Renal Disease.
Kidney foundation of
greater chattanooga
(423) 265-4397
7739 E. BRAINERD RD., STE. 109, CHATTANOOGA 37421
http://www.kidneyfoundation.com
Education about organ donor program and kidney
disease prevention. Provides some direct services to
those suffering from kidney disease.
LEUKEMIA
the leukemia & lymphoma Society – tennessee
chapter medical Assistance
(615) 331-2980
404 BNA DR., STE. 102, , NASHVILLE 37217
www.lls.org/tn
Provides persons diagnosed with leukemia and blood
cancers, including lymphoma and myeloma, limited
financial assistance of $100 annually. Peer to peer
counseling, family support groups and educational
material free of charge.
LUNG
American lung Association
of tennessee
(423) 629-1098 or 1-800-lunguSA
1466 RIVERSIDE DR., STE. D, CHATTANOOGA 37406
www.lung.org
Information and educational materials on lung health,
asthma and tobacco control to public, health care
professionals, schools, work sites and community
groups for a 10 county area. Seeks to enhance public
awareness of lung disease caused by air quality and
tobacco use.
b MEDICATION CHECKLIST
List your medications here, then keep this list in your
purse or wallet. You can also make copies of your list to
keep at home or work or to give to family members.
What is the brand name of the drug?
Drug A
Take it with you to your doctor appointments and review
the list with a pharmacist.
Drug b
Drug c
What is the generic name?
What is the strength (dose)?
Why am I taking it?
How many should I take?
How often must I take it?
How long must I take it?
Will there be side effects?
What are they?
HEALTH SERVICES
Are there side effects I should report
to my doctor immediately?
Should I take it with meals?
Are there driving or other restrictions?
Will it interact with other meds
or with alcohol?
Is there anything else I should know
about taking this drug?
Note any medication allergies:
81
NEUROMUSCULAR DISEASES
muscular Dystrophy Association
(615) 832-5005
3354 PERIMETER HILL DR., STE. 145, NASHVILLE 37211
www.mda.org
Provides educational material and public awareness to
the public. Various fund raisers are held to support
research and patient services. Support groups for
families, patients and friends.
mid South national multiple Sclerosis
Society
(615) 269-9055 or 1-800-344-4867
214 OVERLOOK CIR., STE. 153, BRENTWOOD 37027
www.nationalmssociety.org
Provides public awareness and education about MS.
Assists persons with MS in transportation, medical
equipment and daily living aids. Call for various
support group times and locations.
SLEEP DISORDERS
Parkridge medical center
SLEEP DISORDER CENTER, STE. 501,
(423) 499-2088
erlanger north hospital
(423) 778-3316
SLEEP DISORDER CENTER, 628 MORRISON SPRINGS RD.,
SUITE 300, CHATTANOOGA 37415
(423) 495-7378
MEMORIAL HOSPITAL, EAST MEDICAL BUILDING, STE. 680,
CHATTANOOGA 37404
STROKE
www.heart.org
Research and education.
(423) 763-4400
SUPPORT GROUPS
NUTRITION
Academy of nutrition and Dietetics 1-800-877-1600
www.eatright.org
Offers public education campaigns, a national
consumer nutrition hot line and a nutrition
information center that collaborates with industry on
food and nutrition projects.
HEALTH SERVICES
(423) 763-4400
www.heart.org
Provides information and educational programs to
health care professionals, schools, work sites and
community groups that are focused on reducing the
risk of heart disease. Programs concentrate on
nutrition, high blood pressure, smoking and exercise
to reduce heart disease and stroke.
American institute for
cancer research
1-800-843-8114
1759 R STREET NW, WASHINGTON, D.C. 20009
Nutrition Hotline staffed by professional dieticians.
Focuses on the link between diet, nutrition and
cancer.
PARKINSON’S DISEASE
national Parkinson’s foundation
1-800-327-4545
www.parkinson.org
Support group for individuals and their families. Offers
education, research resources and other programs.
CHOOSING A WAL KER
When researchers compared a commonly
used four-legged, two-wheeled walker with
a newer three-legged, three-wheeled
walker, the three-wheeler was preferred.
(Study published in the Journal of the American Geriatrics Society)
82
Aphasia Support group
HEALTHSOUTH CHATTANOOGA REHABILITATION HOSPITAL
2412 MCCALLIE AVENUE, CHATTANOOGA, TN 37404
Meets the 1st Thurs. monthly from 11:30 A.M.–1:00 P.M.
Lunch is provided. For more information, call Molly
Trainor at 423-697-9292.
Parkinson’s Disease Support group
HEALTHSOUTH CHATTANOOGA REHABILITATION HOSPITAL,
2412 MCCALLIE AVENUE, CHATTANOOGA, TN 37404
Open to those with Parkinson’s Disease and their
family. Meets the 4th Tues. monthly from 11:30 A.M.–
1:00 P.M. Lunch is provided. For more information,
call Trish Hollifield at (423) 698-0221.
Scenic city Stroke and neuro Support group
HEALTHSOUTH CHATTANOOGA REHABILITATION HOSPITAL,
2412 MCCALLIE AVENUE, CHATTANOOGA 37404.
Open to those who have survived a stroke or have other
neurological diseases. Meets the 3rd Thurs. monthly
from 11:30 A.M.–1:00 P.M. Lunch is provided. For more
information, call Molly Trainor at (423) 697-9292.
CAREGIVER TIP
Stroke is the leading cause of adult disability and the
third leading cause of death in the United
States. Unfortunately, most people do
not know the warning signs of stroke or
seek immediate medical attention when
they occur. The warning signs of stroke are:
•
Sudden numbness or weakness in the face,
arm, or leg, especially on one side of the body;
•
Sudden trouble seeing in one or both eyes;
•
•
•
Sudden confusion or trouble speaking or
understanding;
Sudden trouble walking, dizziness, loss of
balance or coordination;
Sudden severe headache with no known cause.
nursing home placement the correct
b Isdecision?
This chart will help you sort out what options
are available and affordable.
FinAnciAl resources
Housing & Skilled
Health Care Facilities
monthly income (including savings)
Social Security income
Is Nursing Home Placement the
Correct Decision Chart . . . . . . . . . . . . . . .83
Union/VA benefits
Independent/Assisted Living Checklist . . . .90
Pension
Interests, annuities
Moving You Elder in With You: Practical
Tips and Suggestions . . . . . . . . . . . . . . . . .92
Dividends
Other assets
other resources
Private insurance
Housing Resources
Medicare insurance
Assets
total income and resources
monthly nursing home cost For:
Skilled care
Personal care
Therapies
Pharmacy
Medical equipment/supplies
Other
total nursing home cost
income/cost variance
services to enAble one to remAin At home
Availability/monthly cost
Accessibility remodeling
Adult day care
Companionship
Emergency response
Friendly visitors
Home chore services
Home delivered meals
In-home personal care
In-home skilled care
Telephone reassurance
Transportation
Respite care
total
AlternAtive housing ArrAngements
Home remodeling
Board and care
Assisted living
Congregate housing
Seniors apartment
Assisted Living Locator . . . . . . . . . . . . . . . . .11
Alexian Brothers Senior Ministries . . . . . . . . .5
Caring Transitions . . . . . . . . . . . . . . . . . . . . .87
Hickory Valley . . . . . . . . . . . . . . . . . . . . . . . . .9
Manor House Assisted Living . . . . . . . . . . . .11
Morning Pointe Assisted Living
Morning Pointe of Athens, The Lantern at
Morning Pointe, Morning Pointe of Greenbriar
Cove, Morning Pointe of Chattanooga,
Morning Pointe of Hixson . .Inside Front Cover
Rose of Sharon Senior Villa . . . . . . . . . . . . . . .4
Standifer Place . . . . . . . . . . . . . . . . . . . . . . . .7
The Bridge at Ooltewah . . . . . . . . . . . . . . . . .4
MEDICATION TIPS
It is important to note that the body disposes of drugs
differently as it ages, causing a person to become
more sensitive. Make sure you know:
• The name of all your drugs (generic and trade). Ask
your pharmacist or doctor all about what you are taking.
• How many times a day and when to take the
medication. Should you take it with or without food?
• What to do if you miss a dose.
• How long you need to take it and if it
needs to be refilled.
• Any and all possible side effects and
if the drugs interact with any foods,
activities or other drugs.
• Any special storage instructions.
Use your prescription medications wisely and make
sure you consult with your doctor or pharmacist
before mixing any over-the-counter medicines with
your prescriptions.
www.setaaad.org
83
Housing Options
There are many housing and living choices. Many
apartments have been built especially for older persons.
Some apartment houses may be the site of a senior
center or congregate meals. Others have transportation
and outreach programs with a nearby senior center.
INFORMATION & ASSISTANCE
211 call center
(423) 265-8000 or 211
Assisted living
locators
(423) 668-0097 or 1-888-451-1732
www.159.AssistedLivingLocators.com
No cost referral service. Helping you find the perfect
place for your loved one to call “home.” Assisted living
facilities, Alzheimer and dementia care, in-home
companion care, retirement apartments. Free service.
housing info line
(423) 267-5223
1301 MARKET ST., STE. 100, CHATTANOOGA 37402
www.housinginfoline.com
Specialized information and referral service for those who
currently own homes or rent. Will discuss and answer
housing related questions. M, Tu., Th., 10 A.M.-5 P.M.
OMBUDSMAN
long term care ombudsman
(423) 755-2877
5600 BRAINERD RD., STE. B24, CHATTANOOGA 37411
Designed to respond to the needs and issues of elderly
residents and potential residents of long-term care
facilities in ten counties of SE Tennessee. The primary
focus is to provide conflict resolution services to the
long term care resident and his/her family who have a
problem that cannot be resolved without help.
METROPOLITAN HOUSING AUTHORITY
HOUSING OPTIONS
chattanooga housing Authority
(423) 752-4893
801 N. HOLTZCLAW AVE., CHATTANOOGA 37404
Applications for residency may be made at any one of
the 18 public housing sites.
SENIOR HOUSING TERMS
Adult Day services
Community-based group programs designed to
address the needs of adults who are not fully
physically functional, or cognitively impaired. Such
programs can provide much needed respite for
caregivers and an outlet for the person who otherwise
seldom leaves home. Services include supervision,
increased social opportunities with peers, assistance
with personal care and other daily living activities.
Adult board and care home
A facility (licensed or unlicensed, depending on
number of residents) that provides 24-hour
84
supervision of adults. Typically provide a room,
three meals a day and limited help with bathing,
dressing and transferring.
Alzheimer’s/Dementia care unit
May be contained within an assisted living community
or nursing home. Provides care to individuals with
Alzheimer’s disease or other related dementias. Care
provided fosters residents’ individual skills and interests
in an environment that helps to diminish confusion and
agitation. Services provided in a secure environment.
Assisted living
A facility that provides a special combination of
residential housing, personalized supportive
services and limited (not skilled) health care
designed for the individual needs of those requiring
help. Services may include assistance with dressing,
bathing, meals, transportation, cleaning and
medicine management. Facilities provide a wide
range of choices from the single family private home
to a more extensive apartment style environment.
continuing care communities
Residential campuses that provide a "continuum of
care" ranging from private independent living units
to assisted living and then to skilled nursing care, all
in one location. Some guarantee "lifelong residence."
home care
A cost-effective alternative to institutional care. The
senior receives health care or personal care
services within his/her own home with the assistance
of a home care agency. Services may include
medical and non-medical care such as assistance
with shopping, laundry, meals and companionship.
hospice
Special care designed to provide compassion and
support for individuals in the final stages of a
terminal illness. Care takes place in a number of
settings including the senior’s private home, in a
hospice facility, or in a nursing home.
retirement communities
A senior community consisting of apartments,
single-family homes, condominiums, or mobile
homes that are designed to enable independent
seniors to enjoy a lifestyle filled with recreational,
educational and social activities with their peer
group. May provide access to meals, local
transportation and planned social activities.
nursing homes
Generally provide room and board, personal care,
protection, supervision and medical care, all of
which is licensed and regulated by the State
NURSING HOME CARE COVERED BY MEDICAID
Medicaid is the major payer for nursing home care in the
state of Tennessee. With the high cost of nursing home
care, few families can support a loved one in a nursing
home on their own for an extended period. Medicare
gives coverage only for short-term skilled nursing care,
but no coverage at all for nursing home care.
Application for medicaid is in two parts.
1. Medical professionals file an application to see if the
patient meets Medicaid’s medical guidelines. In other
words, the patient must be "sick enough" to need
nursing home care.
2. The patient or family must file a financial application
through the Tennessee Department of Human
Services in the county where the patient lives. The
Southeast Tennessee Area Agency on Aging and
Disability at 1-866-836-6678 can give you the number
for the office closest to you.
Upon application, the Medicaid worker reviews
(1) Income;
(2) Assets (also called resources/property); and
(3) Transfers of property or assets made during the 3
years before the Medicaid application. The worker
will also look at any property the patient holds jointly,
including any bank accounts showing the applicant’s
name. Some types of income are not counted.
To qualify, the applicant’s income must be less than (1)
The amount Medicaid pays for care in a particular nursing
home PLUS (2) The patient’s regular monthly medical
NURSING HOME DATABASE
The Federal government keeps a database of the
over 17,000 nursing homes in the United States.
Information is available on 10 quality indicators,
examining such things as the prevalence of physical
restraints at a facility and the percentage of residents
who have bed sores. Also available is information
found during annual inspections, such as deficiencies
and complaint investigation.
The information can be accessed by calling
1-800-meDicAre, or by visiting the government’s
web site, www.medicare.gov.
expenses that are not paid by insurance or other
payment sources.
Many people fear that they must give up their home and
impoverish their families in order to get Medicaid. This is
not true. Medicaid provides protection for the nursing
home patient, the spouse and dependents. Medicaid
allows the spouse to keep the higher of (1) All income
paid in his/her name OR (2) All income paid in his/her
name plus as much of the patient’s income as it takes to
bring the spouse’s income up to a specified amount. The
spouse’s monthly housing costs are also considered.
Assets you can keep because Medicaid does not count
them include the following:
1. The home, no matter how much it is worth. Even if no
one lives there, its value does not count if the
Medicaid applicant expresses a desire to return
home. A family member may make this decision also.
2. One car.
3. Property that cannot be sold legally for any reason, i.e.
patient is mentally incompetent or property that has
been on the market and not sold after several months.
4. Burial funds and spaces.
5. Household goods and personal items, unless there is
a collection of great value.
Medicaid does count assets belonging to either spouse.
To qualify for Medicaid, an unmarried person may have
no more than $2000 in countable assets. A married
individual may have $2000 in countable assets for
himself / herself, but additional assets may be kept by
the spouse. To check on current amounts that the
spouse of the person applying for Medicaid may keep,
contact the local office of the Department of Human
Services. You will need to speak with the staff member
who is handling Nursing Home Medicaid.
A person with too many assets to qualify for Medicaid
may spend down these assets, using the funds for
approved expenses / purchases. There are penalties for
giving away or selling assets at less tan a fair price if
there has not been a five-year period in between the sale
/gift of the asset and the Medicaid application. For up-todate information regarding spend down of assets or rules
regarding transferring assets, contact the local office of
the Department of Human Services and speak with the
staff member who is handling Nursing Home Medicaid.
CA RE GIVE R TIP
Many older adults who have lived in isolation for a
long time find new friends and new
experiences to keep connected once they
become residents in adult housing facilities.
Transportation for groceries and doctors’
appointments are arranged as well as regular social
activities and outings.
85
HOUSING OPTIONS
Department of Health. Three levels of care are
offered by most facilities and include:
(1) basic care – required to maintain a resident’s
activities of daily living. This includes assistance with
personal care, supervision, ambulation and safety.
(2) skilled care – Requires the services of a
registered nurse and/or therapist, on a regular basis,
for treatments and procedures.
(3) sub-Acute – Comprehensive Inpatient Care
designed for someone who has had an acute illness,
injury, or exacerbation of a disease process.
Important to remember is the fact that the state does have
the right to take assets later as repayment for money
spent on the patient’s care. This may occur after the
patient’s death. However, the state will not try to take the
home for repayment if a spouse or disabled child lives
there. Estate recovery efforts will not take place until after
the death of the patient, spouse or any disabled child.
NURSING HOME CARE COVERED BY MEDICARE
Medicare Part A may pay for inpatient skilled nursing
care in a Medicare-certified skilled nursing facility (SNF)
or a rehabilitation facility if the beneficiary's medical
condition requires daily skilled nursing care or
rehabilitative services. Medicare's skilled nursing care
coverage is very limited and restricted.
medicare Payment conditions
Medicare requires the following conditions to be met
before a skilled nursing facility payment is made:
1. The provider must be a Medicare-certified skilled
nursing facility. Many facilities either do not participate
in Medicare or have a limited number of Medicarecertified beds.
2. The patient’s bed must be a Medicare-certified bed in
the Medicare-certified skilled nursing facility.
CAREGIVER TIP
If you are a caregiver for someone who must leave the
home due to incapacity or hospitalization, you may have
many questions:
• How do I handle inquiries of caring friends and family
while giving the loved one needed time and space?
• How do I handle family and friends’ differing thoughts
about current care and after care?
• How do I care for the home and bills while he/she is gone?
• Can my loved one return home or will there be a
move to another facility?
HOUSING OPTIONS
• How do I handle the selling of
the home and related assets if
returning home is not possible?
• Where can I turn for survival tips?
Try these resources for help:
• Talk with your social worker at the hospital, residential
care facility or nursing home.
• Do you have friends who’ve coped with the same issues?
Talk with them and learn from their experiences.
• Consider attending a caregiver support group.
• Talk with your employer about the availability of elder
care consultation and referral services as part of your
benefits package.
• USE THIS GUIDE!
86
Moving a loved one into a nursing home is an act of love,
not a denial of duty. Many older adults who have lived in
isolation for a long time find new friends
and new experiences to keep connected
with life once they become residents.
Additionally, the very frail often
significantly improve with regular medical
care and a healthy nutrition program.
CA RE GIVE R TIP
3. The beneficiary’s physician must certify and prescribe
a skilled level of nursing care. The individual must
need and receive a skilled level of nursing care. (All
skilled care is NOT reimbursed by Medicare.)
4. The patient must have a minimum three-day prior
hospital stay for the same illness.
5. The patient must be admitted to a skilled nursing
facility within 30 days of discharge from the hospital.
The patient must also be admitted to the skilled
nursing facility with the same diagnosis as the prior
hospitalization.
6. The individual must be capable of showing
improvement.
note: Medicare strictly adheres to these requirements.
Usually the skilled nursing care facility will know whether
the patient's illness or treatment plan will qualify for
Medicare reimbursement. However, claims can be
denied unexpectedly. The beneficiary should have a
thorough understanding of his/her financial responsibility
in the event Medicare should deny the skilled nursing
care claim.
medicare covered skilled nursing Facility (snF) Days
Medicare Part A may reimburse up to 100 days per
benefit period.
Inpatient Days 1 – 20 Medicare pays 100 percent of
approved services
lnpatient Days 21 – 100 Medicare pays 80% of
approved services with 20%
paid by assets or supplemental
insurance.
The 100-day benefit period is renewable by remaining
out of the skilled nursing facility for 60 consecutive days.
However, the beneficiary must meet all of the payment
conditions again.
The Prospective Payment System is used to determine
Skilled Nursing Facility reimbursement under Part A.
services covered During a skilled nursing
Facility stay
• Semi-private room
• All meals (including special diets)
• Regular nursing services
•
•
•
Rehabilitation services such as physical,
occupational and speech therapy
Drugs and medications furnished during the stay
Use of Medical equipment and supplies furnished by
the skilled nursing facility
services not covered During a skilled nursing
Facility stay
• Personal convenience items such as a television
• Extra charges for a private room unless it is
medically necessary
• Physicians’ services or other Medicare Part B
covered medical services
levels of nursing care
skilled nursing care must be ordered and include a
plan of treatment established by a Skilled Nursing
Facility and approved by a physician. The services
provided must be performed by or under the supervision
of licensed nursing personnel. Skilled level care requires
daily involvement of skilled nursing (usually 24-hour
nursing care) or rehabilitation staff. this is the only
level of nursing care reimbursed by medicare.
imPortAnt note: A beneficiary may be receiving
regular skilled care; however, it may not be considered
Medicare skilled care. For Medicare to consider a skilled
nursing stay the patient’s condition must be improving.
custodial nursing care (personal care) is primarily for
the purpose of meeting the beneficiary’s personal needs
(activities of daily living). Custodial nursing care services
do not require a licensed medical professional.
medicare does not pay for this level of care.
Home Improvement, Chore Services & Moving Assistance
Many neighborhood organizations assist with minor
housing repair needs.
chattanooga neighborhood
enterprise, inc.
(423) 756-6201
1301 MARKET ST., STE. 100, CHATTANOOGA 37402
www.cneinc.org
Residential and small business loans, financial counseling
and home construction to revitalize neighborhoods in
historically underserved parts of town.
MOVING ASSISTANCE SERVICES
caring transitions of
greater chattanooga
(423) 933-1554
UNBARREL
R
D
.,
S
TE
.
154,
B
OX
268,
C
HATTANOOGA
37421
2288 G
www.caringtransitionsnechattanooga.com
Senior relocation, downsizing and decluttering, and
estate sales. Request a FREE consultation and begin
your journey today!
hope for the inner city
(423) 698-3178
PO BOX 11584, CHATTANOOGA 37406
www.hope4innercity.org
Home repair for the elderly or others in need. Focus is
on Glenwood and surrounding urban areas.
HOUSING OPTIONS
southeast tennessee human
resource Agency
(423) 949-2191
PO BOX 909, DUNLAP 37327
The U.S. Dept. of Energy’s Weatherization Assistance
program is the nation’s core program for delivering
energy efficiency services to low-income households.
Professionally trained weatherization crews perform onsite home energy audits using state of the art equipment
to identify outside drafts and inspect heating and
cooling systems for efficiency. Weatherization crews
install insulation, seal off air leaks, make modifications
to (or replace) existing heating systems and make
minor repairs to ensure safety. Once installed, these
energy saving measures will help to reduce your
heating and cooling costs for years to come.
Widow’s harvest ministry
(423) 266-0260
PO BOX 2307, CHATTANOOGA 37409
www.widows.org
Volunteers assist widows with home repairs, appliance
repair, yard work and similar activities when there are
no other resources to accomplish these tasks.
87
Reverse Mortgage Loans
Reverse mortgage loans enable persons age 62+ to get
cash (a loan) that is not paid back until you move out of your
home, no matter how long it turns out to be. This loan relies
only on home equity, so advanced age, low income, and
even bad credit (except debt to the Federal Government),
does not prevent this loan from going through.
The most popular form of Reverse Mortgage is the
Home Equity Conversion Mortgage (HECM) which is the
one described here. The HECM loan is done through
private lenders who compete for your business, but
these loans are backed 100% by the Federal
Government through the Department of Housing and
Urban Development (HUD).
How Much Can I Borrow?
The following chart gives examples of the amount of
money available at an interest rate of 3.97%. The
interest rate in the discussion here is variable monthly (a
slightly higher, variable yearly rate is also offered); the
lower the interest rate, the more money that will be
available to the homeowner.
maximum
claim Amount*
$213,750
140,000
85,000
$213,750
140,000
85,000
tenure monthly Payment (by age)
65
75
85
$676
448
251
$913
582
332
$1,417
910
530
$111,916
75,668
42,533
$133,947
85,346
48,801
$157,002
100,879
56,724
line of credit
or cash Advance by Age
HOUSING OPTIONS
There are several choices for taking the money
available; a line of credit, a monthly payment for life
(“tenure”) for a specified period, or any combination of
these methods. Notice that the older you are, the greater
the amount available.
* The Maximum Claim Amount is either the FHA lending
limit in the County, or your home value, whichever is less.
PROS AND CONS OF REVERSE MORTGAGES
Pros include:
• A free educational session conducted by a trained
counselor is required before you enroll with a lender.
CAREGIVER TIP
More than half the seniors who apply for reverse
mortgages are eligible for Supplemental
Social Security. Income received from reverse
mortgages does not affect Social Security or
Medicare. Since these payments are considered a
loan, they do not affect Medicaid eligibility requirements.
88
The best way to compare the cost of reverse
mortgage loans is to use the Total Annual
Loan Cost (TALC) rates that federal Truthin-Lending law requires lenders to disclose to you.
TALC rates are generally largest in the beginning
years and decrease over time.
TA KE NOTE
• A “low” interest rate applies and accumulates only on
the funds borrowed so far.
• No monthly mortgage payments.
• No repayment until you move; for co-owners, no
repayment until you both move.
• Existing mortgages will be paid off with Reverse Mortgage
Funds (as long as there are enough proceeds to do so).
• If you are receiving public benefits (such as SSI or Food
Stamps), Reverse Mortgage proceeds can be managed
in a way that does not interfere with benefits.
cons include:
• High start-up costs. While these are not paid out of
pocket, there is an immediate debt on the home. So this
loan is costly if you move out of the home soon.
• Required repairs must be less than 15% of the home
value (if repair needs are greater, other programs may
help - ask your counselor).
• Any existing mortgage must be paid off, so if existing
debt is too large, the Reverse Mortgage might not
provide enough money to do so.
more Questions?
For more information, visit the Internet at www.aarp.org, or
call the Housing Counseling Clearinghouse listed below.
HUD-APPROVED REVERSE MORTGAGE LOANS
To be eligible for a HUD reverse mortgage, HUD's
Federal Housing Administration (FHA) requires that the
borrower is a homeowner, 62 years of age or older; own
the home outright or have a low mortgage balance that
can be paid off at the closing with proceeds from the
reverse loan; and must live in the home. You are further
required to receive consumer information from HUDapproved counseling sources prior to obtaining the loan.
Contact the housing counseling clearinghouse at
1-800-569-4287 to obtain the name and telephone
number of a HUD-approved counseling agency and a
list of FHA approved lenders within your area.
Please support our valued advertisers
without whom this Guide could not
be published. Tell them you saw it in
Older Adults!
Independent Living and Apartment Complexes
Alexian village of tennessee
(423) 886-0542
caldsted
(423) 624-9906
3701 CHERRYTON DR., CHATTANOOGA 37411
creekside at shallowford
(423) 485-9933
7511 SHALLOWFORD RD.,
CHATTANOOGA 37421
east ridge retirement center
(423) 899-6370
1417 NORTH MACK SMITH RD.,
EAST RIDGE 37412
www.eastridgeretirementcenter.com
eastwood manor
(423) 622-5761
garden Plaza at cleveland
(423) 479-4447
3500 KEITH ST. NORTHWEST,
CLEVELAND 37312
garden Plaza of greenbriar cove
(423) 396-5100
4586 FORSYTHIA WAY, OOLTEWAH 37363
hickory valley retirement
community
(423) 855-0508
6705 BALLARD DR., CHATTANOOGA 37421
independent healthcare Properties
(423) 756-1230
736 GEORGIA AVE., CHATTANOOGA 37402
independent living at standifer
Place
(423) 490-2188
John calvin Presbyterian Apts
(423) 877-4324
364 NORTHGATE MALL DR., HIXSON 37343
meadowood Apartments
(931) 592-9628 14252 US HWY. 41, TRACY CITY 37387
Assisted Living Facilities by County
BRADLEY COUNTY
claire bridge
(423) 473-7300
1775 MT. VERNON DR. NW, CLEVELAND 37311
garden Plaza at cleveland
(423) 479-4447
3500 KEITH ST. NW, CLEVELAND 37312
morningside of cleveland
(423) 614-5424
2900 WESTSIDE DR. NW, CLEVELAND 37312
HAMILTON COUNTY
Assisted living at standifer Place
(423) 490-2188
Alexian brothers valley residence
(423) 875-6110
1164 MOUNTAIN CREEK RD.,
CHATTANOOGA 37405
Alexian Assisted living
(423) 517-9511
671 ALEXIAN WAY, SIGNAL MTN. 37377
elmcroft of shallowford
(423) 899-8133
7127 LEE HWY., CHATTANOOGA 37421
elmcroft of hamilton Place
(423) 485-9496
hickory valley retirement
community
(423) 855-0508
6705 BALLARD DR., CHATTANOOGA 37421
manorhouse Assisted living
(423) 870-5900
CHATTANOOGA 37405
martin-boyd christian home
(423) 892-1020
6845 STANDIFER GAP RD., CHATTANOOGA 37421
morning Pointe at greenbriar cove
(423) 396-6999
9650 LEYLAND DR., COLLEGEDALE 37363
nAPFe chatt elderly tower
(423) 344-8361
5465 HIGHWAY 58, CHATTANOOGA 37416
Parkwood retirement Apartments
(423) 242-7117
2700A PARKWOOD AVE., CHATTANOOGA
37404-1747
regency house Assisted living
(423) 870-0050
st. elmo court Apartments
(423) 825-5000
4625 ST. ELMO AVE., CHATTANOOGA 37409
summit view
(423) 875-6723
825 RUNYAN DR., CHATTANOOGA 37405
terrace At mountain creek
(423) 874-0200
CHATTANOOGA 37405
morning Pointe at greenbriar cove
(423) 396-6999
9650 LEYLAND DR., COLLEGEDALE 37363
morning Pointe of chattanooga
(423) 296-0097
7620 SHALLOWFORD RD., CHATTANOOGA 37421
morning Pointe of hixson
(423) 847-1370
5501 OLD HIXSON PK., HIXSON 37343
Paragon Assisted living
(423) 267-3453
908 EAST MLK BLVD., CHATTANOOGA 37403
regency house Assisted living
(423) 870-0050
rose of sharon senior villa
(423) 822-7673
5410 LEE AVE., CHATTANOOGA 37410
summit view
(423) 875-6723
89
HOUSING OPTIONS
Alexian grove
(423) 825-5557
100 ASBURY OAK LN., CHATTANOOGA 37419
b Independent/Assisted Living Checklist
bAsic Fee structure
entrance Fee/terms
___________________
___________________
lease term/Deposit
owner/Affiliation/years in business
living units monthly charge
o Studio
o One bedroom
o Two bedroom
Furnished for any of above
Food service monthly charge
Lunch
o Continental
o Full
Dinner
In-room charge
Equipped kitchen:
___________________
___________________
___________________
safety and security
o 24 hour entry monitor/security
o Locked entrance
o Sprinkler/smoke detector
24 hour emergency call
o in bathroom
___________________
social and health Programs
___________________
___________________
___________________
___________________
___________________
___________________
o Hall handrails/guardrails
o Activities planned (cultural,
educational, leisure, social)
o Exercise programs
o Health screenings
o Resident services coordinator
transportation
o as personally needed
o as scheduled
___________________
convenience and errands
Air conditioning/heat
___________________
Laundry
Housekeeping weekly/biweekly
___________________
utilities monthly charge
o Microwave
housekeeping monthly charge
Linens weekly/biweekly
home health services charge
On-site medical services/nurse/24 hours
Post surgery or acute illness
___________________
___________________
___________________
HOUSING OPTIONS
Phone call medication reminders
___________________
Assistance with bathing, grooming, dressing
___________________
Pulse or blood pressure check in apartment
Additional home health/medical care:
Additional charges
___________________
___________________
___________________
Cable
___________________
Transportation
___________________
Phone
Other
monthly totAl
90
o Bank
o Decor choice/allowance
o Exercise room
o Fireplace
o Fishing lake
o Furnished units
o Game room/activities
o Gardening area/greenhouse
o Gazebo
o Guest rooms
o Individual patio/veranda
o Hot water dispenser
o Levered door handles
o Library
o Lockers
o Lounge with TV/without TV
o Pets allowed
o unit hook-up
o Pool/spa/Jacuzzi/sauna
o Parking reserved
o Private dining
o Phone outlets pre-wired
o Trash removal
o Chapel
o Outdoor nature paths
o on floor (coin)
o Post office
o Cable TV hook-up/satellite
dish
o Meeting room & private dining
o in building (coin)
o Pharmacy
o Bathing/personal held
sprayers
o Draperies
o in bedroom
o Non-skid bathroom grab
___________________
o Electric/gas
services
___________________
___________________
o Cottage
Breakfast:
___________________
Amenities
o Putting green
o Workshop
other:
other:
___________________
___________________
___________________
___________________
the lantern at morning Pointe
(423) 396-4700
9300 MESSINGER LN., OOLTEWAH 37363
the bridge at ooltewah
(423) 760-8540
5901 SNOW HILL RD., OOLTEWAH 37363
the terrace at mountain creek
(423) 874-0200
CHATTANOOGA 37405
Wellington Place of hixson
(423) 877-8771
4515 HIXSON PIKE, HIXSON 37343
MARION COUNTY
valley view Assisted living
(423) 658-0100
101 NORTH MAPLE ST., WHITWELL 37397
MCMINN COUNTY
morning Pointe of Athens
(423) 745-0608
1025 CRESTWAY DR., ATHENS 37303
Wellington Place of Athens
(423) 744-7272
120 KEITH LN., ATHENS 37303
RHEA COUNTY
Quiet oaks Adult care home
(423) 775-7658
3872 BRAYTON MTN. RD., GRAYSVILLE 37338
NORTHERN GEORGIA
thrive Assisted living & memory care
(706) 956-5898
12194 SCENIC HWY., LOOKOUT MTN.,
GA 30750
Nursing Facilities/Nursing Homes
Nursing facilities should never be considered the “last
step” for patients.
If someone requires constant supervision and there is
no one to provide this care, nursing facilities can provide
temporary respite and support. There are many assisted
living alternatives. A person does not necessarily need
to move into a nursing facility simply because he or she
is having health problems or can’t manage to live
independently at home. Options depend upon the
duration and type of services required as well as the
level of care that can be afforded.
Nursing facilities may be owned and operated by a
governmental unit such as the county or state, a philanthropic or non-profit organization such as a church or
religious organization, or a proprietary, for-profit
corporation, family or individual. Philanthropic nursing
facilities are not necessarily less expensive than
proprietary nursing facilities. Many facilities have waiting
lists.
Family members may feel frustrated or guilty about not
being able to personally care for a parent or other close
older adult. Nursing home administrators, religious and
health care professionals, and the Long Term Care
Ombudsman can provide helpful perspectives.
TA KE NOTE
Before assets have been spent down,
make sure you have purchased a funeral
insurance plan. See Estate Planning.
If Nursing Home Placement is the Appropriate
Option. . .To make the transition most effectively, a
prospective resident, the family and physician must be
involved in the decision-making process.
• Encourage as much independent decision-making as
possible by the prospective resident.
• Move as many personal effects as possible into the
room to foster familiarity and comfort.
• Assure the person that a family member is always
(Cont. on Pg. 100)
reachable by phone.
GRIEVANCE RESOURCES
long term care ombudsman
(423) 755-2877
5600 BRAINERD RD., STE. B24, CHATTANOOGA 37411
Designed to respond to the needs and issues of elderly
residents and potential residents of long-term care
facilities in ten counties of SE Tennessee. The primary
focus of the program is to provide conflict resolution
services to the long term care resident (and their
family) who has a problem that cannot be resolved
without help.
TA KE NOTE
Some nursing home residents have frail bodies but
very alert minds. Other residents may not be
able to process numbers to play bingo, but enjoy
trips to a park or to see Christmas decorations.
Study the activities schedule to make sure your loved one
will have access to the types of activities he or she will
enjoy and look forward to each day.
For more information, check us out
on the web at:
www.seniorimpact.net
91
HOUSING OPTIONS
See also Adult Day Care, Home Health and Respite.
b Moving Your Elder in With You:
Practical Tips and Suggestions
If you are considering having your elderly parent or
relative move into your home, you are not alone.
According to Business Week, 22 percent of seniors are
expecting to move in with their kids and 54 percent of
baby boomers are expecting their parents to move in
with them.
emotional issues: In order for this new arrangement
to work, you and your elder must examine your
relationships with each other. Even if you are blessed
with loving and caring relationships, you must
determine if you can live together. By honestly
answering the following questions, you will be on your
way to determining if you should consider the move.
o Have you had a relationship that has been open
and honest?
o Have you been able to settle past differences?
o Are there any unresolved issues?
HOUSING OPTIONS
living Arrangements: After you determine that you
are emotionally ready to make the move, you must
examine the living arrangements.
o Is there enough room in your home for everyone to
live comfortably?
o Do any minor or major changes need to be made
to accommodate any disabilities or mobility
problems your parent or relative may have?
o Have you reviewed the home for safety traps and
potential problems?
o Are you taking into account all privacy issues?
o What, if any, furniture will your relative bring with
him or her?
o If your elder has Alzheimer’s Disease or other form
of dementia, will wandering be a problem? Should
doors and windows always be secured?
o Can you identify "Danger Zones" that should be
restricted?
o Can you identify "Safe Zones" where your elder is
free to wander and explore?
o Are there areas of the home where family members
can separate themselves from the stresses of
caregiving?
relationship changes: Role changes may be one of
the hardest factors to deal with.
o Are you prepared for role reversals that may
occur? For example, your elder may no longer feel
like the "parent."
o Are you prepared to make rules that may not
always be warmly received by your elder?
92
When you consider all the lifestyle adjustments, role
changes and changes in relationships that will
ultimately occur by having your elder move in with you,
the prospect may seem daunting. So, before you make
a quick decision, it is important to look at all the issues
facing everyone involved.
Financial caregiving: As you take on more
responsibility for your elder’s well-being, you may find
yourself managing her financial affairs. This is a doubly
challenging responsibility since it presents the
additional burden of spending time writing out bills,
balancing accounts and managing investments. It also
may require you to delve into very private matters that
parents and relatives rarely share with their children.
o Have you considered automatic payment of
recurring bills?
o Do all siblings understand and participate in the
financial matters?
o Have you researched low-cost or free assistance
services?
o Do you regularly meet with other family members
to agree on new expenditures or to keep them
apprised of accounts?
o Have you discussed responsibility for out-of-pocket
expenses with your siblings and your elder?
Assistance: Another important issue to resolve is
whether your elder will need assistance during the day.
This is especially important if the rest of your family
works or goes to school outside the home.
o If assistance is required, what arrangements can
be made?
o If your parent requires no daily assistance, will you
be able to take off from work to take him to
appointments or care for her when she is ill?
emotional space: The biggest complaints people
have when they take on this responsibility is that they
have no time: they’re exhausted and they do not get
enough sleep. This is especially true for those who
care for parents or relatives with special needs such as
those with Alzheimer’s Disease or other dementia.
Family consent/Approval
o Have you discussed issues regarding caring for
your elder with other family members?
o Have you discussed the move with your siblings
and other relatives of your elder?
Nursing Home Facilities by County
bledsoe county nursing home
(423) 447-6811
107 WHEELERTOWN AVE., PIKEVILLE 37367
BRADLEY COUNTY
bradley healthcare &
rehabilitation center
(423) 472-7116
2910 PEERLESS RD. NW, CLEVELAND 37312
life care center of cleveland
(423) 476-3254
3530 KEITH STREET NW, CLEVELAND 37312
signature health care of cleveland
(423) 476-4444
2750 EXECUTIVE PARK PL., CLEVELAND 37312
GRUNDY COUNTY
bridge at monteagle
(931) 924-2041
26 2ND ST., MONTEAGLE 37356
health center at standifer Place
(423) 490-1599
life care center of Athens
(423) 745-8181
1234 FRYE ST., ATHENS 37303
life care center of hixson
(423) 842-0049
5798 HIXSON HOMEPLACE, HIXSON 37343
nhc healthcare, Athens
(423) 745-0434
1204 FRYE ST., ATHENS 37303
life care center of collegedale
(423) 396-2182
P.O. BOX 658, 9210 APISON PIKE, 37315
life care center of red bank
(423) 877-1155
nhc healthcare, chattanooga
(423) 624-1533
2700 PARKWOOD AVE., CHATTANOOGA 37404
soddy Daisy health care center
(423) 332-0060
701 SEQUOYAH RD., SODDY DAISY 37379
st. barnabas nursing home
(423) 847-4100
950 SISKIN DR., CHATTANOOGA 37403
HAMILTON COUNTY
the neW Alexian village health
and rehabilitation center
(423) 517-9503
consulate health care
(423) 892-1716
8249 STANDIFER GAP RD., CHATTANOOGA 37421
the Davis home
1106 DUNCAN AVE.,
CHATTANOOGA 37404 (423) 697-0733
4627-4629 KIRKLAND AVE.,
CHATTANOOGA 37410 (423) 825-5210
MARION COUNTY
rivermont care and
(423) 837-7981
201 EAST 10TH ST., SOUTH PITTSBURG 37380
mcminn memorial nursing home
(423) 263-3646
886 HIGHWAY 411 NORTH, ETOWAH 37331
MEIGS COUNTY
brookewood nursing center, inc.
(423) 334-3002
332 RIVER RD., DECATUR 37322
POLK COUNTY
life care center of copper basin
(423) 496-3245
166 COPPER BASIN INDUSTRIAL DR.,
PO BOX 518, DUCKTOWN 37326
RHEA COUNTY
laurelbrook nursing home
(423) 775-0771
200 SANITARIUM CIR., DAYTON 37321
spring city care and
(423) 365-4355
331 HINCH ST., SPRING CITY 37381
MCMINN COUNTY
etowah health care center
(423) 263-1138
409 GRADY RD., BOX 957, ETOWAH 37331
Home Sweet
Home
SEQUATCHIE COUNTY
nhc healthcare, sequatchie
(423) 949-4651
360 DELL TRAIL, DUNLAP 37327
HOUSING OPTIONS
BLEDSOE COUNTY
NORTHERN GEORGIA
thrive Assisted living & memory care
(706) 956-5898
12194 SCENIC HWY., LOOKOUT MTN.,
GA 30750
93
Index
2015 Medicare Benefits................63
5 Star Home Care ................2-3. 70
A
AARP ...........14, 34, 36, 40, 42
Absentee Voting...................42
Adaptive Devices .................72
Adult Board and Care Home ........84
Adult Day Care .............................54
Adult Day Care at
Standifer Place.....................7, 54
Adult Day Services .......................84
Adult Protective Services..............50
Advance Care Plan.......................46
Advance Directives.......................43
Cremation Services .................43
Advocacy, Legal &
Self Empowerment ....................42
AIDS/HIV ......................................79
Alcohol..........................................79
Alcohol & Drug Abuse Services....79
Alexian Brothers
Live At Home Program........5, 77
PACE.........................5, 54, 76, 77
Valley Residence ......5,54, 77, 89
Alexian Assisted Living .........5, 89
Alexian Grove ...................5, 77, 89
Alexian Village
of Tennessee..................5, 77, 89
Alzheimer’s Disease .....................79
Alzheimer’s Services ....................54
Alzheimer’s/Dementia Care Unit ..84
Amara Home Care, Inc. ..........1, 70
Amara Home Service ...................54
American Red Cross ..16, 39, 40, 50
American Yoga Association..........77
Americans with Disabilities Act.....76
Apartment Complexes ..................89
Appointment of Health
Care Agent ................................48
Arthritis/Lupus...............................79
Assisted Living..............................84
Assisted Living at
Standifer Place.....................7, 89
Assisted Living Facilities
by County ..................................89
Assisted Living Locator.......11, 84
Assistive Services at
Standifer Place.....................7, 70
At Home Healthcare .........4, 69, 70
94
B
Behold Senior
Activity Center.............7, 54
Bereavement/
Widow Support ..........................52
Better Business Bureau................36
Birth Certificates ...........................42
Birthday/Anniversary Greetings....52
Bledsoe Senior Activity Center .....15
Bradley/Cleveland
Community Services..................51
Bradley/Cleveland
Sr. Activity Center......................15
C
Cancer Society.....................79
Caregiver Checklist..............45
Caregiver Emergency
Help Guide.................................55
Caregiver’s Checklist for
Planning Ahead .........................78
Caring Transitions of
Greater Chattanooga...............87
CARTA (Chattanooga Area
Regional Transportation
Authority) ...................................16
CARTA Care–A–Van....................16
Case Management .......................69
Catalogs with
Disabilities Products ..................77
Catholic Charities of East TN .......40
Center for Community
Career Education.......................40
Chattanooga Bar Association .......38
Chattanooga Department
of Human Services ....................51
Crematory and Florist .......43, 71
Chattanooga Goodwill Industries..40
Chattanooga History Center .........35
Chattanooga Housing Authority....84
Chattanooga Human
Services Department ...........14, 52
Chattanooga Rescue Mission.......51
Chattanooga-Hamilton
County Bicentennial Library.......35
Chore Services .............................87
Cigna HealthSpring ...............59-60
Clinical Nurse Specialists .............69
Coalition Against Domestic
and Community Violence...........36
Community Support......................50
Companionship.............................52
Congregate Meal Sites .................15
Conservatorship ...........................39
Consumer Affairs..........................36
Consumer Help.............................36
Continuing Care Communities......84
Credit Counseling .........................38
Crime Stoppers.............................36
Crime Victoms’ Compensation
Fund/Tennessee...........................36
Crisis Intervention.........................50
D
Departments of
Human Services ...............60
Diabetes Association ...........80
Disability & Rehabilitation
Services.....................................74
Discharge Planner ........................69
Discount Pharmacies/
Pharmacy Services....................34
Discount Programs .......................34
Do’s and Don’ts of 911 .................72
Drug & Poison ..............................80
Durable General
Power of Attorney ......................39
Durable Power of
Attorney for Healthcare..............39
E
Eastgate Senior
Activity Center ..................15
Education and Leisure .........35
Elder Abuse and Neglect..............50
Eldercare Locator .........................15
Elderhostel....................................35
Elected Representatives...............42
Emergency Assistance .................50
Emergency Response Systems ...73
Emergency Shelters .....................50
Employment..................................40
Epilepsy Foundation of
SE Tennessee ...........................80
Estate Planning ............................38
Etowah Senior Activity Center ......15
F
Family Caregiver
Support Program ..............14
Family Support Services......53
Federal Information Center...........36
Finances .......................................38
Food Stamps ................................51
Foster Grandparent Program .......40
Free Medical Eye Care
for Seniors .................................75
Funeral Preplanning .....................43
G-H
Gruetli Laager
Senior Center ..............15
Guardianship ..................39
Handicapped Parking Permits ......16
Health Care Insurance..................58
Health Center at
Standifer Place.....................7, 93
Health-related Agencies
& Services .................................79
Heart Association ...................80, 82
Hickory Valley
Retirement Community .......7, 89
Holistic Health and
Wellness Programs ...................77
Home and Community
Based Services..........................14
Home Care ...................................84
Home Care at Standifer Place .7, 70
Home Delivered Meals .................16
Home Delivered Meals Program ..14
Home Health
Agency Comparison ..................65
Home Health Aide ........................69
Home Health Care Providers........69
Home Health Services..................67
Home Improvement ......................87
Home Infusion Therapies .............69
Home Safety Checklist .................56
Homemaker Program ...................14
Homemaker/Personal
Care Service..............................69
Hospice.........................................84
Hospice Care................................71
Hospice of Chattanooga ................
...................4, 53, 71, Back Cover
Hospital Health Care Systems......66
Hospital Membership Programs ...66
Housing Info Line..........................84
Housing Options ...........................84
How to Communicate Your
Loved One’s Symptoms
Regarding Overall Well
Being, Pain and More ................37
Huntington’s Disease....................80
I
Identity Theft and Fraud ......60
Important Documents ..........11
In-home Support
Services - Non-Medical .............70
Independent Living .......................89
Independent Living at
Standifer Place.....................7, 89
Independent/Assisted
Living Checklist..........................90
Information and Referral...............14
Interfaith Senior Services .............14
Internal Revenue Service .............38
Is Nursing Home Placement
the Correct Decision? .................83
J-K
Jewish Community
Federation of Greater
Chattanooga ................15
Joint Tenancy ...............................38
Kidney Foundation..................14, 80
L
Legal Aid of
East Tennessee................42
Legal Matters .......................38
Legal Records ..............................42
Legal Resources...........................42
Leukemia & Lymphoma Society ...80
Library Services for the Blind
And Physically Handicapped .....75
Living Trust ...................................38
Living Trusts vs. Wills ...................44
Lone Oak Free Health
and Dental Clinic .......................80
Long Term Care Insurance...........61
Long Term Care
Ombudsman ..................42, 84, 91
Low Income Home Energy
Assistance Program ..................52
Lung Association ..........................80
M
Manorhouse Assisted Living
& Memory Care .........11, 89
Marriage Certificates............42
Mary Walker Congregate
Meal Program ............................15
McMinn Senior Activity Center .....15
Medicaid Waiver for
Seniors and Disabled ................14
Medical Equipment .......................72
Medical Social Work .....................69
Medicare.................................58, 64
Medicare Advantage Plans...........60
Medicare Drug Benefit
(Part D) Costs............................58
Medication Checklist.....................81
Medication Safety Tips .................76
Medigap Insurance .......................62
Meigs Senior Activity Center ........15
Mental Health Counseling ............53
Metropolitan Housing Authority ....84
Mid-Tennessee Council
of the Blind.................................75
Military Medals..............................33
Index
Monteagle Congregate
Nutrition Site ..............................15
Morning Pointe at Greenbriar
Cove ........89, Inside Front Cover
Morning Pointe of
Athens.....91, Inside Front Cover
Morning Pointe of Chattanooga ....
.................89, Inside Front Cover
Morning Pointe of
Hixson.....89, Inside Front Cover
Moving Assistance Services.........87
Moving Your Elder in With You:
Practical Tips and Suggestions .92
My Own Case Management/
Contingency Plan ......................73
N
National Rehabilitation
Information Center ............74
Neuromuscular Diseases.....82
Non-Emergency
Ambulance Transport ................16
Nursing Facilities/
Nursing Homes..........................91
Nursing Home Care
Covered by Medicaid.................85
Nursing Home Care
Covered by Medicare ................86
Nursing Home Facilities
by County ..................................93
Nursing Homes.............................84
Nutrition ........................................82
O-P
Occupational Therapy ....69
Ombudsman .......42, 84, 91
Online Aging Resources.33
Options for Community
Living Program ..........................14
PACE – Program of All-inclusive
Care for the Elderly....................76
PACE Providers............................76
Paralyzed Veterans of America ....39
Parkinson’s Disease .....................82
Parks Admissions .........................34
Partnership for Families, Children
and Adults................42, 50, 51, 75
Patient’s Bill of Rights...................69
Physical Therapy ..........................69
Polk County Senior Center ...........15
Prescription Assistance ................67
Private Duty Nursing.....................69
Probate .........................................39
Property Tax Relief.......................38
Public Guardianship for
the Elderly Program...................14
95
Index
Q-R
Questions to Ask
Home Health Care.......67
Hospice Care...............71
Questions to Ask Your
Healthcare Provider...................41
Quick Summary of 2015
Medicare Benefits......................63
Railroad Retirement Board ...........58
Referral Resources.......................14
Relative Caregiver Program .........14
Representative Payee ..................39
Respiratory Therapy .....................69
Retirement Communities ..............84
Reverse Mortgage Loans .............88
Revocable Living Trust .................39
Rhea County
Veterans Committee..................16
Rhea Richland Senior Center.......15
Rose of Sharon
Senior Villa .....................5, 54, 91
S
Safe Driving .........................36
Safety and Security .............36
Safety In the Home:
Questions to Consider ...............68
Salvation Army .............................51
Samaritan Center .........................51
Senior Centers..............................15
Senior Housing Terms..................84
Senior Medicare Patrol Project.....14
Sequatchie Senior
Activity Center ...........................15
Service Corps of Retired
Executives (SCORE) .................40
Sharon’s Adult
Day Center............................5, 54
Sharon’s In-Home
Personal Care ......................5, 70
Skilled Nursing Care.....................69
Sleep Disorders ............................82
Social Security..............................58
Social Services .............................50
Soddy-Daisy Senior Center ..........15
South Pittsburg Congregate
Nutrition Center .........................15
96
Advocacy & Self-Empowerment ................42
CHOICES ..................................20
Evidenced-Based
Health Promotions.................30
Family Caregiver
Support Program .............14, 24
Information and Assistance ...14
Home & Community Based
Services............................14, 17
Home Delivered
Meals Program...........14, 16, 22
Homemaker Program ........14, 23
Informacion en Espanol..........31
Medicaid Waiver for Seniors
and Disabled ..........................14
Options for Community
Living Program ................14, 24
Public Guardianship for
Elderly Program.....................14
Relative Caregiver
Program............................14, 24
Senior Centers .........................26
Tennessee State Health
Insurance Assisance
Program (SHIP) ................14, 57
Southeast Tennessee Human
Resource Agency ....16, 50, 52, 87
Southeast Tennessee Telephone
Quickguide ...........................18-19
Special Needs Trusts/Financial ....38
Speech & Hearing Disabilities ......75
Speech Therapy ...........................69
Standifer Place..............................7
State Health Insurance Assistance
Program (SHIP) ...................14, 40
Stroke ...........................................82
Supplemental Security (SSI) ........58
Support Groups ............................82
T
Tax Preparation Assistance 38
Tennessee Community
Services Agency.........16, 51
Tennessee Department
of Veterans Affairs .....................39
of Health ....................................43
of Human Services ........50, 51, 53
of Revenue ................................38
Tennessee Safety and
Health Council ...........................36
Tennessee Senior Olympics.........35
Tennessee Services for the
Blind and Visually Impaired .......75
Tennessee State Health Insurance
Assistance Program (SHIP).14, 57
Terms
Estate Planing ...........................38
Home Health Care.....................69
Senior Housing ..........................84
The Bridge at Ooltewah .........5, 91
The Lantern at Morning
Pointe......91, Inside Front Cover
The NEW Alexian Village
Health and Rehabilitation
Center .............................5, 77, 93
Thrive Assisted Living
& Memory Care ..............9, 91, 93
Transient Crimes and Elder Fraud:
What You Need to Know ...........49
Transportation ..............................16
Tri-State Resource & Advocacy Corp. (TRAC) ......15, 74
U-V
U.S. Department
of Justice.....................74
United Way 211 .............15
United Way of
Greater Chattanooga.................52
Unlimited Marital Deduction..........39
Urban League of
Greater Chattanooga.................40
Utilities Assistance........................51
Vehicle Adaptation........................76
Veteran Services ..........................39
Veteran’s Administration...............74
Victim/Witness
Assistance Programs.................36
...........38, 42, Inside Back Cover
Visual Disabilities..........................74
VITA (Volunteer Income
Tax Assistance) .........................38
Volunteer Guardianship Program .40
Volunteer Opportunities................40
Street Congregate
W-Z Walker
Nutrition Site ...............15
Weather Information ......11
White House Greetings ................52
Whitwell Senior Center .................15
Will................................................39
Special Needs Trusts safeguard personal assets and provide for services or items
that public benefits do not cover – all without jeopardizing eligibility for
government benefits and public assistance programs.
Vista Points is focused on helping people living with disabilities, their parents and
caregivers, and the professionals who serve and guide them.
Peace of mind does not have to cost a fortune.
Call 888.422.4076
Services offered Nationwide
Darlene A. Kemp,
MPH, MBA-HCM
Vista Points, Inc. | Special Needs Trusts & Resource Center
1550 N. Mt. Juliet Road, Suite 203 | Mt. Juliet,TN 37122
www.vistapoints.org
2015/16 | Older Adults…the Resource Guide
2015/16 Southeast Tennessee
Serving Older Adults, Adults with Disabilities and Their Families in
Bledsoe, Bradley, Grundy, Hamilton, Marion, McMinn,
SOUTHEAST TENNESSEE DEVELOPMENT DISTRICT
Advocac y. Assistan ce .
Answers o n Aging .
An annual publication by the

Older Adults…the Resource Guide

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