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Re: Silver Sneakers One size does not Fit All

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Message 71 of 169

I live in Ohio and have been with AARP/United Healthcare for two years. I receive monthly calls from a wellness nurse on their behalf. I do not know if this program is part of United Healthcare or if it is sourced out to them.

 

In conversation, I was asked about falls. I said that my gym's fitness coach was working on my coordination and balance, as well as strength and diet. She then told me that the Silver Sneakers support would drop 50% as of January. Some reasoning about how it would result in more businesses taking it. (Seen that before. That translates as a company getting rid of a service because we want to pay upper management another bonus.)

 

I was naturally upset. I have less than a month to change insurance provider. My gym, which has certifications and programs for the elderly, had not been notified. I called Silver Sneakers to ask what they knew. They had not been notified.

 

Yes, I was grateful for my insurance company when I had an unexpected serious illness. But my gym is the only way I am able to maintain my health, thus saving the insurance company money re the heart procedures and falls and hospitalizations that have not happened.

 

I will email my insurance broker today to see if there is an insurance company that better fits my needs. Unfortunately, cut-backs of services often signal trends in like companies. 

 

 

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Re: Silver Sneakers One size does not Fit All

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Message 72 of 169

thank you

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Re: Silver Sneakers One size does not Fit All

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Message 73 of 169
Nice input, Epster! That link will probably help many who are new and just beginning to get acquainted with gym activity/ettiquette. It's also a quick and easy read. Very considerate of you . Smiley Happy
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Re: Silver Sneakers One size does not Fit All

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Message 74 of 169

@lizlizzie2wrote:

 

 

I think my point in the end is that for those of you with gym experience and starting from a healthy position, you probably know what to do. For people like me, no experience and dealing with a very limiting disability, I wish there was a guide providing of all these things. I need a similar brochure for the gym. 


Here ya go: http://healthandstyle.com/fitness/gym-guide-for-beginners/

 

Best regards,

Epster

 

 

"The key to success is to keep growing in all areas of life - mental, emotional, spiritual, as well as physical." Julius Erving
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Re: Silver Sneakers One size does not Fit All

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Message 75 of 169

kk6758 - I agree. I wish I had that assistance.

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Re: Silver Sneakers One size does not Fit All

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Message 76 of 169

My disability is the result of bilateral neuropathy. I am limted as to what I can do with my hands, arms, and wrists. I never was an 'exercise" person, but after 3 plus years of post surgical recovery and pain, I have lost the muscle tone I had. I don't know how to exercise, nor how to do so without injuring myself and causing damage to my hands, arms, and wrists. Physcial therapy when it was prescribed, didn't address this at all. 

 

After my waiting period, I have  been on Medicare since May 2017. I was told by the insurance people that I would be getting a Silver Sneakers card. It has never arrived. I have called them to follow up several times with no luck. They suggested that even without it the local gyms in our small town would honor it with my Medicare card. 

 

Adding to the above, I am 58, shy, been sitting at home alone with little to do and little interaction, so I am embarassed because I don't now how to dress, act, behave in a gym. No one teaches us these things in life. Trying to explain to people my situaiton when from an outside perspective I look fine, is very difficult. Additionally,  I was assaulted in November outside my home, which made me even more aware of how much strength I have lost throughout my body.

 

My 2nd problem is even if I made it to the gym and got past the questions (what do I wear, do I take a shower there, how do I obtain a locker, do I need my own lock, is it permanenty assigned or just using whatever is available the day I do in, what is appropriate for the pool, do I take a shower before using the hot tub or steam room? Do I bring my own towels? and more questions than I can remember at the moment )- --- is there someone qualified to show me how to use the machines and to tell me what I should or shouldn't do when suffering from bilateral neuropathy and limited to 2 lbs lift, push, or pull?

 

I get frustrated trying to get insurance companies to do their thing. Healthnet was taken over by Allwell who changed our ID numbers. I had eye surgery scheduled since December for last week and just got my Medicare card with the new number information (it took 3 calls a week for 5 weeks, each week being told it was in the mail). I will have to call my insurance agent again for them to call Allwell, and hope that I get a card before the program is cancelled. 

 

My understanding is I have the choice of several gyms. Having no experience in this, I don't even know what to look for or what questions to ask past the ones above on general gym behaviour. Because of the condition and severe insomnia, committed dates and times are real difficult for me. So I am probably better off initially figuring out a routine using equipment, with the hope I become comfortable and strong enough that i feel I can join a senior class. 

 

Some of you may say, google for information. But, that is another issue. Using a computer is very limited. 20 minutes, 3x a day. Hard enough just to pay the bills, read emails, check fb for pics of my granddaughter and at least attempt to let friends out of state know I am ok. Computer, phone, tablet, all of it is the same thing. To use one sufficiently just to take care of the necessities takes up my allotment and doing more means additional pain. Until this happened, I never knew a gallon of milk weighed over 8 lbs. or how difficult it can be to open a door. I had to have my door knobs replaced with handles because one week I could not turn the door knobs for 3 days. 

 

I think my point in the end is that for those of you with gym experience and starting from a healthy position, you probably know what to do. For people like me, no experience and dealing with a very limiting disability, I wish there was a guide providing of all these things. They do all those how to pick your doctor, what to expect from your doctor's office, how to talk with you doctor - I need a similar brochure for the gym. 

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Re: Silver Sneakers One size does not Fit All

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Message 77 of 169
j383602c

I'm with you 100%!!! I, too, have always been active. But, although I faithfully hit the treadmill and do a weight routine three days a week - on top of all my other non-stop landscape/yard maintenance, I still require assistance for core strength that cannot be accomplished at home. I feel safer in a monitored setting with professionals present, and am more motivated by the social interaction that exists in such settings. It IS work! But, I rationalize that my payoff is the physiologic health I'm able to sustain. Having just turned 65, I am well aware that unless I make an effort to use it, I'll lose it (muscle mass, that is). You're so right...exercise and a nutritional diet are the cornerstones of good health. And, that's exactly what provides the cost-savings for the insurers. The reason they've started pulling these programs away is because, statistically, the only members who seem to take advantage of them are those who are already relatively healthy and fit (predominantly). Thus, it is not so much of a cost savings in the long run. Instead of penalizing and jeopardizing healthy members, I feel more needs to be done to get those marginal members and others who truly need supervised assistance into the gyms/pools on a regular basis so benefits can be realized by all stakeholders.
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Re: Silver Sneakers One size does not Fit All

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Message 78 of 169

j383602c (11-15-2017)         Re: Silver Sneakers One size does not Fit All

 

I'm with you 100%!!!  I, too, have always been active.   But, although I faithfully hit the treadmill and do a weight routine three days a week - on top of all my other non-stop landscape/yard maintenance, I still require assistance for core strength that cannot be accomplished at home.  I feel safer in a monitored setting with professionals present, and am more motivated by the social interaction that exists in such settings. It IS work!  But, I rationalize that my payoff is the physiologic health I'm able to sustain.  Having just turned 65, I am well aware that unless I make an effort to use it, I'll lose it (muscle mass, that is).  You're so right...exercise and a nutritional diet are the cornerstones of good health.  And, that's exactly what provides the cost-savings for the insurers.  The reason they've started pulling these programs away is because, statistically, the only members who seem to take advantage of them are those who are already relatively healthy and fit (predominantly). Thus, it is not so much of a cost savings in the long run.  Instead of penalizing and jeopardizing healthy members, I feel more needs to be done to get those marginal members and others who truly need supervised assistance into the gyms/pools on a regular basis so benefits can be realized by all stakeholders.   

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Re: Silver Sneakers One size does not Fit All

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Message 79 of 169

I also feel we have been cheated that Silver Sneaker has been taken from us Seniors. We pay higher premiums than any of my family and friends only to get less not more for Seniors. Please bring back  the Silver Sneaker Program!!!!

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Re: Silver Sneakers One size does not Fit All

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Message 80 of 169

Re Plan G vs F. Sorry, I did not see your question until just now. 

 

Plan G does not cover the part B deductible. Plan F does. 

 

Switching companies cut monthly premium by $60.00. Swithing from plan F to G  cut it an additional $50.00 per month. Total anual reduction = $1,320.00 if I add back in the part B $183.00 defuctible it is still going to be $1,137.00 less per year. 

 

Or if I just look at the plan G vs F premium difference worse case it is $600.00 less premium minus max deductible $183.00 = $417.00 savings

 

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