County Data and Beneficiary Resource Handbook Daniela Muresan and Jacob Andrews August 2013

POM ACO Muresan & Andrews, Aug. 2013 Better care for patients Better health for populations Lower overall healthcare costs POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Index Demographic Data 4 Selected Health Indicators 7 Available Resources by County 11 POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013

Michigan Demographics POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013

The State of Aging and Health in America Report - Michigan POM ACO Muresan & Andrews, Aug. 2013

Causes of Death – Heart Disease POM ACO Muresan & Andrews, Aug. 2013

Causes of Death - Cancer POM ACO Muresan & Andrews, Aug. 2013

Resources - Michigan.Gov POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Barry County Contact Information Commission on Aging 320 W. Woodlawn Avenue Hastings, MI 49058 Phone: (269) 948-4856 Fax: (269) 948-3336 Email: bccoa@barrycounty.org 2,304 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Barry County Demographics Foreign born persons, percent, 2007-2011 1.40% Language other than English spoken at home, percent age 5+, 2007-2011 2.90% High school graduate or higher, percent of persons age 25+, 2007-2011 90.60% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 16.90% Median value of owner-occupied housing units, 2007-2011 $142,800 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $24,989 Median household income, 2007-2011 $52,061 Persons below poverty level, percent, 2007-2011 10.10% POM ACO Muresan & Andrews, Aug. 2013

Barry County Resources In Home Services The COA has a trained staff available Monday through Friday, 8:00 a.m. to 4:00 p.m., to come into your home to assist with personal care, light housekeeping, in-home respite and minor home repair.  In-Home Assessment When Personal Care, Light Housekeeping or In-Home Respite services are requested, a Registered Nurse will conduct an in-home assessment to determine individual needs and will develop a care plan of COA services to meet those needs.  The following information will be requested: List of family or emergency contacts Physician Name and phone number List of medications and dosages Pharmacy information Medical history Monthly income and financial information Personal Care A Nurses’ Aide will provide assistance as needed with bathing, hair care, toileting, dressing, etc.  This service does not include dispensing of medication. Light Housekeeping A Nurses’ Aide or homemaker will perform light housekeeping tasks, laundry, basic meal preparation, grocery shopping, errands, etc.   In Home Respite A Nurses’ Aide will be scheduled to stay with a loved one, while their caretaker may run errands or attend appointments without fear of leaving a vulnerable adult home alone. POM ACO Muresan & Andrews, Aug. 2013

Barry County Resources Continued Minor Home Repair A Chore Worker will perform minor home repair, maintenance and non-repetitive lawn care as requested. Appointments are scheduled in advance. The actual cost for the COA to employ homecare aides is more than $20 per hour, which does not include any costs associated with in-home assessment or administrative costs. Our goal is to make our quality homecare affordable to all Barry County elders who need care. Effective January 1, 2013, the following homecare private pay rates have been instituted based on each resident household’s gross income. Because Barry County levies a senior millage to help older adults remain in their homes, we are able to use some of those dollars to keep our rates low. Tier 1: $5.00 per hour Households at or below 125% of Poverty, currently: $1,163.55/mo for 1 Person $1,576.05 for Couples Tier 2: $10.00 per hour Households between 126% and 200% of Poverty, currently: $1,861.67/mo for 1 Person $2,521.67/mo for Couples Tier 3: $15.00 per hour Households above 200% of Poverty, currently: Above $1,861.67/mo for 1 Person Above $2,521.67/mo for Couples Tier 4: $22.00 per hour Adult Day Care If you are caring for a family member, friend or spouse, age 60 and over, with Alzheimer’s Disease or Dementia, the COA is here to assist with your role as caregiver. We offer dignified assistance and support with feeding, bathing, walking and personal needs. Licensed nurses are on staff to assist with medication administration, glucose monitoring and basic health monitoring. We provide a safe environment with handicapped restroom facilities, lounge chairs, day bed, washer and dryer, a large patio, garden and outdoor walking area. Music, movies, games and crafts are included in our list of planned activities. The Day Care is open Monday through Friday from 8:00 a.m. to 5:00 p.m., with some flexibility, if prearranged. There are no weekend or holiday hours. The cost is very reasonable and includes meals: $20 for a four hour day or $35 for an eight hour day. Meals offered include a light breakfast, a hot, healthy lunch and light afternoon refreshments. Financial assistance is frequently available. Just ask the Coordinator for details. Please call our Day Care Coordinator if you would like more information or would like to pre-register your loved one. POM ACO Muresan & Andrews, Aug. 2013

Barry County Resources Continued Caregiver Resource Library The William D. Renner Memorial Caregiver Resource Library at the COA contains books and videotapes relating to various caregiving and aging issues: Alzheimer’s Disease Caregiving Dementia Depression Diabetes Eldercare Exercise Grief Recovery Medications Parkinson’s Disease Stroke Meals on Wheels The COA’s Meals on Wheels program provides nutritious meals to homebound adults age 60 years or better, living in Barry County, who are unable to prepare meals themselves, but wish to remain independent in their homes. Hot noon meals and cold supper meals are delivered Monday through Friday, with frozen weekend meals delivered each Friday. Liquid nutrition, in the form of Ensure, is also available for delivery by the case, with a physician’s prescription. Meals are prepared fresh by our caterer, with input from a Registered Dietician and are delivered weekdays by COA staff and volunteers. The meals are prepared to provide one-third of the daily nutritional requirements, and are suitable for most dietary needs, such as low fat, low sugar or low sodium diets. Ground, pureed and liquid meals are available for those with chewing and swallowing problems. A monthly statement is mailed to each senior receiving meals, and a suggested cost-share contribution of $2.00 for each hot meal, $1.25 for each cold meal, and $1.00 per can of liquid nutrition is requested. No senior is turned down for meals due to their inability to contribute Hospital Equipment Rental Program The COA’s Hospital Equipment Rental Program is designed to provide senior citizens with the opportunity to rent good quality, gently used durable medical equipment at an affordable cost.  Items are intended for short-term usage, up to six (6) months.  Items available for rental include:  Walkers                                                      Canes         Crutches                                                                 Bath Benches Bath Stools Commodes Raised Commode Seats Wheelchairs  POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Benzie County Contact Information Benzie County Council on Aging, Inc. 10542 Main Street Honor, Michigan 49640 Phone: 231-325-4851 or 1-888-893-1102 Fax: 231-325-4855 E-mail: bccoa@centurytel.net 1,390 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Benzie County Demographics Foreign born persons, percent, 2007-2011 1.50% Language other than English spoken at home, percent age 5+, 2007-2011 3.30% High school graduate or higher, percent of persons age 25+, 2007-2011 90.20% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 25.20% Median value of owner-occupied housing units, 2007-2011 $156,700 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $24,267 Median household income, 2007-2011 $47,017 Persons below poverty level, percent, 2007-2011 11.70% POM ACO Muresan & Andrews, Aug. 2013

Benzie County Resources Information and Assistance An excellent information source, the COA helps many people by answering questions about specific services and how to access programs and agencies throughout the state. Home Delivered Meals Becky, HDM Route Coordinator Homebound seniors who are physically disabled and unable to leave their home for participation at the congregate site receive a hot meal at lunch time and the opportunity to receive a breakfast bag and a sack lunch for their evening meal plus the option of having frozen meals for the weekend or holidays when there are no deliveries. Medicare/Medicaid Assistance Program (MMAP) Medicare Medicare Assistance Program is offered to seniors needing help with their medical and/or prescription drug coverage. The volunteer is at the COA office on Wednesdays, by appointment. Congregate Meals One congregate site within Benzie County that provides nutritious meals to older individuals in a congregate setting. The service includes nutrition education services and other appropriate nutrition services for older persons. Guardian Medical Monitoring The Personal Emergency Response System (PERS) service is available to seniors age 60 and older, in order to provide peace of mind and independence to the user and respite reassurance for concerned family members or caregivers. Dining Out Program Designed to give senior citizens more choices for their nutrition by utilizing the services of local restaurants. This service is offered to Benzie County Seniors (60+). Each person can get 2 vouchers every 30 days and are redeemable at participating restaurants. Homemaker Offered to seniors age 60 and over with physical limitations that prevent them from taking care of their basic housekeeping needs. Every other week our independent contractor performs routine household tasks that pertain to maintaining a clean and healthy living environment. Income Tax Preparation Free tax preparation including electronic filing offered through AARP at the COA office during tax time. Home Chore Offered to seniors age 60 and over with physical limitations. The chore program provides outdoor maintenance intended to increase the safety of individuals living in their own home. This service is provided by an independent contractor and operates from May through September. Snow Removal Available to seniors age 60 and over. This service provides shoveling and plowing with a maximum of 10 snow removals per year. Our independent contractor will insure that the seniors are able to get in and out of their homes and driveways safely during the winter months. Senior Transportation Free passes to ride the Benzie Bus are available to all seniors that are age 60 and over that are residents of Benzie County. The Council on Aging purchases bus passes from the Benzie Transportation Authority and provides them free of charge to seniors. They are good for travel anywhere in Benzie County. Passes are available at the COA office (quantities are limited). Respite/Personal Care Annual support is given to Benzie Home Health Care to help finance the provision of respite and personal care for area seniors. For more information on these programs, please contact them directly at 231-325-0138. POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Grand Traverse County Contact Information COMMISSION ON AGING In Home Services (IHS) Front Street Building 520 West Front Street Traverse City, MI 49684 (231) 922-4688 (877) 686-4688 Toll Free (231) 929-1645 Fax Senior Center Network (SCN) Senior Center Building 801 East Front Street Traverse City, MI 49684 (231) 922-4911 (231) 922-4854 Fax 1,083 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Grand Traverse County Demographics Foreign born persons, percent, 2007-2011 1.80% Language other than English spoken at home, percent age 5+, 2007-2011 3.50% High school graduate or higher, percent of persons age 25+, 2007-2011 92.90% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 29.80% Median value of owner-occupied housing units, 2007-2011 $172,800 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $27,617 Median household income, 2007-2011 $50,629 Persons below poverty level, percent, 2007-2011 10.90% POM ACO Muresan & Andrews, Aug. 2013

Grand Traverse County Resources Respite Care Respite care is the provision of short-term relief for caregivers. It is designed for those who caring for their loved ones, by providing a break to accomplish their daily tasks outside of the home. Respite Care can be provided once per week, in four hour blocks, by a certified nurse aid (CNA). The CNA can provide such services as bathing, oral care, skin care, hair care, meal preparation, light house cleaning, laundry, washing and changing bed linens, socialization, and assistance with mobility, toileting, feeding and exercise regimens. A semi-annual assessment is conducted by our Registered Nurse to monitor client needs. Charges for these services are determined using a sliding fee scale and are based on the client's income. Senior Center The Senior Center Network offers many social, wellness, and educational programs that are specially designed to meet the interests and needs of the 50+ generation. These programs provide opportunities for meeting new people, interacting with friends, enjoying favorite pastimes, and learning something new! Loan Closet Equipment such as wheelchairs, bath benches and walkers are available to senior citizens in Grand Traverse County, for a minimal charge. A single time charge for equipment rental is determined using a sliding fee scale and are based on the client's income. Home Health Care Home Health Care employees are state certified nurse aids.  Home Health Care services, offered two times per week, include the following: bathing, oral care, skin care, hair care, meal preparation, light house cleaning, laundry, washing and changing bed linens, socialization, assistance with mobility, toileting, feeding, exercise regimens and changing of non-sterile dressings. A semi-annual assessment is conducted by our Registered Nurse to monitor care. Charges for these services determined using a sliding fee scale and are based on the client's income. Homemaker Aide The Commission on Aging can provide light house cleaning assistance every other week. Homemaker Aides can do any of the following types of activities: dusting, vacuuming, washing dishes, making beds, washing floors, laundry, cleaning bathrooms, and washing indoor windows. An annual assessment is conducted by the Assessment Specialist to monitor client needs. Charges for these services are determined using a sliding fee scale and are based on the client's income.   POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Kalamazoo County Contact Information Area Agency on Aging Region IIIA Adult/Senior Services; Older Adult Services Nazareth Complex 3299 Gull Road Kalamazoo, MI 49048 (269) 373-5147 2nd Wing, 2nd Floor 836 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Kalamazoo County Demographics Foreign born persons, percent, 2007-2011 4.70% Language other than English spoken at home, percent age 5+, 2007-2011 6.50% High school graduate or higher, percent of persons age 25+, 2007-2011 92.30% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 33.60% Median value of owner-occupied housing units, 2007-2011 $144,200 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $25,620 Median household income, 2007-2011 $46,019 Persons below poverty level, percent, 2007-2011 18.60% POM ACO Muresan & Andrews, Aug. 2013

Kalamazoo County Resources Information and Assistance Your Connection to Resources: (269) 373-5173 This free and confidential service provides unbiased information about community resources and state and federal programs. Certified Information and Assistance Specialists help find supports for older adults that best fit their financial situation and individual needs. Services to help with safety and care at home Housing tailored to your needs for services, location, and amenities Checklists and guides to assist in selecting a long-term care facility or a service provider Caregiver supports such as counseling and respite Adult Day Programs Transportation Resources Organizations that offer fitness, social and volunteer opportunities Congregate Meals Enjoy the company of other and a choice of traditional or special health-conscious lunches provided by Senior Services at each Senior Center and at eleven other locations called Friendship Centers.  Call Senior Services at (269) 382-0515 by 1:00 p.m. the day before to make a reservation for lunch. POM ACO Muresan & Andrews, Aug. 2013

Kalamazoo County Resources Continued TRANSPORTATION PROVIDERS American Cancer Society 1-800-227-2345 Any medical appointment for cancer patients (all ages); two business day notice required; drivers are volunteers; rides not guaranteed but are usually provided; patients must be ambulatory; no fee, but donations accepted. American Red Cross (Veterans) (269) 353-6180 Eligible veterans call Monday or Tuesday to schedule a ride on Thursday to the VA Hospital in Battle Creek (volunteer driver). Must have appt. at VA (preferably AM) & be able to get in and out of a small van. No fee. Metro County Connect (general number) (269)337-8222 County-wide origin to destination service; door-to-door transportation available but need prior approval. For age 62+ or a person with a disability, reduced rates available. Call 337-8477 if you live within 3/4 miles of bus routes. Outside that area, call 337-8858. Request service up to 7 days in advance, 8am-5pm, Sun-Fri, by calling 350-2970. Personal Care Attendant (PCA) may accompany rider at no additional cost - must be noted when making request. Vehicles are lift-equipped. Will travel to the VA Hospital in Battle Creek. One-way fare expected at time of boarding - exact change required. No Sunday service; cancellation policy, expect any of 3 vans of varying sizes Metro County Connect Grocery Bag Assistance Program (269)350-2970 Hours: Tuesday & Thursday, 6:30-9pm; Saturday 7-10am & 1-9pm (based on availability); request service at time of scheduling; drivers will load up to 10 grocery bags on the van and deliver to the front door of passenger's residence; cost is double fare for the trip home. Metro Transit (bus service) (269) 337-8222 Wheelchair lifts available on all fixed route buses; seniors and persons with a disability are eligible for discounted fares - call 343-8477 for certification forms (ADA) or to register by phone (senior discount, age 62+) Portage Senior Center (269) 329-4555 Volunteer drivers transport individuals & small groups age 50+ to grocery stores & senior centers (not medical appointments), Monday-Friday, 8:30am-1pm; van is not handicap accessible; must reserve day before by 5pm; $3.50 donation requested per round trip; Portage residents only (but do not need to be PSC members) POM ACO Muresan & Andrews, Aug. 2013

Kalamazoo County Resources Continued Transportation Providers Continued Senior Services, Inc. (269)382-0515 Limited availability; provides rides to persons 60+ to medical appointments & meal sites, Monday-Friday; van is not handicap accessible; call a few days in advance to reserve RSVP: drivers age 55 & up are matched with a senior client needing transportation for any purpose (waiting list) GIVE: (Faith in Action) volunteers age 18 & up are matched with a senior client needing transportation for any purpose - may be a waiting period to be matched, volunteer may stay as an escort. Shepherd's Center (269) 383-1122 Volunteer drivers escort riders 60+ for medical rides Mon-Thur and for non-medical rides on Wed & Thur; drivers will stay for appointments; call Mon-Thur, 9am-noon to reserve, or leave a message on the 24 hour voice mail - advance notice is requested; call as soon as you have an appointment scheduled; cannot accommodate wheelchairs; $5 -$10 donation requested per round trip, but not required. South County Community Services (269) 649-2901 Volunteer drivers (their car) provide transportation Monday-Friday for adults 60+ in the Fulton, Schoolcraft, Scotts, &Vicksburg areas for medical appointments. Mini-bus takes groups every other week to grocery stores and other venues as requested. Donations are accepted. Veterans - Van or car with volunteer driver will transport any Veteran to the VA Hospital in Battle Creek on Wednesdays. Must be at Ministry with Community, located at 440 N. Church St. in Kalamazoo, by 8AM Wednesday morning; advance notice is not required. Veteran must show proof of scheduled appointment that same day. Van/car will return to Kalamazoo after the last appointment for the day is complete. Questions, please call (269) 373-5304. POM ACO Muresan & Andrews, Aug. 2013

Kalamazoo County Resources Continued POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Kent County Contact Information Area Agency on Aging of Western Michigan (AAAWM) 3215 Eaglecrest Dr NE, Grand Rapids, MI 49525 Phone: (616)-456-5664 or (888)-456-5664 Fax: 616-456-5692 12,923 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Kent County Demographics Foreign born persons, percent, 2007-2011 7.30% Language other than English spoken at home, percent age 5+, 2007-2011 11.40% High school graduate or higher, percent of persons age 25+, 2007-2011 88.60% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 30.30% Median value of owner-occupied housing units, 2007-2011 $145,300 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $25,410 Median household income, 2007-2011 $50,801 Persons below poverty level, percent, 2007-2011 14.80% POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Kent County Resources Congregate Meals Nutritious meals served in various locations around the county. Lunch is coordinated with a variety of activities such as exercise programs, cards, crafts, bingo, games, health screenings and nutrition education.   Salvation Army 616-454-1459 ext. 1503 http://www.usc.salvationarmy.org/fultonheights Senior Meals Program 616-459-3111 www.seniormealsonwheels.org Senior Neighbors 616-459-6019 www.seniorneighbors.org Hearing Services/Adaptive Equipment   Specialized Hearing Services for those who are hard of hearing, experiencing deafness in later years, and deaf persons. The services include: hearing loss rehabilitation for activities of daily living, group education on adjustment to hearing loss, and lip reading classes. Assistance is provided in finding devices, equipment and other resources to adjust to hearing loss. A limited number of hearing aids are also available for those most in need. Deaf and Hard of Hearing Services 616-732-7358 www.deafhhs.org Equipment for Adaptive Needs  Assessment of home environment to help identify barriers to independent living. Recommendations will be developed for home modifications, including ramp construction in collaboration with Home Repair Services. Limited funding is also available for adaptive equipment purchase. Disability Advocates of Kent County 616-949-1100 www.dakc.us POM ACO Muresan & Andrews, Aug. 2013

Kent County Resources Continued Home Chore Assistance for seniors who do not have the ability or resources to complete minor home repairs and other jobs: includes repairing windows, minor yard work, replacing fuses and door locks. Senior Neighbors (616)-459-6019 www.seniorneighbors.org Steepletown (616)-451-4215 www.steepletowncenter.org Bethany Christian Services (616-828-6144) www.buildingbridgesgr@gmail.com Home Delivered Meals Nutritious meals provided to homebound individuals who cannot prepare their own meals. A variety of meals are available including hearty meals, lighter lunches, liquid meals, and pureed meals for example. An educational newsletter is provided monthly. Senior Meals Program (616)-459-3111 www.seniormealsonwheels.org POM ACO Muresan & Andrews, Aug. 2013

Kent County Resources Continued Health Education  Programs designed to be an effective tool in improving the health of older adults. Programs now being offered include: Fitness Club, Strength and Stretch, Water Aerobics, A Matter of Balance, EnhanceFitness, Arthritis Foundation Exercise Program, and PATH. GRCC Older Learner Center (616)-234-3483   Medication Management  Managing medications can be difficult, confusing, and extremely important to a person’s health. The medication management program is available to ensure medications are appropriate and physician’s orders are followed. Elders’ Helpers (616)-454-8305 www.eldershelpers.com Transportation-Assisted Provides an assisted or escorted ride to adult day service programs, meal programs, senior centers, medical appointments and other destinations within Kent County. Transportation is provided by a variety of agencies. Access rides by calling the provider directly or Ridelink. ACSET – Latin American Services (616)-336-4186 www.acset.org American Red Cross - Greater GR (616)-456-8661 http://redcross.org/mi/grand-rapids Hope Network Transportation (616)-301-8000 Transporting Adult Day Services and RideLink clients www.hopenetwork.org Native American Family Services (616)-451-6767 RideLink (866)-425-3848 http://ridelinkkent.org Servicios Latino-Americanos (616)-336-4000 Senior Neighbors (616)-459-6019 www.seniorneighbors.org United Methodist Community House (616)-241-1645 www.umchousegr.org POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Macomb County Contact Information Office of Senior Services 21885 Dunham, Suite 6 Clinton Township, MI 48036 Phone: (586) 469-6313 Fax: (586) 469-5578 7,012 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Macomb County Demographics Foreign born persons, percent, 2007-2011 9.90% Language other than English spoken at home, percent age 5+, 2007-2011 13.30% High school graduate or higher, percent of persons age 25+, 2007-2011 87.90% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 22.00% Median value of owner-occupied housing units, 2007-2011 $148,600 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $26,661 Median household income, 2007-2011 $54,087 Persons below poverty level, percent, 2007-2011 11.00% POM ACO Muresan & Andrews, Aug. 2013

Macomb County Resources COMMUNITY MEALS Schedule * November thru March http://macombresources.info ** April thru September *** October thru March Macomb County Resources   Sundays Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays 8:00 BREAK- FAST 8:30 St. Margaret* Salvation Army-Mt. Clemens  Salvation Army- Mt. Clemens Salvation Army- Mt. Clemens 12–12:45  LUNCH 11–1:00  Salvation Army-Warren Erin 11:00-1:00  Salvation Army- Warren 1:30-3 MID AFTER- NOON 3:30-5 First-United**  Zion*** Trinity Lutheran SUPPER Grace Episcopal St Barnabas 3rd Sun Christian Trinity (last Sundays)  The Woods Church 3rd Mondays at 6:00 PM  Living Hope Lutheran Church first Tuesdays Grace Episcopal Community Dinner 5-6:00P St Paul United Church of Christ 1st Wednesday 4:30-6:30 St Ronald or Cross Lutheran : 5-6:30 PM on some Thursdays— call for dates Faith Christian Center 4:30 PM  Erin Presbyterian Community Dinner 5-7 PM every 1st & 3rd Saturday POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Macomb County Resources (Meal Contact Information) ST. PAUL UNITED CHURCH OF CHRIST 586-264-4777 31654 Mound Rd, Warren, MI 48092 www.stpauluccwarren.com ,1ST Wednesday of every month 4:30-6:30 ST. RONALD CATHOLIC CHURCH 586-792-1190 17701 FIFTEEN MILE RD, CLINTON TWP (BETW GARFIELD & KELLY) RSVP APPRECIATED SALVATION ARMY 586-469-6712 SB GRATIOT & CHURCH STREET, MT. CLEMENS OPEN 8:00 – 4:00 P.M. MONDAY – FRIDAY BREAKFAST, LUNCH (NOON) SHOWERS (8:30 – 10:00 A.M.) NOTE: ON THIRD THURSDAYS, LUNCH WILL BE SERVED AT TRIED STONE BAPTIST CHURCH 23512 JOY BLVD, ON THE FAR NORTH SIDE OF MT. CLEMENS. FOOD PANTRY IS M-F, 8-4 SALVATION ARMY M.A.T.T.S. 586-755-5191 MOUND RD NORTH OF 9 MILE, WARREN LUNCH MON – FRI 11 – 1 P.M. EXCEPT HOLIDAYS SHOWERS ARE FROM 5:00 A.M. – 10:00 P.M. SEVEN DAYS A WEEK. ALSO LAUNDRY AVAILABLE THE WOODS CHURCH 586-854-9140 dlbuggs@gmail.com 14300 E 13 MILE WARREN, between Schoenherr & Hayes, COMMUNITY DINNER 3rd MONDAYS TRINITY LUTERAN CHURCH 586-731-4490 EXT. 116 NE CORNER OF HALL ROAD & VAN DYKE, UTICA SUPPER, SHOWERS & SACK LUNCHES SUNDAYS 3:30 – 5:00 P.M. ZION UNITED CHURCH OF CHRIST 586-463-0075 85 MARKET STREET, MT. CLEMENS OCT – MARCH: SUNDAYS 1:30 – 3:00 P.M. CHRISTIAN TRINITY ASSEMBLY OF GOD 586-778-2760 21770 KELLY ROAD, EASTPOINTE DINNER EVERY LAST SUNDAY OF THE MONTH 6:00 – 8:00 P.M. (Guests should arrive between 6-7 p.m.) CROSS LUTHERAN CHURCH 586-791-6640 35851 UTICA ROAD, CLINTON TWP (UTICA & MORAVIAN) RSVP APPRECIATED. ERIN PRESBYTERIAN CHURCH 586-777-9200 30,000 Gratiot (at Common) Roseville FAITH CHRISTIAN CENTER 586-783-5915 34 GRAND (2 BLOCKS N. OF CASS) NEAR SB GRATIOT , MT.CLEMENS DINNER SATURDAYS MUST ARRIVE BETWEEN 4:30 –5:00 P.M. FIRST UNITED METHODIST CHURCH 586-468-6464 57 SB GRATIOT, MT. CLEMENS APRIL – SEPT: SUNDAYS 1:30 – 3:00 P.M. GRACE EPISCOPAL CHURCH 586-465-4573 115 S. MAIN, DOWNTOWN MT. CLEMENS SUNDAYS 5 – 6:00 P.M. SOUP SUPPER LIVING HOPE LUTHERAN CHURCH 24125 26 Mile Rd, Ray Twp 586-491-0652 NEW LIFE ASSEMBLY OF GOD 586-771-0308 16975 TWELVE MILE (BETWEEN UTICA RD & GROESBECK) ROSEVILLE 2:00 P.M. Food Pantry Monday 5-7, Tues 2-4 & Thurs 10-12 ST. BARNABAS 24800 Phlox, Eastpointe Community Dinner, 4:00 to 5:30 3rd Sun of ea mo 924-7946 ST. MARGARET OF SCOTLAND CHURCH 586-293-2240 21201 THIRTEEN MILE RD, ST. CLAIR SHORES MONDAY – WEDNESDAY – FRIDAY NOVEMBER THRU MARCH 8:00 A.M–12:30: SHOWERS, LUNCH, CLOTHING. FOOD PANTRY M-F 10-12 POM ACO Muresan & Andrews, Aug. 2013

Macomb County Resources Transportation Resources Macomb County Call 211 for any medical or human service need SMART Fixed routes 866-962-5515 Exact fares are needed (drivers do not give change): regular: $2:00 + 25¢ transfer, Seniors (65)/ disabled/medicare: 50¢ + free transfer, student/youth (6-18): $1 + 25¢ transfer. Under 6 ride free if accompanied by an adult. To save money, a SMARTcard ($66) or regional passes can be purchased by mail. A NEW TRIP PLANNER IS AVAILABLE at the website, http://www.Smartbus.org Connector (Advanced reservation service)   This curb to curb advanced reservation service now covers all of Macomb county. Exact fares are needed (drivers do not give change): regular/students/youth: $4.00 + 25¢ transfer, Seniors/disabled/medicare: $1.00 + free transfer. Typically you will call two days in advance (or up to 6 days for medical) to schedule a ride. Personal care attendants are free with advanced notification. All SMART Connector buses are lift equipped and may arrive up to 10 minutes before/after scheduled time. Drivers will assist passengers entering/exiting bus (but must stay within arms length of the bus). Service hours are 5:30 AM to 7:30 PM, and reservations are taken from 7:00 AM til 4:00 PM. Groesbeck Shuttle (Same day service) Flexible service is available down the Groesbeck corridor at Connector rates. The area served is about a mile on either side of Groesbeck, and also stops at 4 timepoints: Gratiot & Cass, Macomb Mall, Bel Air Shopping Center and 8 Mile/Van Dyke. For a map of the area served and further details see http://www.Smartbus.org Jobs programs 313-223-2191 Get-a-job-get-a ride! Gives a free SMARTcard for unlimited rides for a month for new employees (max one per year) TransitChek: Employers can get a tax-deductible business expense and employees get a tax-free benefit of up to $65 per employee per month (essentially free transportation) contact Roy Kyles at 313-223-2304. POM ACO Muresan & Andrews, Aug. 2013

Macomb County Transportation Resources Continued MCCSA (Macomb County Community Services Agency) 586-759-9150so 586-469-6964c 586-749-5146no Provides free transportation for dialysis and chemotherapy patients below 125% of poverty level who have no access to a vehicle nor an alternate means of transportation. An intake must first be done at MCCSA. *$997 per month for 1, $1336 for 2, $1676 for 3, & $2015 INTERFAITH VOLUNTEER CAREGIVERS 586-757-5551   http://www.mcivc.org Transportation is provided by volunteer drivers for disabled adults who have no other transportation resources. Arrangements must be made at least 7 days in advance. Service is based on the availability of volunteers and cannot be guaranteed. MEDICAID TRANSPORTATION LOGISTICARE Call your HMO 866-569-1902 Medicaid recipients receive transportation from their managed care provider (usually HMO) to receive any Medicaid covered service, including chronic and ongoing treatments as well as one time visits. NOT provided by HMOs are trips for dental, substance abuse, or community mental health services. Starting 1/1/11, these services are provided by LogistiCare, as well as all transportation for “straight Medicaid” cases, especially dialysis patients. Call two days in advance to schedule rides. DHS Some bus tickets are available at DHS offices for returns home and as a last resort for unmet needs. MICHIGAN WORKS! Work First 586-447-9200 Gives $6 per day reimbursement ($10 in some northern cities), bus tickets, or a referral for the MCCSA van for FIP applicants/recipients who attend the Work First training POM ACO Muresan & Andrews, Aug. 2013

Macomb County Transportation Resources Continued MICHIGAN WORKS! and DHS Car purchase & car repairs 586-447-9200 Family Independence Program (FIP) recipients, or families with FAP, Medicaid, or Day Care who are active with MichWorks! may receive payment to purchase a car for employment (up to $2000—lifetime limit) or for car repairs (up to $900+estimate per year) & other supportive services. Other transportation cannot be reasonably available. These services are available at DHS ($2000 & $900) to avert the need to apply for FIP. Other agencies   Many agencies provide transportation assistance for persons who need help to get to and from their sites to receive services. Please ask if transportation help is available. VETERANS HOSPITAL (Detroit) 800-511-8056 VA patients must contact their primary VA doctor, who forwards the request. The Travel Dept makes the travel arrangements. VA has contractual companies who provide car/van/ambulance transportation. The patient is allowed one person to travel with them to help with mobility. The companies go to the door and assist the patient to the vehicle. Transportation is free to eligible VA patients. If the patient is at risk (blind, unsteady gait), the patient is taken to the Travel Dept and escorted to their appointment. The VA Travel Dept always calls 1-2 days before pick-up, so “if no call, no pick-up” ST. JOHN MACOMB HOSPITAL (at 12 & Hoover) 877-702-0404 Has complimentary transportation for appointments at Macomb Hospital and the Medical Office Building, including testing. Your doctor must set up the appointment If it is only for testing or lab work, the patient can call—it must be at least 24 hours in advance. Call between the hours of 7:00 AM and 5:30 PM. Wheelchair accommodations are available; when scheduling, advise if this is a need. Appointments should not be later than 2:00 PM to insure return trip availability OTHER Other commercial (same day) resources can be found in the Yellow Pages under Transportation Services For Disabled, Ambulance Services, & Taxicabs. These may be expensive: e.g., Medstar Wheelchair Van (468-4475) charges $34 base + 1.50 per mile. POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 COMMUNITY TRANSIT Community Transit services are supported by SMART but designed and operated by local communities to meet the specific needs in their neighborhood. Except for Mt. Clemens, all require advance reservations. Info about Macomb communities is given below. For more detail see “Services by Community at http://www.Smartbus.org or call the reservation lines below to inquire further about the days and hours of service, fares, reservation requirements, approximate arrival times, and other requirements and restrictions. ARMADA   586749-7713 Community Transit and Assisted Medical Transportation, wheelchair accessible, for primarily seniors and disabled. Reservations are taken Monday to Friday from 9:00 to 5:00 up to 72 hours in advance. No fee— donations accepted. This service serves City of Armada, Village of Armada, City of Richmond, Richmond Twp., Lenox Twp., Village of New Haven, Ray Twp., City of Memphis, Chesterfield Twp., and New Baltimore. BRUCE TWP 586-752-9010 Community Transit, wheelchair accessible, door to door service is provided by Star Transportation to Residents of Bruce, Washington Twp, and the Village of Romeo who are age 60+ or disabled at no charge. Reservations must be at least 24 hours in advance. Requests must be within the service area, or up to 5 miles outside it for medical appointments. More info is at http://rwbparksrec.org CENTER LINE 586-268-0551  586-758-8274 A curb to curb wheelchair accessible service is provided by the City of Warren Parks and Rec Dept. to citizens of Warren and Center Line age 55+ or disabled—suggested donation is $4 round trip for doctor appointments and $2 round trip for others. Reservations must be one week in advance for medical appointments and two days for others. Requests must be within the service area, or up to 1 mile outside Warren for medical appointments. Center Line offers free SMART bus tickets ($38 per year) at the Center Line Public Library (758-8274) for residents 60 & over (or under 55 if disabled). CHESTERFIELD TWP Community transit and assisted medical transportation is provided to seniors and the disabled within Chesterfield Township by Chesterfield Senior Transportation (via Richmond Lenox EMS) on Monday, Wednesday, and Friday from 8-5. 72 hour advanced reservation is needed and a donation is expected. Email: rlemsc1@aol.com CLINTON TWP 586-286-9476  586-286-8000 Curb to curb bus transportation, wheelchair accessible, is provided to seniors, the handicapped, and the disabled in Clinton Township by the Clinton Township Senior Adult Life Center for groceries, errands, hair appointments, medical appointments with 24 hour advanced notification. The fare is $1:00 or one Smart bus ticket. More information is at www.clintontownship.com/senmenu.htm or by email from seniors@clintontownship.com Free SMART bus tickets (30 per quarter-mailed) are available for Clinton Township residents who are 65 & over or handicapped. Call for details—ask for Gloria. The Clinton Connector will transport the elderly and disabled for $1 per ride from 2 to 6 each way Wednesday, Thursday, & Friday, and from 9-5 on Saturdays. Reservations are taken starting Monday at 8:00 AM. POM ACO Muresan & Andrews, Aug. 2013

Macomb County Community Transportation Continued EASTPOINTE   586-445-5085 Complimentary transportation, wheelchair accessible, curb to curb, is provided by the City of Eastpointe for city residents age 60+ who are unable to drive. Trips may be to Meijer, Super K, Farmer Jack, and medical appointments up to a 5 mile radius outside the city. Reservations are taken afternoons at least 24 hours in advance. More information is at www.ci.easpointe.mi.us FRASER 586-294-4611 Curb to curb van transportation, wheelchair accessible, is provided by the City of Fraser for city residents 55 or disabled who are unable to drive. The fare is free within Fraser, 50 cents within 5 miles of city limits, and $1.00 for 10 miles both ways (a $5 punch card is available). Two days advanced notice is requested. HARRISON TWP 586-466-1497 Curb to curb, wheelchair accessible service as Dial-a-Ride, Shopping Shuttle on Tuesdays & Thursday, and a summer Beach Shuttle are provided for the Harrison area and a 10 mile radius at no charge by Harrison Township to HT residents who are 60+ and handicapped. 48 hours advanced notice is needed. LENOX TWP MEMPHIS 586749-7713 Community Transit and Assisted Medical Transportation, wheelchair accessible, for primarily seniors and disabled. Reservations are taken Monday to Friday from 9:00 to 5:00 up to 72 hours in advance. No fee— donations accepted. This service serves City of Armada, Village of Armada, City of Richmond, Richmond Twp., Lenox Twp., Village of New Haven, Ray Twp., City of Memphis, Chesterfield Twp., and New Baltimore. MACOMB TWP 586-992-0710 extension 0 A dial-a-ride service, wheelchair accessible, curb to curb with limited assistance on and off the van is provided free of charge by Macomb Township to their residents age 60+ or disabled. Service extends to a 15 mile diameter from the Township Hall. Trip reservation should be made 24 hours in advance MOUNT CLEMENS  Dial-a-Ride (Same day service) 586-469-7433 Curb to curb, site to site and parking shuttle services are provided by Mount Clemens Community Transportation within the City limits of Mount Clemens and contiguous parts of Clinton and Harrison Township to all within the service area. The fare is $1 for older adults/disabled, $1.50 students, and $2 for others. Service is provided ASAP; reservations are needed for Saturday. “Elbow assist” is provided as well. For more information see www.cityofmountclemens.com or email cdolan@cityofmountclemens.com NEW BALTIMORE  586-725-2151 ext 0 For Tuesdays and Thursdays only, wheelchair accessible transportation is provided for primarily seniors and disabled. Reservations are taken Monday to Friday from 9:00 to 5:00 up to 72 hours in advance. No fee— donations accepted Free SMART bus tickets (@ 10 per month) are available for senior (60+) and disabled residents. Call for details. POM ACO Muresan & Andrews, Aug. 2013

Macomb County Community Transportation Continued NEW HAVEN   RAY TWP  RICHMOND 586749-7713  586749-7713 Community Transit and Assisted Medical Transportation, wheelchair accessible, for primarily seniors and disabled. Reservations are taken Monday to Friday from 9:00 to 5:00 up to 72 hours in advance. No fee—donations accepted. This service serves City of Armada, Village of Armada, City of Richmond, Richmond Twp., Lenox Twp., Village of New Haven, Ray Twp., City of Memphis, Chesterfield Twp., and New Baltimore. ROMEO 586-752-9010 Community Transit, wheelchair accessible, door to door service is provided by Star Transportation to Residents of Bruce, Washington Twp, and the Village of Romeo who are age 60+ or disabled at no charge. Reservations must be a minimum of 24 hours in advance. Requests must be within the service area, or up to 5 miles outside it for medical appointments. More info is at http://rwbparksrec.org ROSEVILLE 586-445-5482 Curb to curb transportation for Dr.'s Appointments, Grocery Store, Beauty Salon, Visits to Friends & Family is provided by Roseville Parks & Rec to seniors 55+ and the handicapped for $1 within Roseville, $2 outside Roseville, and $2 wheelchair rides. The service area is from 8 mile to 15 mile, Hoover to Jefferson, and also to St. John Hospital on Moross. A caregiver, if needed, can ride at no charge. Medical reservations may be up to two weeks—others 1 day. SHELBY TWP & UTICA 586-726-4560 586-739-7450 Curb to curb service, wheelchair accessible, is provided to residents of Shelby Township and the City of Utica age 50+ by the Charter Township of Shelby for a fare of 50 cents for shopping (including group trips) and medical needs (including St. Joseph, Beaumont-Troy, and Crittenton Hospitals. Reservations should be at least one day but not more than 1 week in advance. For more information see http://www.shelbytwp.org or email seniors@shelbytwp.org Free SMART bus tickets (@ 10 per week) are available for low-income Utica-Shelby residents who are 50 & over or handicapped. Call for details. ST. CLAIR SHORES 586-498-2331 Curb to curb transportation, wheelchair accessible, with elbow assistance, and also taxi subsidies are provided by City of St. Clair Shores/Parks & Recreation/Senior Activities Center for seniors 60+ and disabled persons certified by SMART. The fare is $2 round trip, or $3 if outside the city. The Service area is St. Clair Shores, Eastland, Macomb Mall, Meijers and medical to surrounding communities & Kresge Eye Center. Reservations are required 1 day to 1 month in advance (5 to 6 days for medical). For more info, see http://stclairshores.net or email carole@scsmi.net POM ACO Muresan & Andrews, Aug. 2013

Macomb County Community Transportation Continued STERLING HEIGHTS 586-446-2757   586-446-2750 Curb to curb transportation, wheelchair accessible, is provided at no charge to SH residents 55 or older, or residents 18 & older who are developmentally disabled or physically disabled for the purpose of grocery shopping, medical & dental apts., beauty shop, shopping mall and other appointments. Medical and dental appointments are limited to 5 miles beyond city limits. Appointments must be made in advance, No same-day service. Appointment space is limited and taken on a first- come, fist-served basis. For more information see www.sterlingheights.net Free SMART bus tickets (@ 20 per month) are available for Sterling Heights residents who are 55 & over or handicapped. Call for details. UTICA (see Shelby Township and Utica, above) WARREN 586-268-0551 Community Transit, wheelchair accessible, curb to curb service is provided by the City of Warren Parks and Rec Dept. to citizens of Warren and Center Line who are age 55+ or disabled—suggested donation is $4 round trip for doctor appointments and $2 round trip for others. Reservations must be one week in advance for medical appointments and two days for others. Requests must be within the service area, or up to 1 mile outside Warren for medical appointments. Free SMART bus tickets (@ 50 for 2 months) are available for Warren residents who are 60 & over or handicapped (or under 55 if disabled). They must first provide proof of residency and age and get a Photo ID. Bi monthly tickets can then be obtained at most Warren rec centers. WASHINGTON TWP 586-752-9010 Community Transit, wheelchair accessible, door to door service is provided by Star Transportation to Residents of Bruce, Washington Twp, and the Village of Romeo who are age 60+ or disabled at no charge. Reservations must be a minimum of 24 hours in advance. Requests must be within the service area, or up to 5 miles outside it for medical appointments. More info is at http://rwbparksrec.org POM ACO Muresan & Andrews, Aug. 2013

Macomb County Rx Help POM ACO Muresan & Andrews, Aug. 2013 Rx Help MEDICARE PART D PRESCRIPTION DRUG COVERAGE   Area Agency on Aging 800-852-7795 800- 803-7174 Macomb Co Dept of Senior Services 586-469-6313 Recipients of Medicare from Social Security can enroll Medicare Part D (prescription benefit) which began January 1, 2006. Low income persons below 150% of poverty (currently $1387 per month income for one, $1892 for two) can receive “extra help” from Social Security (800-772-1213), at reduced or no premium. For advice about which provider to choose call the Area Agency on Aging’s Medicare/Medicaid Assistance Program (800-803-7174) or the Dept of Senior Services (586-469-6313) or Social Security (1-800-MEDICARE 800-633-4227), or see http://www.medicare.gov WORLD MEDICAL RELIEF 313-866-5333 email:info@worldme dicalrelief.org www.worldmedicalrel ief.com For persons in Wayne, Oakland, & Macomb Counties age 18 and older who do not have prescription drug coverage and monthly income is below $1583 per month (single) or $2583 (couple)—add $25 per dependent—and not currently enrolled in Medicaid. Prescriptions are mailed to your home. There is an $8.30 co-pay per Rx. Call for an application and information. VA BENEFITS 800-511-8056 Prescriptions are available for low-income veterans at no charge. If income is over $9,894 (single) or $12,959 (couple) there is a charge of $7 per script. PRESCRIPTION RESOURCE NETWORK 586-427-5009 (ages19-59) & 586- 469-6316 (ages 60+) Helps persons without prescription coverage to apply and reapply for free prescriptions from pharmaceutical companies. There is a fee of $25 per year. Income requirements of the pharmaceutical companies vary. WAL-MART--SAM’S CLUB--TARGET $4 PROGRAM Any Wal-Mart or Sam’s or Target Pharmacy Will provide up to a 30 day supply of generic drugs on the current list of covered drugs for $4 per prescription fill or refill—it must be picked up in person. The current list is online at: http://i.walmart.com/i/if/hmp/fusion/genericdruglist.pdf MEIJER (free antibiotics) Any of the 176 Meijer Pharmacies www.meijer.com/phar macy/antibiotics.asp Will fill for free any prescription for prenatal vitamins and/or for 7 oral generic antibiotics ( commonly prescribed for children): Amoxicillin, Cephalexin, SMZ-TMP, Ciprofloxacin, Ampicillin, Penicillin VK, & Erythromycin. They will bill your insurance, but there is no co-pay, and if you have no insurance, the Rx is free. Rx Help Call 211 for any medical or human service need Rx Help Call 211 for any medical or human service need POM ACO Muresan & Andrews, Aug. 2013

Macomb County Rx Help Continued KMART Any KMART Pharmacy Will provide a 90 day supply of generic drugs for $15. Their formulary is online at http://userpages.chorus.net/harve/Kmart.xls Rx OUTREACH 800-769-3880 www.rxoutreach.com Provides a 90-day supply of 125 medicines for $20, $30 or $40. Often prescription drugs not available in other programs are included here. INTERNET SITES (most are about free Rx Programs)   http://www.rxaminer.com , http://wwwHelpingPatients.org http://www.rxassist.org, http://www.rxhope.com, http://www.needymeds.com , and www.freemedicinefoundation.com all provide info about free prescription programs for low-income persons from pharmaceutical companies. These sites will assist with the applications for a fee: http://www.themedicineprogram.com $5 each,(573-996-7300); http://prescriptionrelief.org $8 each (1-866-Drug-686); and http://www.EveryonesRx.com $7 each (max $40) (972-287-8889), and http://www.pparx.org free (888-4PPA-NOW) MEDICAL OUTREACH CLINIC (FREE CLINIC)  www.mcrmc.org (→Medical Outreach Clinic) Provides free medical care & medications to low-income (>185% poverty) uninsured persons at St. Maximillian’s (23 & North 598-3314) 8:45-12:00 1st Mondays; at Clinton Community Health (34750 Village Rd, Clinton Twp 792-8846) 8:45-12:00 on some other Mondays; & at Mt Clemens Community Health Outreach Program (169 N. Walnut, Mt. Clemens 469-7694) 8:45-12:00 on every Tues & Thurs. DOWNRIVER COMMUNITY SERVICES 586-749-5173 Provides services for the homeless at local shelters (includes persons in transitional housing, motels & “doubling up”). Services include primary health care, emergency dental, vision, prescriptions, and substance abuse services. MCCSA ACTION CENTERS North: 749-5146 Central: 469-6964 South: 759- 9150 Will use Emergency funds to assist with prescription costs for Macomb County residents in their service area who have no other coverage, also for items not covered by Medicaid. Income must be below 125% of the poverty level. These payments count toward a monthly spend-down requirement for Medicaid. NEIGHBORS CARING FOR NEIGHBORS CLINICS (FREE CLINIC) 586-469-3750 Mt. Clemens 586-336- 9288 Washington Twp 586-756-7005 Warren call for an appointment For Macomb residents with no health insurance (including Medicaid deductible, Medicare, and Macomb Care Connect) and annual income below $30,000. Charges are based on ability to pay (a partial fee for labs most often applies). Wait can be 4-5 hours—appointments preferred! Locations are at St. Joseph’s Mercy Hospital East, 215 North Ave, Mt. Clemens (Tues/Wed/Fri), Bi-County Hospital 1335 E. 10 Mile, Warren (Thurs 8-3) and Samaritan House at 62324 Van Dyke betw 28 & 29 Mile Roads, Washington Township (Monday afternoons—by appointment only). Medical services provided by Nurse Practitioners treat both acute illnesses and chronic conditions, including exams, lab tests, X-rays, referrals, writing prescriptions, & limited help with medications. POM ACO Muresan & Andrews, Aug. 2013

Macomb County Rx Help Continued NEIGHBORS CARING FOR NEIGHBORS CLINICS (FREE CLINIC) 586-469-3750 Mt. Clemens 586- 336-9288 Washington Twp 586-756-7005 Warren call for an appointment For Macomb residents with no health insurance (including Medicaid deductible, Medicare, and Macomb Care Connect) and annual income below $30,000. Charges are based on ability to pay (a partial fee for labs most often applies). Wait can be 4-5 hours—appointments preferred! Locations are at St. Joseph’s Mercy Hospital East, 215 North Ave, Mt. Clemens (Tues/Wed/Fri), Bi-County Hospital 1335 E. 10 Mile, Warren (Thurs 8-3) and Samaritan House at 62324 Van Dyke betw 28 & 29 Mile Roads, Washington Township (Monday afternoons—by appointment only). Medical services provided by Nurse Practitioners treat both acute illnesses and chronic conditions, including exams, lab tests, X-rays, referrals, writing prescriptions, & limited help with medications. THE LIVING SHARE CARD (Pfizer) 800-706-2400 call for an application Allows persons 65+ or w. Medicare to pay $15 mo for each Pfizer Rx if income is below $18,000 per year (single) or $24,000 per year (couple) and no other prescription coverage. http://www.pfizerhelpfulanswers.com LillyAnswers Card (Eli Lilly) 877-795-4559 (877- Rx Lilly) call for an application Allows Medicare recipients with no other Rx coverage to pay only $12 a month for each Lilly prescription if income is below $18,000 per year (single) or $24,000 p yr (couple).More info is at http://www.lillycare.com CANADIAN PRESCRIPTIONS   Prices may be 20% to 78% below US prices. There may be fees for transactions, or shipping and handling. Some of the companies are The Canadian Drug Store, Toronto: 888-372-2252 www.thecanadiandrugstore.com Canada Meds, Winnipeg, Manitoba 877- 542-3330 www.canadameds.com ; RxNorth, Winnipeg 888-773-2698 www.rxnorth.com ; www.lepharmacy.com in Quebec 888-453-6275, and www.canadadrugs.com 1-800-CAN-DRUG in Winnipeg, Manitoba. MACOMB PRESCRIPTION PROGRAM 586-469-6313 Macomb Co Dept Senior Services For all Macomb County residents and their dependents who have no prescription coverage, and who enroll and receive a card. Helps by giving discounts on retail prices to individuals who purchase their prescriptions. Average discount is 30%. POM ACO Muresan & Andrews, Aug. 2013

Macomb County Rx Help Continued MiRx (Michigan Prescription Drug Discount Card) 866-755-6479 Offers discounts of @ 20% off drug costs for people w/o prescription drug coverage with annual income below $27,930 for one, $37,470 for 2, $47,010 for 3, $56,550 for 4. See www.michigan.gov/mdch (info & app) OTHER Rx ASSISTANCE PROGRAMS   Check for recent info: Astra-Zeneca: http://www.astrazeneca-us.com/help-affording-your- medicines ; Blue Cross 1-800-485-4415; and MatureRx (discount card) 800-511-1314. HAP SENIOR PLUS ( Henry Ford Medical Group) 800-801-1770 A Medicare Advantage Plan (Medicare HMO) for Medicare recipients (of any age) delivering all Medicare services + standard Medigap services + prescription part D benefit—all from their HMO network (instead of fee-for-service). Monthly premiums = $55, 69, or $108. Hospitalizations $350 each, & other copays apply. BCN ADVANTAGE (Blue Cross Blue Shield Network) 866-966-2583 A Medicare Advantage Plan (Medicare HMO) for Medicare recipients. Premiums = $0, $29, $103 or $200 per month. Other copays apply, including $225 to $90 per day for the 1st 5 days only, for hospital admissions. www.mibcn.com POM ACO Muresan & Andrews, Aug. 2013

Macomb County Resources Continued LOAN CLOSET Small medical equipment, such as; wheelchairs, bath benches and shower chairs are available for Macomb County senior citizens for short term use. Other equipment, such as, used walkers and canes are free. Call: 586-469-6317   9-1-1 CELLULAR PHONES The department accepts donations of inactive cellular phones with charger and battery in good condition. Donated cell phones are made available to seniors of Macomb County who wish to have a 911 Emergency Phone for safety reasons. These phones are only able to dial 9-1-1. Call: 586-469-6313 POM ACO Muresan & Andrews, Aug. 2013

Macomb County Senior Centers  Armada Senior Center 75400 North Avenue, P.O. Box 306 Armada, Michigan 48005 586-784-8050   Center Line Senior Center 25355 Lawrence Blvd Center Line, Michigan 48015 586-757-1610 Chesterfield Township Senior Center 47275 Sugarbush Road Chesterfield Township, Michigan 48047 586-949-0400 Extension 1138 Clinton Township Senior Center 40730 Romeo Plank Road Clinton Township, Michigan 48038 586-286-9333 Eastpointe Senior Center 16435 Eight Mile Road Eastpointe, Michigan 48021 586-445-5084 Fraser Senior Center 34935 Hidden Pine Drive Fraser, Michigan 48026 586-296-8483 Harrison Township - Tucker Senior Center 26980 Ballard Harrison Township, Michigan 48045 586-466-1498 Lenox Township Senior Center 63975 Gratiot Lenox Township, Michigan 48050 586-727-2085   Macomb Township Parks and Recreation Center 20699 Macomb Street Macomb, Michigan 48042 586-992-2900 Hours vary - Open for special occasions. Please call before going. Or Marvin Blank Senior Center 19925 23 Mile Road 586-226-4227 POM ACO Muresan & Andrews, Aug. 2013

Macomb County Senior Centers Continued Mt. Clemens Cairns Community Center 58 Orchard Street Mt. Clemens, Michigan 48043 586-464-0728 New Baltimore Parks and Recreation Senior Activities 50976 Washington Street New Baltimore, Michigan 48047 586-725-0291 Ray Township Senior Center 64255 Wolcott Road, P.O. Box 306 Ray, Michigan 48096 586-749-3358   Richmond Township Senior Center 75701 Memphis Ridge (M-19) Richmond, Michigan 48062 586-727-8998 Richmond City Senior Center 36164 Festival Drive 586-727-3064 Romeo Senior Activity Center 361 Morton Romeo, Michigan 48065 586-752-9601 Roseville Parks and Recreation Senior Center 18185 Sycamore Roseville, Michigan 48066 586-777-7177   Shelby Township Senior Center 51670 Van Dyke Shelby Township, Michigan 48316 586-739-7540 Sterling Heights Senior Center 40200 Utica Road, P.O. Box 8009 Sterling Heights, Michigan 48311 586-446-2750 St. Clair Shores Senior Center 20000 Stephens St. Clair Shores, Michigan 48080 586-445-0996 POM ACO Muresan & Andrews, Aug. 2013

Macomb County Senior Centers Continued Warren - Parks and Recreation Senior Programs 5460 Arden Warren, Michigan 48092 586-268-8400 Warren - Owen Jax Activity Center 8207 E. 9 mile Road Warren, Michigan 48089 586-757-7480 Warren - Stillwell Manor 26600 Burg Road 586-758-1300   Washington Senior Activity Center 57880 Van Dyke Washington, Michigan 48094 586-786-0131 POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Manistee County Contact information Manistee County Council on Aging Senior Center 457 River Street Manistee, MI 49660 231-723-6477 (888)-723-9060 Email Address: mccoa@hotmail.com   918 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Manistee County Demographics Foreign born persons, percent, 2007-2011 1.90% Language other than English spoken at home, percent age 5+, 2007-2011 4.10% High school graduate or higher, percent of persons age 25+, 2007-2011 87.10% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 17.60% Median value of owner-occupied housing units, 2007-2011 $120,000 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $22,258 Median household income, 2007-2011 $41,169 Persons below poverty level, percent, 2007-2011 14.90% POM ACO Muresan & Andrews, Aug. 2013

Manistee County Resources Exercise Classes  Sit and Get Fit – Tuesday & Thursday mornings at 10:00 am – at the Manistee Senior Center – FREE! Water Aerobics – Tuesday & Thursday mornings at 8:00 am – at Paine Aquatic Center – $5 per session Sit and Get Fit - Monday & Wednesday mornings at 10:45 am – at Farr Center, Onekama – FREE!   Friendly Visitor  We have a Friendly Visitor on staff who makes regular contact with home-bound seniors through phone calls and personal visits. The visits also serve as a resource for seniors who may benefit from other available services, as well as reassurance for family members who may be concerned about their loved ones living alone. Homemaker Services  The Council on Aging has two employees who are available to help seniors with homemaker duties. This service is open to anyone 60 years of age or older who may need assistance with light housekeeping, dusting, mopping, laundry, or light shopping. Our homemakers generally are able to spend between 1-3 hours per month or twice per month as their schedules allow. The charge for this service is a very reasonable $8.00 per hour. However, if finances are an issue, please contact the office for payment options. Homechore Services  Manistee County Council on Aging has employees available for the following chores: lawn mowing, walkway snow shoveling, garage or basement cleaned, windows washed, storm windows put up, raking, furniture moved, or any other household task. Call and ask for Chris and she will schedule them. Cost is $8.00 per hour per man, however if finances are an issue, please call for additional payment options. Medicare/Medicaid Assistance Program  A Medicare/Medicaid Assistance Program Counselor is available to assist with questions regarding both of these programs. The counselor is also available to help with general insurance questions and issues. Socialization Opportunities  The Senior Center is open Monday – Friday, 8:00 am – 4:00 pm. Social hour is held each day prior to lunch being served. Holiday parties are held featuring good food, music and prizes. We always have a jigsaw puzzle available for people to work on as well as chess and many other board games. Pinochle, Bridge and Euchre are played regularly. Stop in and enjoy a free cup of coffee and some good conversation. POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Missaukee County Contact Information Commission on Aging Office: (231) 839-7839    Lake City Senior Center        120 E. John St. Lake City, MI  49651 (231) 839-4351  1,461 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Missaukee County Demographics Foreign born persons, percent, 2007-2011 1.50% Language other than English spoken at home, percent age 5+, 2007-2011 3.70% High school graduate or higher, percent of persons age 25+, 2007-2011 86.50% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 13.40% Median value of owner-occupied housing units, 2007-2011 $111,800 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $19,740 Median household income, 2007-2011 $39,735 Persons below poverty level, percent, 2007-2011 15.90% POM ACO Muresan & Andrews, Aug. 2013

Missaukee County Resource Information Who is eligible? Services are available to residents of Missaukee County who are at least 60 years of age and meet program requirements. Is there a charge? There is a monthly service fee for all millage supported programs. The fee may be waived based on total household income. Requesting Services You may contact our In-Home Service Coordinator at (231) 839-7839 Ext. 304 or 1-888-616-3102. Our Coordinator will set up an appointment with you to complete an assessment and determine eligibility. Referrals are accepted from older adults, family members, physicians, hospital discharge planners and concerned individuals. Our In-Home Service Programs are funded in part by office of Services to the Aging, Area Agency of Aging, and County tax dollars as well as confidential client donations. POM ACO Muresan & Andrews, Aug. 2013

Missaukee County Resources In-Home Services In-Home Services consist of a variety of programs including personal care, respite, homemaker, and chore. These services are available to Missaukee residents 60 years of age or older, have been assessed by our In-Home Coordinator and are found to be in need of assistance in maintaining an independent lifestyle. Medication Management and Foot Care are also available Enhanced services are provided through Care Management, MI Choice Waiver, and Adult Home Help, as well as on a private pay basis. Information & Assistance Information on numerous programs is available to the public. Referrals can be made to other agencies, if the individual needs exceed existing Commission programs. Transportation Assistance Transportation assistance is provided to persons over 60 years of age or under 60 with a permanent disability needing to visit their physician or other essential medical trips which may include dental and vision appointments. This program is funded by a Michigan Department of Transportation Specialized Services Grant. Medicare Medicaid Assistance Program Counselor Available Ext 301 POM ACO Muresan & Andrews, Aug. 2013

Muskegon and Ottawa Counties Contact Information Senior Resources of West Michigan, an Area Agency on Aging in Muskegon, MI 560 Seminole Road Muskegon, MI 49444 (231)-739-5858 http://www.srwmi.org Muskegon: 12,126 Beneficiaries Ottawa: 2,848 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Muskegon County Demographics Foreign born persons, percent, 2007-2011 1.90% Language other than English spoken at home, percent age 5+, 2007-2011 4.50% High school graduate or higher, percent of persons age 25+, 2007-2011 87.80% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 16.80% Median value of owner-occupied housing units, 2007-2011 $108,700 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $20,222 Median household income, 2007-2011 $40,298 Persons below poverty level, percent, 2007-2011 18.50% POM ACO Muresan & Andrews, Aug. 2013

Ottawa County Demographics Foreign born persons, percent, 2007-2011 5.70% Language other than English spoken at home, percent age 5+, 2007-2011 9.50% High school graduate or higher, percent of persons age 25+, 2007-2011 90.60% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 29.30% Median value of owner-occupied housing units, 2007-2011 $158,900 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $25,197 Median household income, 2007-2011 $55,661 Persons below poverty level, percent, 2007-2011 10.10% POM ACO Muresan & Andrews, Aug. 2013

Muskegon and Ottawa Counties Shared Resources Information and Assistance Senior Resources has resource specialists available from 8 a.m. to 4 p.m. Monday through Friday to answer questions and provide information on local services for seniors, persons with disabilities and family caregivers. Call (231) 733-3585 or 1-800-442-0054 Resources for Caregivers We provide assistance to persons caring for a loved one via information, education, support, training and respite services. We also produce and distribute a monthly newsletter, The Caregiver Link. Senior Health and Wellness Programs We, along with our partner organizations throughout Muskegon, Oceana, and Ottawa Counties, offer evidenced-based health programs which means that they have been tested and proven to work in real-world settings. If you are looking at developing healthy eating habits, learn how to manage a chronic illness, or prevent falls, we have the program for you. For questions, or more information about any of these programs, please contact Amy Florea, Community Service Director at 231-733-3519 or amy@seniorresourceswmi.org Arthritis Exercise The Exercise Program will help you: Keep joints flexible and muscles strong Sleep better Increase energy Improve your overall outlook Experience the Exercise Program Exercise Classes – Led by a certified instructor, the classes may be taken either standing or sitting. The simple routines are easy to replicate at home. Classes meet for one hour, two to three times per week for eight weeks and are designed to be relaxing and enjoyable. Fit & Strong: Fit and Strong! combines flexibility, strength training and aerobic walking with health education for sustained behavior change among older adults with lower extremity osteoarthritis (OA). Fit & Strong! works with providers across the country to deliver an eight-week program that improves lower extremity stiffness, lower extremity pain, lower extremity strength, aerobic capacity, participation in exercise and caloric expenditure, and self-efficacy for exercise. POM ACO Muresan & Andrews, Aug. 2013

Muskegon and Ottawa Counties Shared Resources Continued Diabetes PATH:  The Diabetes Self-Management workshop is given 2½ hours once a week for six weeks. This workshop focuses on the specific needs of those living with diabetes. Subjects covered include: 1) techniques to deal with the symptoms of diabetes, fatigue, pain, hyper/hypoglycemia, stress, and emotional problems such as depression, anger, fear and frustration; 2) appropriate exercise for maintaining and improving strength and endurance; 3) healthy eating 4) appropriate use of medication; and 5) working more effectively with health care providers. Participants will make weekly action plans, share experiences, and help each other solve problems they encounter in creating and carrying out their self-management program.   Healthy Eating  This six week class is focused on helping seniors make nutritional choices to help support weight management and the prevention and control of conditions like high blood pressure. Participants will become knowledge about nutritional choices that focus on heart and bone healthy foods as well as supportive physical activities. Goal setting, problem solving and self-monitoring are used to optimize individual behavior change. Matter of Balance  A Matter of Balance emphasizes practical strategies to reduce fear of falling and increase activity levels. This is an eight session course lead by two trained instructors and workshops are interactive. Participants learn to view falls and fear of falling as controllable, set realistic goals to increase activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance. PATH (Personal Action Towards Health)  The PATH program is designed to help people gain self-confidence in their ability to control their symptoms and how their health problems affect their lives. Small-group, highly interactive workshops are six weeks long, meeting once a week for 2 ½ hours, and are facilitated by a pair of leaders one or both of whom are non-health professionals with a chronic diseases themselves. Walk with Ease  Walk With Ease offers support, information and tools to help you succeed and is designed for people with arthritis and other chronic conditions, such as diabetes, heart disease and hypertension. Based on research and tested programs in exercise science, behavior change and arthritis management, Walk With Ease is shown to: Reduce the pain and discomfort of arthritis Increase balance, strength and walking pace Build confidence in your ability to be physically active Improve overall health POM ACO Muresan & Andrews, Aug. 2013

Muskegon and Ottawa Counties Shared Resources Continued Medicare Medicaid Assistance Program  Volunteer counselors are available to address questions on health care benefits including: Medicare Part A & B Medicare Prescription Drug Plans (Part D) Medicare supplemental insurance Applying for Medicaid or a Medicare Savings program Exploring options for  long term care insurance Medicare Advantage options Helping to report Medicare or Medicaid fraud and abuse Other issues of importance to people in Medicare, their families and caregivers There is no charge for this program. To contact a MMAP counselor please call 1-800-803-7174 or 231-733-3572  Prescription Drug Discount Program (Ottawa County Only)  As an Ottawa County resident, you are eligible for the FREE Ottawa County Prescription Discount Card. There are no income or age restrictions. Each member of the family must have a card id number. There is no expiration date for the card. The card can be used as your primary prescription plan or may be used on prescriptions not covered by your insurance plan. This program has "lowest price" logic to guarantee that you get the best price on your prescriptions. You pay the lower of a discount off the average wholesale price, discount off the maximum allowable cost, or pharmacy promotional retail price. Other discounts are listed on the card when you sign up below. Enter your name and e-mail below and the system will generate a printable membership card for you. If you have no email address, enter none in this field. You may create as many cards as you need. This card is pre-activated and can be used immediately. POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Newaygo County Contact Information Newaygo County Commission on Aging Flora Sermon 93 S Gibbs, PO Box 885 White Cloud, MI 49349 M-F 8am-5pm Phone: (231) 689-2100 or Toll Free:(800) 689-2100   918 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Demographics Foreign born persons, percent, 2007-2011 2.50% Language other than English spoken at home, percent age 5+, 2007-2011 5.40% High school graduate or higher, percent of persons age 25+, 2007-2011 85.30% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 13.10% Median value of owner-occupied housing units, 2007-2011 $113,800 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $21,120 Median household income, 2007-2011 $43,864 Persons below poverty level, percent, 2007-2011 17.20% POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Resources Adult Day Care The Newaygo County Commission on Aging’s Activity Group has been designed to address the needs of the client as well as the needs of the caregiver. With this design, we are able to address some of the social and financial factors that concern the caregivers while addressing the intellectual, social, and physical impairments of the clients. By addressing the entire scope of needs, we accomplish two goals 1) we are able to assist the clients in achieving and maintaining the highest level of functioning and the best quality of life possible and 2) we are able to ease the caregiving burdens placed on family members which then allows them to be able to care for their loved ones at home longer. For Adult Day Care services, we are required to request donations for services as well as to have a cost share policy. Cost sharing is a policy that requires a co-payment for services provided. The co-payment is based on client income and unit rate cost. At this time we have no clients who meet the criteria for making co-payments under the cost sharing policy. We do have a suggested donation rate for clients caregivers to consider if they can afford to do so. Our suggested donation on for day programming is $2.00 per hour of service. Group attendance averages 4 to 6 hours per service day. The COA Activity Group operates four days per week, from 10:00 a.m. until 2:00 p.m. We utilize the COA bus for client transportation four days per week, thereby saving time and money by not having to use volunteer drivers and allowing the caregivers a break from having to transport their loved ones, which can be very difficult if the client is wheelchair-bound. The three programs (dementia-related, medically frail, and developmentally disabled) run side-by-side, sharing administrative costs, thereby allowing more dollars for direct service. The Alzheimer’s/ADC/Day Activity program also shares a full-time coordinator with the Older Adult Respite Services (OARS) program. The Alzheimer’s/dementia program employs one part-time aide; the ADC component of the activity group employs two part-time aides. The program provides nutrition, socialization, and recreational activities for the group participants and respite for the caregivers as described previously. The program is currently based at the Senior Center in White Cloud, but maintains the flexibility to operate from other sites when the need arises. A certified exercise instructor, who is also a registered physical therapy assistant, directs an exercise group on Mondays and Wednesdays from 11 a.m. until noon. The program's objectives are to improve strength and muscle flexibility, posture, endurance, and walking ability (to lessen the likelihood of falls). Exercises are designed so that even those in wheelchairs with limited physical abilities are able to participate. We continue to emphasize the social model of programming, mainstreaming clients with the general senior population. The program coordinator plans and schedules daily activities which are designed to meet the variety of needs of the identified clients. Everyone, regardless of their ability to function, is encouraged to participate in all activities, if they choose, to the best of their abilities. Community members are invited to participate in the activities along with the clients. We have found that the community members enjoy the activities and gain a better understanding of and respect for the clients, and the clients enjoy the activities and become more comfortable interacting with people. The addition of the younger persons with developmental disabilities has worked to the advantage of all clients as well as community members. The younger individuals voluntarily help the elders with tasks, and the elders provide a nurturing and caring environment for the younger people. This intergenerational contact has proven to be valuable to all populations. POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Resources Continued Older Adult Respite Program (OARS) In-home respite services through the OARS program have been provided for nine years. Services are provided to care givers of the medically frail. The program was created to help fill the gaps created by Medicare cuts to home health care agencies. The need was identified by requests from caregivers who needed some relief from the 24-hour care of their loved one (sometimes the loved one is over 60, other times the caregiver is over 60 while the loved one is under 60). The OARS program continues to maintain individuals in their homes for as long as possible by providing supportive care for clients and their caregivers. There are three different types of services offered through the OARS program. For those who need skilled respite assistance, caregivers are offered up to 4 hours of skilled respite assistance per month. Additional hours requested are evaluated on a case-by-case basis. COA contracts with Newaygo County home health care agencies to provide these services. The program is unique in that the caregivers can obtain service from any one of the home healthcare agencies with which we contract. A referral may be made from a physician, a caregiver a COA case worker, or a home health care agency. An assessment of need is submitted to the program coordinator to determine eligibility. Upon approval, the referring party is notified and the caregiver and service provider schedule hours of service according to the identified needs. Home health agencies utilize certified home health care companions to provide the respite services. For those who do not need skilled care, we have volunteers who go into the homes for up to 10 hours per week per client. The volunteers visit with the clients while the caregivers take time for themselves or take time to attend to matters such as grocery shopping and doctor appointments. Overnight respite services through COA have been provided for eight years. COA has working agreements with specific residential facilities to provide up to 72 hours (three days) of respite service per year per caregiver receiver. Requests for more than three days are considered on an individual basis and may be granted if funding is available and if the circumstances warrant additional days. Requests may be made to the COA respite coordinator by care givers, physicians, home health workers, mental health workers, or FIA Adult Protective Services workers. The coordinator contacts the residential facilities to confirm bed availability and to provide basic admission information. Provisions are made for emergency admissions, with the coordinator’s home phone number available to agency personnel who may need it. For respite services there is a suggested donation of $2.00 per hour of service provided. However, no one will be refused respite services due to the inability to donate. POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Resources Continued Case Management Seniors (and family members) are supplied with a better understanding of COA services, are referred for other services (COA programs as well as other service organization programs) for which they are eligible, and/or are assisted in finding the resources to meet their needs. Case managers assist with Medicaid and Medicare questions as well as many other issues facing our senior population. Case managers are available to identify needs, develop and monitor service plans to assist in meeting the identified needs, and to advocate for and communicate with other agencies when necessary for additional services. Homemaker Seniors may receive assistance with basic cleaning (i.e. vacuuming, mopping, washing dishes and kitchen countertops, cleaning bathroom fixtures, dusting, changing bedding and making up the bed), laundry, basic meal preparation (warming food, putting away leftovers), and/or shopping and errands (picking up prescriptions, grocery items). The frequency of homemaker services vary depending on each individual’s needs. Priority is given to those who cannot complete these tasks on their own, are unable to private pay for housekeeping services, and have no family or friends who are able to assist (or family friends are overwhelmed taking care of other aspects of the person’s care). Suggested donation $2.00 per hour of service provided. Home Repair Labor for minor home repairs (i.e. fixing a leaking sink, thawing frozen pipes and applying heat tape) is provided with the seniors providing the materials needed to make the repairs. Estimates for and construction of wheelchair ramps are also provided as time allows. Repair requests are prioritized on a daily basis. Suggested donation per repair task $10. Medicare Medicaid Assistance Program (MMAP) Trained volunteers assist people with questions regarding Medicare, Medicaid, supplemental insurance, and patient rights and appeals. MMAP is a statewide program, by calling 1-800-803-7174 you will reach the counseling center closest to your residence. POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Resources Continued Senior Meal Program Subject to holidays and inclement weather conditions, meal sites are open to seniors for an average of 250 days per year. With the kitchen expansion funded through The Fremont Area Community Foundation, we prepare all meals at the White Cloud site, provide salt-free meals and meet special dietary needs of our elderly clients. We also provide soup and salad bar options at all meal sites. Community Site Days Serving Time Newaygo St. Bartholomew Monday - Thursday 11:30 am White Cloud Senior Center Monday - Thursday Noon Fremont True North Monday - Thursday 11:30 am Merrill Township Township Hall Monday - Thursday 11:30 am Everyone is welcome to attend the congregate meal sites. For people age 60 and older, there is a suggested donation of $2.00 per meal; however, no one will be refused a meal for inability to donate. For those under age 60, there is a guest fee of $4.00 per meal. Please call at least one day in advance to reserve a meal in order that we can send enough food to each site to cover the number of meals needed for those attending. Bus Transit The Commission on Aging provides basic access services to the seniors and handicapped of Newaygo County using five buses (four are on the road regularly, one is used as a backup). All of the vehicles are wheelchair-lift equipped. Currently the service delivery system consists of rotating the vehicles on a demand-response basis in each county community and providing site access for Adult Day Care (ADC). Transportation is provided for shopping, banking, accessing congregate meal sites, and running errands in the closest shopping area. The following schedule depicts present usage: Monday White Cloud Newaygo ADC Fremont Tuesday White Cloud Newaygo ADC Fremont Wednesday White Cloud Newaygo ADC Fremont Thursday White Cloud Newaygo ADC Fremont Friday - No regular transits on Fridays - Special trips may be scheduled as funding permits. The White Cloud route includes a route through the White Cloud area as well as a secondary route through the Hesperia area four days per week. There is a suggested donation of $3 per round trip to ride the bus; however, no one will be refused service due to inability to donate. Bus tokens are available and make great gifts. Special trips to access various social, educational and recreational activities are scheduled on Fridays on a limited basis as the budget allows. There is usually a cost involved with these special trips, usually $2-$5 depending on the destination. POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Resources Continued Health Care Vans The Commission on Aging provides unlimited health care access for in-county transportation utilizing five seven-passenger wheelchair-lift-equipped vans; a sixth van is available on a limited basis. The health care vans also provide out-of-county transportation to individuals who are wheelchair-bound. The health care van is available to transport anyone living in the county who is 60 years or older.   Health care transportation services are scheduled primarily between the hours of 8 a.m. and 5 p.m., Monday through Friday. Exceptions are made based on client needs, i.e. dialysis transportation on Saturdays when there are no other means of transport. With the rider capacity of each van, we are able to combine a variety of healthcare trips for people living in similar areas and going to appointments in similar areas at similar times. Volunteer Medical Transportation  The Commission on Aging utilizes a volunteer driver network for out-of-county travel for ambulatory seniors to obtain health services not available within the county. These services include treatment of cancer, appointments with some specialists (i.e. eye, heart), and specialized surgeries. It is more cost effective to utilize volunteer drivers for single or one-time out-of-county health care trips due to the trip time, the wait time, and due to the total number of healthcare trip requests that we receive on a daily and monthly basis. For both van and volunteer medical transportation, there is a suggested donation of $5 per round trip for in-county trips and $10 per round trip for out-of-county trips. However, no one will be denied access to medical transportation due to the inability to donate. Wellness Program Commission on Aging has teamed up with Community Home Care to provide Blood Pressure Clinics at the COA building in White Cloud. This FREE clinic will be available each month and are open to all Newaygo County residents, on a first come first served basis. White Cloud - COA, Every Wednesday 10:30am – Noon POM ACO Muresan & Andrews, Aug. 2013

Newaygo County Resources Continued Home Delivered Meals The Home Delivered Meals (HDMs) program is available to Newaygo County residents who meet the following criteria:  An eligible client must be 60 years of age or older, or be the spouse of a client at least 60 years of age, or be a disabled individual under age 60 living with an eligible client who is the primary caregiver of the disabled individual. An eligible client must be physically or emotionally unable to obtain meals or prepare complete meals.  If there is any question as to the client’s physical or emotional ability to prepare meals, a physician’s note will be required. An eligible client must be homebound (leaves home only for medical needs). An eligible client must have no adult living in the same residence or in the vicinity that is able and willing to prepare meals for the client. An eligible client must be physically or emotionally unable to participate in the congregate meal program.  If there is any question as to the client’s physical or emotional ability to participate, a physician’s note will be required. An eligible client’s special dietary needs must be able to be met by the Home Delivered Meal Program’s menu in order that the meals provided would not jeopardize the client’s health. An eligible client must be able to feed him/herself. An eligible client must agree to be home when meals are delivered or contact the program when absence is unavoidable. Clients will be assessed for eligibility prior to starting meals (within 10 days of start for those who are referred at the time of hospital discharge) and re-assessed every six months to determine continued eligibility. The HDMs are plated at the White Cloud site and transported by five meal drivers for an average of 500 miles per day. Although the cost of transporting HDMs is rather substantial, homebound clients in all corners of Newaygo County are able to benefit from this service.   Most of the meal recipients receive one meal per day, a nutritious and hot lunchtime meal, Monday through Thursday and a frozen meal is delivered for Friday.  Those who do not have family or friends checking on them on the weekends may also receive weekend meals, which are delivered each Thursday.  Those who are most isolated, with limited financial resources, and have few or no regular visitors receive one hot, nutritious lunch time meal as well as one cold, nutritious dinner meal. POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Oakland County Contact Information AAA 1-B Central Office (Oakland County) 29100 Northwestern Hwy., Suite 400 Southfield, MI 48034 (248) 357-2255 (800) 852-7795 TTY: (800)-649-3777 (Michigan Relay) Fax: (248) 262-9971 16,086 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Oakland County Demographics Foreign born persons, percent, 2007-2011 11.10% Language other than English spoken at home, percent age 5+, 2007-2011 13.90% High school graduate or higher, percent of persons age 25+, 2007-2011 92.50% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 42.40% Median value of owner-occupied housing units, 2007-2011 $190500 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $36314 Median household income, 2007-2011 $66456 Persons below poverty level, percent, 2007-2011 9.50% POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Information and Assistance The Area Agency on Aging 1-B has certified Resources Specialists available from 8 a.m. to 5 p.m. Monday through Friday to answer questions and provide information on local services for seniors, persons with disabilities and family caregivers. Call 1-800-852-7795 to speak with a Resource Specialist. 1-800-852-7795 Our certified resource specialists are available to provide information and assistance on thousands of services and resources available for seniors (60+), persons with disabilities and family caregivers in the Southeastern Michigan counties of Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw. Areas of assistance include housing options, eligibility and availability of government funded long term care programs, transportation, personal care, respite care, and legal services. Depending on the information requested, a listing of the various services and resources, tip sheets and other materials will be mailed to the caller from the AAA 1-B. There is no charge for the assistance, although a donation to the agency is appreciated. To best serve callers, the resource specialists may need to have information on income and health status of the older adult or person with disability. The AAA 1-B is HIPAA compliant and all information provided is confidential. POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued Adult Day Services Provides activities and assistance for people with physical and/or mental impairments in a setting outside the home.  This service is for people who do not need full-time care but cannot be left alone for long periods of time and provides relief to caregivers.  Hours vary, but are generally 7am to 7pm with some centers providing Saturday service. Adult Foster Care Homes An intimate assisted living arrangement for adults who have special needs or impairments and cannot live alone. Assisted Living A housing option that provides support to residents including personal care services, homemaking, and light medical or nursing care but allows them to remain living in their own apartment within the housing facility and to maintain their independence. Care Management Care management programs arrange for, and monitor the use of community services to help frail, older adults or persons with disabilities to avoid or delay institutional placement while fostering independent living.  These services are offered by public, nonprofit and for-profit agencies. Chore Service Services designed to restore or maintain a home and may include minor home repair, snow shoveling and cutting grass.  Many programs require individuals to be 60 years or older. Congregate Meals Nutritionally sound meals, for adults 60 years of age and older, served daily at community locations such as church halls and senior centers providing the participants with the opportunity to socialize with other older adults.  There is no charge but a donation is suggested. Counseling Professional level services which seek to improve an older adults, persons with disability or caregiver’s emotional and social well being through the identification and resolution of personal, social or emotional problems. POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued Elder Abuse Prevention Abuse of an elder or dependent adult includes the following behaviors: physical abuse, psychological abuse, neglect, intimidation, financial exploitation and abandonment. There are services available to help victims of elder abuse. Environmental Modifications Adaptations to the home that may prevent or minimize the occurrence of injuries in the home. May include installation or maintenance of various devices including safety lighting, ramps, bath chairs, grab bars, smoke alarms, ceiling fans and air conditioners. Grandparents Raising Grandchildren There are various resources available within the community to assist grandparents who are raising their grandchildren. Hearing Impaired Resources on education, training, information on how to obtain benefits, and assistance with adjusting lifestyle and living arrangements in response to hearing impairment and deafness. Home Delivered Meals (Meals on Wheels) Nutritionally balanced meals including meals designed for special diets are delivered to homebound, physically or cognitively impaired older adults 60 years of age and older who are unable to prepare meals. A donation for service is suggested. Homemaking An in-home service for frail older adults or persons with disabilities that helps maintain a clean, safe, healthy home environment and may include housekeeping, light meal preparation, laundry and errand running. Legal Services Legal assistance and representation by an attorney (including assistance by a paralegal or law student under the supervision of an attorney) and counseling or representation by a non-lawyer where permitted by law for adults 60 and older. Long Term Care Ombudsman Investigates and resolves complaints made by (or on behalf of) residents of long term care facilities. Medical Equipment Devices, controls or appliances which enable a person to increase their ability to perform activities of daily living. MI Choice Medicaid Waiver A Medicaid funded program that provides home and community based services to help a frail older adult or person with disabilities remain living in their own home or chosen place of residence. Services include adult day care, homemaking, personal care, respite and emergency response systems. Individuals must meet income Medicaid eligibility guidelines for both income and activities of daily living. POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued Nursing Homes Facilities that provide 24 hour care for older adults and persons with disabilities requiring high level of care. Out-of-Home Respite A program that provides the primary caregiver to take a rest from their caregiving duties for an extended period of time by leaving their loved one with qualified care professionals who provide supervision, companionship and assistance with activities of daily living in an environment other than the client’s or caregivers home. Personal Care Services to assist with activities of daily living such as personal hygiene, grooming, bathing, dressing, meal preparation, homemaking and other related services. Personal Emergency Response Electronic devices designed to monitor client safety and provide access to emergency crisis intervention for medical and environmental emergencies. Private Duty Nursing Provision of nursing treatments and observation provided by licensed nurses or specially trained nurse aides. Resource Advocacy Outreach Resource advocates identify older adults in need of community services, and act as their advocates to assist these individuals to find resources that meet their needs. Respite Care Provides relief to primary caregivers, such as family members who give care to someone in need. Respite can be regularly scheduled on a weekly basis or can be used from time to time as needed by the caregiver. Respite care can be provided in the home or in various community settings. Support Groups Groups that offer moral support, advice and information on a variety of topics relating to seniors and their loved ones. Transportation There are transportation options for older adults and persons with disabilities dependent upon the community where they live. Vision Impaired Services Specialized services for the visually impaired and/or blind that include orientation and mobility training, rehabilitation for activities of daily living and optometric services to help persons with severe vision loss to utilize remaining vision as effectively as possible. Volunteer Caregivers Volunteers that provide a variety of assistance in the community including respite relief for caregivers. POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued Veterans Community Living Program A joint program, called the Veteran-Directed Home and Community-Based Service Program, has been launched by the Veteran’s Administration and the Area Agency on Aging 1-B. The program is available to help veterans of any age who are at risk of nursing home placement. This program helps provide home and community-based support services that help older or disabled veterans remain living safely and independently in their own homes for as long as possible. Light housekeeping, home-delivered meals, personal care (help with bathing, dressing, etc.), and personal emergency response systems are just some examples of services that may help an individual remain living in their own home. Veterans also have the option of directing and managing their own care. Senior Health and Wellness Programs How Our Programs Work Some programs are offered directly by the Area Agency on Aging 1-B, while others are offered via our partner organizations. Most programs are conducted in a small-group setting and led by trained leaders. Most workshops will meet once or twice a week for multiple weeks and will require a commitment for that time period. Some of the programs are free, while others may be offered at low cost. Senior Exercise and Fitness Classes Healthy Eating as You Age  Pain Management Chronic Disease Management Fall Prevention  The Area Agency on Aging 1-B (AAA 1-B) supports several senior health and wellness, chronic disease management, and injury-prevention programs in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties. All of the programs that we offer are evidence-based health programs that have been tested and proven to work in a real-world setting. Whether you are looking to develop healthy eating habits as you age, want to become physically active, learn how to live with and manage a chronic disease or health condition, or learn how to reduce your fear of falling, we’ve got a program that’s been proven to work and can make a difference in your life. For questions, or more information about any of these programs, please contact Kristin Wilson, AAA 1-B program manager/training specialist, at kwilson@aaa1b.com or (248) 262-9226. Nurse on Call NOC provides: • Answers to questions regarding communicable diseases, pregnancy and child health, nutrition, and more. • Referrals to health-related resources located in Oakland County, Michigan. POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued Meals on wheels Oakland County Oakland County has several different organizations that provide home delivered meals on wheels. Please refer to the list below and contact the nutrition program directly. Bloomfield Township Senior Services Serves: Bloomfield Township and West Bloomfield (248) 723-3500 City of Farmington Hills Serves: Farmington, and City of Farmington Hills (248) 473-1825 Emerald Food Services Serves: South Central and Southeast Oakland county, including: Berkley, Beverly Hills, Birmingham, Clawson, Ferndale, Franklin, Hazel Park, Huntington Woods, Lathrup Village, Madison Heights, Oak Park, Pleasant Ridge, Royal Oak Township, Southfield, and Troy (248) 689-0001 Kosher Meals On Wheels Serves: Oakland County (248) 592-2311 Older Persons’ Commission Serves: Northeast Oakland county, including: Addison Township, Auburn Hills, Brandon Township, Clarkston, Independence Township, Lake Angelus, Leonard, Oakland Township, Orion Township, Oxford Township, Rochester and Rochester Hills (248) 608-0264 Pontiac Meals On Wheels Serves: North Central Oakland county, including: Pontiac, Bloomfield Hills, Keego Harbor, Orchard Lake and Sylvan Lake (248) 738-9393 Waterford Senior Center Serves: Waterford Township (248) 682-9450 Western Oakland County Meal On Wheels Serves: Northwest and Western Oakland county, including: Commerce Township, Davisburg, Groveland Township, Highland Township, Holly, Lyon, Milford, New Hudson, Northfield, Northville (North of Eight Mile Road),City of Novi, Novi Township, Rose Township, South Lyon, Springfield Township, Union Lake, Walled Lake, White Lake and Wixom (888) 886-8971 or (810) 632-2155 Lighthouse of Oakland County-Liquid Meals Only Serves: Northern Oakland county, including; Keego Harbor Lake Orion, Oxford, Pontiac, Sylvan Lake, Union Lake, Walled Lake, Waterford, White Lake, and Wixom. (248) 920-6100 Ext 2231 POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued (Senior Centers) ASSOCIATION OF CHINESE AMERICANS (MADISON HEIGHTS) 32585 Concord Dr. Madison Heights, MI 48071 (248) 585-9343 ADDISON SENIOR CENTER 1440 Rochester Road Leonard, MI 48367 (248) 628-3388 AUBURN HILLS DEPARTMENT OF SENIOR SERVICES 1827 North Squirrel Auburn Hills, MI 48326 (248) 370-9353 BIRMINGHAM AREA SENIOR COORDINATING COUNCIL (BASCC) 2121 Midvale Birmingham, MI 48009 (248) 203-5270 website: www.bascc.org BERKLEY RECREATION DEPARTMENT 2400 Robina Berkley, MI 48072 (248) 658-3470 BLOOMFIELD TOWNSHIP SENIOR SERVICES 4315 Andover Road Bloomfield Hills, MI 48302 (248) 723-3500 BOWENS SENIOR CENTER (PONTIAC) 52 Bagley Street Pontiac, MI 48341 (248) 758-3240 CITY OF FARMINGTON HILLS – SENIOR ADULT DIVISION (Costick Activity Center) 28600 11 Mile Road Farmington Hills, MI 48336 (248) 473-1830 CLAWSON SENIOR CENTER 509 Fisher Court Clawson, MI 48017 (248) 583-6700 DUBLIN COMMUNITY SENIOR CENTER (WHITE LAKE) 685 Union Lake Road White Lake, MI 48386 (248) 698-2394 EDNA BURTON SENIOR CENTER (ORTONVILLE) 435 Ball Street Ortonville, MI 48462 (248) 627-6447 GERRY KULICK COMMUNITY CENTER (FERNDALE) 1201 Livernois Ferndale, MI 48220 (248) 544-6767 POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued (Senior Centers Continued) GOLDEN AGE CLUB (Waterford Parks & Recreation) 5640 Williams Lake Rd Waterford, MI 48329 (248) 674-4881 HART COMMUNITY CENTER (DAVISBURG) 495 Broadway Davisburg, MI 48350 (248) 846-6558 HAZEL PARK SENIOR CENTER 620 West Woodward Heights Blvd. Hazel Park, MI 48030 (248) 546-4093 HIGHLAND TOWNSHIP ADULT ACTIVITY CENTER 209 North John Street Highland, MI 48357 (248) 887-1707 HOLLY HOC ADULT ACTIVITY CENTER (HOLLY) 3323 Grange Hall Road, Building 700 Holly, MI 48442 (248) 634-7571 HUNTINGTON WOODS PARKS & RECREATION 26325 Scotia Huntington Woods, MI 48070 (248) 541-3030 INDEPENDENCE TOWNSHIP SENIOR CENTER 6000 Clarkston Road Clarkston, MI 48348 (248) 625-8231 JEWISH COMMUNITY CENTER- OAK PARK 15110 West 10 Mile Road Oak Park, MI 48237 (248) 967-4030 JEWISH COMMUNITY CENTER-WEST BLOOMFIELD 6600 W. Maple West Bloomfield, MI 48322 (248) 661-1000 LA AMISTAD SENIOR CENTER (Ruth Peterson Community Center- Pontiac) 990 Joslyn Avenue Pontiac, MI 48340 (248) 858-2307 MADISON HEIGHTS SENIOR CENTER 29448 John R Madison Heights, MI 48071 (248) 545-3464 MILFORD SENIOR CENTER 1050 Atlantic Street Milford, MI 48381 (248) 685-9008 POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued (Senior Centers Continued) NORTHVILLE SENIOR ADULT SERVICES 303 W. Main St. Northville, MI 48167 (248) 349-4140 NOVI SENIOR CENTER 25075 Meadowbrook Novi, MI 48375 (248) 347-0414 OAK PARK SENIOR CENTER 13600 Oak Park Boulevard Oak Park, MI 48237 (248) 691-7577 OLDER PERSONS’ COMMISSION (ROCHESTER) 650 Letica Drive Rochester, MI 48307 (248) 656-1403 ORION TOWNSHIP SENIOR CENTER 21 East Church Street Lake Orion, MI 48362 (248) 693-2066 PACIFIC RIM SENIOR CENTER, INC. (BLOOMFIELD HILLS) 2763 Mackintosh Bloomfield Hills, MI 48302 (248) 568-6431 PEARL WRIGHT SENIOR CENTER (FERNDALE) 21131 Garden Lane Ferndale, MI 48220 (248) 542-6752 PLEASANT RIDGE COMMUNITY CENTER 4 Ridge Rd. Pleasant Ridge, MI 48069 (248) 542-7322 RICHARDSON SENIOR CENTER (COMMERCE) 1485 Oakley Park Road Commerce Township, MI 48390 (248) 926-0063 ROYAL OAK SENIOR/COMMUNITY CENTER 3500 Marais Road Royal Oak, MI 48073 (248) 246-3900 www.ci.royal-oak.mi.us RUTH PETERSON SENIOR CENTER (PONTIAC) 990 Joslyn Pontiac, MI 48340 (248) 857-5631 SOUTH LYON CENTER FOR ACTIVE ADULTS 1000 North Lafayette South Lyon, MI 48178 (248) 573-8175 POM ACO Muresan & Andrews, Aug. 2013

Oakland County Resources Continued (Senior Centers Continued) SOUTHFIELD SENIOR ADULT CENTER 24350 Civic Center Drive Southfield, MI 48034 (248) 796-4650 SPRINGFIELD TOWNSHIP PARKS & RECREATION 12000 Davisburg Road Davisburg, MI 48350 (248) 846-6558 TROY COMMUNITY SENIOR CENTER 3179 Livernois Troy, MI 48083 (248) 524-3484 WATERFORD SENIOR CENTER 3621 Pontiac Lake Road Waterford, MI 48328 (248) 682-9450 WEST BLOOMFIELD PARKS AND RECREATION 4640 Walnut Lake Road West Bloomfield, MI 48322 (248) 451-1900 WIXOM SENIOR CITIZENS CENTER 49045 Pontiac Trail Wixom, MI 48393 (248) 624-0870 POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Osceola County Contact Infomation Osceola County Commission on Aging Director - Scott Schryer Monday - Friday, 9:00 a.m. - 5:00 p.m. 732 W. 7th St. Evart, MI  49631 (231) 734-5559 osccoa@netonecom.net 1,142 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Osceola County Demographics Foreign born persons, percent, 2007-2011 0.90% Language other than English spoken at home, percent age 5+, 2007-2011 4.70% High school graduate or higher, percent of persons age 25+, 2007-2011 86.50% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 12.50% Median value of owner-occupied housing units, 2007-2011 $99,500 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $18,228 Median household income, 2007-2011 $39,035 Persons below poverty level, percent, 2007-2011 19.20% POM ACO Muresan & Andrews, Aug. 2013

Osceola County Resources Services provided by the Commission on Aging include: Meals on Wheels Information Referral and Advocacy Senior News Bulletins Senior Citizens Volunteer Programs Contact Commission on Aging for more information. POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Wayne County Contact Information The Senior Alliance Area Agency on Aging 1-C 3850 Second Street Suite 100 Wayne, Michigan 48184 Phone: 734-722-2830 / 800-815-1112 Fax: 734-722-2836 Email: info@tsalink.org Website: www.aaa1c.org Detroit Specific Contact Information Detroit Area Agency On Aging 1333 Brewery Park Blvd Detroit, MI 48207 (313) 446-4444 9,104 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Wayne County Demographics Foreign born persons, percent, 2007-2011 7.70% Language other than English spoken at home, percent age 5+, 2007-2011 12.20% High school graduate or higher, percent of persons age 25+, 2007-2011 83.50% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 20.60% Median value of owner-occupied housing units, 2007-2011 $110,000 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $22,351 Median household income, 2007-2011 $41,886 Persons below poverty level, percent, 2007-2011 22.70% POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources CHORE REFERRAL (TSA) Individuals age 60 and older and adults with disabilities looking for home chore assistance will be given the names of independent workers who have agreed to provide services at a reduced cost. Homeowners make their own arrangements for the work and payment for service. CHORE SERVICES (TSA) The Wayne County Chore program provides emergency and safety services for individuals age 60 and older, as funding allows. CONGREGATE MEALS Individuals age 60 and older can get a hot lunch weekdays at any of the 41 community lunch sites. The meals provide at least one-third of the Recommended Dietary Allowance (RDA). Reservations must be made. Call TSA or Wayne County Office of Nutrition for a nearby site. Wayne County Office of Nutrition Services* 734-727-7357 or 800-851-1454 *Donations are accepted ELDER ABUSE SERVICES This service provides public education, outreach, and referral with respect to the prevention of abuse, neglect, and exploitation of older adults. Neighborhood Legal Services - Elder Law & Advocacy Center 313-937-8291 POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources Continued EVIDENCE-BASED DISEASE PREVENTION PROGRAMS Evidence-Based Disease Prevention Programs help individuals age 60 and older to increase their activity levels. The five courses TSA offers have demonstrated proven results for participants. Programs have the same content regardless of location. 1.Arthritis Exercise Program Offers low-impact exercises, that can be done either sitting or standing, to help relieve stiffness/pain and to build strength/stamina. The class was developed by physical therapists specifically for individuals with arthritis or related conditions. Garden City Senior Adult Services 734-793-1870 Van Buren Township Senior Center 734-699-8918 Arthritis Tai Chi Program This program brings the gentle, graceful, flowing power of sun-style tai chi to the community. This joint-friendly exercise program will both relax and increase mental and physical energy. Garden City Maplewood Center Redford Township Senior Center 313-387-2788 2.Enhance Fitness Program Enhance Fitness focuses on stretching, flexibility, balance, low impact aerobics, and strength training exercises. Inkster Senior Services 313-561-2382 3.Matter of Balance Program This group-based course teaches practical coping strategies to reduce the fear of falling. This course has eight sessions and each class lasts two hours. Presbyterian Villages 248-281-8171 POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources Continued 4.PATH- Chronic Disease Self-Management This class is designed to help individuals manage their chronic conditions. The class is held over a six week period, and each session lasts 2½ hours. The workshop has a wide range of activities and skill building exercises that help the participant learn to communicate with their medical provider, make better food choices and become more active. Canton Leisure Services 734-394-5360 Dearborn Senior Services 313-943-2412 Deaf & Hearing Impaired Services Garden City Senior Adult Services 734-793-1870 Inkster Senior Services 313-561-2382 248-473-1888   5.FRIENDLY REASSURANCE This program offers regular telephone contacts with homebound individuals age 60 and older to assure their well-being, safety and provide social interaction. The Disability Network/Wayne County-Detroit oversees this program with staff co-located at TSA. For information about this program call: 734-727-2082 HEALTH SCREENING SERVICES This service provides individuals age 60 and older with a series of health tests and screenings, such as blood pressure checks, TB tests, and immunizations. The tests are designed to identify present or potential health problems. ACCESS (Provides general health screening) 313-842-7010 Deaf and Hearing Impaired Services (Hearing screens only) 248-473-1888 or 248-473-1875 (TTY) POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources Continued HOME DELIVERED MEALS (Meals on Wheels) Homebound individuals age 60 and older can receive a hot meal delivered to them Monday-Friday. Liquid meals are also available. Wayne County Office of Nutrition Services* 734-727-7357 or 800-851-1454   HALAL HOME DELIVERED MEALS (Meals on Wheels) Homebound Muslim individuals age 60 and older can receive a hot meal delivered to them Monday-Friday. An Arabic speaking specialist is available to answer questions. INFORMATION AND ASSISTANCE (TSA) Information and Assistance (I&A) is the first point of contact for individuals calling TSA. An I&A Specialist provides information and referrals to assist older adults, caregivers and individuals with disabilities with their questions and concerns. I&A is a phone call away from many referrals such as, but not limited to: Adult Day Care Programs Caregiver Support Chore Services Elder Abuse Services Food Assistance Homemaker & Personal Care Services Legal Assistance Medicare/Medicaid Assistance Program (MMAP) Housing Options Transportation I&A Specialists educate and link people and services together. All information is handled in a confidential and private manner. POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources Continued KINSHIP CAREGIVER ASSISTANCE This program offers information, education and support services to grandparents and/or relative caregivers age 60 and older who are legally responsible for children 18 years of age or younger. Adult Well-Being Services 734-629-4717 Neighborhood Legal Services - Elder Law & Advocacy Center 313-937-8291 ADULT DAY SERVICES Adult Day Programs provide care and supervision for functionally impaired individuals age 60 and older in a secure community setting. Services may include social and recreational activities and assistance with daily living skills. Community Living Services 734-947-9219 Taylor Wayne County Adult Day Center 734-727-7378 Westland Woodhaven Retirement Community 734-261-9000 Livonia CAREGIVER SUPPORT Each Caregiver Support program offers varying types of caregiver information and assistance, as indicated. 734-629-5004 Caregiver Legal Assistance The Information Center 734-282-7171 Caregiver Education, Support Groups Wayne Metropolitan Community Action Agency 734-955-6752 Ext. 228 POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources Continued CASE COORDINATION AND SUPPORT (TSA) The Case Coordination and Support program assesses the eligibility of individuals age 60 and older for in-home services such as Personal Care, Homemaker, and Respite Care. LEGAL ASSISTANCE Provides free legal advice and counseling on issues such as guardianship, power of attorney, age discrimination, entitlements, etc. to individuals age 60 and older and their caregivers. No fee-generating or criminal cases are handled. Neighborhood Legal Services - Elder Law & Advocacy Center 313-937-8291 LONG TERM CARE OMBUDSMAN (TSA) Provides assistance and advocacy for families and residents of nursing homes, homes for the aged, and adult foster care homes. The Long Term Care Ombudsman assists residents in understanding rights, resolving concerns, and provides community education regarding long term care issues. Statewide Phone Number 866-485-9393 MEDICARE/MEDICAID ASSISTANCE PROGRAM (MMAP) (TSA) MMAP is Michigan’s State Health Insurance Assistance Program (SHIP). MMAP volunteer counselors are trained and certified in Medicare and Medicaid Insurance Programs. Counselors provide education and free unbiased personalized health benefit information. MMAP Hotline 800-803-7174 MI CHOICE WAIVER PROGRAM (TSA) MI Choice Waiver is a Medicaid home and community-based long term care program for eligible individuals age 18 and older who meet financial and medical requirements. Eligibility requirements include financial eligibility, medical need for a nursing facility level of care, and the need for at least one ongoing MI Choice Waiver service. Available services include personal care, respite care, homemaking, private duty nursing and many other services to support people in staying in their own homes. Current individual income limit is $2,094 per month and countable assets of $2,000 or less (2011/2012 figures). POM ACO Muresan & Andrews, Aug. 2013

Wayne County Resources Continued NURSING FACILITY TRANSITION SERVICES (TSA) Nursing Facility Transition Services are available to residents of nursing facilities who would like to return to their own home, move in with family members, find an apartment, or choose another housing option. Supports and services, such as assistance with housing, may be available to those who meet functional and financial guidelines. An individual must be eligible for Medicaid while in the nursing facility to be eligible for this program. SENIOR ALLIANCE HOLIDAY MEALS (TSA) This program provides a hot meal to homebound individuals age 60 and older and adults with disabilities on Christmas Day, Thanksgiving, Easter, and on Labor Day. The Holiday Meals Program is supported primarily through private donations. Meals are delivered by volunteers. SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM (TSA) Offers subsidized part-time training opportunities for low-income individuals age 55 and older to help them become job ready. Participants in the program are placed at different community sites and work/train an average of 15 hours a week. TRANSPORTATION Transportation services allow older adults to access community services, health care providers and shopping. Most communities have some form of public transportation for seniors and individuals with disabilities. Services are limited to residents of their community. Contact TSA for specific transportation information for communities in our service area. Non-Emergency Medical Transportation Program In partnership with the Downriver Community Conference, this program provides door-to-door on-emergency medical transportation. The service is available to individuals age 60 and older who reside in southern and western Wayne County. There is no charge for the service, though donations are accepted. POM ACO Muresan & Andrews, Aug. 2013

Wayne County Detroit Resources Continued INFORMATION AND ASSISTANCE (I&A) If you live in Detroit, Hamtramck, Harper Woods, Highland Park or the five Grosse Pointes and need help finding information, resources and services for seniors, adults with disabilities and caregivers, talk with our trained staff in the Information and Assistance (I&A) Unit. Our Information Specialists are certified by the Alliance of Information and Referral Systems (AIRS) with an Aging Specialty. Our I&A unit provides basic intake functions and offers appropriate referrals to community resources including but not limited to home-delivered meals, congregate meal sites, Long-Term Care Services – Medicaid Waiver and Care management programs, housing options, home repair and weatherization programs, utility bill assistance, legal needs; homemaker assistance, Medicare and Medicaid Assistance Program (MMAP) health care information and counseling, transportation programs, employment services, elder abuse and fraud awareness services, Ombudsman and advocacy, and wellness and disease management programs. Information Specialists are available Mon – Fri from 8:30AM – 5:00PM to help you explore options and services. Call 313-446-4444 and ask for Information & Assistance. Medicare/Medicaid Assistance Program (MMAP) – The Medicare/Medicaid Assistance Program (MMAP) provides free health insurance counseling for people with Medicare and their families or caregivers. MMAP counselors are staff and volunteers trained to provide education, assistance, and advocacy related to Medicare and Medicaid. MMAP Counselors can provide counseling and/or presentations on the following topics: Medicare, Medicaid, Medicare Supplemental Insurance, Medicare Prescription Drug Coverage, Medicare Health Plan options, Medicare Preventative Benefits, Long Term Care Insurance, Medicare/Medicaid Fraud and Abuse, and other topics as requested. Call MMAP's toll-free help line at 1-800-803-7174 to speak to a counselor or to find out about how to become a volunteer MMAP counselor. Grandparents Raising Grandchildren – This collaborative effort seeks to honor and assist grandparents raising grandchildren. The Project promotes the availability of support services and advocates for issues surrounding grandparents’ rights. POM ACO Muresan & Andrews, Aug. 2013

Wayne County Detroit Resources Continued Service Provider Network – The Detroit Area Agency on Aging prides itself on the wide array of service providers working collaboratively within its network. Many of the providers have a long history of caring for and providing services to the elderly residents and their caregivers in the DAAA's planning and service area. Studies have shown that utilizing services such as adult day services, senior centers, kinship respite for grandparents raising grandchildren, legal assistance, caregiver training, transportation, home care assistance, respite care and nutrition services allow for individuals to remain independent, healthy and productive. For a copy of the new Resource Guide that includes a complete list of funded service providers and their contact information for assistance, please go to the homepage and click on the order form. Healthy Aging - Detroit Area Agency on Aging has implemented a number of evidence-based programs that focus on promoting healthy aging in our community. PATH: PATH (Personal Action Towards Health) is an evidence-based, chronic disease self-management workshop designed to have participants self-monitor and change behaviors relating to an individual’s chronic health conditions. Registration is limited to the first 15 participants. Click here for information on the next DAAA PATH workshop. Click here for a link to the MiPATH.org website for a listing of all PATH workshops in Michigan by county. ENHANCEFITNESS: EnhanceFitness is an evidence-based fitness program designed for older adults that combines strength training, flexibility, and cardiovascular conditioning. DIABETES SELF-MANAGEMENT PROGRAM: Diabetes Self-Management Program (DSMP) is an evidence-based self-management workshop designed to assist persons with diabetes and their families on ways to best manage the disease. A MATTER OF BALANCE: A Matter of Balance is an evidence-based program designed to reduce the fear of falling and increase the activity levels of older adults who have concerns about falls. For information about the next A Matter of Balance workshop call St. Patrick Senior Center at (313) 833-7080 or St. John Riverview Senior Wellness Center at 1 (888) 751-5465 CREATING CONFIDENT CAREGIVERS: Creating Confident Caregivers is an evidence-based program that gives caregivers new information, skills and attitudes to manage stress and increase effective caregiving skills. SENIOR PROJECT FRESH: Senior Project FRESH is a program that connects farmers to consumers through local farmers markets with the distribution of coupon books valued at $20 to buy Michigan grown fresh fruits and vegetables. This program is offered from June-August each year for eligible low-income seniors whose incomes are at or below 185% of the poverty level. POM ACO Muresan & Andrews, Aug. 2013

Wayne County Detroit Resources Continued WELLNESS CENTER SUPPORT: A community facility where older persons can come together for services and activities which promote their health and wellness, enhance their dignity, support their independence and encourage their involvement in and with the community. The three Wellness Centers are: Matrix Human Services at Patton Recreation Center 2301 Woodmere Detroit, MI 48209 313.831.8650 for more information St. John Riverview Senior Wellness Center 7733 E. Jefferson Avenue Detroit, MI 48214 313.499.4035 1-888-751-5465 to register or for more information St. Patrick Senior Center 58 Parsons St. Detroit, MI 48201 313.833.7080 for more information POM ACO Muresan & Andrews, Aug. 2013

Wayne County Detroit Resources Continued (Congregate Meal Sites) Adams Butzel Recreation Center 10500 Lyndon Detroit, MI 48238 (313) 628-0991 Belle Maison (On the River) 8330 E. Jefferson Detroit, MI 48214 (313) 331-7780 Bethel Baptist Church, East 5715-33 Holcomb Detroit, MI 48213 (313) 923-3060 Bicentennial Towers 4 E. Alexandrine Detroit, MI 48201 (313) 494-0217 Brightmoor Community Center 14451 Burt Road Detroit, MI 48223 (313) 531-0305 Butzel Senior Center 7737 Kercheval Detroit, MI 48214 (313) 628-0100 Cambridge Towers 19101 Evergreen Road Detroit, MI 48209 (313) 533-6333 Chapel Hill Baptist Church 4924 Joy Road Detroit, MI 48204 (313) 931-9133 Coleman A. Young Recreation Center 2751 Robert Bradby Drive Detroit, MI 48207 (313) 628-0995 Delray United Action Council 275 West Grand Blvd. Detroit, MI 48209 (313) 842-8203 Elmwood Park Plaza 750 Chene Detroit, MI 48207 (313) 259-0100 Farwell Recreation Center 2711 E. Outer Dr. Detroit, MI 48234 (313) 628-2028 POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Wayne County Detroit Resources Continued (Congregate Meal Sites Continued) Forest Park Apartments 1331 E. Canfield Detroit, Mi 48207 (313) 833-3590 Franklin Wright Settlements 3360 Charlevoix Detroit, MI 48207 (313) 579-1000 Friendship Meadows 3930 Rivard Detroit, MI 48207 (313) 832-9908 Harriet Tubman Apartments 2450 W. Grand Blvd. Detroit, MI 48208 (313) 361-4290 Hartford Memorial Baptist Church 18700 James Couzens Detroit, MI 48235 (313) 861-4392 Kemeny Recreation Center 2260 S. Fort St. Detroit, MI 48217 (313) 628-0956 LASED 7150 W. Vernor Detroit, MI 48209 (313) 841-8840 L&L Adult Day Care 1485 E. Outer Dr. Detroit, MI 48234 (313) 366-1100 New Day Church 511 Post Detroit, MI 48209 (313) 842-2420 North American Indian Association of Detroit 22720 Plymouth Road Detroit, MI 48239 (313) 535-2966 Parkview Place 1401 Chene Detroit, MI 48207 (313) 567-7999 Patton Recreation Center 2301 Woodmere Detroit, MI 48209 (313) 628-2000 POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Wayne County Detroit Resources Continued (Congregate Meal Sites Continued) People Community Services (Senior Day Care) 2339 Caniff Hamtramck, MI 48212 (313) 365-6260 River Towers Apartments 7800 E. Jefferson Detroit, MI 48214 (313) 824-2244 (313) 824-2047 Sacred Heart Major Seminary 2701 W. Chicago Detroit, MI 48206 (313) 883-8500 St. Patrick’s Senior Center 58 Parsons Detroit, MI 48201 (313) 833-7080 St. Stephen's Church 6000 John E. Hunter Detroit, MI 48210 (313) 895-4800 Services for Older Citizens (Neighborhood Club) Henry Ford/Cottage Medical Center 259 Kercheval, 3rd Floor, South Wing Grosse Pointe Woods, MI 48230 (313) 894-8981 (313) 882-9600 Sophie Wright Settlement 4141 Mitchell Detroit, MI 48207 (313) 923-2300 State Fair Apartments 1231 W. State Fair Detroit, MI 48203 (313) 852-4277 Vernon Chapel AME Church 18500 Norwood Detroit, MI 48234 (313) 893-5275 The Village of Woodbridge Manor 1300 Martin Luther King Jr. Blvd. Detroit, MI 48201 (313) 494-9000 Warren West 4100 W. Warren Detroit, MI 48210 (313) 224-4292 Williams Recreation Center 8431 Rosa Parks Blvd. Detroit, MI 48206 (313) 894-2830 Woodbridge Seniors (Jeffries Center) 1231 Seldon, Bldg. 503L Room 106 Detroit, MI 48201 (313) 833-9894 (313) 833-9840 POM ACO Muresan & Andrews, Aug. 2013

POM ACO Muresan & Andrews, Aug. 2013 Wexford County Contact Information Wexford County Council on Aging 117 West Cass Street Cadillac, MI 49601 Phone: (231) 775-0133 Fax: (231) 779-0677 3,504 Beneficiaries POM ACO Muresan & Andrews, Aug. 2013

Wexford County Demographics Foreign born persons, percent, 2007-2011 1.50% Language other than English spoken at home, percent age 5+, 2007-2011 3.30% High school graduate or higher, percent of persons age 25+, 2007-2011 87.70% Bachelor's degree or higher, percent of persons age 25+, 2007-2011 16.50% Median value of owner-occupied housing units, 2007-2011 $108,400 Per capita money income in the past 12 months (2011 dollars), 2007-2011 $20,627 Median household income, 2007-2011 $42,209 Persons below poverty level, percent, 2007-2011 16.70% POM ACO Muresan & Andrews, Aug. 2013

Wexford County Resources Personal Care Program  Do you need help remaining independent in your home or are you caring for a loved one that requires more assistance with their personal care? Wexford County Council on Aging can help! Our personal care services can help alleviate concerns about you or a loved one being alone and needing help. Whether assistance is needed for getting up in the morning, getting settled in the evening, or the reassurance of just knowing that someone is there, Wexford County Council on Aging provides the support and care you need. We have qualified and screened direct care staff that can help with those everyday tasks such as: Bathing Dressing Shaving Mouth Care Hair Care Meal Preparation   Service Hours and Cost The typical hourly allotment for the personal care service is 1 hour per week with a sliding cost share based on household income and out of pocket medical expenses. Additional hours can be purchased under the Silver Care Program.   POM ACO Muresan & Andrews, Aug. 2013

Wexford County Resources Continued Homemaking Program Persons eligible to participate or to receive services are individuals 60 years of age or older. Homemaking services provides care for older persons to help them maintain, strengthen, and safeguard their personal functioning in their own homes. WCCOA will provide a screened and trained "homemaker" who will come to your home and help you maintain a clean and healthy living environment. Some tasks offered through the Homemaking Service are: • Light housekeeping i.e. dusting, vacuuming, mopping floors, cleaning bathrooms and kitchens, making beds, maintaining a safe home environment. • Social and emotional support • Meal preparation • Laundry Homemaking does not include provisions for heavy cleaning or personal care tasks. Service Hours and Cost The typical hourly allotment for the homemaking service is 2 hours every other week with a sliding cost share based on household income and out of pocket medical expenses. Additional hours can be purchased under the Silver Care Program. What is Respite Care? Respite care, simply put, is a break for the caregiver or care provider. Respite care is planned, short-term and time-limited breaks for families and other unpaid care givers in order to support and maintain the primary care giving relationship. Even though many families take great joy in providing aged care to their loved ones so that they can remain at home, the consequences for the family care provider can be overwhelming without some support, such as respite. Respite provides the much needed temporary break from the many time-consuming and depleting challenges faced by the family caregiver. POM ACO Muresan & Andrews, Aug. 2013

Wexford County Resources Continued What Are the Benefits of Respite Care for the Elderly? R - Renewal and Relaxation: Taking a walk, strolling leisurely through the mall, visiting a museum or doing whatever brings joy can calm a caregiver, decrease their heart rate and improve their mood. E - Energy: To be effective in their own work, a caregiver must be afforded time to re-energize. Even an vehicle won't run on empty. S- Space: Getting away from the caregiving situation for even just a few hours helps with relaxation and brings a renewed sense of purpose. P - Pleasure: A caregiver must remember that they have the right to enjoy life even if they feel their care recipient cannot do the same. I - Identity: A caregiver must be intentional in maintaining a sense of self. T - Time away from the situation allows a caregiver to see it more clearly and upon return, adjustments can be made to improve the experience. E - Engagement: Social isolation can be a huge problem for caregivers. It's important to take time to engage with friends and family by sharing lunch, taking a shopping trip or a walk in the park. Respite has been shown to help sustain family caregiver health and well-being, avoid or delay out-of-home placements and elderly day care and reduce the likelihood of abuse and neglect. Respite service gives family caregivers an opportunity to spend time away from their loved one with the confidence that a trained professional is administering professional care in their absence. So if you are a family caregiver providing elder care to a loved one, the answer to "Who needs respite care?" Is you. Wexford County Council on Aging will provide qualified and screened direct care staff that will go to an individual's home to provide respite services. This service allows the caregiver the time and security to run errands, shop, visit or just relax. The WCCOA staff will provide companionship and care, for those in need, in the familiar environment of their own home. Service Hours and Cost The typical hourly allotment for the ln-home Respite service is up to 4 hour per week with a sliding cost share based on household income and out of pocket medical expenses. Additional hours can be purchased under the Silver Care Program.   POM ACO Muresan & Andrews, Aug. 2013

Wexford County Resources Continued Silver Care Silver Care is a comprehensive private pay program of custom services designed to meet the needs of today's seniors. It serves the residents of Wexford County with a menu of high quality and affordable service options. This program is for seniors who want the convenience of a single point of contact for service. Silver Care gives you flexibility and you save by bundling services. It allows you to enjoy the ease and convenience of monthly payments and eliminates the need to search all over town. Silver Care is designed to provide services beyond the scope and frequency of the cost share millage funded programs. Everyone is eligible for the core services offered through the millage. Silver Care simply offers supplemental services but does not replace services provided through the cost share millage funding. Silver Care Services include: • Care planning and management • Home care • Nursing services • Money management • Respite care • Transportation • Wellness • Security • Nutrition and meals • Outdoor chore services • Lawn Care What are Adult Day Services? Adult Day Service programs offer a safe, positive, caring alternative to nursing home care for those who do not need 24-hour skilled nursing. These programs are designed to help people stay mentally and physically active, reduce isolation, improve their health, and prevent decline of their abilities. Adult Day Service programs are community-based group programs that support families by providing a variety of social and health services to the person needing assistance. POM ACO Muresan & Andrews, Aug. 2013

Wexford County Resources Continued Why use an Adult Day Center? One reason to use an Adult Day Center is to give yourself a break from caregiving. Some caregivers worry that their loved ones will resent participating in such a program, while others feel guilty at the thought of leaving their loved ones in another person's care. But when it works correctly while your loved one is at a center, you'll have time to rest, run errands or finish other tasks. As a result, you'll return to caregiving responsibilities feeling refreshed and renewed. DayBreak offers: • Caring and competent staff that care for the clients with a personal touch • Homelike atmosphere • Transportation service to DayBreak from your home and back again • Daily Activities include reminiscing, word games, exercising, crafts, special guests, and much more • Nutritious meals and community style dining in a pleasant atmosphere • Personal care assistance in grooming, personal hygiene, ambulation and manicures • Assisted bathing in a handicapped accessible shower is available • Beauty salon on site • Cheaper alternative to nursing home care If a family member or friend is experiencing memory loss or physical disability, they may be eligible for this program. DayBreak is located in a safe, handicapped accessible home, near the hospital at 315 Whaley Rd., Cadillac, MI 49601. We encourage visitors to see what DayBreak is all about, but please call ahead to set up an appointment. For referrals or more information about DayBreak contact Wexford County Council on Aging at (231) 775-0133   Medicare/Medicaid Assistance Program  Wexford County Council on Aging has Certified Counselors who will assist Wexford County Seniors making informed decisions regarding prescription plans related to Medicare Part D, explain Medicare Health Plan Options, Enroll in Medicare Savings Programs, review your Medicare supplemental ("Medigap") insurance needs and compare policies, and help with correspondence received from Medicare or Medicaid. MMAP counselors are volunteers who have received specialized training in Medicare and Medicaid law and regulations, health insurance counseling and relevant insurance products. MMAP counselors are not connected with any insurance company, nor are they licensed to sell insurance. Their purpose is to serve you objectively and confidentially. We also offer a "New to Medicare Workshop" every 4th Friday of each month. Please call (231) 775-0133 to confirm dates and to RSVP for this "FREE" workshop! POM ACO Muresan & Andrews, Aug. 2013

Wexford County Resources Continued Private Duty Nursing Program Professional Medication Management Peace of Mind - That word alone is what our Professional Medication Management is all about. With almost 40 percent of all adverse drug reactions reported each year involve people over 60 years old. Older adults take more medication now than ever before. The average person over 65 takes between 2 and 7 prescription medications daily. While medicines have many benefits, they can be harmful if not used properly. This service performed by one of our trained nurses will help you or your loved one organize the medication box, follow doctors' orders, and keep a safe supply of medicine. By understanding the risks and benefits of medicines, we can help you or a loved one stay safe. Our nurses will contact the client's pharmacist and get the prescriptions refilled and also will pick them up and deliver them. Medication Set Up and Monitoring Our nurses will set up medications weekly or bi-weekly as needed. We will review medications with your physician and monitor for side effects, interactions, or other problems that may occur. We will teach you about your medications and provide instruction sheets for you to refer to. This service helps ensure that medications are taken safely and appropriately. This decreases the chances of serious side effects which can lead to falls, mental confusion, and hospitalization. Another additional bonus feature of this program is our nurses will do an assessment while they are visiting you or your loved one for pain management control, monitoring blood pressure, lung sounds, heart rate, respirations, etc. The cost for this service is $40 per hour through our Silver Care Program with the average total time involved is about 1 to 1 ½ hours a visit and can be arranged weekly, bi-weekly or monthly. POM ACO Muresan & Andrews, Aug. 2013