Story and photos by Darl DeVault, contributing editor

Oklahomans are ensuring their fellow military veterans can register for the new Promise to Address Comprehensive Toxics (PACT) Act. Hundreds of Veterans Administration employees are ensuring this is possible at well-attended monthly outreach VA Veterans Festival (VET Fest) and PACT Act Resource Fairs around the state.
The most recent event was held by Oklahoma City VA employees on July 22, in west Oklahoma City, where 30 VA employees assisted veterans at the 7725 CONNECT building. The multi-tenant business campus in the old Western Electric Plant at Reno and Council saw 70 veterans lined up at the 9 a.m. opening, and 150 were assisted throughout the day.
The event was designed to provide services for veterans, spouses, caregivers, veteran’s widows, survivors and active-duty personnel. This outreach allows the VA to provide expanded healthcare and benefits to generations of veterans and their survivors.
The Warriors for Freedom Foundation co-hosted the event from their office in the 7725 Connect building. The nonprofit volunteers assisted the Oklahoma City, VA staff in spreading the word that more veterans and their survivors are eligible for benefits and VA health care under the PACT Act.
Signed into law by President Joe Biden in August 2022, the “Honoring our PACT Act of 2022” (in its short title version) initiates the most extensive health care and benefits expansion in VA history. This sweeping federal law comprehensively addresses all the service-connected toxic exposure issues of the last six decades.
The act expands VA care eligibility for veterans who experienced exposure to toxic substances during service in Vietnam, the Gulf War and post-9/11 eras. Some veterans’ surviving family members may also be eligible for specific benefits.
The line kept moving, with 30 people who had arrived around 11:30 a.m. waiting in line at noon. The event ran until 4 p.m.
The veterans were helped to register for PACT Act services and check the status of their PACT Act claims, while some were assisted with getting a My HealtheVet Premium account which allows them to sign in to VA online tools.
“The process was timely, very helpful and friendly,” said Staff Sergeant Sarah Scott, who served at Tarin Kwot, Afghanistan, from 2010-2011. The Noble resident, now on active duty with the Oklahoma National Guard, said that once she was registered, she could go right to the people who provided her with the information she needed.
To be eligible for benefits under the PACT Act, a veteran’s disability must connect to their military service. The VA now automatically assumes that a veteran’s service caused some conditions. These are known as “presumptive conditions.” The PACT Act added more than 20 categories of presumptive conditions from exposure to burn pits, Agent Orange and other toxic substances.
“We are all excited to roll out the PACT Act to OKC veterans because this is one of the largest program expansions in veteran healthcare we have ever seen,” said Carmen Daugherty, OKC VA public affairs officer.
The veterans who attended the PACT Act presumptive claims event asked VA eligibility and service officers questions about their exposure and claim eligibility. They were able to receive toxic exposure screenings from medical staff. Some filed a claim and, in some cases, received a same-day decision from the four VA doctors on hand.
“Being a veteran, I am thrilled to help veterans get their VA health care and benefits fixed,” Daugherty said. “Some of these veterans have waited for 20 plus years to finally get answers to their exposure questions and get claims filed.”
The act also requires the VA to provide toxic exposure screenings to every veteran enrolled in VA care. Many veterans enrolled in VA care for the first time at the event and were helped to secure appointments at the downtown VA Hospital.
Those enrolling in VA care for the first time started the process of having their ID cards mailed out to them.
Some 20 Veterans Benefits Administration (VBA) staffers also worked many stations to provide information about benefits and services to veterans and their families. Many other services were provided, including four State of Oklahoma staffers providing information about state veteran services and Oklahoma Tax Commission privileges extended to veterans with 100 percent disability.
An underlying emphasis of PACT Act outreach is to fully inform veteran’s widows of their access to benefits around the state in what has already been 10 VET Fest or PACT Act Resource Fairs, including several cohosted by tribal nations.
“The PACT Act makes it easier for survivors and widows to receive monthly VA Dependency and Indemnity Compensation (VA DIC),” Daugherty said. “They qualify if they are a surviving spouse, dependent child, or parent of a veteran who died from a service-connected disability.”
The VA also provides survivors previously denied DIC benefits the opportunity to be re-evaluated to see if they are now eligible under PACT Act provisions. The VA asks widows to come to one of the PACT Act events or the main Oklahoma City VA Health Care System to determine if they qualify.
“Our experts will re-evaluate each case and answer benefits questions for you and your family,” Daugherty said. “Some benefits include burial allowance, education and training, monthly payments, home loans and health care. At these outreach events, we are bringing the experts to investigate each case and figure out exactly what benefits veteran’s widows are entitled to register for as a surviving family member.”
Another benefit explored at these events is that a surviving spouse, dependent child, or dependent parent of a veteran may receive a one-time accrued benefits payment if the veteran was owed unpaid benefits at the time of their death. The VA also informs everyone who qualifies for a Survivors Pension as a surviving spouse or child of a veteran with wartime service.
For more information about this VA benefits outreach campaign, click The PACT Act And Your VA Benefits | Veterans Affairs.

By Marilyn Olson, Executive Director, VillagesOKC

The U.S. Surgeon General recently issued an advisory calling attention to the public health crisis of loneliness, isolation and lack of connection in our country. Dr. Vivek Murthy officially gave the label of “epidemic” to loneliness.
“Our epidemic of loneliness and isolation has been an under-appreciated public health crisis that has harmed individual and societal health,” Murthy said. “Our relationships are a source of healing and well-being hiding in plain sight – one that can help us live healthier, more fulfilled and more productive lives.”
A Surgeon General’s Advisory is a public statement that calls the American people’s attention to an urgent public health issue and provides recommendations for how it should be addressed. Advisories are reserved for significant public health challenges that require the nation’s immediate awareness and action.
We know that loneliness and isolation are especially acute among older adults. VillagesOKC exists to help fill the gap for seniors in the Oklahoma City metro. Regular social connection is as essential as food and water for survival. Lacking social connection has serious health consequences including increased risk of heart disease, stroke, diabetes, depression, anxiety and premature death.
In 2021, 49% of Americans reported having three or fewer close friends compared to 27% in 1990. This lack of social connection may be deadly – as dangerous as smoking 15 cigarettes a day, according the Surgeon General’s advisory. The rate of loneliness and isolation is increasing every year and was exacerbated by the pandemic and screen time – television, computer, smart phone.
VillagesOKC is committed to turning the tide by providing a robust calendar of events which offer members opportunities for learning, planning and helping others. Every event is an opportunity for human interaction. It might be a daylong event like the Day of Positive Aging held at Rose State College in May and Southern Nazarene University in June. It might be a cookout at a members house, a lunch gathering at a local restaurant or a tour of a local landmark.
For the past four years, VillagesOKC has provided trusted connections for mature adults through organized friendships. Often people become members after attending a coffee or free educational presentation. Some become members when an adult child purchases a VillagesOKC membership for Mothers Day, Fathers Day or a birthday. Others become members when the pastor or someone in the faith community urges joining. But most often membership happens when a friend reaches out because he simply wants to share the joy of aging with vitality and positivity.
The satisfaction of meeting trusted professionals also give this organization a small town feeling of connection. The television show Cheers had it right; it’s good to go where everyone knows your name.
A 501(c) tax-exempt organization, VillagesOKC is part of a “national village movement.” These villages are intentionally bringing like-minded people together to embrace aging and practice positivity. VillagesOKC membership includes a modest annual membership fee and background check. For more information, go to:
https://www.villagesokc.org/ or call (405) 990-6637.

The 1,000-acre resort destination is expected to attract more than 4.9 million guests per year to Oklahoma

Recently Oklahoma state and local officials joined American Heartland leadership to announceAmerican Heartland Theme Park and Resort, a more than $2 billion entertainment destination development in northeast Oklahoma, just west of Grand Lake on Route 66. The development will be built in phases starting with a large-scale RVpark with cabins scheduled to open phase one in spring 2025 and a world-class theme park and resort scheduled to open in 2026. The American Heartland Theme Park and Resort will offer a unique visitor experience rivaling the world’s top resort destinations. “We are thrilled to make Oklahoma the home of American Heartland Theme Park and Resort,“ American Heartland CEO Larry Wilhite said. “At the crossroads of the heartland, Oklahoma is an attractive location for a family entertainment destination. The state’s business-friendly approach and innovative partnership efforts have helped make this possible. We look forward to bringing unforgettable generational experiences to Oklahoma. ”American Heartland will be a 1,000-acre development with a 125-acre theme park,which is comparable to the size of Magic Kingdom Theme Park and Disneyland Park. The park will feature an Americana-themed environment with a variety of entertaining rides, live shows, family attractions, waterways as well as restaurant-quality food andbeverage offerings. “Oklahoma is excited to welcome American Heartland Theme Park and Resort,” Oklahoma State Rep. Rusty Cornwell said. “Located on historic Route 66 just west of Grand Lake, the development will attract visitors from around the world to experience and celebrate the rich cultures and hometown values America has to offer. ”The adjacent 320-acre Three Ponies RV Park and Campground, designed by Oklahoma architects ADG Blatt, will be the largest campground in the central U.S. with 750 RV spaces and 300 cabins plus amenities. “There’s no better place to represent the heart of America than northeast Oklahoma,” said Oklahoma State Sen. Micheal Bergstrom. “This $2 billion investment in our state will create more than 4,000 jobs and introduce a new category of entertainment to the region, and its long-term economicimpact will be transformative. Tourism is already one of Oklahoma’s top industries and this project will elevate our state even further. Since tourism is a doorway to economic development, American Heartland Theme Park and Resort will draw new businesses not only to the surrounding area but also throughout the region and state.”The developer is American Heartland whose leadership has deep Oklahoma roots. American Heartland is an affiliate of Mansion Entertainment Group, LLC, Branson’s leading performing arts, animation and studio brand.Led by Executive Producer Steve Hedrick, the design team is made up of the world’s best theme park designers including 20+ former Disney Parks builders and Walt Disney Imagineers. Design firms include THG, FORREC and Cuningham, whose portfolios feature the world’s foremost theme park brands including Six Flags, Disney Parks and Universal Studios.
“We are pleased that American Heartland Theme Park and Resort has taken the first step and chosen Oklahoma to build a world-class entertainment destination,” said Hopper Smith, interim director of the Oklahoma Department of Commerce. “We look forward to assisting with this project as it develops.” American Heartland Theme Park and Resort is a family-friendly park promising timeless fun and boundless adventure. The 125-acre theme park will feature a collection of six distinctly American lands to welcome guests on a journey through the best of the American story. Families will find thrilling rides and heartwarming shows as they discover Great Plains, Bayou Bay, BigTimber Falls, Stony Point Harbor, Liberty Village and Electropolis.
“American Heartland will be a place families can come together to create lasting memories, experience joy, laughter, imagination and wonder,” American Heartland Founder and Chief Creative Officer Gene Bicknell said. “There is so much to celebrate about our country: its landscapes, its cultures and most importantly, its people. No matter where you’re from, you’ll feel right at home at American Heartland.”
The development will also include atop-tier 300-room hotel and modern indoor water park.
“American Heartland will be an anchor tourist destination on Route 66 set to attract more than two million out-of-state visitors to Oklahoma each year,” Kristy Adams, senior executive vice president of sales and marketing for Mansion Entertainment Group, American Heartland and Three Ponies, said. “The scale and quality of the development will be unlike anything else in the region, making Vinita, Oklahoma a can’t-miss destination for families around the world.”

For more information, visit https://www.americanheartlandthemepark.com/

By Nick Thomas

Currently traveling the U.S. on the 2023 “Happy Together Tour” with classic pop acts such as The Turtles, The Cowsills, and Little Anthony, (see https://happytogethertour.com/), Gary Puckett never tires of performing the songs made famous with his Union Gap bandmates.
The hugely popular 5-man pop-rock group, remembered for their string of late 60s hits including “Woman, Woman,” “Lady Willpower,” and “This Girl is a Woman Now,” now features all new members but retains one of the most distinctive musical sounds of the era with Puckett delivering his characteristic soaring vocals infused with emotion and perfect pitch.
Famous for often performing in Civil War Union Army costumes and named after a town near where Puckett once lived in Washington state, the original Union Gap disbanded in 1971 but Puckett says the current group creates a sound as close as possible to the classic songs.
“The original recordings featured string and horn sections, but there’s just four of us in the group now so our keyboard player is tasked with recreating those sounds,” said Puckett while traveling to New York from his home in Florida. “I think we’ll give fans what they want to hear.”
Turning 80 last year, Puckett says he was around 8 or 9 when his family realized he could carry a tune.
“My folks would get a tape recorder and we would sing songs and record Christmas messages to my grandparents,” he recalled. “Then they would make a little record of it. My voice was way, way ‘up in the sky’ back then, and I remember my mother telling me at one point she just thought all little boys could sing like that!”
Young Gary’s mother wasn’t alone in appreciation of her son’s vocal talents. While later attending college in San Diego, Puckett and the group toured the West Coast playing small clubs and were visited by Columbia Records producer Jerry Fuller.
He came down to see us in San Diego,” Puckett remembered. “He liked my voice and the idea of wearing the outfits and walked up to the stage at midnight and said let’s go make a record.”
That record became their first hit, “Woman, Woman,” one of several Fuller would produce for the band.
“When he first played it to me it was written as a country song,” recalled Puckett. “So he added a 30-piece string, horn, and rhythm section and turned it into the pop record that established me as a singer in the music world.”
The band amassed six gold records in the space of about 3 years during the late 1960s. But musical tastes were changing as the 70s began closing in and for a decade there was little interest in the group’s music.
“Then in the early 1980s, radio stations began proliferating throughout the United States and featuring 60s music once again,” said Puckett. “I started getting calls from disc jockeys who were playing our songs and promoters who wanted us back on the road giving concerts.”
Puckett has continued to tour either solo or with the band ever since, releasing another nine solo albums over the years (see www.garypuckettmusic.com). Interacting with audiences remains a joy for the singer who is usually available at concerts to meet with fans to sign items they may bring along.
“I love to get out with the fans, it’s always great to see them smiling and enjoying the music we created way back when,” he says. “They are still appreciative of it all and the fact that they are there just honors me and the music.”
Nick Thomas teaches at Auburn University at Montgomery, in Alabama, and has written features, columns, and interviews for numerous magazines and newspapers. See https://www.getnickt.org/.

by Flora Qualls, Your Cigna Agent in Oklahoma City – Flora.qualls@cignahealthcare.com

You know how important regular check-ups are and that consulting your healthcare provider when you have a concern is smart. But what happens after the visit is just as essential to maintaining good health.
Unfortunately, some people don’t follow their provider’s advice. Maybe they don’t take their prescriptions as written or forego recommended preventive screenings and immunizations. This can be costly, both for individuals and the health care system. Case in point: More than 125,000 people die each year because of prescription medication non-adherence, according to the National Council for Patient Information and Education.
Following a doctor’s recommended care plan can be challenging, according to Dr. J.B. Sobel, chief medical officer with Cigna Healthcare’s Medicare business. There are multiple reasons why older patients can have difficulty following their provider’s instructions – including managing multiple medications at different times of day – or trouble accessing or affording care.
Thankfully, there are some processes and resources that can help you faithfully follow your healthcare provider’s advice.
Get organized. More than half of adults 65 and older take four or more prescription drugs. With more medications, it can be difficult to know what to take, when to take it, and in what dosage. A low-cost pill organizer, available at drug stores and retail outlets, can help you stay organized. You may also want to automate your medication by taking it at the same time every day if directions allow that. The key is to find a system that works for you and stick with it.
Communicate with your provider or pharmacist. If your medication doesn’t seem to be working or is causing undesirable side effects, talk to your doctor or pharmacist about adjusting your dosage or switching to an alternative. Likewise, discuss any concerns about screenings or tests with your provider.
Having a good rapport with your doctor helps. Take notes at your appointment or bring a loved one with you to help with questions. And don’t be afraid to ask if there’s anything you don’t understand.
Connect your providers. Make sure your various doctors share information. For example, if you have an unexpected hospital visit, notify your primary care provider so they can review any new medications or diagnoses from the hospital and help you fit them into your current care plan. This can also help protect you from unnecessary or duplicate procedures.
Find alternative access to care. If you have difficulty getting around or live far from where care is rendered, there are programs to help. Your provider may offer virtual visits. You may be able to have prescriptions safely delivered to your home in a 90-day supply, perhaps at a lower cost, and with reminders for refills. If you have a Medicare Advantage plan, you may be eligible for rides to your provider or pharmacy at no extra cost. Learn more about Cigna Healthcare’s Medicare Advantage plans at www.cigna.com/medicare.
Seek help with costs. “Extra Help” is a federal program providing prescription drug cost support to those who qualify. Many pharmaceutical manufacturers help customers afford medications. You could also ask your healthcare provider about generic medications, which typically cost less but are equally effective.
Medicare and Medicare Advantage plans pay for many preventive procedures with no extra cost to you.
“If keeping up with your health care feels overwhelming, please don’t get discouraged,” said Dr. Sobel, who oversees a team of clinicians that contact Cigna Healthcare’s Medicare Advantage customers whose prescriptions have lapsed or not been refilled. “Seek help from a doctor, a pharmacy or a loved one. They want to help you. Keep in mind that it’s easier to maintain good health than it is to recapture your health following a preventable crisis.”
The information contained in this article is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen.
For information about Cigna Healthcare email me at Flora.qualls@cignahealthcare.com or call me at 405-432-6725.

Cigna Healthcare is a health benefits provider that advocates for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Products and services are provided exclusively by or through operating subsidiaries of The Cigna Group (NYSE:CI), including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Evernorth Health companies or their affiliates and Express Scripts companies or their affiliates. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits and others. Learn more at https://www.cigna.com/.

by Greg Schwem

The luggage carrier perched atop the SUV in front of me on a Chicago interstate one recent July afternoon reminded me of two facts:
1. Never get behind a vehicle with a luggage carrier if you are trying to read upcoming road signs.
2. Summer vacation season is upon us.
As I peer into cars on our nation’s highways and see everything from bare feet pressed against backseat windows to dogs with facial expressions I interpret to mean, “Is my owner EVER gonna stop for a bathroom break?”, I can’t help but rekindle fond memories of car trips encompassing my youth. I could relate to the feet, but not the dog. We were cat owners, and cats do not accompany their masters on family vacations; nor do they have the desire. When we returned from excursions, no matter the length, our cat always seemed disappointed.
Today my sister and I reminisce about those trips with a combination of nostalgia and horror. How, we wonder, are we still walking Earth’s face when our car was piloted by parents who began each vacation day with cigarettes and had devoured at least one pack each by the time we pulled into a roadside motel with neon signs proclaiming VACANCY and POOL?
Our lone break from the haze, and the harmful chemicals contained therein, came when Dad found a shaded rest stop at the 250-mile marker, also known as “halfway” on Schwem trips, and we commenced a picnic lunch. Often the fare was greasy fast food purchased just before the stop; on day one Mom probably packed sandwiches and threw in other items from the refrigerator that, if left unattended during our trip, would be a fine hue of green when we returned.
Although our vacations included plenty of heart healthy activities — tennis, golf and the occasional hike come to mind — it’s a wonder we had the lung capacity to engage in any of those pursuits once we arrived at our destination. “Healthy vacation” was an oxymoron in my family.
However, in today’s health-conscious world, that phrase is now chock-full of truth, right down to road trip snacks. While cheese balls, M&M’s and oil-soaked potato chips may always have places in minivans, now you can also expect to see healthy alternatives vying for space, including homemade trail mix, yogurt in tubes and beef jerky.
Wait, what? Jerky? A food item that contains a silica gel packet? Absolutely, according to Kristyn Ristaino, managing director of Avalon Communications and PR director of Old Trapper beef jerky since 2019. The company recently celebrated its fourth consecutive year of double digit growth.
“Moms like it because it’s not candy or chips,” said Ristaino, who cites mom bloggers as her source. She added that moms feel confident in the snack not only because of its portability but also due to its clear packaging.
“You can see what you’re actually getting,” she said.
Jerky has also become a favorite snack among dudes, specifically those who leave the kids behind on annual hunting and fishing trips. While men gravitate (naturally) toward the hot and spicy variety, traditional beef jerky remains the company’s biggest seller.
“(Jerky) is keto-friendly,” adds Ristaino.
I chuckled at the idea of my father, in between puffs of Kent cigarettes, vowing to indulge only in ketogenic-friendly foods at rest stops. Although, who knows how many extra miles we may have been able to cover had he been familiar with the term “meal replacement”? Another favorable quality of jerky, Ristaino said.
While rising gas prices have caused travelers to pump the brakes on car trips in 2023, those who do hit the highways will take their hunger pangs with them. Will those cars contain the sweet aroma of teriyaki or peppered beef jerky?
If the alternative is smelling bare feet from Ohio to Texas, I think I know the answer.
(Greg Schwem is a corporate stand-up comedian and author of two books: “Text Me If You’re Breathing: Observations, Frustrations and Life Lessons From a Low-Tech Dad” and the recently released “The Road To Success Goes Through the Salad Bar: A Pile of BS From a Corporate Comedian,” available at https://www.amazon.com/. Visit Greg on the web at https://www.gregschwem.com/.
You’ve enjoyed reading, and laughing at, Greg Schwem’s monthly humor columns in Senior Living News. But did you know Greg is also a nationally touring stand-up comedian? And he loves to make audiences laugh about the joys, and frustrations, of growing older. Watch the clip and, if you’d like Greg to perform at your senior center or senior event, contact him through his website at https://www.gregschwem.com/)

Fireman 1st Class Raymond Camery, was born in Modesto, California on August 29th, 1915. He was killed during the Dec. 7 attack on Pearl Harbor in 1941 and will be buried in the National Memorial Cemetery of the Pacific in Hawaii, on July 20.
Navy Fireman (FN) were part of the Engine Room Force, Artificer Branch. Historically, non-rated engine room men were paid at a higher rate than their deck counterparts because of the more strenuous nature of their work. Firemen are responsible for standing engineering watches and performing minor maintenance repairs. This rating is part of an apprenticeship opportunity that leads to training in propulsion and precision welding/fabrication/plumbing
Camery’s awards and decorations include the Purple Heart Medal, Combat Action Ribbon, American Defense Service Medal (with Fleet Clasp), Asiatic-Pacific Campaign Medal (with Bronze Star), and the World War II Victory Medal.
Camery’s promotions include: Apprentice Seaman upon enlistment, Seaman 2nd Class, Fireman 3rd Class, Fireman 2nd Class and Fireman 1st Class.

Dear Savvy Senior, How does Medicare cover preventive health screenings? I’m due to get a physical and a colonoscopy this year, but I want to find out what I’ll have to pay for before I go in. Just Turned 65

Dear Just Turned, You’ll be happy to know that Medicare covers a wide array of preventive and screening services to help you stay healthy, but not all services are completely covered. Here’s what you should know.
Free Preventive Benefits
Most of Medicare’s preventive services are available to all beneficiaries (through Part B) completely free with no copays or deductibles, as long as you meet basic eligibility standards. Mammograms; colonoscopies; shots against flu, pneumonia, COVID-19 and hepatitis B; screenings for diabetes, depression, osteoporosis, HIV, various cancers and cardiovascular disease; and counseling to combat obesity, alcohol abuse, and smoking are just some of Medicare’s lengthy list of covered services. But to get these services for free, you need to go to a doctor who accepts Medicare “on assignment,” which means he or she has agreed to accept the Medicare approved rate as full payment.
Also, the tests are free only if they’re used at specified intervals. For example, cardiovascular screening blood tests once every 5 years; or colonoscopy, once every 10 years, or every two years if you’re at high risk.
Medicare also offers a free “Welcome to Medicare” exam with your doctor in your first year, along with annual “Wellness” visits thereafter. But don’t confuse these with full physical examinations. These are prevention-focused visits that provide only an overview of your health and medical risk factors and serve as a baseline for future care.
Cost Sharing Services
There are, however, a few Medicare preventive services that do require some out-of-pocket cost sharing. With these tests, you’ll have to pay 20 percent of the cost of the service after you’ve met your $226 Part B yearly deductible. The services that fall under this category include glaucoma tests, diabetes self-management trainings, barium enemas to detect colon cancer, and digital rectal exams to detect prostate cancer.
For a complete list of services along with their eligibility requirements, visit Medicare.gov/coverage/preventive-screening-services.
If you’re enrolled in a Medicare Advantage (Part C) plan, your plan is also required to cover the same preventive services as original Medicare as long as you see in-network providers.
Hidden Costs
You also need to know that while most of the previously listed Medicare services are free, you can be charged for certain diagnostic services or additional tests or procedures related to the preventive service. For example, if your doctor finds and removes a polyp during your preventive care colonoscopy screening, you will pay 15 percent of the doctor’s service fee. Or, if during your annual wellness visit, your doctor needs to investigate or treat a new or existing problem, you will probably be charged here too.
You may also have to pay a facility fee depending on where you receive the service. Certain hospitals, for example, will often charge separate facilities fees when you are receiving a preventive service. And you can also be charged for a doctor’s visit if you meet with a physician before or after the service.
To eliminate billing surprises, talk to your doctor before any preventive service procedure to find out if you may be subject to a charge and what it would be.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.