Tag Archives: relationships

Healthy Resolutions like Fitness

Vantage Point: Healthy Resolutions Without the Cost

What just happened? I blinked, and all of a sudden, it’s 2018! The holidays came and went, and now it’s time to go back to our normal routines. I’m personally excited for spring to get here. I’m over this cold.

As I go back to my routine, I think of what I’m going to do differently this year. It is very cliché, but I really do look back on my previous year and reflect on what I can improve on for 2018. We can improve in every aspect of our life: relationships, work, finances, and health.

We all try to set goals and keep them for the entire year. But sometimes we set unrealistic goals, or we just don’t try hard enough. The most common goal I hear is having a healthier lifestyle. We all have at least one unhealthy habit that we want to kick to the curb. As I get older, I realize it is not about looking good or having “rock hard” abs, it’s about being healthy and strong.

There are so many ways we can have an active lifestyle. Many people would join a gym to reach that goal, but what happens if you can’t afford a gym membership? And the older we get, the harder it is to do heavy lifting or the more dangerous it is to use a treadmill.

We are so lucky to have an organization like the Wellness Place in the Wenatchee Valley. Its mission is “[t]o improve and enhance the health and well-being of community members through programs and education; inspiring every person to live their best life now.” Their current programs include targeting and supporting cancer patients, Stay Active and Independent for Life (SAIL), and diabetes support services.

The SAIL program started in 2006 and focuses on balance and fitness for those 65 and older. Exercises that improve strength, balance, and fitness are the most important activities you can do to stay active and reduce your chance of falling as you age.

These classes are offered all over the greater Wenatchee area, and they’re no cost to the attendees. It is a great opportunity to kick off a healthier lifestyle for free. Learn more about the classes and when and where they take place and start your new year the right way.

Jessica Arroyo, born and raised in the Wenatchee Valley, is a Medicare community liaison for Health Alliance, serving Chelan, Douglas, Grant, and Okanogan counties in Washington. During her time off, she enjoys spending time with her husband and infant son.

Well-Child Visits for Your Preteen

Well-Child Visits for Your Teenager – Ages 15 to 17

Yearly well-child visits for your teenager help them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

What Happens at Well-Child Visits for Your Teenager

Your teen needs to have yearly well-child visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your teen is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Teenager’s Development

Your teen’s doctor can help you keep track of their key developmental milestones, which can include physical, mental, and social skills.

At each visit, your doctor will ask you and your teen questions to help make sure your teen is reaching milestones on schedule. This can help them recognize signs of problems early on and put your mind at ease.

Each teenager grows differently. Some kids take longer to hit puberty, to be romantically interested in peers, or to worry about their future. Most of these aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

Developmental milestones for most teens ages 15 to 17 include:

  • Spending more time outside the family, like with friends, peers, and dates
  • Worrying about their future, like going to college
  • More interest in romantic and sexual relationships
  • Wanting to try new things, which could include tobacco, drugs, or alcohol

See more milestones for your teens.

Health Information & History

At well-child visits for your teenager, your doctor will ask you and your teen to answer some questions about your teen’s health and maybe even your family history.

  • Health questions, like:

    • Do you often get any type of pain or headaches?

  • Behavior and emotion questions, like:

    • Do you have trouble following directions?
    • Do you often feel sad or bored?
    • Is there someone you can talk to about your problems?

  • Eating habit questions, like:

    • What do you eat on a normal day?

  • School and activity questions, like:

    • Do you like going to school?
    • What do you like to do on the weekends and after school?
    • Do you participate in any physical activities?

  • Safety questions, like:

    • Do you always wear a seatbelt in the car?
    • Are you experiencing any kind of violence?
    • Do you or your friends use any tobacco, alcohol, or drugs?

  • And family and friends questions, like:

    • Have there been any changes in your family recently?
    • Do you have close friends?

  • Sexuality questions, like:

    • Do you have any questions about your body?
    • Are you dating?
    • Do you know how to prevent STDs and unwanted pregnancy?

  • Future questions, like:

    • Have you started to think about what you want to do after high school?

Physical Exam

At well-child visits for your teenager, you can expect their doctor to:

  • Measure their height, weight, BMI, and blood pressure
  • Check their body and limbs
  • Take their temperature
  • Check their vision and hearing
  • Decide if they need any lab tests, like a blood test
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your teen’s doctor can help you with important information about:

  • Caring for your teen
  • Managing any conditions or diseases they might have
  • Puberty
  • Depression
  • Eating disorders
  • Tobacco, alcohol, or drugs
  • Preventing violence in relationships or dealing with bullying
  • Preventing STDs and pregnancy

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your teen’s health, like maintaining a healthy weight, dealing with depression, and more.

Prepare for Well-Child Visits for Your Teenager

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of well-child visits for your teenager.

Know Your Family and Teen’s History

Make sure you bring any medical records you have that the doctor might not, especially to a first appointment with a new doctor, like a record of shots and screening results.

You should also make a list of any important changes in your teen’s life, like a divorce in the family, the death of a loved one, a big move, a new school, or the serious breakup of a relationship or a friendship.

Your family’s history of health and wellness is also an important part of your teenager’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health so that you’re always organized to talk to your teen’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor and Help Your Teen Get More Involved

Prepare for well-child visits for your teenager by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Health conditions, like asthma, allergies, or acne
  • Talking to them about:
    • Sex
    • Tobacco, alcohol, and drugs
    • Bullying
  • Making sure your teens eat right and get enough exercise
  • Changes in their behavior or mood or loss of interest in favorite activities
  • Sexual development
  • Helping them stay at a healthy weight
  • Internet safety
  • Helping them drive safely
  • Preventive care they need
  • What to do if they get sick or hurt

After starting puberty, your teen’s doctor will usually ask you to leave the room during the physical exam. This will help them build trust with their doctor and teach them to take control of their health care. Plus, it gives them some privacy at what can be an embarrassing time of physical changes.

At this age, your teens can also start to help managing their care. They can call to schedule appointments, help fill out medical forms, and prepare their own questions to ask the doctor.

Know What’s Covered

Learn more about what immunizations are covered for your teenagers. And log in to Your Health Alliance or search by your or your teen’s member number to see what preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your teen’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your teenagers or start searching for doctors in our network.

Emotional Wellness Month

Emotional Wellness Month

October is Emotional Wellness Month. Emotional wellness means you know how to handle and express your feelings in a positive way and to drive positive change in your life.

Having emotional intelligence is an important part of putting your emotional wellness to work in your professional life. Learn to make the most of it.

Emotional Intelligence at Work


Expressing your feelings with respect through open communication, something you develop through emotional wellness, can help you build good relationships.

Communicating Your Way to Good Relationships


You would be surprised to know how much sleep can affect your day-to-day life, your feelings, and your emotional wellness. Make sure you get enough.

Sleep and Emotional Wellness


Confidence, knowing yourself and your mental health, and talking to others, including professionals, can help you build emotional wellness.

Support for Your Mental Health


Handling stress in a healthy way is a key part of your emotional wellness. We can help.

Beating Stress


Wondering how you rank in emotional wellness? Here are 7 signs you’re emotionally healthy.

Becoming Emotionally Healthy

Self Improvement Month

Self-Improvement Month

It’s Self-Improvement Month, and we can help you set goals and make changes to improve your health and wellness.

Your food choices are a key part of maintaining a healthy body weight, which can reduce your risk of heart disease, high blood pressure and cholesterol, and more. Get help making healthy food choices each step of the way.

Healthy Food Choices


Get moving to improve your health and how you feel. Studies have found that any kind of exercise, even deep cleaning your kitchen, can help.

Moving Many Ways


Is there something you’ve always wanted to try? Finding a hobby you love and taking on new challenges is a great way to fight stress and channel your passion.

Pick a Passion


Take an adventure. Traveling is one of the best ways to broaden your horizons, and even if you don’t go far, exploration will be worth the experience.

Adventure Away


Become a mentor. Whether it’s to a new co-worker, your nephew, or at-risk youth, mentoring can help you and someone else grow.

Become a Mentor


Adjust and refocus on your goals. Figure out what’s working and what isn’t, and make a system to stick with them, like a dream board, planner, or journal.

Evaluate your relationships and how you can be a better friend, spouse, or parent to those you love. Focus on small ways to make improvements for each type of relationship.

Prioritize Relationships

Going to Your Well-Woman Visit

You and Your Well-Woman Visit

Your insurance covers an annual well-woman visit. But what exactly does that mean?

Your yearly well-woman visit can be either a combination of your annual physical and care specific to you as a woman or a separate appointment for just that care.

Preventive Care at Your Well-Woman Visit

Your plan covers a lot of preventive care and screenings, many of which you’ll get at your yearly physical. But for some of the care, you’ll probably want to schedule a separate well-woman visit with a specialist, like a gynecologist, or even multiple appointments with your doctor and different specialists.

Depending on timing and what your doctor recommends, this care includes:

Screenings & Care
  • Osteoporosis screening – For women over age 60, depending on risk factors. Beginning at age 65, you should get this bone density test annually.
  • Domestic and interpersonal violence screening and counseling
Cancer Screenings & Counseling
  • Breast cancer genetic test counseling (BRCA) – For women at higher risk.
  • Breast cancer mammography screenings – Every 1 to 2 years for women starting at age 50 until at least 74. Most clinics require a referral from your primary care provider (PCP) or gynecologist for mammograms.
  • Breast cancer chemoprevention counseling – For women at higher risk.
  • Cervical cancer screening – If you’re between the ages of 21 and 65, your doctor should review your history to choose a Pap smear schedule for you.
Sexually Transmitted Infection (STI) Screenings
  • Sexually transmitted infections counseling – For sexually active women.
  • Chlamydia infection screening – Women age 25 or younger and sexually active should get tested annually. If you’re older, talk to your doctor about being tested.
  • Gonorrhea screening – For all women at higher risk.
  • HIV screening and counseling – For sexually active women.
  • Human Papillomavirus (HPV) DNA test – Every 3 years for women with normal cytology results who are 30 or older.
  • Syphilis screening – For women at increased risk.

And if you’re pregnant or may become pregnant, there’s even more preventive care covered for you.

Prepare for Your Visit

Preparing with questions, and answers to your doctor’s questions, can help you make the most of your visit.

Know Your Family History

Talk to your family members, especially your mom, about your family’s history of women’s health issues. For example, as a woman, you’re more likely to get breast cancer if it’s genetic on your mom’s side of the family. So knowing this information can help your doctor keep an eye out for genetic issues you’re at risk for.

Talk to Your Doctor

Prepare for your appointment by knowing any questions or issues you want to talk to your doctor about. Some things you might want to ask include:

  • What immunizations or shots you need, like the HPV vaccine
  • If you should get STI screenings
  • Help getting pregnant or birth control options
  • How to do self-exams to regularly check for breast cancer
  • Mental and social health concerns, like relationship issues or domestic violence questions
  • Specific issues you might be having, like problems with your menstruation or abnormal pain or cramping

Know What’s Covered

Log in to Your Health Alliance or search by your member number to see what preventive care your plan covers.

Or use our general preventive care guidelines and prescription drugs or our Medicare preventive care guidelines to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can also check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready to go to your well-woman visit, log in to Your Health Alliance to find a covered doctor, or start searching for doctors in our network.

Figuring Out Caregiving Protections

Long View: Advocating for Our Elders

When I was a youngster, I remember having a hard time paying attention to anything for very long. Thankfully, that’s all behind me now, but sometimes these childhood lapses made it appear like I was misbehaving or being disobedient. That was not the case of course.

For instance, I had my own ideas of when I should be doing chores, and it didn’t always match what my parents had in mind. I’m sure I presented my folks with quite a challenge. Looking back, I realize they were always right, and they had insights I couldn’t have known as a child.

It’s interesting to compare this childhood relationship with the relationships of adult caregivers and their parents or older family members. Being supportive and resourceful and providing suggestions are all part of the deal, but sometimes it’s hard to remember these are relationships between adults and not between parents and children. Even the best suggestion isn’t going to be received well if it doesn’t coincide with the older person’s wants and needs. Of course there will be disagreements, but that’s to be expected.

At Health Alliance Medicare, we have many members who have signed an appointment of representative form, which allows a child or other caregiver to speak on their behalf with their health insurance. We know that acting for a loved one can be a challenging position to be in, but we must have this formal legal agreement before our customer service reps can share the member’s claims information and other confidential information.

Another kind of protection is the Long-Term Care Ombudsman program, which works to protect, defend, and advocate for residents of long-term care facilities. One of its duties is to investigate concerns brought forward from anyone on behalf of the resident.

Amanda Hyde is the planning & grants manager at the East Central Illinois Area Agency on Aging, the sponsor that houses this program. She said, “The Ombudsman Program at ECIAAA is focused on advocating for resident rights. These rights include being fully informed on all aspects, including cost and even changes in rooms or roommates. Residents have the right to complain, participate in one’s own care, the right to confidentiality, the right to dignity, respect, and freedom, including the right to self-determination, and even making what others may deem as bad choices.”

There are many levels of caregiving, and I know it can be stressful. Differences of opinions are bound to happen. Although our loved ones aren’t always going to agree with us, I am sure it’s comforting for them to know that our care and support isn’t based on their obedience.

Patrick Harness is a community liaison with a long history of experience in health insurance. If you ask him to pick a color, he always chooses orange, and he is known for his inability to parallel park.

Fun Ahead

Social Wellness Month

July is Social Wellness Month, which calls for you to nurture yourself and your relationships through social support.

People with a strong social network tend to live longer, and their heart and blood pressure respond to stress better.

Come Together


Strong social networks are associated with better heart and immune system function.

Your Health and Social Support


Be aware of commitments and following through to make sure you make commitments you can stand by.

Follow Through for Friends


Break the cycle of blame and criticism to own your role in your relationships.

Own Your Role


Focus on resolving conflict and fixing your personal flaws instead of trying to fix others.

Focus on Change for You


Show your appreciation through words and actions to build healthy relationships.

Sharing Your Appreciation


Grow your social network by volunteering or by joining a gym, club or group for a hobby.