Medical

Doctors	Wrist	Medicare
Drugstores	Humana	Medicare Advantage
Dental	Drugs	Medicare Supplemental
Eyes	Hip Replacement	VA
Orthopedics	Adenocarcinoma	Equipment

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Doctors

Humana Primary Care
- Dr. Bradley Ryan Friedman @ healthgrades.com (07/25)
  - Office (Valora Medical Group)
    - 2701 Little Elm, Ste 115, Little Elm, 75068
    - NW corner of FM 423 and Little Elm Pkway (attached to east side of Kroger)
    - Phone: 940-580-2474
    - Hours: Mon, Wed, Fri: 7am-4pm; Tu, Thu: 7am-5pm
    - Aceept all Medicare Advantage Plans
    - TRANSPORTATION TO MEDICAL APPOINTMENTS
  - Family physician that is in network
  - Brad Friedman @ Valora Medical (02/26)
- Kelly L Wimberly, MD
  - 972-239-1597
  - 17101 Preston Rd, Ste 200, Dallas, TX 75248-1374
  - NW corner of Preston and Campbell Rd
  - Family physican assigned by Humana
Urgent Care
- CareNow
  - 301 Main St, Frisco, TX 75036 (next to BOA)
  - 972-335-0030
  - Hours: Mon–Fri, 9 a.m. – 5 p.m. CT
Hospitals
- Medical City, Frisco
- Texas Health Hospital, Frisco
- Carrollton Regional Medical Center
- Medical City, Lewisville
- Methodist Hospital for Surgery, Addison
- Medical City, Plano
Pharmacies (in network)
- Walmart Pharmacy #102463 (Stonebrook Pkway)
- CVS Pharmacy #10523 (Stonebrook Pkway)
- Walgreens #10920
- Tom Thumb Pharmacy #2963
- Kroger Pharmacy
- CareOne Pharmacy (Stonebrook Pkway)
- LifeTime Pharmacy (compounding) (11/25)
Chiropractor
- Dr. Roger Clifford, D.C. (04/25)
  - 4222 Trinity Mills Rd, Suite #106
  - (972) 934-1660
  - Mon-Tu: 10-6; Wed: closed; Thu: 10-6; Fri-Sun: closed
  - Medicfusion Patient Login (10/16)
- Beyond Innovation Chiropractic (06/25)
  - 12398 PM 423 Suice 300, Frisco, TX 75033
  - NE corner of FM 423 and Eldorado Pkway (in front of Walmart)
  - Dr. Mark Liebich and Shelbi Martin
  - Phone: 214-872-4220
  - Mon, Wed, Fri: 9:30am-12:00pm; 2:00pm-6:30pm
  - Tues: closed
  - Thus: 2:00pm-6:30pm
  - Sat: 8:30am-2:00pm
- Graves Chiropractic (04/25)
  - Dr. Paul Cross
  - 7500 Stonebrook Pkwy #103, Frisco, TX 75034
  - Stonebrook Pkway west ==> DNT ==> Parkwood ==> north side of Stonebrook Pkway
  - Phone: 972-377-7117
  - Hours: Mon: 9-6; Tu: 9-12:30; Wed-Thu: 9-6; Fri: 9-12:30
- Twisted Spine and Joint (04/25)
  - Dr. Bryan Stanton
  - 5899 Preston Rd, Frisco, TX 75034
  - Preston Rd -- south of Stonebridge then Wade Blvd, north of Lebanon Rd
  - Phone: 214-618-3991
  - Hours: Mon-Tue: 8-12 and 3-6; Wed: 1-6; Thu: 8-2 and 3-6; Fri: closed
- Stonebridge Chiropractic (04/25)
  - 7204 Main St, Ste 200, The Colony, TX 75036
  - Phone: 469-535-3800
  - Chiro, Medical, and Physical Therapy
- Starwood Chiropractic (04/25)
  - CAN'T TAKE HUMANA MEDICARE ADVANTAGE (bug in system; in network for 2026)
  - Dr. Michael Allison
  - Texas Top Doctor 2023 (Findatopdoc)
  - 4851 Legacy Dr, Ste 307, Frisco, TX 75034
  - NW corner
  - Phone: 972-377-3909
  - Hours: Mon-Thu: 9-1 and 3-7; Fri: 9-2
Podiatrist
- Kellvan Cheng @ elitefootankle.com (08/19)
  - 4222 Trinity Mills Road, Suite 112, Dallas, TX 75287
  - South side of Trinity Mills, east of Westgrove (same building as Chiropractor)
  - 214-710-1028
  - Mon-Fri: 8:00 - 5:00
  - Tuesday, August 20th @ 10:30 am (left big toe, partial nail removal)
  - Friday, October 18th @ 9:30 am (left big toe, total nail removal)
  - Tuesday, November 5th @ 9:15 am (status check)
  - Tuesday, November 19th @ 9:15 am (right big toe and pinky, nail removal)
  - (status check)
  - GREAT doctor!

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Drug Stores, etc

Retail Drug Stores
- Abrams Royal, Plano (09/24)
  - P: 972-599-7700
  - Mon-Fri: 9am-6pm | Sat-Sun: Closed
  - Thyroid Porcine: 30 caps @ 60mg: $43.28; 90 caps for $129.84
- CVS Pharmacy #10523 (07/25)
  - 270 Stonebrook Pkway, Frisco, TX 75036
  - Phone: 214-469-1143
  - Pharmacy Hours
    - Closed from 1:30pm-2:00pm for lunch
    - Mon-Fri: 10:00am->8:00pm
    - Sat: 10:00am-6:00pm
    - Sun: 11:00am-5:00pm
- CVS Pharmacy #8336 (07/25)
  - 2591 FM 423, LITTLE ELM, TX 75068
  - SE corner of FM 423 and Eldorado Pkway
  - Pharmacy is open 24 hours a day; closed from 1:30pm-2:00pm for lunch
Information
- Thyroid USP Porcine Now Available (as of Dec 14, 2022) @ pccarx.com (09/24)
- Thyroid Porcine @ drugs.com (09/24)
  - Brands include: APur Thyroid, Armour Thyroid, Bio-Throid,
    Nature-Throid, Niva Thyroid, NP Thyroid, Westhroid, WP Thyroid
- Armour Thyroid @ pharmacy.amazon.com (09/24)
  - 60 mg (1 grain); 1 tablet; 30 days; $33.22 (with prime)
- Armour Thyroid @ rxabbvie.com (09/24)
  - Armour Thyroid is derived from porcine thyroid glands
  - It is not approved by the FDA
  - Desicated Thyroid Extract (DTE) is called Armour Thyroid, NP Thyroid,
    Nature-Thyroid, and Natural Thyroid
- Armour Thyroid @ pushhealth.com (09/24)
- Naturopathic Doctors
  - Renewed Vitality (thyroid doctor) Dr. Spurlock (09/24)
  - Naturopathic.org (09/24)
    - Dr. Kimberly Wilson (09/24)
Retail Drugstores
- Armour Thyroid @ goodrx.com (60mg tablets; 90 tablets; $99.00) (09/24)
Compounding Online
- CSF Pharmacy (NJ) (09/24)
  - Thyroid Porcine 60mg; 90 caps; $79.95 + $4.95 shipping
- Empower Pharmacy.com (Houston, TX) (09/24)
  - Refuse to quote a price without a precription
- ReviveRX.com (09/24)
  - 888-689-2271
  - Houston, TX
  - Thyroid Porcine 60mg; 90 caps @ $101.25; 180 caps @ $202.50
  - Request Presription (09/24)
- Glendale Pharmacy (NP Thyroid) (09/24)
Compounding Drugstores
- Texas Star Pharmacy (09/24)
  - 3033 W Parker Rd, Suite 100, Plano, TX
  - Located at Parker & Independence
  - 972-519-8475
  - M-F: 9:00am-6:30pm; Sat: 9:00am-1:00pm
  - Can handle Thyroid Porcine
  - Refuse to quote a price without a precription
- Spring Creek Pharmacy
  - 4666 McDermott Rd, Ste 200, Plano, TX 75024
Dallas, TX
- A&M Drugstore (09/24)
  - 15340 Dallas Pkway, Suite 2630, Dallas, TX 75248
  - Northbound DNT & South of Arapaho (east side)
  - 214-377-8066
  - Mon-Fri: 9am-5pm
  - aandmdrugstore@gmail.com
  - Can compound Thyroid Porcine; 30 @ $48.00; 90 @ $90.00; 100 @ $91-92
  - Can compound 90 caps for much less money; talk to Mel
- Doughertys Pharmacy (good comments) (09/24)
  - New Patients: 214-833-6729
  - info@doughertys.com
  - 12835 Preston Rd, Ste 202, Dallas, TX
  - SW corner of 635 & Preston
  - Yes, they can compound Thyroid Porcine
  - 30 caps: $74.99; 60 caps: $104.99; 90 caps: $134.99
Lewisville, TX
- Forumalation Compounding Center @ pharma1rx.com (09/24)
  - Retail arm of the Formulation Compounding Center
  - 469-301-7621
  - Closed at 5pm?
- Formulation Compounding Center @ formulationrx.com (09/24)
  - 1511 Justin Rd, Lewisville, TX 75077
  - 469-946-6690
  - The compounding pharmacy location
  - Closed at 5pm?

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Dental

Dentists
- Forest Dental Cafe (07/25)
  - Dr. Demian Kim
  - 8075 FM 423 Bldg 3 Suite #110 Frisco, TX 75036
  - NW corner of FM 423 and Stonebrook Pkway (north of Chik-fil-A)
  - Phone: 214-469-1001
  - Hours
    - M, W, Th, F: 9am-5pm
    - Tues: closed
    - Sat (every other week): 9am-3pm
  - In Humana network
Endodontics
- Essential Endodontics (07/25)
  - Dr. Sodam Lee
  - 1901 FM 423 Ste 200, Frisco, TX 75033
  - Just north of Calloway's Nursery (east side)
  - Phone: 214-609-1415
  - Hours: Mon-Fri: 8am-5pm; Sat & Sun closed
  - In Humana network
- Cracked Tooth Syndrome @ wikipedia.org (07/25)
  - The diagnosis of cracked tooth syndrome is notoriously difficult even for
    experienced clinicians
  - Other clinical signs which may lead to the diagnosis of CTS includes wear
    faceting indicating excessive forces perhaps from clenching or grinding, or the
    presence of an isolated deep periodontal pocket which may symbolise a split tooth
  - Radiographs offer little benefit in visualising cracks
- Root Canal Treatment @ wikipedia.org (07/25)
- Will I Need a Crown After My Root Canal @ donionendodontics.com (07/25)
Periodontist
- Cook Periodontics (Periodontics & Dental Implants) (01/23)
  - Jeremiah B. Cook
  - Phone:469-888-4315
  - Hours: Mon-Thu: 7:30am-4:00pm; Fri-Sun: Closed
  - 5858 Main St, Suite 260, Frisco, TX 75034
  - Trip #1:
    - DNT north to Main St
    - Main St East one block to World Cup Way
    - North on World Cup Way
    - Turn (right) into parking lot north of the building
    - Office is in the center building
    - Building is next door to Toyota Stadium
Prosthodontist
- Dentistry for Adults (P. Andrew Benson) (09/19)
  - 6300 W Parker, Suite 223, Plano, TX 75093
  - Medical Office Bldg 2, closest to Midway Road (use parking lot C)
  - 972-981-8653
  - Hours: Mon: 9-5; Tue-Thu: 8-5: Fri: 8-2 (occasionally until 5 pm)
  - We will attempt to maximize your insurance benefits
  - Major credit cards
  - Email: drbenson@denistryforadults.com
  - Dr. Benson is board certified
  - Dental technician (Larry Costin, The Lab Guy)
    - 2828 W Parker, Plano, TX (Parker & Independence)
    - Larry selects the custom shade for your teeth
Jaw Bone Loss
- Jaw Bone Loss and Deterioration @ centerforoms.com (07/25)
  - Jawbone loss and deterioration refers to the gradual weakening, thinning,
    or loss of bone tissue in the jaw
  - This condition can result from various factors such as periodontal disease,
    tooth loss, trauma, specific medical treatments like radiation therapy,
    or long-term use of certain medications
Delta Dental (05/24)
- DPO Premium Plan (for two): $84.50/mo
  - Annual deductible of $50
  - Annual maximum of $2,000
  - 11,920 network dentists
- DPO Basic Plan (for two): $39.84/mo
  - Annual deductible of $50
  - Annual maximum of $1,000
  - 11,920 network dentists
- DeltaCare USA TXA70 (for two): $25.00/mo
  - Payment made in one payment of $300; $10 enrollment fee
  - No annual deductible or annual maximum
  - 189 Primary Care Facilities
    - West Plano Modern Dentistry and Orthodontics
    - Westgrove Dental Care Facility

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Eyes

Eye Doctors
- Ophthalmologists
  - Dr. Lewis Frazee (74 years old) (07/24)
    - Dr. Lewis Jacob Frazee @ northtexaseyecenter.com (07/24)
    - Accepting patients
    - Fri, July 26th 8am; Plano office; 10-15 min early (Frazee)
    - North Texas Eye Center
    - Phone: 972-867-7777
    - 751 Hebron Pkwy, Ste 230, Lewisville, TX 75057
      - Mon-Fri: 8:00am-5:00pm
      - NE corner of Hebron and Lakepointe Dr (just E of 35E)
    - 4100 W 15th, Ste 210, Plano, TX 75093
      - Mon-Fri: 8:00am-5:00pm; Sat: 8:00am-12 noon
      - 972-867-7777
    - Dr. Ellen Ngo (07/24)
    - Dr. James Passmore (07/24)
      - Dr. Ellen Ngo @ northtexaseyecenter.com (07/24)
  - Dr. Marvin Hsiao @ leeeyesurgery.com/ (02/20)
    - GREAT expericence!
    - He removed a scar on the cornea (old wound)
    - He diagnosed cornea edema, and suggested salt eye drops
  - Eye Surgery Center of North Dallas (02/20)
- Glasses Prescriptions
  - How to Read Your Eye Prescription @ warbyparker.com (08/23)
  - Eyeglass Prescription Positive Cylinder Conversion @ aclens.com (08/23)
    - Ophthalmologists write astigmatism prescriptions with positive (+) cylinders
    - Most eyeglass labs cut lenses in the negative (-)
  - Optical Transposition Calculator @ chadwichoptical.com (08/23)
    - SPH CYL AXIS: +1.00 +0.50 180 ==> 2.50 +0.75 80
  - Effective Power (08/23)
  - Diopter Radius Curvature Calculator @ chadwickoptical.com (08/23)
  - Aniseikonia Calculator @ chadwichoptical.com (08/23)
  - Sagitta Calculator (08/23)
- Our Doctors @ myeyedr.com (08/23)
  - MyEyeDr. Locations near me (08/23)
  - MyEyeDr. @ Trinity Mill Rd (08/23)
    - 2810 E. Trinity Mills Road, Suite 173, Carrollton, Tx
    - 972-416-1270
    - Mon-Fri: 9:00 am - 6:00 pm
    - Sat: 8:00 am - 2:00 pm
    - Dr. Victoria Tran (graduated as valedictorian in 2019)
    - Dr. Philip Stiles (64 years old)
  - MyEyeDr. in Hebron Parkway (08/23)
    - Book an appointment @ Hebron Parkway (08/23)
    - 3012 E. Hebron Pkway, Suite 100, Carrollton, TX
    - 972-307-5000
    - Opens at 9:00 am Monday (not open on Saturday)
    - Dr. Chris(topher) H. Peterson (47 years old; MyEyeDr since Jan 2020)
      - Dr. Christopher H. Peterson @ eyedoctor.io (08/23)
      - Graduated from University Of Houston - College Of Optometry in 2006
    - Dr. Timothy Leach (keratoconus, glaucoma)
    - Dr. Mary Ann Peck (practiced for over 33 years; 66 years old)
  - MyEyeDr. in Plano - Midway Rd (08/23)
    - 3405 Midway Rd, Suite 421, Plano, TX
    - 972-801-2727
    - Opens at 8:00 am Saturday
    - Dr. Morgan Schultz (graduated in 2019 with Summa Cum Laude; sounds good)
    - Dr. Amritha Toppae (age 31)
  - 2313 W. Parker Rd, Plano, TX 75023
    - 972-612-2015
    - Dr. Brian Rast
    - Dr. Parisa Foroutan (bilingual in both English and Farsi; trained in San Antonio)
    - Dr. Bilal Ismail (glaucoma; intense light pulse therapy)
    - Dr. Johnson Ly
  - MyEyeDr. in Prestonwood (08/23)
    - 5495 Belt Line Rd, Suite 160, Dallas, TX
    - 972-980-1773
    - Opens at 8:00 am Saturday
- Donna Haas @ trinityvision.net (03/22)
  - 2765 E. Trinity Mills Road #405
  - Carrollton, TX 75006
  - (NW Corner of Trinity Mills and Marsh)
  - (972) 818-3937
  - Hours: Mon-Thu: 9am-5pm; Fri: 9am-2pm
Eye Glasses
- Eyemart Express (05/24)
  - 13800 Senlac Dr, Ste 200, Farmers Branch, TX 75234
  - Hours: Mon-Fri 9 AM - 5:30 PM
  - Phone: (972) 488-2016
  - Military discount: 20% off
  - VSP Claims -- Out Of Network
Vision Insurance
- Best Vision Insurance Companies of May 2024 @ usatoday.com (05/24)
- VSP Insurance Plans @ vsp.com (05/24)
  - Enhanced plan: $56.90/mo for both of us ($682.80/year)
    - $150 frame allowance
    - Exam copay: $15
    - Basic lens copay: $25
    - Scratch resistant: $0
    - Anti-glare: $15
  - Easy Options plan: $47.41/mo
  - Standard plan: $26.80/mo (for both of us) (Visionworks)
- Humana Vision PLUS Plan @ humana.com (05/24)
  - Humana Vision Plus: $14.99/month for one person
  - Humana Vision PLUS Plan (PDF) (05/24)
- EyeMed Quote (2 people) (05/24)

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Orthopedics

Frisco, TX
- Direct Orthopedic Care - Frisco (01/26)
  - 9500 Dallas Pkway, Suite 100, Frisco, TX 75034
    - Main St E => DNT northbound access road
    - DNT northbound access road N
    - Go past Blue Goose Mexican Restaurant
    - Take second entrance after Blue Goose
  - Hours: M-F: 10:00am-6:00pm; Sat: 10:00-5:00pm; Sun 12:00pm-5:00pm
  - Phone: 469-535-6647
  - Direct Orthopedic Care is an Orthopedic Urgent Access Clinic
  - No appointment necessary
  - We offer same-day appointments
  - We strive to be in-network with all major insurance carriers and
    Medicare programs
  - We charge regular insurance copays free of any facility fees and
    accept all major credit cards as well as cash
  - Guest Care Coordinators 855-921-0799 (Mon-Fri)
  - Dr. John B. Heinrich, MD (orthopedic surgeon)
  - Solomon Chaim, MD (orthopedic surgeon) IN NETWORK
    accepting new patients
    - Medical City Plano -- hospital privileges (IN NETWORK)
      - 3901 W 15th St, Plano, TX 75075
    - Medical City Frisco ??? (IN NETWORK)
      - 5500 Frisco Square Blvd, Frisco, TX 7503
  - Cori Grantham, MD (orthopedic surgeon) IN NETWORK,
    accepting new patients
- Apex Orthopedics (Nathan Boes)
  - 11000 Frisco St, Ste 200, Frisco, TX 75033
  - Phone: 972-383-9136
  - In Network and accepting new patients
- OrthoLoneStar PLLC
  - 3800 Gaylord Pkwy Ste 710, Frisco, TX 75034
  - Holt S Cutler -- shoulder & elbow
  - Mahmoud M Khair -- hip
  - Mark Muller -- hip
Plano-Carrollton, TX
- OrthoLoneStar in Plano (01/26)
  - Texas Orthopaedic Associates of Plano (same location) (01/26)
  - 6020 W Parker Rd, Plano, TX 75093
    - SW corner of DNT & Parker RD
  - Jacob C Becker -- hip & knee <== NOT in network
  - 972-378-1438
- Direct Orthopedic Care - Plano (01/26)
  - 3412 E. Hebron Pkwy, Suite 106 Carrollton, TX 75007

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Wrist

Ganglion Cyst
- Lumps in the Palm of the Hand @ johnericksonmd.com (07/25)
  - Fluid filled sacs which come from the joint or tendon fluid in the hand
  - If the cyst is not painful or bothersome, it does not require treatment
- Ganglion Cyst @ mayoclinic.org (07/25)
  - Ganglion cysts are lumps that most often appear along the tendons or joints
    of wrists or hands
  - Joints or tendons that have been injured are more likely to develop ganglion cysts
  - Ganglion cysts are typically round or oval and are filled with a jellylike fluid
  - Ganglion cysts can be painful if they press on a nearby nerve
  - Sometimes they affect joint movement
  - 60-70% of ganglion cysts develp along the front or back of the wrist
  - Up to 58% of cysts resolve themselves by being reabsorbed over time
  - The cyst can be drained with a needle, or removed surgically
- Ganglion Cysts @ princetonorthopaedic.com (07/25)
  - While ganglion cysts are often painless, leaving the cyst untreated may result
    in persistent or worsening discomfort
  - In some cases, the presence of a ganglion cyst may restrict the range of motion
    in the affected joint, impacting daily activities and function.
  - Age-related degeneration of ligaments and tendons, as well as weak areas in
    connective tissue, can contribute to their formation
- A ganglion cyst can last up to 12-18 months
Ganglion Cyst Treatment
- Things that may help
  - Vitamin D may help
  - Warm compresses
  - Warm water and Epsom salt
- Ganglion Cysts and Vitamin D Deficiency @ aventusclinic.com (07/25)
  - Ganglion cysts typically appear after an injury.
  - Injuries or conditions such as arthritis can force a joint or tendon out of place,
    which – in turn – causes the synovial fluid which coats them to leak. The leaked fluid
    then collects together under the skin, creating a little fluid-filled bump, called a
    ganglion cyst.
  - If the ganglion cyst grows in an unfortunate position, it can restrict the range of
    movement in a nearby joint.
- Human Saliva
  - Ganglion Cyst @ reddit.com (07/25)
    - I met an old Japanese lady that told me the most absurd thing, but in desperation
      I tried it and I was cyst free a week later. It's been two decades now and it never
      returned. All I had to do is apply morning saliva to the cyst. Cannot brush teeth first.
      It is gross but it works. I was good after one week but kept doing it for probably a
      couple of months. But it never came back. And mine was BAD! Super large and
      on both wrists. I was very puzzled. I did some reading and apparently morning
      saliva has natural steroids.
  - Dorsal Wrist Ganglion: Current Review of Literature @ nih.gov (07/25)
    - The inspissated matter of a ganglion may often be happily dispersed by rubbing
      the tumour well each morning with fasting saliva and binding a plate of lead upon
      it for several weeks successively. Others preferred usng a bullet. (Heister 1743)
    - results from nonsurgical treatment appear no better than expectant management
      and carries up to a 5% complication rate.
  - Quantification of 10 Steroid Hormones in Human Saliva @ nih.gov (07/25)
    - Salivary steroids are important compounds of saliva
  - Wound Licking @ wikipedia.org (07/25)
- Homeopathic Treatment
  - Homeopathic Management of Wrist Ganglion: Case Studies @ ijrh.org (07/25)
    - Benzoicum acidum 3x ointment with internal adminstration in high dilution
    - Calcarae fluor and Ruta 3x (for the wrist)
    - Sulphur and Bacillinum for the wrist
    - Case #1, #2, and #3 : Sulphur 30c and sometimes Phosphorus 30c
  - Homeopathy: A Boon for Ganglion @ homeopathicjournal.com (07/25)
    - Ruta Graveolens: overuse or weakness after injury
    - Silicea: back of the hands and wrists, with numbness
    - Thuja: ganglion of wrist with trembling of hands and arms while using them
    - Sulphur: CM potency once a week, with sprained pain and stiffness of wrist
    - Benzoic Acidum: swelling and tearing, fine stitching pain
    - Calcarea Flour: ganglion after injury; encrysted tumors at the back of wrist
    - Bovista: wrist affection and sensation of the wrist joints as if sprained
    - Pediculus Capitis: ganglion of the foot
  - Homeopathic Remedies for Ganglion Cysts @ naturalhealthinghawaii.com (07/25)
    - Arnica Montana -- pain, inflammation and swelling
    - Ruta Graveolens -- pain, swelling, stiffness due to strain
    - Calcarea Fluorica -- for connective tissues, bones, and joints
    - Hypericum Perforatum (St. Johns Wort) -- help alleviate nerve pain
    - Silicea -- for suppurative proceses and cysts
    - Bellis Perennis (Daisy) -- pain due to trauma or injury
    - Topical ointment containing Calendula, Hypericum Perforatum, or Symphytum Officinale

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Humana

Medicare & You
- Medicare & You 2026 @ medicare.gov (10/25)
  - Part B premium should be $206.50 (up from $185)
  - COLA should be 2.8%
HumanaChoice Giveback H5216-431 (PPO) - 2025 Choice
- Plans @ plans.humana.com (10/24)
- HumanaChoice Giveback H5216-431 (PPO)
  - Call 1-800-421-7858 (5am-8pm) to sign up
    - Joshua Joseph: 877-256-1640 x1382785
  - THIS PLAN IS ONLY FOUND ON THE HUMANA WEBSITE
  - This plan includes enhanced dental benefits when you enroll on our site.
    It also adds money back to your Social Security check with the Part B
    giveback program.
  - Giveback will be up to $74.00 per month
  - Change in cost will be -$14.00 (larger giveback) and +$10.30 (Part B increase)
  - Change in cost/month will be -$7.40 (for household)
  - Maximum out-of-pocket: in-network ($8,300.00); out-of-network ($13,850)
  - Dr. Frazee & Dr. Clifford are in network ($55 copay)
  - Dr. Cook is not in network (50% coinsurance)
  - Summary of Benefits (10/24)
Humana (PPO) - 2026 Choice
- Plans @ plans.humana.com (10/24)
- HumanaChoice Giveback H5216-431 (PPO; old name; $74 giveback)
  - Humana Direct Choice Giveback H5216-431 (PPO; new name)
- Humana Value Choice H7617-043 (PPO; $1 giveback)
  - H7617-043 Evidence of Coverage
  - H7617-043 Summary of Benefits
  - H7617-043 Prescription Drug List
  - Max out of pocket: in-network: $6,400; out-of-network: $10,100
  - In-patient hospital stay: $310 days 1-6; $0 days 7-90
  - Part D drug deductible: $420 ($2,100 to be paid first)
  - Ambulance: $335/day
  - Chiropractic: $15 in-network
  - Emergency room: $130 unless admitted
  - Radiation therapy: $30 specialist office; $175 out-patient hospital
  - Out-patient rehab: $25
  - Physician: $30 specialist in-network
  - Skilled Nurse Care: $0 days 1-20; $218 days 21-100
Life Care, Plano
- Transportation services

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Drugs

Amiodarone
- Ámiodarone W drugs.com (02/26)
  - Affects the rhythm of your heartbeats
Basal Insulin (Long-lasting)
- Characteristics
  - Provides steady, background insulin for up to 24 hours
  - Mimics the low-level insulin secretion of a healthy pancreas
  - Stabilizes insulin for long periods of time
  - Long-lasting insulins do not have a pronounced peak
  - Is injected subcutaneously by syringe, pen, or insulin pump
- Insulin glargine (Lantus, Toujeo)
  - Covered by Humana
  - Lantus Solostar U-100 Insulin, 5 pack (Tier 3)
    - $22.70/30 days @ Lifetime Pharmacy
    - 255 W LEBANON, STE 200, FRISCO, TX 75036
    - 469-479-7777
  - Begins working in 2-4 hours and lasts 20-24 hours
  - Lantus SoloStar Injection Pen
  - Side Effects
    - Headaches, weight gain, and upper respiratory tract infections
    - Injection site reactions are also possible.
    - Low blood glucose (blood sugar)
    - Other rare side effects include low potassium levels and
      severe allergic reactions
Eliquis
- Covered by Humana (Tier 3)
- Eliquis 5 mg tablet
  - $249.00/30 days @ Lifetime Pharmacy
- 5mg dose: tiny pink pill with 894 on it
- 2.5 mg orally twice a day for 35 days after hip replacement
- The most common side effect of Eliquis in adults is bleeding
- You may bruise more easily
- It may take longer than usual for any bleeding to stop
- With Medicare Part D or Medicare Advantage, Eliquis typically costs between
  $44 and $54 per month, depending on your plan, diagnosis, and coverage stage
Losartan
- Losartan @ drugs.com (02/26)
  - Losartan is used alone or in combination with other medications to
    treat high blood pressure
  - Losartan is also used to decrease the risk of stroke in people who have
    high blood pressure and a heart condition called left ventricular hypertrophy
Tessalon Perles (Zonatuss, Benzonatate)
- Tessalon Perles (benzonatate) is a prescription cough suppressant
  that numbs the lungs and airways to reduce the urge to cough
- It is not recommended for chronic coughs, nor for coughs with
  excessive mucus or phelgm
- It works by numbing certain nerves in the lungs and airways
- It may also work on the cough center in the brain
- It is not a narcotic or steroid
- Brand was removed from the market, but generic versions still exist
- Benzonatate @ goodRX.com (02/26)

Top of Page

Hip Replacement

Recovery
- Most people recover from hip replacement surgery within 6 to 12 weeks,
  with full recovery potentially taking up to a year depending on individual factors
- Immediate Post-Surgery (Day 0–2)
  - After surgery, patients typically stay in the hospital for 2–3 days
  - Pain is managed with medication, and early movement is encouraged
  - Physical therapists help patients sit, stand, and take initial steps with
    a walker or crutches
  - Deep breathing and gentle exercises are important to prevent complications
    like blood clots and lung issues
- Weeks 1–4
  - Patients usually walk short distances with a walker or cane, perform home
    exercises, and gradually reduce reliance on assistive devices
  - Pain and swelling are common but typically improve over this period
- Weeks 5–8
  - Activity levels increase, and patients often transition from a walker
    to a cane or no support
  - Physical therapy continues to strengthen hip and leg muscles, improve balance,
    and restore range of motion
  - Many patients notice significant improvement in walking and daily activities
    during this stage
- Weeks 9–12
  - By 6–12 weeks, most people can use their hip with minimal restrictions
  - Daily activities such as climbing stairs, bending, and walking become easier
  - Pain is usually much reduced, and confidence in movement improves
  - Some patients may return to light work or low-impact activities
- Long-Term Recovery (3–12 Months)
  - Full recovery, including maximum strength, endurance, and confidence,
    can take several months to a year
  - The "90% rule" suggests that about 90% of recovery occurs within the
    first 3–4 months, with the remaining 10% involving gradual improvements
    in strength and mobility
  - Older adults or those with preexisting conditions may take longer to
    fully recover
Exercises
- Immediately after hip replacement surgery
  - Ankle pumps - move your foot up and down several times, every 5-10 minutes
  - Anke circles - rotate your ankle inward and outward 5 times in each direction
  - Static Quadriceps Sets - tighten thigh muscles, while keeping the
    leg straight; hold for a few seconds (repeat 10 times, 4 times a day)
  - Gluteal Squeezes - squeeze your buttocks together, hold for a few seconds,
    and release
- Weeks 1-6
  - Heel Slides - while lying on your back, slide you heel toward your buttocks,
    bending your knee and keeping your heel on the bed
  - Lying Hip Aduction - lie on your back and move your leg out to the side,
    keeping it straight and toes pointed up; repeat 10-15 times per leg
  - Standing Hip Aduction
  - Short Walks
Getting In and Out of a Car
- Getting Into and Out of a Car @ ummhealth.org (02/26)
  - Have someone move the seat as far back as it will go
  - Recline the back of the seat if possible
  - Place a pillow on the seat to keep your hips above your knees, especially
    if the seat is low
  - Slide back into the center of the seat
  - Lift your legs one at a time into the car. As you do so, move your body.
    Do not twist.
  - Keep your car seat as high as possible to prevent deep hip flexion as you
    get in or out of the car
- Transfer In and Out of a Car After Hip Replacement @ equipmeot.com (02/26)
  - Place trash bag on seat to make it more slippery

Top of Page

Adenocarcinoma

Characteristics
- Adenocarcinoma is the most common form of Non-Small-Cell Carcinoma,
  especially in people who have never smoked
- It usually grows more slowly than other types, and tends to spread to
  distant sites more often than other subtypes
- As a type of non-small cell lung cancer, survival is generally lower than
  for some other adenocarcinomas, with 5-year survival rates around 20–30%
  for all stages combined
- If NSCLC has metastasized beyond the lungs and chest cavity to distant
  body, the five-year survival rate is 7 percent
Treatments

Top of Page

Medicare

Contact Medicare
- Call 1-800-633-4227
- Sign Up for Part B Only @ ssa.gov (06/24)
  - Call 1-800-772-1213
  - Medicare Part B Online Application @ secure.ssa.gov (06/24)
  - Lower IRMAA @ ssa.gov (05/24)
- Dallas SSA
  - 10824 N. CENTRAL EXPWY, DALLAS, TX 75231
  - Southeast corner of I-75 and Royal Lane
  - Phone: 1-800-772-1213
  - Fax: 1-833-515-0513
  - Hours: M-F 9:00am-4:00pm
  - Offices are busiest on Monday, the morning after a Federal holiday,
    and the first week of the month
- Manage Your Medicare Benefits @ ssa.gov (06/24)
  - You'll sign up for Part A and Part B through Social Security.
  - Once enrolled, you'll manage your benefit plans through Medicare.
    - View/pay your Medicare bill
    - Get the Medicare handbook
    - Compare and choose Medicare Advantage and prescription drug plans
- How to Check Your Medicare Application Status Online @ medicreinsuranceaz.com (06/24)
  - How to check the status of your Medicare application
    - Through your online Medicare account
    - Online through your Social Security account
    - Calling the Social Security Administration at 1-800-772-1213
    - Visit your local Social Security office branch
  - Check Enrollment Page on your Online Medicare Account
    - Medicare.gov (06/24)
    - Click "Log in/create an account" in the top right
    - Create an account if you don't already have one
    - Log in to your account
    - Click the "Check enrollment" page
    - You should see the status of your application and any other information
      about your benefits
  - Check your application on your online Social Security Account
    - SSA.gov (06/24)
    - Click "Check application or appeal status" in the top central banner
    - Sign in or follow the steps to create an account
    - Select "Your benefit application"
    - Click on "View Details"
SSA-44 Medicare IRMAA, Life-Changing Event
- Lower IRMAA @ ssa.gov (10/25)
  - Sign in and search for SSA-44
  - Complete the form, save it to your device
  - Visit SSA's "Upload your request" page
  - SSA Upload Documents Page @ ssa.gov (10/25)
  - Sign in to your account
  - Upload the completed form and any supporting documents
- SSA-44.pdf @ ssa.gov (2024 edition) (10/25)
- You can submit the form and related documents electronically through the
  SSA's upload portal, in person, or by mail
Information
- You can Appeal a Medicare Premium Surcharge @ kiplinger.com (05/24)
  - Seniors who enroll in a Medicare Advantage plan that includes drug coverage
    are also subject to a surcharge
  - For purposes of calculating the surcharge, MAGI consists of your adjusted gross
    income
  - The most common life change that leads to a reconsideration of the surcharge is
    retirement
  - Social Security recalculates your income every year (but with a two-year lag)
  - If a drop in income is due to retirement, include a copy of the tax return
    for the year your income declined, along with a letter from your former employer
    stating that you've retired.
  - You can mail or fax the form and supporting documents to your local Social Security
    office, or take it there in person
  - Medicare beneficiaries contesting their IRMAA typically visit a Social Security
    office to file an appeal or supply supporting documents
- When Does Medicare Coverage Start @ medicare.gov (05/24)
  - Special Enrollment Period (IF you have coverage from an employer) OR
  - 8 months after coverage ends for Parts A and B
  - 63 days after coverage ends for Parts C and D
  - You will pay STIFF PENALTIES if you enroll late
- Avoid Late Enrollment Penalties @ medicare.gov (08/24)
  - You may be able to ask for a "reconsideration"
  - Your drug plan will send you information about how to request a reconsideration
  - You must complete the form, and send it within 60 days from the letter's date
  - Also send any proof that supports your case, like a copy of your notice of
    creditable prescription drug coverage from an employer
  - In general, Medicare's contractor makes a reconsideration decision within 90 days
  - By law, the late enrollment penalty is part of the premium, so you must pay the
    premium even if you don't agree with it
  - You must also pay the penalty even if you've asked for a reconsideration
  - IF Medicare's contractor decides that your late enrollment penalty is correct,
    the Medicare contractor will send you a letter explaining the decision, and you
    must pay the penalty.
Part A
- Pays for hospital stays
- Deductible is $1,632 in 2024
Part B
- Sign up for Part B only
  - Sign Up for Part B Only @ ssa.gov (05/24)
  - Form CMS 40B Application for Enrollment in Medicare Part B (pdf) (05/24)
- Medicare premiums for 2024
  - Medicare Premiums 2024: IRMAA for Parts B and D @ kiplinger.com (05/24)
    - Earning < $206,000: Part B (+$0.00); Part D (+$0.00)
    - Earning < $258,000: Part B (+$69.90); Part D (+$12.90)
    - Earning < $322,000: Part B (+$174.70); Part D (+$33.30)
    - Earning < $386,000: Part B (+$279.50); Part D (+$53.80)
    - You should submit a Medicare IRMAA Life-Changing Event Form (PDF)
  - 2024 Medicare Parts B Premiums and Deductibles @ cms.gov (05/24)
    - Medical insurance component of the Medicare program
    - Pays for doctor's office visits, medical equipment, and outpatient procedures
    - Deductible is $240 in 2024
    - BASE Monthly premium is $174.70 for 2024
  - Premiums for high earners
    - High earners may pay significantly more
    - Medicare uses your Modified Adjusted Gross Income to determine your premiums
    - Earning < $206,000: $174.70
    - Earning < $258,000: $244.60
    - Earning < $322,000: $349.40
    - Earning < $386,000: $454.20
    - Earning < $750,000: $559.00
  - Medicare Premiums @ ssa.gov (06/24)
    - Use Form Medicare Income-Related Monthly Adjustment Amount -
      Life-Changing Event to report a major life-changing event
    - If your income has gone down, you may also use Form SSA-44 to request a
      reduction in your income-related monthly adjustment amount
    - The fastest and easiest way to file an appeal of your income-related monthly
      adjustment amounts is online
  - Appealing a Higher Part B or Part D Premium (IRMAA) @ medicareinteractive.org (06/24)
- How to pay for Part A & Part B Premiums
  - How to Pay Part A & Part B Premiums @ medicare.gov (06/24)
    - Most people don't get a premium bill from Medicare because they get
      their Medicare Part B (Medical Insurance) premium deducted automatically
      from their Social Security benefit payment
    - If you pay for Part B only, you will get a bill every three months
    - If you applied for Medicare to start in August, you'll receive a bill
      in July for your August, September, and October Part B premiums
    - If you also pay for Part A or a Part D IRMAA surcharge, the bill you
      receive in July will be for August's premium
    - If you pay for Part D IRMAA, you will get a bill every month
    - All Medicare bills are due on the 25th of the month
    - You are always paying your premiums in advance (Medicare A, B, C, and D)
    - Social Security benefits are paid in ARREARS (the benefit check you
      receive is for the previous month). Medicare premiums are paid in
      ADVANCE of coverage.
  - Medicare Premium Bill (CMS-500)@ medicare.gov (06/24)
    - It is a bill for people who pay Medicare directly for their Part A premium,
      Part B premium, and/or Part D IRMAA
    - Your bill will arrive around the 10th of the month
Part D
- Medicare Care Part D - Prescripton Plans @ ehealthinsurance.com (05/24)
- Medicare Part D Plans @ ehealthmedicareplans.com (05/24)
- How to Get Prescription Drug Coverage @ medicare.gov (05/24)
  - There are two ways to get Medicare drug coverage
    - Medicare drug plan
    - Medicare Advantage Plan (Part C)
  - 6 Tips for Choosing Medicare Drug Coverage @ medicare.gov (05/24)
- 2024 Projected Medicare Part D Premium @ cms.gov (05/24)
- If you go 63 days without drug coverage, you will pay a late enrollment penalty
- Average nationwide monthly premium for 2024 is $55.50
- Highest deductible is $415; lowest deductible is $0
- Medicare uses your Modified Adjusted Gross Income to determine extra cost of your premiums
  - Earning < $206,000: $55.50 + $0.00
  - Earning < $258,000: $55.50 + $12.90
  - Earning < $322,000: $55.50 + $33.30
  - Earning < $386,000: $55.50 + $53.80
  - Earning < $750,000: $55.50 + $81.00
- Monthly Premium for Drug Plans @ medicare.gov (06/24)
  - Most people only pay their Part D premium
  - If you have a higher income, you might pay more for your Medicare drug coverage
  - You'll also have to pay this extra amount (Part D-IRMAA) if you're in a
    Medicare Advantage Plan that includes drug coverage
  - Social Security will contact you if you have to pay Part D IRMAA, based on
    your income
  - You pay your Part D IRMAA directly to Medicare, not to your Advantage plan
  - How to Pay Part A and Part B (and D) Premiums @ medicare.gov (06/24)
    - All Medicare bills are due on the 25th of the month
- Coverage gap (the "Donut Hole")
  - Medicare Donut Hole @ smartasset.com (05/24)

Top of Page

Medicare Advantage

Good or Bad?
- 10 Reasons Why Medicare Advantage Enrollment is Growing and Why it Matters @ kff.org (07/24)
  - Medicare Advantage enrollment has more than doubled since 2010 and is projected
    to grow from 54% of the eligible population in 2024 to 60% by the end of this decade
  - Medicare will pay Medicare Advantage plans an estimated 123% of the cost of
    similar beneficiaries in traditional Medicare, on average, in 2024
  - People with Medicare are drawn to Medicare Advantage for the extra benefits
  - Medicare Advantage enrollees are required to pay the Medicare Part B premium,
    but unlike beneficiaries in traditional Medicare, they typically do not pay a
    separate premium for additional coverage or for Part D prescription drug premium
    because Medicare Advantage rebate dollars cover these costs
  - Premiums for Part D stand-alone prescription drug plans that supplement traditional
    Medicare are rising rapidly.
  - People with Medicare are attracted to the financial protection that comes with
    an annual out-of-pocket limit that Medicare Advantage plans are required to provide.
  - Beyond financial benefits, people with Medicare are attracted to the simplicity
    and convenience of Medicare Advantage
  - Insurers are marketing Medicare Advantage aggressively
  - Brokers have a financial incentive to encourage enrollment in Medicare Advantage plans
  - A growing share of large employers are shifting their Medicare-age retirees into
    Medicare Advantage plans for both Medicare and supplemental benefits
  - Medicare beneficiaries may be reluctant to switch from Medicare Advantage to
    traditional Medicare if they run the risk of being denied a Medigap policy due to a
    pre-existing condition
  - Beneficiaries may not be familiar with potential tradeoffs in choosing Medicare
    Advantage over traditional Medicare
- Sources of Coverage @ kff.org (07/24)
  - Medicare Advantage enrollment has surpassed 50% of total Medicare enrollment
    as of 2023
- Why are Medicare Advantage Plans Considered Bad @ askchapter.org (07/24)
  - On Original Medicare, you can see any doctor who accepts Medicare (which is
    about 90% of doctors across the US)
  - Medicare Advantage plans, however, have provider networks
  - Unlike Original Medicare, Medicare Advantage plans do have out-of-pocket maximums
  - But when you compare out-of-pocket costs to those paid by Medigap enrollees,
    you might just faint
  - Most Medigap plans don’t have an out-of-pocket max
  - On Plan G, once you've met your Part B deductible (which is $240 in 2024),
    you don't owe anything else for covered services in that year
  - Medicare Advantage plans can require plan holders to get prior authorization
    before receiving a service
  - Original Medicare does not have prior authorization requirements
  - Prior authorization denials are on the rise
  - Advantage plans change each year
  - Original Medicare (Part A and Part B) has its downsides; it doesn't pay about
    20% of costs and there's no out-of-pocket maximums
  - Original Medicare also doesn't cover prescriptions
  - Consider current and future needs
  - Medicare Advantage premiums are lower than Medigap premiums
  - One of the catches with Medigap plans is that you aren't guaranteed acceptance
    into the plans outside of your Medigap Open Enrollment Period, which occurs during
    the first six months that you have Part B coverage
  - If you want a Supplement plan that doesn't require prior authorizations,
    has no network limitations, and significantly reduces your out-of-pocket costs
    as you get older, you should enroll in a Medigap plan when you first sign up for Medicare
- What are the Advantages and Disadvantages of Medicare Advantage Plans @ healthline.com (07/24)
  - Original Medicare only offers two types of coverage: hospital insurance and
    medical insurance. If you want additional coverage, you’ll need to purchase
    Medicare Part D for prescription drug coverage and Medigap for supplemental coverage.
  - With a Medicare Advantage plan, all your coverage options are in one convenient plan.
Basic Information
- Special Enrollment Periods @ medicare.gov (05/24)
  - Starting January 1, 2024, if you sign up for Part A and/or Part B because of an
    exceptional situation, you'll have 2 months to join a Medicare Advantage Plan
    (with or without drug coverage) or a Medicare drug plan (Part D). Your coverage
    will start the first day of the month after the plan gets your request to join.
- You must have Medicare Parts A & B to join a Medicare Advantage plan
- Understanding Medicare Advantage Plans @ medicare.gov (05/24)
  - If you're in a plan that doesn't offer drug coverage, and you don't have a
    Medicare drug plan or other creditable prescription drug coverage, you may have to
    pay a late enrollment penalty if you decide to join a Medicare drug plan later
- Compare Original Medicare & Medicare Advantage @ medicare.gov (05/24)
- Medicare Advantage Plans @ medicare.gov (05/24)
  - HMO = must use doctors in network
  - HMOPOS (HMO Point of Service) = MAY allow you to get some services out of network,
    for a higher copay
  - PPO (Preferred Provider Organizations)
    - You can generally go to out-of-network providers, but you'll pay more
    - You can use any doctor or hospital that accepts Medicare
    - You don't have to choose a primary care doctor
    - You don't need a referral to use a specialist
  - Compare Types of Medicare Advantage Plans @ medicare.gov (05/24)
- Medicare Part C @ smartasset.com (05/24)
- Compare Types of Medicare Advantage Plans @ medicare.gov (05/24)
Joining a Plan
- CMS Medicare Online Enrollment Center @ medicare.gov (06/24)
- Joining a Plan @ medicare.gov (06/24)
  - You need your Medicare Number and Part A and/or Part B coverage start dates
  - Starting Jan 2024, if you sign up for Part B during a SEP, you'll have 2 months
    to join a plan
  - Coverage usually begins the first of the month after the plan gets your request
  - Talk to a trusted agent or broker
  - Contact the plan to join -- call them or visit their website
    - Request an Apointment with a Licensed Humana Sales Agent @ plans.humana.com (06/24)
    - Plans @ humana.com (06/24)
    - Select "Enroll" for the plan you want to join
- HumanaChoice (PPO) H5216-358 ($60 giveback)
  - Summary of Benefits @ humana-medicare.com (06/24)
  - Provider Directory @ finder.humana.com (06/24)
  - Pharmacy Finder @ finder.humana.com (06/24)
  - List of Covered Drugs for Medicare @ humana.com (06/24)
  - Your 2024 Evidence of Coverage @ humana-medicare.com (06/24)
  - 2024 Medicare Star Ratings @ humana-medicare.com (06/24)
- HumanaChoice (PPO) H5216-352 ($0 giveback)
  - Your 2024 Evidence of Coverage @ humana-medicare.com (06/24)
Our Doctors
- Find a Doctor @ humana.com (06/24)
- Personal doctors
  - Dr. Roger Clifford, chiropractor (in network H5216-358)
  - Dr. P. Andrew Benson, prosthodontist (not in database or network)
  - Dr. Jeremiah B. Cook, periodontist (not in network)
  - Dr. Lewis Frazee, ophthalmologist (in network H5216-358)
  - Dr. Donna Haas, optomitrist (not in network)
  - Dr. Marvin Hsiao, cornea (in network)
  - Dr. Kellvan Cheng, podiatrist (in network at another location)

Specific Plans @ ehealthmedicareplans.com

Medicare Advantage Plans @ eHealthmedicareplans.com (05/24)

Plan	H5216-352	H5216-358	H1278 013 (AARP)
Giveback	$0	$60	$0
$Max in-network	$5,800	$7,500	$6,300
$Max out-network	$9,550	$12,850	$9,550
Primary Dr in-network	$0	$0	$0
Primary Dr out-network	$25	$25	$25
Specialist in-network	$35	$45	$0-$35
Specialist out-network	$65	$65	$65
Dental	$2,000	$1,500	$1,000
Glasses	$200	$150	$250
Eye Exams	$75	$75	$0 for 1 visit
Hearing	Covered	Covered	Covered
Chiropractor in-network	$20	$15	$15
Chiropractor out-network	$20	50%	65%
Hospital Deductible	$0	$0	$0
Hospital Stay	Unlimited	Unlimited	Unlimited
Hospital Stay in-network	Days 1-5: $290	Days 1-7: $320	Days 1-6: $325
Ambulatory Surgery Center in	$0-$255	$0-$250	$0-$275
Ambulatory Surgery Center out	40%-45%	40%-45%	40%
Diagnostic Tests in-network	$0-$90	$0-$175	$50
Lab Tests in-network	$0-$55	$0-$55	$0
Drug Deductible	$0	$395	$260
Drug Donut Hole	$5,030-$8,000	$5,030-$8,000	$5,030-$8,000

HumanaChoice H5216-352 (Local PPO) (05/24)
- Part B give back: none
- Out-of-pocket maximum: in-network: $5,800; any provider: $9,550
- Prescription drugs
  - Tier 1 (preferred generic): $0 (30-day supply)
  - Tier 2 (generic): $5.00 (30-day supply)
  - Tier 3 (preferred brand): $45.00 (30-day supply)
  - Tier 4 (non-preferred brand): $99.00 (30-day supply)
  - Deductible: $0
- Dental: $2,000 allowance every year
- Vision: eyewear: $200/year; eye exams: $75/year
- Specialist visit: in-network: $35 copay; out-of-network: $65 copay
- Eyeglasses: in-network: $0; out-of-network: $0
- Yearly dental exam; two free cleanings/year; dental X-rays once every 5 years
- Annual eye exams; glaucoma screenings; diabetic eye exams
- HER940 mandatory supplemental hearing benefit
- DEN374 medicare-covered dental
- VIS692 mandatory supplemental vision benefit
- Summary of Benefits (PDF) (05/24)
HumanaChoice H5216-358-0 (Local PPO) (05/24)
- Non-members: 1-800-833-2364; Members: 1-800-457-4708
- Humana sales agent: 1-800-967-1591
- Schedule an appointment: 1-866-991-2293
- Request Appointment @ plans.humama.com (08/24)
- Website: Plan website (08/24)
- Part B give back: up to $60 every month
  - Part B Giveback Benefit @ humana.com (06/24)
- Out-of-pocket maximum: in-network: $7,500; any provider: $12,850
- Prescription drug
  - Tier 1 (preferred generic): $0 (30-day supply)
  - Tier 2 (generic): $5.00 (30-day supply)
  - Tier 3 (preferred brand): $47.00 (30-day supply)
  - Tier 4 (non-preferred brand): $100.00 (30-day supply)
  - Deductible: $395 (Tier 3, 4, and 5)
- Pharmacy Plan:
- Dental: $1,500 allowance every year
- Vision: eyewear: $150/year; eye exams: $75/year
- Specialist visit: in-network: $45 copay; out-of-network: $65 copay
- Eyeglasses: in-network: $0; out-of-network: $0
- Yearly dental exam; two free cleanings/year; dental X-rays once every 5 years
- Annual eye exams; glaucoma screenings; diabetic eye exams
- DEN365 mandatory supplemental dental benefit
- VIS751 mandatory supplemental vision benefit
  - Eyewear (post cataract surgery) $0 copay (in network); $0 copay (out of network)
- HER937 mandatory supplemental hearing benefit
- Summary of Benefits (PDF) (05/24)
- 2024 Evidence of Coverage @ ehealthmedicareplans.com (06/24)
- Humana Medicare Plan Documents @ plandocs.humana.com (06/24)
- Find a Doctor @ humana.com (06/24)
- Humana Dental Medicare Network
  - Humana.com > Find a doctor > Dentist icon >
    From the Distance drop down select the preferred distance >
    Enter Zip code > All Dental Networks > HumanaDental Medicare
- Humana Medicare Insight Network (Vision)
  - The provider locator for the Humana Medicare Insight Network for
    routine vision can be found at Humana.com > Find a Doctor >
    select the Vision Care icon > select Medicare >
    select Medicare Advantage plans
  - Network: Insight Network @ humana.com (06/24)
  - LensCrafters is a PLUS Provider (glasses) - $150 allowance
  - Out of network provider (glasses): $100 allowance
AARP Medicare Advantage from UHC TX-0005 - H1278 013 (05/24)
- Part B give back: none
- Out-of-pocket maximum: in-network: $6,300; any provider: $9,550
- Prescription drug deductible: $260

Top of Page

Medicare Supplemental

Supplemental Plans (Medigap)
- Medigap Basics @ medicare.gov (07/24)
  - You get a 6-month "Medigap Open Enrollment" period, which starts the first month
    you have Medicare Part B and you're 65 or older. During this time, you can enroll in
    any Medigap policy and the insurance company can't deny you coverage due to
    pre-existing health problems. After this period, you may not be able to buy a Medigap
    policy, or it may cost more. Your Medigap Open Enrollment Period is a one-time
    enrollment. It doesn't repeat every year, like the Medicare Open Enrollment Period.
  - All Medigap policies are standardized.
  - Policies with the same letter offer the same basic benefits no matter where you
    live or which insurance company you buy the policy from
  - There are 10 different types of Medigap plans offered in most states, which are
    named by letters: A-D, F, G, and K-N
  - Price is the only difference between plans with the same letter that are sold by
    different insurance companies
  - If you have a Medicare Advantage Plan, you can't buy a Medigap policy. If you
    want to switch to Original Medicare and buy a Medigap policy, contact your Medicare
    Advantage Plan to see if you're able to disenroll.
  - If you enroll in Medigap for the first time, it won't include drug coverage.
    If you want prescription drug coverage, you can join a separate Medicare drug plan
    (Part D).
- Compare Plan Benefits @ medicare.gov (07/24)
  - The Medigap policy will only pay your coinsurance after you've paid the
    deductible (unless the Medigap policy also covers your deductible).
- Your Medigap Open Enrollment Period @ medicare.gov (07/24)
- Buying a Medigap Policy @ medicare.gov (07/24)
- Find a Medigap Policy that Works for You @ medicare.gov (07/24)
  - Use AARP United Medical, Blue Cross Blue Shield, AARP (not Aetna or Humana)
  - Use PPO, not HMO
  - For 72 year old female, non smoking
    - Plan A: AARP UnitedHealthcare = $132/mo
    - Plan F (high deductible of $2,800): BlueCross Blueshield = $78/mo
    - Plan G (high deductible):
  - For 81 year old male, non smoking
    - Plan A: AARP UnitedHealthcare = $197/mo
    - Plan F (high deductible of $2,800): BlueCross Blueshield = $114/mo
    - Plan G (high deductible): BlueCross Blueshield = $105/mo
      - Premiums are low for younger buyers, but go up as you get older
        and can eventually become the most expensive.
    - Plan K: AARP United Healthcare = $118/mo
      - Premiums are the same no matter how old you are.
      - Premiums may go up because of inflation and other factors.
- Why are Medicare Advantage Plans Considered Bad @ askchapter.org (07/24)
  - On Original Medicare, you can see any doctor who accepts Medicare (which is
    about 90% of doctors across the US)
  - Medicare Advantage plans, however, have provider networks
  - Unlike Original Medicare, Medicare Advantage plans do have out-of-pocket maximums
  - But when you compare out-of-pocket costs to those paid by Medigap enrollees,
    you might just faint
  - Most Medigap plans don’t have an out-of-pocket max
  - On Plan G, once you've met your Part B deductible (which is $240 in 2024),
    you don't owe anything else for covered services in that year
  - Original Medicare does not have prior authorization requirements
  - Original Medicare (Part A and Part B) has its downsides; it doesn't pay about
    20% of costs and there's no out-of-pocket maximums
  - Original Medicare also doesn't cover prescriptions
  - Medicare Advantage premiums are lower than Medigap premiums
  - One of the catches with Medigap plans is that you aren't guaranteed acceptance
    into the plans outside of your Medigap Open Enrollment Period, which occurs during
    the first six months that you have Part B coverage
  - if you want a Supplement plan that doesn't require prior authorizations,
    has no network limitations, and significantly reduces your out-of-pocket costs
    as you get older, you should enroll in a Medigap plan when you first sign up for Medicare
Add-ons
- Humana MyOption OSB (optional supplemental benefits)
  - Medicare Dental Benefits @ humana.com (05/24)
Pharmacy Savings Cards
- Comparisons
  - Best Prescription Discount Cards @ verywellhealth.com (05/24)
    - Best overall: GoodRx
    - Best for future savings: SingleCare
- GoodRX (05/24)
  - Discount Card (05/24)
    - While the Prescription Savings Card will often help you save at the pharmacy,
      it may not always provide you with the most current listed coupon price
    - To receive the coupon price listed on our website or mobile app, you must
      present the most current online coupon to the pharmacist
  - GoodRx Gold (05/24)
    - Individual plan: $9.99/mo
    - Family plan: $19.99/mo
  - Amoxicillin, 500mg, 21 count
    - CVS pharmacy: retail $11.71; GoodRx: $8.99
    - Kroger: retail: $10.31; GoodRx: $7.30
    - Target: retail: $12.80; GoodRx: $10.41
    - Tom Thumb: retail: $20.38; GoodRx: $10.75; GoodRx Gold: $3.25
    - Walgreens: retail: $14.58; GoodRx: $8.10; GoodRx Gold: $3.10
    - Walmart: $13.86 (1-61 days)
- SingleCare (05/24)
  - Use the card at CVS, Walgreens, Walmart, Kroger, Tom Thumb, etc
  - Save up to 80% on your presciption medications
  - Search prescriptions, choose a free coupon, and show it to your pharmacist
  - Amoxicillin, 500mg, 21 count
    - $4.34: Walgreens, Tom Thumb
    - $4.81: Kroger
    - $8.99: CVS
    - $13.49: Walmart
    - Generic Amoxicillin: $13.38
    - SingleCare Generic Amoxicillin: $8.35
  - You can use SingleCare even if you have Medicare
  - Some pharmacies (Walgreens, Walmart, and CVS) feature signature SingleCare
    cards that will maximize your savings at those pharmacies
    - CVS SingleCare Discount Card (05/24)
    - Kroger SingleCare Discount Card (05/24)
    - Walgreens SingleCare Discount Card (05/24)
    - Walmart SingleCare Discount Card (05/24)

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Veterans Administration

Disability Claim
- File Disability Claim Form 21-526EZ (02/26)
Agent Orange
- Agent Orange @ va.gov (02/26)
  - Compensation provides tax-free monthly payments
  - Respiratory cancers (including lung cancer)
  - Between January 9, 1962, and May 7, 1975, you must have served
    for any length of time in at least in the Republic of Vietnam
  - We have a presumptive exposure and a presumptive condition

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Equipment

Information About Lift Chairs
- How to Choose a Lift Chair from Med Mart @ youtube.com (02/26)
  - Small: up to 5' 4"; medium: 5' 4" - 5' 10"; large: 5' 10" - 6' 4"
  - Two-position chair
    - Uses 1 motor
    - Allows the chair to tilt back to a semi-recline position
    - Is mainly for someone who just needs help standing up
  - Three-position chair
    - Uses 2 motors
    - You can tilt the chair back, sometimes almost to a sleeping position
    - The back and the leg rest will come up together; you can't have
      independent controls
  - Infinity position
    - Almost complete independent control of the back and the legs
    - You can get into a position called zero gravity
  - Additional options
    - Hidden cupholders
    - Built-in heat, built-in massage
    - Adjustable head rests
    - Lumbar support
  - MedMartOnline (02/26)
- How to Properly Stand Up from a Lift Chair from Med Mart @ youtube.com (02/26)
  - Sit back in the lift chair
  - Place your stronger leg tight against the closed leg rest
  - Place your weaker leg extended forward a little bit
  - Press the button to raise the lift chair
  - Step onto your stronger leg and stand up
  - If necessary you can use your stronger leg to drop back into the lift chair
- Overview of Golden Lift Recliners @ youtube.com (02/26)
  - Zone 1: legs and feet
  - Zone 2: upper body (back) -- back to fully horizontal position
  - Zone 3: head and neck adjustment
  - Zone 4: lumbar support
  - Zone 5: Twilight Tilt (tilt the entire chair)
  - Preprogrammed buttons
    - ZG+ = zero gravity plus
    - Rejuve mode = raise legs and head higher than heart (edema)
    - TV mode
  - Lift you out of the chair
    - Arc mode
    - Vertical mode
  - Battery backup
    - 9V battery backup -- 2 9V batteries
    - Lithium Ion option
  - Remote can be disconnected and replaced
  - Lifetime warranty, 3-year electrical warranty, 1 year fabric
  - Heat Wave technology, optional
  - Vibrating massage, optional
Golden Lift Chair
- Local dealers
  - Retail Locator (02/26)
  - Choice Medical Equipment (02/26)
    - 1173 Bent Oaks Dr, Denton, TX 76210
    - Hours: Mon-Fri 9am-5pm
    - Phone: 940-380-0455
    - Valerie Parson: 940-380-0455 ext 915
    - Email: don@choicemedicalequipment.com
    - Northern route
      - FM 423 N ==> 380 W ==> Loop 288 S ==>
      - Cross 35E and continue S on Lillian Miller Pkway ==>
      - Continue S on Teasley Ln ==> cross Sundown Blvd
      - South of Fire Station 6 on W side
    - Southern route
      - Eldorado W ==> W across the toll bridge ==>
      - W across I-35 ==>
      - Swisher Rd becomes Teasley Ln, 2181
      - W Teasley Ln turns N ==>
      - Past Texas Center for Oral Surgery
      - W side (south of Fire Station 6)
    - Usually has 12-23 chairs
    - We allow our customers to try their equipment in the store,
      before they rent or buy it
    - PURCHASED MY GOLDEN LIFT CHAIR HERE
  - Mobility City of North Texas (02/26)
    - 9720 Coit Rd, Ste 180, Plano, TX 75025
    - Hours: Mon-Fri: 10:00am-6:00pm; Sat: 10:00am-2:00pm
    - Normally does not have any lift chairs in stock
    - Phone: 972-292-9428
- Lift Recliners @ goldtentech.com (02/26)
  - Cloud with Twilight - Small/Med, Model PR515 (02/26)
    - BEST SELLER; THIS IS WHAT I BOUGHT; BRISA COFFEE BEAN
    - Two Sizing Options – Small/Medium and Medium/Large
    - 5 Comfort Zones, Twilight Technology
    - Custom bucket seat and plush backrest
    - 5-Zone positioning system (Twilight, MaxiComfort, adjustable headrest
      and lumbar support)
    - Golden Twilight Power Lift Chair Recliner Video @ youtube.com (02/26)
    - Specifications
      - Overall Width: 35.5"
      - Overall Height: 44"
      - Seat Width: 23.5"
      - Floor to Top of Seat: 20"
      - Seat Depth: 18.5"
      - Seat to Top of Back: 28"
      - Seat to Top of Arm: 8"
      - Distance Required from Wall Reclined: 23"
      - Extension Reclined from Back of Seat to End of Foot Rest: 43"
Standing Aids
- HOW TO STAND UP
  - Trouble Standing Up from a Low Chair by Dr. Dave Candy @ youtube.com 02/26)
    - Hip and knees are approximately the same level
      - Nose Over Toes, or Hip Hinge (head down, bottom up)
      - Place hands on seat near your legs
      - You can scoot closer to the edge of the chair
      - Bend over with nose over toes
      - Rear end is sticking out over the chair
      - Use you arms on the seat of the chair to push you up
      - Hips rise and weight is loaded over your feet
      - Straighten your hips to rise
      - IF YOU HAVE A HIP INJURY
        
        Continue dropping your head toward the floor
        Let your hands touch the floor
        Then straighten you upper body
- Elderly Assis Portable Couch Standing Aid @ amazon.com ($47.86) (02/26)
- Elder Assis Portable Couch Standing Aid @ ibspot.com ($117.65 + $5.95 shipping) (02/26)
- ETAC Turner PRO Patient Transfer Aid @ amazon.com ($389.98) (02/26)
- Addicyn Padded Banquet Folding Chair @ wayfair.com ($199.99) (02/26)
  - This is a small, folding wheel chair
Covers/Sheets for Recliners
- Protective Covers
  - Seat is 23.5" wide and 18.5" deep
  - Allman Reuseable Underpad @ cvs.com (02/26)
    - 30" x 35" ($29.99)
    - 30" x 70" ($34.99)
  - Mattress Garters
    - IKEA Julkatus Elastic Strap @ ikea.com ($5.99/4 pack) (02/26)
      - Article 704.367.96
      - These are like adjustable suspenders, not garters
  - H.VERSAILTEX 100% Waterproof Electric Power Lift Recliner Cover @ amazon.com ($39.95) (02/26)
  - VANSOFY 100% Waterproof Recliner Chair Covers @ amazon.com ($23.99) (02/26)
    - COMES IN MULTIPLE SIZES (width of seat)
Plastic Floor Protector
- IKEA KOLON Floor Protector @ ikea.com (47" x 40"; $19.99) (02/26)
  - Article Number: 448.811.00
  - More for wooden floors than for carpet
- Realspace Medium Pile Chair Mat, 36" x 48", Clear @ officedepot.com ($57.99) (02/26)
  - Item #826636
  - In stock at 2930 Preston Rd, Frisco, TX 75034
    - SE corner of Preston & Gaylord Pkway
    - Preston Rd S ==> Gaylord Pkway E ==> 1st right turn
    - Behind In-N-Out Burger; next to Sally's Beauty
    - Hours: 8am-8pm
Sheets
- Notes
  - Our matress pad is 30" x 70"
  - Sheet would need to be about 24" wide and 91" long
    (body only, with drape)
  - Sheet would need to be 77" wide to have full "arms"
  - A standard twin flat sheet is 66" wide by 96" long
  - A cot sheet is 31" x 75" (for narrow twin, RVs, Bunk, Split Queen)
- Cot Sheets, 25" x 75"
  - Cot Sheet Set, 4-piece, 25"x75", 6"-10" deep @ amazon.com ($23.99) (02/26)
    - White, wheat, navy blue
    - Ships from Amazon
    - Has three sizes: 25"x75", 30"x75", and 33"x75"
  - Camping Cot Sheets, 25" x 75", Taupe, 4 Piece @ walmart.com ($59.99) (02/26)
    - Pocket Fitted Sheet: 25" x 75" x 8" deep
    - Flat Sheet: 64" x 94"
    - Two pillowcases: 20" x 30"
- Cot Sheets, 30" x 75"
- Cot Sheets, 31" x 75"
  - NOBRAND Fitted Cot Sheet, 31" x 75", white @ walmart.com ($22.99) (02/26)
Thin Pillow
Side Tables
- List of C-shaped Tables with 360-degree Swivel @ walmart.com (02/26)
  - Beuway 20in C-Shaped Side Table, Brown @ walmart.com ($31.99) (02/26)
    - Tabletop measures 19.68 x 13 inches
    - Item Size: 19.68" x 13" x 31.5"
    - Maximum load-bearing capacity of up to 50 pounds
  - Buric C-shaped Adjustable Sofa Side Table, 360-degree swivel @ walmart.com ($39.99) (02/26)
    - Adjustable height from 17.7-31.5"
    - Tabletop is 11.81" x 15.74"
    - Tabletop can rotate a full 360 degrees
- List of C-Shaped Tables with 360-degree Swivel @ amazon.com (02/26)
  - Adjustable Height C-Shaped Double Tabletop @ amazon.com ($92.99) (02/26)
  - GraceNook C-Shpae End Table @ amazon.com ($159.09) (02/26)
    - 15.74" D x 23.5"W x 22.4"=30.55" H
Overbed Tables
- Lift Chair Overbed Table @ medmartonline.com ($307.00) (02/26)
- Perfect Sleep Chair by Journey Health @ restoremobility.com ($2195.00) (02/26)
  - Overbed Lift Chair Table: $225.00
- Overbed Table with Wheels @ target.com ($76.69) (02/26)
  - Overbed Table @ wayfair.com ($76.99) (02/26)
  - Height range: 23.6"-35.4"
  - Length range" 31.5"-47.2" (left to right)
  - Fits perfectly over SINGLE beds
  - Laptop table: 31.5" x 15.75" (I think)
  - Can support up to 350 lbs
Toilet Safety Rail
- Loyoda Adjustable Toilet Safey Rail @ walmart.com ($39.99) (02/26)
Toilet, Bedside
- Equate Steel Foldable 3-in-1 Bedside Toilet @ walmart.com (Aisle G5; $98.37) (02/26)
  - Folds easy for storage
  - Has an elongated seat that feels more like a traditional toilet seat
  - Splash guards included for over-toilet use
  - Adjustable seat height: 16"-22"
  - Seat depth: 16"
  - Seat width: 19"
  - Width between arms: 19"
  - Front to back: 22"; side to side: 22"
  - OVERALL PICK
  - Assembly Instructions
    - Open commode frame and place on the floor
    - Slide the hook on the bucket frame over the receptacle located on the
      back of the commode frame
    - Secure bucket frame in place by inserting the front cross brace into
      the receptacles located on the front of the commode frame. The push
      buttons will "click" in place when they are secure
    - Turn the frame upside-down
    - Insert the legs into each receptacle by depressing the push pins and
      sliding into place. The push buttons will “click” in place when they
      are secure.
    - Turn the commode right-side up
    - Insert the backrest into the receptacles located on the back of the
      commode frame by depressing the push pins and sliding into place.
      The push buttons will "click" in place when they are secure
    - Note: The angle of the backrest should face outwards
    - Attach the toilet seat and cover to the back of the frame. The toilet
      seat hooks should fit inside the hooks of the cover
    - Lower commode bucket into frame and return seat to the down position
    - Commode has been assembled
    - Adjusting Leg Height
      - Before use, adjust height of each leg to your specific needs,
        making sure all legs are at the same height. When desired height is
        reached, lock legs into place by aligning buttons into proper holes
      - Be sure legs are locked into place by pushing down on or by
        pulling legs
- Equate Commode Liner Bags, 24 count @ walmart.com (Aisle G5; $21.64) (02/26)
- Naipo 3-in-1 Medical Bedside Commode @ walmart.com (free shipping; $39.99) (02/26)
  - Functions as a bedside commode, a raised toilet seat, or safety
    rails around a regular toilet
  - Best Seller
Elevated Toilet Seat
- Adds 5" in height to standard (round) toilet bowls
Call Button & Pager
- CallToU with Two Transmitters, 1 Plug-in Receiver, 1 Battery Portable @ walmart.com ($31.99) (01/26)
  - FULFILLED BY WALMART; CAN BE HERE TOMORROW;
    ordered this on 1/30/2026
  - Model: CC05BL 2-2
    - Includes 2 transmitters
    - 1 plug-in receiver and 1 battery receiver
    - Uses 3 AAA batteries in the receiver
    - Uses 1 12V 23A battery in the call button
  - The system with 2 chimes/receivers for large house allows you to set
    one in bedroom to wake you up when wireless signal comes in. Another
    could set in other floor, passage or any other location with an electric outlet
  - Call button rings both recievers at the same time which will make the AAA
    batteries in the portable need to be changed more often
  - It's not a device that stays on long, so so your loved will have to re-press
    their call button again if you missed hearing or seeing the flash
  - The device is easy to setup, like plug and play. Plug in the wall receiver
    and it's already set to the dongle a person wears. Be careful after you plug
    it in. The volume is extremely loud so lower it after you plug it in.
  - How to change ringtone or pair more transmitters
    - Step 1: Press the "music change" button on the receiver to choose your
      favorite melody.
    - Step 2: Press and hold down the volume button, until it makes a "Ding"
      sound and the receiver indicator flashes.
    - Step 3: Press the call button quickly, it will makes a "Ding-Ding" sound
      and the receiver indicator flashes.
    - Step 4: Press the call button again to confirm whether the current
      ringtone is the one you have set; if yes,the pairing is completed.
    - You can expand your existing CallToU caregiver pager system with
      up to 55 transmitters and 20 receivers
  - Videos
    - Videos @ amazon.com (02/26)
      - How to Attach the Lanyard
      - How to Replace the Battery in the Call Button
      - How to Pair Call Buttons with the Receiver
        
        Plug the receiver into AC socket
        Receiver will chime when it receives power
        Press the [<<] key or [>>] key to cycle through the possible chimes
        Press and hold the [<<] key for 5 seconds, until the LED flashes
        and you near a "ding" sound
        Press the call button to send signal
        Press the call button again to confirm the pairing
      - Does It Work? Review
        
        Push the sound button to cycle through the five options -- flash only
        and four sound levels
Walker
- CVS Travel Walker @ cvs.com ($79.99) (01/26)

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created by Bonnie Lee Hill,

bonniehill@verizon.net

last modified on February 25, 2026

URL: http://www.bonniehill.net/pages/misc.html