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    • Alzheimer's Disease
    • Neurology

    Alzheimer’s Disease – How to Spot the Signs

    Alzheimer’s disease is not normal forgetfulness as we age. Instead, it is a specific form of mental decline. And according to the Alzheimer’s Association it accounts for nearly 80 percent all dementia cases. Natasa Dragicevic, MD, PhD., behavioral neurologist and Alzheimer’s disease specialist with Renown Institute for Neurosciences, weighs in on diagnosing it and the importance of early medical action. How to Diagnose Alzheimer’s Disease In general, the signs of Alzheimer’s disease occur slowly, getting worse over time. For example, forgetfulness is a daily search – for shoes, keys and other misplaced items. Not only is memory affected, but also speech patterns and behavior. There is no single test for Alzheimer’s disease. “Specifically, a neurologist should be the one to diagnose Alzheimer’s disease given differences in presentation,” clarifies Dr. Dragicevic. “And ideally a behavioral neurologist (Alzheimer’s sub-specialist) will be managing the treatment,” she adds. Brain Imaging Diagnosing Alzheimer’s disease involves multiple approaches and medical providers. In short, medical history is reviewed along with a physical exam, lab tests and other diagnostic testing. “A medical workup includes a variety of tests. These include MRI and other brain imaging, as well as neurological and psychological testing. Furthermore, a lumbar puncture is performed to look for markers of the disease,” she states. What Causes Alzheimer’s disease? Although no one knows the cause, researchers think many factors play a role. Uncontrollable risk factors include your genetics and having a family member with the disease. However, the controllable risk factors include: reducing the risk of head injury and keeping your heart healthy. It’s important to realize that high blood pressure, high cholesterol, stroke and diabetes play a role in brain health. Blood loss to the brain causes vascular dementia, leading to long-term blood vessel damage. Symptoms of Alzheimer’s disease Generally speaking, the signs of this disease differ in each person. Yet noticeable behaviors include: • Losing the way to familiar places • Forgetting to pay bills • Trouble finding the right words when talking • Repeating questions • General confusion • Social withdrawal Alzheimer’s Disease – Benefits of Early Diagnosis Equally important, spotting Alzheimer’s disease early allows more time to benefit from medications and possible clinical trials. Likewise, nutrition and exercise changes can be made, increasing blood flow to the body, and perhaps delaying symptoms. Early diagnosis also allows for personal health decisions and quality-of-life conversations to take place.   According to the Alzheimer’s Association, these benefits include: 1. Medical advantage 2. Emotional and social comfort 3. Time to plan ahead 4. Cost savings A Brain Supporting Lifestyle “At the present time, treatment is limited,” explains Dr. Dragicevic. “Usually Alzheimer’s is a progressive ongoing disease – any management at this time is purely symptomatic.” However, she states the following lifestyle changes can help support brain health: • New hobbies such as painting, pottery, music classes or learning a new language • Crosswords, puzzles and playing games, such as Scrabble • Brain challenging mobile apps, such as Luminosity • 30-45 minutes of mild to moderate physical activity per day, such as walking • Eating a Mediterranean diet (primarily plant based foods)

    Read More About Alzheimer’s Disease – How to Spot the Signs

    • Tuesday, Oct 27, 2020

    Renown Regional Medical Center Recognized Among Nation's Top Hospitals in Critical Care

    The region's only trauma center receives top honors from Healthgrades. Healthgrades, a leading national resource for trusted information about physicians and hospitals, recently announced the recipients of their 2021 Specialty Excellence Awards. These awards recognize hospitals with superior performance, and have selected Renown Regional Medical Center in Reno, Nev. as northern Nevada’s top hospital for critical care. Hospitals in this ranking demonstrate excellent patient clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis and diabetic emergencies.  Healthgrades further distinguishes hospitals that stand out as America’s 100 Best Hospitals for Specialty Care™, with Renown Regional Medical Center identified as Nevada’s only critical care hospital to be bestowed with this honor. “At Renown, I am honored to work beside dedicated healthcare heroes who are working tirelessly to make a genuine difference in the health and well-bring of every patient and family we serve,” says Tony Slonim, MD, DrPH, FACHE, president and CEO of Renown. “Having trained and served as a pediatric intensive care physician, this honor from Healthgrades does so much to recognize the compassion, skill and determination of this incredible team. I join with our community in saluting the Renown Regional Medical Center’s critical care team as one of the best critical care hospitals in the nation.” “As the only accredited trauma center between Sacramento and Salt Lake City, we receive and care for critically-injured patients from over 100,000 square miles. Our communities depend on Renown Regional Medical Center for outstanding critical care,” says Dawn D. Ahner, DSc, FACHE, Chief Operating Officer, Acute Services. “Our multi-disciplinary critical care and intensive care healthcare teams are specially-staffed, equipped and designed to care for, closely monitor and comprehensively care for patients with life-threatening conditions.”  “Having a specialty-trained team of physicians, nurses, respiratory therapists, care managers, physical and occupational therapists around the clock, every day ensures that, no matter the illness or injury, a patient will be treated with the highest degree of care right away,” says Paul Sierzenski, MD, MSHQS, CPE, FACEP, Chief Medical Officer, Acute Services. “What it comes down to is this; the quicker and more accurately you get treated, the better your outcome will be. That's what makes being one of the most respected critical care teams in the country, so vital to all of us.”  “At Renown, we have done so much over the years, to prepare to meet the need for rapid surges in critically ill or injured patients. Through this pandemic, many patients suffering from complications of COVID-19 have needed intensive care services,” says Erik Olson, MHA, Chief Executive Officer of Renown Regional Medical Center. “As the demand for critical care and intensive care continues to increase, the ratio of ICU beds to hospital beds will continue to rise as the ICU occupies an ever-larger role at the center of acute hospital care. We appreciate the recognition from Healthgrades demonstrating the Renown team’s unwavering commitment to the highest level of patient care and safety.”  Renown has been recognized by several national organizations for quality and excellence, including U.S. News & World Report, American Stroke Association, Joint Commission, American College of Surgeons and the American College of Radiology. Renown’s Roseview, Sierra and Cardiac Intensive Care Units (ICUs) are the only ICUs in Nevada to receive the Beacon Award of Excellence from the American Association of Critical Care Nurses. Renown is currently recruiting outstanding employees at careers.renown.org.  About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About Healthgrades Healthgrades is dedicated to empowering stronger and more meaningful connections between patients and their healthcare providers. At Healthgrades, we help millions of consumers each month find and schedule appointments with their provider of choice. With our scheduling solutions and advanced analytics applications, we help our health system and life sciences clients cultivate new patient relationships, improve patient access, and build customer loyalty. At Healthgrades, better health gets a head start.

    Read More About Renown Regional Medical Center Recognized Among Nation's Top Hospitals in Critical Care

    • Neurology
    • Alzheimer's Disease
    • Caregiver

    Alzheimer's Safety Tips for Caregivers to Know

    November is National Alzheimer’s Disease Awareness Month. At Renown Health, we know that Alzheimer's safety for your loved one is a priority, as the symptoms can sometimes lead to unsafe situations. We asked Dr. Jonathan Artz – a neurology physician with Renown Health and an assistant professor of clinical neurology at the University of Nevada, Reno School of Medicine – for tips on keeping loved ones safe and secure.  According to the Alzheimer’s Association, Alzheimer’s disease affects safety in various ways, specifically due to body and brain adjustments. These changes can include: Judgment, including forgetfulness  Sense of place – getting lost on the way home  Behavior – being suspicious or fearful  Body difficulty – losing balance Sensing ability – noticeable sensitivity in hearing, seeing or temperature  Dr. Artz gives us four major tips to ensure your loved one’s safety as you both navigate this disease together.  Watch for Wandering  Those experiencing Alzheimer’s disease tend to wander and get lost. Try the following tips to reduce the risk of wandering:  Get your loved one an ID bracelet and have them wear it at all times. You can also enroll your loved one in “Wandering Support.”  Install door chimes so you know when exterior doors are open.  Ask neighbors to call you if they see your loved one out alone. Go with your loved one when they insist on leaving the house. Don’t argue or yell. Instead, use distraction or gentle hints to get them to return home.  Discourage Driving  Driving can be unsafe for someone with this disease. With this in mind, ask a doctor whether it’s safe for your loved one to drive. For example, on a case-by-case basis, there are certain situations where doctors are required to report individuals with particular cognitive impairments, wherein a form of a driving assessment will be recommended.  Limit access to the car. Keep the keys with you or lock them away.  Ask an authority figure, such as an insurance agent or a doctor, to tell them not to drive.  Adult-Proof Your Abode  A simple living space is a safe living space. This means reducing clutter and removing any issues that may pose a safety concern. You may also want to get advice from an occupational therapist (home safety expert). Keep in mind that some changes may not be needed right away. Focus on major safety concerns first.  Try the following tips:  Add lighting (or glow-in-the-dark tape) to brighten dark areas, including stairways and halls.  Use color contrast or texture indicators for dials, knobs and appliance controls.  Remind your loved one not to carry items while walking to avoid a fall.  Remove sharp objects from drawers and countertops.  Avoid using small throw rugs or doormats, as they are easy to trip on.  Move frequently used items so that they are easy to reach.  Lock away alcohol and tobacco products, as they are not recommended for dementia patients.  Install handrails in the shower, tub and near the toilet. Bathroom falls are especially common.  Adjust the setting on your hot water heater so water does not scald. Those with Alzheimer’s can lose their sensitivity to temperature.  Move and lock up hazardous chemicals and cleaning supplies, such as bleach and insecticides.  Disable and remove guns or any weapons. Supervise any medication taken by your loved one.  Promote a Positive & Healthy Lifestyle  Continually emphasize the strengths of your loved one by promoting participation in meaningful activities, wellness visits and healthy habits to help them improve their well-being. Here are some ways to keep them physically and mentally active:   Maintain regular vision and hearing screenings and make necessary adaptations.  Establish a routine for daily activities.  Encourage participation in self-care and leisure activities.  Work with your loved one’s doctor to establish a healthy diet.  Ensure proper hydration. It may help to set reminders for your loved one to drink fluids.  Encourage regular exercise. Exercise delivers oxygen to the brain, improving brain health. Promote good sleep habits. Good quality sleep can increase overall brain health and has been associated with improving memory, attention and concentration.  Resources and support are available with the Renown Memory Disorders Program. Providers within this program are specifically dedicated to treating several different memory-related disorders. Memory Disorders Resources & Support.

    Read More About Alzheimer's Safety Tips for Caregivers to Know

    • Thursday, Nov 12, 2020

    Renown Announces $469 Million in Planned Investments

    A major community investment in health care facilities to transform care, improve economy and enhance the quality of life for generations to come. Renown Health announced today $469 million in planned investments, including hospital campus improvements and new health care facilities across northern Nevada to meet the growing community need over the next three years. “Renown Health has a rich 158-year history in serving northern Nevada. Continuing our bold vision and legacy, Renown is making this investment to transform care in our community and improve the quality of life for generations to come. Nothing of its kind has been imagined or currently exists in our area,” says James DeVolld, Board Chair, “The transformation of our hospital campuses represents one of the single largest investments in health care facilities, services and programs in the state, and are a result of putting people first to enhance health care access, experiences, outcomes and affordability for everyone in our community. This will improve care and it will have a tremendous, positive effect on our local and statewide economy."  “Like those we serve, we have experienced many challenges in 2020,” says Tony Slonim, MD, DrPH, President and CEO, Renown Health. “These challenges confirmed the critical role that Renown plays as a locally-owned, not-for-profit integrated health network. We are passionate about stepping up to serve our community at all times, and especially when we are needed most. We are transforming to meet the needs of our growing community today- and for the future.” GROWING FOR THE COMMUNITY Over the last two years, given significant consumer demand for Renown providers and services, a master facilities planning process was undertaken to ensure that Renown has adequate bed and procedure capacity, spaces to accommodate new technology and services to meet the needs of a growing patient base and community.  “Renown’s campuses will be innovative, convenient, safe and compassionate places to provide and receive care, incorporating modern efficiencies in a healing environment, says Dawn D. Ahner, DSc, FACHE, Chief Operating Officer, Acute Services at Renown. “Designed for patients, visitors and team members, these spaces will showcase state-of-the-art technology, enhance patient safety and improve the hospital experience- including adding more private rooms; having flexible areas with room for growth; and healthy, sustainable buildings and interiors.” Today, the population of Washoe County, now at 473,156 people, has experienced staggering growth of 12.28% over the last 10 years, from 2010 to 2020. According to the U.S. Census Bureau, Nevada ranks as one of the top fastest-growing states in the country, with 15.21% growth over the last ten years. BENEFITS OF MASTER FACILITY PROJECT To alleviate current capacity constraints, allow for expansion and new services, a number of aging facilities will be replaced and new patient care areas will be constructed. Overall, the master facilities project enhances the clinical care model, enhances the experience for patients, families and staff and improves the infrastructure of the physical plant. COMPONENTS: RENOWN REGIONAL TAHOE TOWER BUILD OUT & RENOVATION; REGIONAL SIERRA RENOVATION Renown Children’s Hospital at Renown Regional Medical Center, 1155 Mill St., Reno, NV An expanded Neonatal Intensive Care Unit (NICU) with increased capacity from 39 current to 49 bassinets on Level 5 of Tahoe Tower of Renown Medical Center. An expanded Pediatric Intensive Care Unit (PICU) with increased capacity from 11 to 16 private patient and family rooms on Level 5 of the Tahoe Tower of Renown Regional Medical Center. A new Renown Children's Hospital in-patient floor with improvements, upgrades and increased capacity from 33 to 38 private patient and family rooms with a total capacity of 58 pediatric beds on Level 4 of Tahoe Tower of Renown Regional Medical Center. Renown Regional Medical Center, 1155 Mill St., Reno, NV Renown Regional Tahoe Tower Build Out & Renovation A new surgical trauma Intensive Care Unit (ICU) on Level 9 in the Tahoe Tower, increasing capacity to 34 private patient rooms. Improvements and upgrades for Levels 3, 6, 7, 8, of Tahoe Tower. Improvement of 'family zone' within patient rooms; addition of USB capabilities, furnishings. New Respite room for health care team. Upgraded technology/infrastructure to improve collaboration between caregivers and family members. Improvement in lighting, with dimmable options for patient rooms and LED/sustainable improvements. Renown Regional Sierra Tower Renovation Improvements and upgrades for the Sierra Tower Intensive Care Unit (ICU) Level 1, Sierra Tower. Improvements and upgrades for an Adult Transitional Care Unit and Medical/Surgical Unit on Level 4 of Sierra Tower. Renown Regional Material Management and Kitchen Building Renown Regional CUP (Central Utility Plant) Building RENOWN SOUTH MEADOWS RENOVATION & SPECIALTY CARE CENTER Renown South Meadows Medical Center, 10101 Double R Blvd, Reno, NV A new façade, entry canopy and upgrade of lobby and public spaces, including a new Family Lounge. Improvements and upgrades for Medical Center, Levels 1, 2, 3 with private patient/family rooms, USB capabilities, furnishings. Welcome Lounges for patients and families, Respite room for health care team. Expansion of surgery minor procedures room. Operating room enhancements, technology integration and lounges. Improvement in lighting, with dimmable options for patient room areas, LED/sustainable improvements. Improvements, upgrades and new services to the South Meadows Medical Office Building including imaging, surgical pre-admission lounge and expanded Outpatient Therapy space. A new Ambulatory Center adjacent to surgery for convenient procedural care. A new Specialty Care Center. Level 1 will feature kitchen/dining facilities, expanded laboratory and diagnostic services, including Interventional Radiology and a new Cardiac Catheterization Lab. Level 2 will feature an Ambulatory Surgery Center and expanded sterile processing department.  “Structural quality and resiliency are of utmost importance as we are designing our facilities for extreme weather conditions that our region may face,” says Steve Horn, Vice President, Real Estate and Facilities. “As environmental stewards, we are designing the rooms in ways that reduce energy needs, allow for natural light and comfortable temperatures. The interior design will have healing and comfort at the forefront with thoughtful places for reflection, architecture, healing art and views that inspire.” Sy Johnson, MBA, chief of staff for Renown added, “We are working tirelessly to improve the health- and the lives- of thousands of people for the better, to care for people both in sickness and in health, and to provide better quality health and healthcare services in modern, convenient and attractive facilities, at a lower cost and with improving access to services.”  THE TEAM The planning and design team for the Renown master facilities project includes a number of locally-owned businesses, as well as veteran and female-owned businesses.  Leading Architect: Perkins + Will, Chicago, IL For more than sixty-five years, Perkins and Will’s vision and compassion have helped shape many of the nation’s most progressive academic medical centers, research institutions, community hospitals, and clinics. The breadth and quality of their diverse, global portfolio have consistently placed them among the leading healthcare firms in the world. Leading Engineer: WSP, Montreal, CA WSP provides complete healthcare consulting services in the design of mechanical, electrical, plumbing, structural, building technology and fire protection systems; with a focus on sustainable and high performance building design.  Structural Engineer: Datum, San Antonio, TX Datum has an 80-year history providing engineering services for a large variety of projects types. Datum has an experienced team whose tenures with the firm averages more than 20 years.  Electrical Engineer: PK Electrical, Reno, NV, Female-Owned Business PK Electrical, Inc. is a self-performing, female-owned electrical engineering firm providing complete electrical and low voltage design for power, lighting, communications, medium voltage distribution, and emergency power systems. Mechanical Engineer: Ainsworth Associates, Reno, NV Representing a body of work spanning more than seven decades, Ainsworth Associates Mechanical Engineers has built a solid foundation for quality in design for even the most complex building requirements. Civil Engineer: Wood Rodgers, Reno, NV Wood Rodgers has a long standing history partnering with Renown Health. With just under 100 employees in their Reno office alone, they bring local expertise in land planning, civil and geotechnical engineering, surveying, and mapping to better the community we call home.  Traffic Study: Headway Transportation, Reno, NV Headway Transportation was founded in 2010 to provide clients exceptional service and value across all facets of transportation planning & traffic engineering. They have extensive experience across northern Nevada.  Medical Equipment: Covalus, Medical Equipment, Veteran-Owned Small Business Covalus is a veteran-owned small business (VOSB) specializing in healthcare construction management and initial outfitting and transition. In the past twenty years, Covalus has become one of the leading national firms in planning, budgeting, and executing healthcare and other facility projects, working for government, academic, and private institutions across 32 states and 5 countries. Renown has secured long-term financing for this master facilities project. Renown has engaged a firm to coordinate the bidding process in order to be transparent and unbiased in the selection process. Construction is slated to begin in spring 2021 with a majority of the project completed by fall 2023.   About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Health, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project® . For more information visit, www.renown.

    Read More About Renown Announces $469 Million in Planned Investments

    • Thursday, Oct 15, 2020

    Open Enrollment for Medicare Advantage Begins Oct. 15

    Eligible individuals can now enroll in northern Nevada's 4-star Medicare Advantage Plan with premier access to the region's most preferred healthcare network*. Nevada is fortunate to be home to one of the over 100 provider-owned health insurance plans across the United States. Together, they cover more than 26 million enrollees, or about 8% of the population (2017). Kaiser Permanente is the most well-known nationally, but there are many other regional plans, including not-for-profit, Hometown Health based in Reno, NV.  Today's dynamic health care marketplace has created an environment in which some hospitals and health care systems are operating a health plan - either on their own or in partnership - as part of their strategy to advance health in their communities. Beginning Thursday, Oct. 15, area Medicare recipients will have the opportunity to enroll in locally-owned Senior Care Plus, a 4-star Medicare Advantage Plan from Hometown Health. Senior Care Plus is available for eligible beneficiaries residing in Carson City and Washoe County during the 2021 Annual Election Period, taking place Thursday, Oct. 15 through Monday, Dec. 7. “Health policy experts celebrate the benefits of provider-owned insurers. As insurers, we have incentives to control costs and improve the health of the community we serve,” said Tony Slonim, MD, DrPH, president and CEO of Renown Health. “As an integrated provider network, we are able to work with physicians and providers, increase value by improving outcomes and better managing the total cost of care for patients.”  Senior Care Plus members have access to the locally-owned and governed integrated care network, Renown Health. This network is the region’s most preferred healthcare network offering primary, specialty care and hospital and emergency services across northern Nevada. In U.S. News and World Report Best Hospital rankings, Renown South Meadows Medical Center was listed #1 in the State of Nevada. Renown Regional Medical Center was named #2 Best Hospital in Nevada. Hospitals earning a high performing rating were significantly better than the national average. “We are proud to offer Hometown Health and Senior Care Plus members specialized resources, tools and services created to help them thrive,” said David Hansen, CEO of Hometown Health. “Working closely alongside the team at Renown Health, we continuously look for new and innovative ways to enhance the health and well-being of our community.”  “At Senior Care Plus, we are proud to be your partners in health,” said CJ Bawden, director of government programs at Hometown Health. “Our members enjoy premier healthcare at an unmatched value, along with locally-based, world-class service from our friendly and knowledgeable team of customer service specialists. It truly is an honor to serve our members and their health as they set out to live their best lives.”  Affordable Care, When and Where You Need It According to the Medicare Plan Finder, of the 22 Medicare Advantage plans available in Washoe County, Senior Care Plus plans occupy the top two spots when ranked by plans offering the lowest drug and premium costs. In addition to high-quality and affordable in-person care, members can take advantage of urgent care and medical services delivered in the comfort of their homes thanks to a partnership with Dispatch Health. Furthermore, members have convenient access to Renown care providers through virtual visits, along with Teladoc services available 24 hours a day, seven days a week.  Senior Care Plus Benefits Senior Care Plus offers a wide range of plans, many of which have no monthly premiums. Plan options also offer supplemental benefits not covered by original Medicare, such as hearing, dental and vision coverage as well as $20 chiropractic visits, prescription drug gap coverage at no cost, and complimentary gym memberships. “Beginning, Wed., Oct. 14, the newest Renown Medical Group location at 1525 Los Altos Pkwy, Reno, NV, opens to provide care to primary care, lab services to patients of all ages, and will debut the first Senior Care Lounge featuring beautiful spaces to better serve members of Hometown Health’s Medicare Advantage Plan,” said Ty Windfeldt, chief operations officer for health services. “We are excited for the community to see this gorgeous space, filled with natural light, healing colors and images, as well as state-of-the-art clinical equipment.  Furthermore, members with a Renown-based primary care provider have access to a personal assistant who can help with appointment scheduling and healthcare screening coordination, medication coordination, health insurance and billing questions, and more.  For more details about Senior Care Plus, to attend a virtual meeting, or schedule an in-person meeting, visit SeniorCarePlus.com or call 775-982-3112.    About Senior Care Plus & Hometown Health Senior Care Plus is the largest Medicare Advantage plan in northern Nevada serving more than 17,000 members. Senior Care Plus is offered by Reno-based Hometown Health, Nevada’s largest not-for-profit health insurance company and the insurance arm of Renown Health. Originally named Hospital Health Plan, Hometown Health was founded in 1988 and has grown to more than 160,000 members. The Hometown Health name reflects the organization’s commitment to the communities in which it operates and its involvement in what matters most, the people it serves. To learn more about Senior Care Plus visit SeniorCarePlus.com and to learn more about Hometown Health, please visit HometownHealth.com.  *Reported by the National Research Corporation, July 1, 2018 - June 30, 2019

    Read More About Open Enrollment for Medicare Advantage Begins Oct. 15

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