By Christina Clem

If you’re enrolled in Apple Health, watch your mailbox closely. Why? Because for the first time in more than three years, Washingtonians and all Americans on Medicaid must show they still qualify for the program.

Before March 2020, when the COVID-19 pandemic erupted, Medicaid recipients had to fill out forms every year to demonstrate they still qualified. But that requirement was suspended as part of coronavirus relief that went into effect as unemployment soared and millions of Americans lost their jobs.

Pre-pandemic rules are now back in place, and federal officials estimate that more than 2.5 million older adults nationwide will lose their Medicaid benefits, including roughly 30,000 here in Washington when the recertification process is complete. Apple Health, the state’s Medicaid program, currently has over 2 million enrollees, including 300,000 over age 50. 

People in their 50s and 60s are more likely than those who are younger to manage the care of a chronic health condition. Loss of their healthcare coverage could be devastating, which is why the recertification process is so important. However, there are steps that Washingtonians on Apple Health can take to make the process easier.As unsettling as this may be, especially for Medicaid recipients who haven’t been through this before, there are steps you can take that will help.

Update your contact information.

With Apple Health, you have 30 days from when your contact details have changed to update information like your home address, phone number, and e-mail address. You can call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633.

Keep an eye on your mail. 

All states must send letters to Medicaid recipients letting them know how to renew their coverage or if the state believes they no longer qualify. Complete any included forms and return them right away. Pay close attention to the instructions.  Because every state runs its own Medicaid program, there is no one-size-fits-all way this process will work. The rules for Washington could differ from those for your family and friends in neighboring states. States have until June 2024 to complete this process, so watch for that letter. 

If you are told you are losing coverage, you do have options:

  • You can reapply to see if you still qualify.
  • You can get coverage through the Health Insurance Marketplace, and you may qualify for subsidies to help lower your costs. Visit www.wahealthplanfinder.org or call  1-800-562-3022 for more information about Marketplace coverage.
  • Your employer may offer health care coverage.

AARP Washington is committed to helping older people keep their Medicaid coverage. We will continue to monitor Washington’s process and actions to help minimize the number of people who lose health coverage and help those folks connect with other low-cost options.

Christina Clem is a communications analyst for AARP Washington.

Take the cruise lingo quiz

By Carl Dombek

Every industry has its own special vocabulary, and cruising is no different. So, with the summer cruise season getting underway, travelers considering or booking a cruise would do well to bone up on cruise industry terminology. Cruising-specific lingo defines the ships, their amenities and itineraries, plus a variety of cruise-related activities.

It is important to understand the terminology so you can weigh your options and make the best choice for your next cruise vacation. To help decipher this often-arcane language, the travel experts at CruiseCompete have put together this list of 10 cruise industry terms.

How many do you recognize?

Bespoke – Simply a fancy word for “custom.” This is a type of travel experience in which a trip is designed specifically for a client with a focus on unique, highly local experiences.

Cay – Pronounced “key” A small sandy island on the surface of a coral reef, usually referring to islets in the Caribbean. Several cruise lines offer shore excursions at private cays (i.e., “private islands.”).

Cruise to nowhere – A short sailing in which a ship will cruise in open waters for one or more days without reaching a destination. Usually fairly short, guests get the chance to experience the amenities of the ship.

French balcony – A glass door or wall-to-wall window that opens to give you fresh air and the feel of a veranda, minus the veranda, tables and chairs. Often a feature of cabins on river cruise ships.

Holiday market – During the holidays, river cruise lines offer itineraries of holiday or Christmas markets that feature town squares festooned with the traditional sights, smells and tastes of Christmas and holidays.

Loyalty program – A program offering rewards to repeat cruisers, with benefits that increase with frequency or spending. Perks might include shipboard credit, free wi-fi, exclusive get-togethers, etc.

Promenade – Refers to a deck on a ship that has open decking allowing one to walk all the way around the vessel (though there are ships with decks called “Promenade” that do not allow circumnavigation of the ship.) On some ships the promenade serves as a jogging path, while on others it serves as a public space where you might encounter shops and restaurants.

Segments – Portions of a long cruise itinerary. Breaking a long cruise into segments allows passengers to select which sections of the journey to travel, letting them join or leave the voyage at ports of their choosing. These options are seen often on World cruise itineraries.

Shoulder season
 – A travel period between peak season and low/off-peak season. When this occurs depends on the destination.

Wave season – January through March time period during which cruise lines and travel agents book a disproportionately large number of cruises with promotional deals.



Carl Dombek, who lives in Seattle, is a retired journalist and a travel blogger. His website, thetravelpro.com, has news, reviews, and personal observations on upmarket travel.

Washington is the eighth-healthiest state in the U.S. for older adults for the second consecutive year, according to the latest America’s Health Rankings Senior Reportfrom United Health Foundation.

The 2023 report gives Washington the best ranking among states in the Pacific Northwest. Oregon is 12th,Idaho is 18th, and Montana is 23rd.

The five states considered the healthiest are, in order, Utah, New Hampshire, Colorado, Minnesota, and Vermont. 

Washington’s top-10 position is attributed to a low prevalence of seniors with multiple chronic conditions and a low poverty rate. The report lists a few areas for improvement by the Evergreen State, however, especially in mental health. Washington ranks 45th in the nation for seniors with depression, 38th for drug-related deaths among seniors, and 35th for states with high rates of suicide among seniors.

Notable changes for adults 65 and older in recent years in Washington include: 

  • Volunteerism decreased from 36 percent to 25 percent.
  • Access to high-speed Internet increased from 78 percent to 88 percent of households.

For all states, rankings are based on four determinants that directly influence health outcomes: Behaviors, community and environment, policy, and clinical care. Washington scored five out of five “stars” in social and economic factors, clinical care, and behaviors.

The full report is online at americashealthrankings.org.

Source: United Healthcare

The hickory crowd

Say hello (and maybe fore!) to some folks who not only talk about the old days but also keep them going.

They’re the 200 or so members of Northwest Hickory Players, an association of golfers that formed in 2014 to enjoy and promote playing golf the old-fashioned way with some of the original equipment–hickory era, pre-1935 clubs. 

The wood-shafted clubs, some more than 100 years old, are the favorite way to play for linksters such as John Quickstad of Sammamish. His clubs from 1895 because are “beautiful” and take him back to some of the ancient origins of the game in Scotland in 1851.

“I describe it as getting to play with my antiques,” he said.

The men and women in the hickory crowd play socially and competitively. They have outings to golf courses throughout the Pacific Northwest (Washington, Oregon, and British Columbia is their main focus), organize club swaps and sales, and welcome newcomers to the wood-shaft world. There are no membership costs or other obligations. On the competition side, Northwest Hickory Players has an annual state tournament (the 2023 event was staged May 21-22 in Walla Walla at Veterans Memorial Golf Course and Wine Valley Golf Course) and helped host the first two U.S. Hickory Opens on the West Coast–at Pebble Beach Resorts (Del Monte Golf Course) in California in 2017 and at Gearhart Golf Links near Seaside, Ore. in 2021. Andrew Von Lossow, a Northwest Hickory member, won at Gearhart, which itself is a blast from golf’s past. The links-style course opened in 1892 and was designed by Robert Livingston, a native of Scotland.

Northwest Hickory Players is affiliated with the international Society of Hickory Golfers (SoHG), which has about 3,000 members worldwide. One of them, an honorary lifetime member, is a Washingtonian–Jeffery Olsen of Shoreline.

Along with the U.S., countries with their own national associations include Canada, Australia, New Zealand, Japan, South Africa, and numerous European nations such as Scotland and Ireland

Credit for the organized modern pursuits of hickory-style golf in the United States generally is given to so-called “hickory hacker” events that were part of annual meetings of the Golf Collectors Society. GCS was founded in 1970 by Joe Murdoch and Bob Kuntz to share their passion for golf history and the game’s collectibles and memorabilia. Only a few dozen people were involved at first, but as the idea caught on, GCS held more meetings, some collectors and traders of wood-shafted clubs wanted to try playing with them. The rest is history.

Among the Northwest Hickory contingent, “there are a few of us that also work on the clubs–resetting heads, replacing or repairing shafts, installing grips,” Quickstad said.  “Those skills are also part of the hickory golf experience that our group and the Society of Hickory Golfers are keeping alive and hopefully passing on to others. Just in case you were wondering how we keep clubs that are 90 to 140 years old in playing condition.”

Clubs aren’t all that make hickory golfers easy to spot on a course. They also use old-style balls and wear knickers and other period clothing fancied by golfers of yore. It is, they’ll tell you, more fun than a barrel of birdies.

Here’s how Quickstad and another Northwest Hickory enthusiast Martin Pool, of Kenmore, described it in a Q-and-A with Senior Scene:

SS: How did you get involved in hickory golf? Are you a student of golf, and/or a longtime player?

Quickstad: “I’m a long time player.  I remember my maternal grandfather helping me with my game in junior high school. I then played on my high school golf team. I was intrigued by hickory golf clubs and had one from my paternal grandfather that I had tried playing with, but it had a cracked shaft and I didn’t know how to fix it at the time, so the club sat in a corner for many years. Then about 2011 I inherited my maternal grandfather’s hickory clubs. In 2012 I started looking around for hickory clubs like my grandfather’s set on the Internet and found the Society of Hickory Golfers (SOHG) website. I sent an e-mail to the SOHG contact asking about a contact in the Seattle area. I received back Rob Ahlschwede’s e-mail address and then started exchanging e-mails with him for help with building a play set. The following year, Rob let me know that a group of local hickory players were going to play at West Seattle Golf Course. By that time I’d assembled my play set, so I went to the event, played, and was hooked.”

Pool: “I’ve been playing golf for about 50 years.  When I was in college, I worked in archives and became interested in history. History and golf naturally evolved into playing with hickory clubs, which I’ve been doing for the past 25 years. I also enjoy researching and writing golf history.”

SS: Do you prefer playing with wood-shafted clubs? How would you describe the difference between them and modern equipment, both in performance and just pure fun?

Quickstad: “I do prefer playing with hickory clubs, mostly because they’re beautiful to look at and I’m playing them for the unique experience they provide. I really like playing with my clubs from 1895 with gutta percha golf balls. The clubs are all handmade and really a form of Scottish folk art. I describe it as getting to play with my antiques. That’s only in hickory golf events or when a group of us go out to play a fun round. I play modern clubs in non-hickory events or with family or friends. In my experience, I find there isn’t much difference between hickory clubs and modern clubs, other than I can hit the fall farther with modern clubs. Putting and chipping are exactly the same.”

Pool: “I play both hickories and moderns — about 50-50.  Many of our players play hickories exclusively. I marvel at how hickory clubs have withstood the test of time and that we can still play with them a hundred years later. The ball doesn’t go as far, about 90 percent of the distance with modern clubs, but that’s still remarkable for 100-year-old clubs. It’s true that hickory clubs are, as they say, “less forgiving” than modern clubs, but we joke that if you’re looking for forgiveness, then you should go to church. There is no greater fun in golf than hitting a pure shot with hickories and making birdies.” 

SS: Does it feel like stepping back in time when you’re playing with others who are all dressed and equipped the way the game was played in the hickory era, especially in tournaments? 

Quickstad: “I thought that might be the case when I first started. But the more I played, the more I realized what Rob Ahlschwede says is really true: It’s just golf.  What that means is that the golf experience transcends time. So I don’t feel like I went back in time, I feel I’m just part of a shared experience that has lasted for hundreds of years. In the case of my clubs from the 1890s, I’m playing with the same clubs that someone enjoyed almost 130 years ago. It’s the clubs and courses that really link us to that shared experience”

Pool: “Absolutely, I feel like a time traveler when I’m dressed in period clothes and playing with original clubs. If you’re a student of history, the best way to learn it is by actually experiencing it.  With golf, we’re fortunate that we can do that using authentic equipment. This is especially true when we play hickory-era courses such as Tacoma Country Club and Meadow Park (in Tacoma), which were built when hickory clubs were used.”