
Every May, Osteoporosis Awareness Month helps people learn about bone health. Osteoporosis is a condition that makes bones weak and easier to break. Many older adults—especially women—do not know they have it until they fracture a bone. A fracture can be a partial or complete break in the bone. Often, a fracture is the first sign that something is wrong.
The good news is that you can prevent fractures. If you do have a fracture, you can heal and help prevent other fractures from happening.
Who is at risk for osteoporosis?
As people age, their bones slowly lose strength. Over time, bones can become thinner and break more easily. Women are at higher risk, especially after menopause. However, men can also get osteoporosis. Other things can raise the risk, too. These include:
- Having a family history of osteoporosis.
- Having a smaller body frame.
- Taking certain medicines.
- Not getting enough physical activity.

A fracture is more than just a fall
Breaking a bone after a small fall or normal activity is a reason to pay attention. These breaks are called “fragility fractures.” They often happen in the hip, wrist or spine.
For people over age 50, this kind of fracture may mean their bones are weaker than they should be.
Healing and support after a fracture
Many people heal from a fracture and go home without being checked for osteoporosis. When that happens, they may be more likely to break another bone. Second fractures can be more serious and take longer to heal.
A fracture is not just an injury that needs to heal. It’s a sign to talk to your doctor about what you can do to take care of yourself. Recovery is a chance to protect your bones for the future.
- Ask about a bone mass measurement, which can help find osteoporosis early. A bone mass measurement is also known as a bone density test. This is a covered benefit for TotalCare (HMO D-SNP) members who are at risk of losing bone mass or at risk of osteoporosis. Learn more in the TotalCare Evidence of Coverage (Member Handbook).
- Talk about treatment options that may help lower the risk of more fractures.
- Review your medicines to see if any may weaken bones.

Preventing fractures
Stopping future fractures is just as important as healing from the first one. Here are a few small things you can do that make a big difference.
Improve balance
Stay active! Participate in safe activities like walking or light strength training to improve balance and stability. Studies have shown that tai chi may help improve balance and lower fall risk in older adults.
Get your calcium and vitamin D
Eat foods with calcium and vitamin D. Calcium-rich foods include dairy products like milk, yogurt and cheese. You can get vitamin D in your diet through fatty fish and vitamin D-fortified dairy products, orange juice, soy milk and fortified cereals (Source: Bone Health & Osteoporosis Foundation).
If you are a TotalCare (HMO D-SNP) member, you can use your Silver&Fit® Fitness Program1 benefit to access exercise and nutrition support.
Focus on fall prevention and remove tripping hazards at home
The National Institute on Aging shares a room-by-room list of ways to prevent falls in your home. Some ideas include:
- Keeping walking areas tidy.
- Using night lights.
- Installing grab bars in areas like the toilet, tub and shower.

You’re not alone
Osteoporosis is common, and it does not mean you have to give up your independence. With the right care and support, many older adults keep living active lives after a fracture. During Osteoporosis Awareness Month, take time to learn about your bone health, ask questions and take steps to keep your bones as strong as possible.
If you’d like to learn more about TotalCare, call 833-530-9361 (TTY: 800-735-2929 (Dial 711)), Monday – Friday from 8 a.m. to 5 p.m.
TotalCare (HMO D-SNP) is a Medicare Advantage plan with a Medicare contract and a contract with the California Medicaid program. Enrollment in TotalCare depends on contract renewal. TotalCare is the trade name of Central California Alliance for Health. TotalCare is a registered trademark of the Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission, a California public entity, operating as Central California Alliance for Health.
1The Silver&Fit program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a trademark of ASH and used with permission herein. Fitness center participation may vary by location and is subject to change. Kits are based on availability and subject to change. The Silver&Fit program is not a medical provider or pharmacist, and its coaches do not offer medical or pharmaceutical advice. They cannot and do not diagnose or treat medical, mental health, or other health conditions. Coaches provide general information for educational purposes only. For any medical or health concerns, consult a qualified healthcare professional.
H5692_2026_0236 Compliance Approved 05.11.2026
