Talk of The Villages Florida - View Single Post - Received my The Villages Health notice last week
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Old 01-26-2016, 06:40 PM
goodtimesintv goodtimesintv is offline
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Quote:
Originally Posted by outlaw View Post
The way these plans work, based on my understanding of them through my own research, is that the government pays the medicare C insurance company a fixed amount of money per year to provide healthcare to you. I think it is around $10,000 per year. You still pay the government your medicare premium each month. The government is not in the business of making a profit. So they probably calculated what the average cost is for a medicare eligible person ($10,000?). Based on that average cost they pay the insurance company a flat fee of $10,000?. The insurance company is in the business to make a profit. So the insurance company wants to be sure that, on average, the customer, you, does not cost $10,000, or even close to $10,000 per year. They can do this by limiting the doctors/specialists you are allowed to see, or they can change your copays, or your deductibles, limit drug choices, etc. Now, on the surface, do you think you're going to get better overall healthcare deal with the profit driven insurance healthcare providing company or the non-profit government medicare system? If you think the insurance company that is paid a flat fee from the government will do a better job in your interest, then go with the insurance company. If not, then you need to look outside TVHC if you are close to 65.
Well those "profit-driven insurance healthcare companies" are what the "non-profit government" officeholders and employees choose for themselves, and so I would say they "profit" by us taxpayers having to pay for about 70+ percent of their private insurance plan premiums:

https://www.opm.gov/healthcare-insur...postal-hmo.pdf

Florida Plan Choices for Federal Employees:
https://www.opm.gov/healthcare-insur.../2016/state/fl

Last edited by goodtimesintv; 01-26-2016 at 08:40 PM.