Quote:
Originally Posted by Jayhawk
Those who assume I have the Advantage program today are making a bad assumption. I don't, but I will.
Why?
Because I value the service and care I receive from VHS. I understand how business works. If I want their service / care, I need to comply with the requirements of the business.
There are currently 37 PCP's listed on the various VHS web pages (not counting the Aisenstat's who are still shown but not really there).
Now, using the MAXIMUM number of patients (1,250) that each doctor can accept, that equates to 46,250 available patient slots.
Many folks who have complained about the new requirements state they are concerned about being away from TV for long periods of time, like during summers, and therefore limited in coverage.
There are now about 120,000 residents in TV, so wouldn't it make sense that with limited capacity, the business would make decisions that would positively impact the most residents as well as the business's ability to remain strong?
I get it that this is disappointing to some, but 50 years of having health insurance confirms to me that plans and providers change darn near every year. That's just the way it works.
Best of luck as you choose to stay in the system or withdraw for other choices.
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My wife and I were both in the VHS. We both liked our doctors and really liked how well everything was run. We would have loved to stay but to me it would be taking a chance with our health care. The worst thing about the advantage plan is an insurance company is going to decide if you need treatment..not your doctor. The term is medically necessary. Ask someone at SHINE if my doctor orders an MRI for instance, will I get it or will it have to be cleared by the insurance co?
I would suggest that you, and anyone else considering an advantage plan, talk to a SHINE rep and ask them about who decides what is necessary between the two plans.