Talk of The Villages Florida - View Single Post - Villages Health Care-Advantage plans
View Single Post
 
Old 07-25-2016, 10:33 AM
golfing eagles's Avatar
golfing eagles golfing eagles is offline
Sage
Join Date: Mar 2015
Location: The Villages
Posts: 13,740
Thanks: 1,407
Thanked 14,832 Times in 4,926 Posts
Default

Quote:
Originally Posted by LynnWM158 View Post
I moved here primarily for the healthcare system that was so loudly touted as a model system. I have only been in the system for two years. I changed my primary care physician after a couple of months as I felt like just a number with my initial physician. I really like my current physician but the change to their accepted insurance 'only' has really forced me to make a decision that I need to make for myself. The out of pocket cost in higher premiums, plus a co-pay which I do not have with my current carrier, is a no-brainer for me. The fact that hospitals and facilities receive a payment from plans for their acceptance of preferred plans has been going on for years. After many years working in the healthcare field I am very aware that 'kick back' is a common practice. The care I received here has been adequate but not up to the standard I received in rural Tennessee. I have an appointment with my new physician out of TV Healthcare system this week. The location of the practice is not convenient but I need to move on. I'm sure there are many who will make the same decision but, for everyone of us who choose to leave there will be another person to fill our place.
1) What premium???? Someone with supp. plan F and a part D plan is paying $238/mo. in premiums, there is no premium with UHC MA plan 1. Saving $2856/yr. will cover a lot of co-pays. If someone has very high utilization of medical services, they could theoretically lose on the copays. On the other hand, MA plans are based on average utilization. Maybe rightfully so. I'm not so sure I should pay the same at the all-you-can-eat buffet as the 600 lb. customer, nor the same for an airline seat, especially since they charge me extra for a 25 lb. checked bag but not for his 400 lb. of excess weight.

2) Kickbacks????? Please explain what planet you spent years working in healthcare on.