Talk of The Villages Florida - View Single Post - Medical Services at the Villages
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Old 04-04-2022, 08:30 PM
BigSteph BigSteph is offline
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I was aware of the difference between a brand and a model.

I have been rejected by saying Florida Blue, long before I was asked to read off my member ID and Group Number on the card. To be absolutely fair, I have been told by most that they will see me if I pay out of pocket and I can work with my insurer for any reimbursement. Having lived in the Mid-Atlantic states most of my life, if you have good insurance, you would never agree to this -- you would just find another practice -- most of which would take your insurance and write-off the difference.

I just looked up your plan. Did you buy this on the market? While it gives good coverage, the co-pays and other fees seem quite onerous.

For the last 20 years I have worked for state and county governments across multiple states that provided several tiers of insurance as a benefit of employment. I always go for the one that is neither free, nor the pricey option -- the one in the middle usually offered the best price and risk for the dollar spent.

Up north, most practices participate in most insurances. This has not been my experience here.




Quote:
Originally Posted by OrangeBlossomBaby View Post
Your policy is not Florida Blue. That is the name of the insurance company that issues your policy. It's Florida's branch of Anthem/Blue Cross-Blue Shield. That's the company name. My plan is Blue Select 1443. Insured by Florida Blue.

Everyone medical practitioner in Florida has heard of Florida Blue. But it doesn't mean a thing if you don't know what your policy is. Florida Blue offers HMOs, PPOs, some other thing, Dental plans, and a variety of each. Most doctors in the Villages area are participating providers to one extent or the other, though it really depends on the plan you have.

Also - The Villages Health is the actual provider for MOST Florida Blue plans, not the individual doctors. If you were to do a provider search on the FL Blue website and plug in The Villages Health it should show up.