Talk of The Villages Florida - View Single Post - Insurance change unaccepted by The Villages Health.
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Old 01-13-2023, 07:36 AM
hoot2602 hoot2602 is offline
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Default Aetna coverage refused for two reasons

Quote:
Originally Posted by bwasman View Post
The Teachers Retirement System in Illinois has replaced United Health Care Medicare Advantage PPO with a new policy contracted with Aetna Medicare Advantage PPO. Use of the new policy has been denied by The Villages Health System and anyone using it has to find new Dr.'s outside The Villages system resulting in delayed care and far out appointments. No reason is given by The Villages System other than a flat No to Aetna personell.
I am an Illinois State retiree. In the first month of this new Aetna coverage I have experienced delays in pre-certification and refusals . There are two large reasons why Aetna is not widely accepted in TV: poor rates (what Aetna pays) and late payments (up to 6 months to get paid) after services are rendered.