Talk of The Villages Florida - View Single Post - Recomendations for PCPs who accept Original Medicare
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Old 02-07-2025, 10:18 AM
M2inOR M2inOR is offline
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Join Date: Mar 2019
Location: Village of Marsh Bend
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I attended a VHA mtg last year where the CEO of Villages Health explained why only Medicare Advantage was accepted.

Their model was to be sure the PCP and associated staff could be available for 30-60 minute appointments for their members, and to be available for appointments in a reasonable timeframe.

We've been a member for 5 years, and are very satisfied with our experiences. When specialists were needed, referrals came quickly, and we discovered that most were considered some of the best in the area.

Medicare Advantage (MA) provides a sizeable stipend for each member. This permits Villages Health to plan around a known funding budget for each patient. It allows them to build a team that is easily accessible to it's members.

Not all Medicare Advantage companies are accepted. Why?

Not all MA insurance companies pass on the federal funding that is provided for each member. Aetna MA is one that is not accepted by Villages Health, and there are many others.

Today Florida Blue, United Healthcare, and Humana are the only MA insurers are accepted. That could change in the future.

We are very happy with our experiences. Quite similar to our Kaiser Permanente HMO and Medicare Advantage experience before we retired, and our first year of retirement before moving here

There are many who don't care for MA for a variety of reasons, preferring instead for Medicare and an extra cost supplemental coverage. The main problem being finding a good PCP and specialists who are accepting new patients.

We are both in our early 70s, healthy, and pursuing an active lifestyle. We travel a lot, foreign and domestic. When out of the country, we realize that Medicare wont help us, so take the appropriate steps to make sure we can get local immediate treatment, and get back to the US quickly.

In the US, Villages Health takes care of us when at home. Access to Urgent Care and Emergency Care is easily accessible during our travels within the US.

We e seen specialists as needed, and have small out of pocket expenses for covered procedures.

We are very impressed by our Villages Health experiences, and have no concerns. We have the United Healthcare MA plan that Villages Health accepts. No issues for the 5 years we've been members
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Mike
Village of Marsh Bend
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We live in interesting times
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