I have an MA plan and use TVH for most things. I am happy with both and see no reason to change. As for the TVH staffing changes, I've worked at great hospitals that have some marginal staff and lesser hospitals with great staff. Until I have a REASON to change, I'll stay the course. As for the MA plans vs government Medicare, I've been happy with my MA plan and benefits government Medicare doesn't offer, so until I have a REASON to change, I'll stay the course.
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