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Originally Posted by skyguy79
Does what has been stated have any validity, or does it just provide an opportunity for more rumors to be created? In all honesty I don't know. However, what I can state is that my wife and I are now members of the Villages Health Care System, I have Medicare as primary and the New York State Empire Plan as secondary where medical care coverage is handled by UnitedHealthCare for the Empire Plan. I see nothing different now with my coverage from what it's been with any other provider I've had since moving here from NY. Same primary, same secondary and the VHCS has nothing to do with either of them except to file any covered claims with them for me.
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That's exactly the way it works. However, I'm sure that if you researched your NYS plan (Are you a Tier-1??) there are certain "preferred providers" that will give you a deal if you use their services. Most plans have a preferred provider schedule, and usually that means that if you go to a certain doc or a certain hospital often there will be a smaller co-pay or in some cases the doc or hospital will accept whatever the plan will pay with no additional expense to you. This looks like what's happening here with United Healthcare & TVRH. If so, then it will be a help to those who have UHC plans. Doesn't do anything for anybody else. And they are certainly not dictating operations to Central Florida Health Alliance.
The OP said they were happy with their UHC plan. I was under an employer UHC plan at one time in NYS, and it was positively the worst health insurance that I ever had, ever, anywhere. However, I don't know if that was UHC's SOP or simply the plan that the employer had bought.