TriCare For Life No Longer Accepted

[Travelingal702]

FYI - As of October 16, 2015 The Villages Health Care System is no longer accepting patients who have TriCare for Life. Those already in the Health Care System are safe and will not be kicked out. However, no newTriCare patients will be accepted. This is sad state of affairs. Our men and women served their country with promises of life long medical services and now this. I guess the almighty dollar is still king, even here.

[graciegirl]

FYI - As of October 16, 2015 The Villages Health Care System is no longer accepting patients who have TriCare for Life. Those already in the Health Care System are safe and will not be kicked out. However, no newTriCare patients will be accepted. This is sad state of affairs. Our men and women served their country with promises of life long medical services and now this. I guess the almighty dollar is still king, even here.



There is another thread about The Villages Health Care System not accepting some insurance started a couple of days ago on the same subject; https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-care-program-166313/?highlight=villages+health+care


We have one they don't accept and we aren't military. I don't think it singled out military people.


I would very much like to be part of the system. These kinds of things with non acceptance of some kinds of coverage is happening a lot.

[bimmertl]

There is another thread about The Villages Health Care System not accepting some insurance started a couple of days ago on the same subject; https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-care-program-166313/?highlight=villages+health+care


We have one they don't accept and we aren't military. I don't think it singled out military people.


I would very much like to be part of the system. These kinds of things with non acceptance of some kinds of coverage is happening a lot.

It's not about "some kinds of coverage" it's about who your insurance carrier is. Types of "coverage" are limitations of what's covered within policies.
The Villages Health hasn't singled out veterans, they have decided that all new patients qualified for Medicare need to enroll in United Health Cares's Advantage program. UHC Advantage pays the Villages commissions on new enrollees so it's a money making proposition for the developer and that's the primary driver behind the decision to require use of that insurer.

It's a lot more than not accepting "some" insurance, they won't accept any other than UHC Advantage for new patients!

It's not that hard to comprehend unless you don't want to.

[graciegirl]

It's not about "some kinds of coverage" it's about who your insurance carrier is. Types of "coverage" are limitations of what's covered within policies.
The Villages Health hasn't singled out veterans, they have decided that all new patients qualified for Medicare need to enroll in United Health Cares's Advantage program. UHC Advantage pays the Villages commissions on new enrollees so it's a money making proposition for the developer and that's the primary driver behind the decision to require use of that insurer.

It's a lot more than not accepting "some" insurance, they won't accept any other than UHC Advantage for new patients!

It's not that hard to comprehend unless you don't want to.



My reaction is that it isn't a RIGHT. It is a privilege. It isn't that I don't have other choices. We do. We can go to any other doctor here, but not The Villages Health Care. I don't care if they make money. People are in business to make money.

[Bonny]

Many Hospitals, Clinics, Urgent Cares & Drs. don't accept all insurances. If they don't take your insurance, you just go somewhere else. No different here in the Villages. I assume they all make this choice so they can make money. I would too.

[KeepingItReal]

FYI - I guess the almighty dollar is still king, even here.


You have now answered your own question... :jester:

[Bryan]

The way I understand the system, TFL is never the primary medical coverage. TFL is supplemental coverage to Medicare. I have generic Medicare and TFL. Anyone who accepts Medicare gets paid the co-pay by TFL and they do NOT bill TFL - that is done automatically by Medicare. I guess what this thread is saying is the Villages Health no longer accepts Original Medicare. That is not the same as no longer accepts TFL.

[Villageswimmer]

The way I understand the system, TFL is never the primary medical coverage. TFL is supplemental coverage to Medicare. I have generic Medicare and TFL. Anyone who accepts Medicare gets paid the co-pay by TFL and they do NOT bill TFL - that is done automatically by Medicare. I guess what this thread is saying is the Villages Health no longer accepts Original Medicare. That is not the same as no longer accepts TFL.

Or, maybe a better way to put it is "VHC only accepts patients who carry UHC." I think Medicare isn't the issue. Right?

Maybe I need more coffee?

[golfing eagles]

The Villages Health hasn't singled out veterans, they have decided that all new patients qualified for Medicare need to enroll in United Health Cares's Advantage program. UHC Advantage pays the Villages commissions on new enrollees so it's a money making proposition for the developer and that's the primary driver behind the decision to require use of that insurer.

It's a lot more than not accepting "some" insurance, they won't accept any other than UHC Advantage for new patients!



?How do you know this?

[bimmertl]

?How do you know this?


Clearly stated "United Health Care pays royalty fees to Holding Company of The Villages Inc." in box at bottom of attached link.


https://ma.uhcmedicaresolutions.com/2016/offline/12?WT.mc_id=881806

[graciegirl]

Clearly stated "United Health Care pays royalty fees to Holding Company of The Villages Inc." in box at bottom of attached link.


https://ma.uhcmedicaresolutions.com/2016/offline/12?WT.mc_id=881806



What exactly is your beef? If it isn't hidden? I would love to have these fine doctors.

[memason]

Clearly stated "United Health Care pays royalty fees to Holding Company of The Villages Inc." in box at bottom of attached link.


https://ma.uhcmedicaresolutions.com/2016/offline/12?WT.mc_id=881806

ok, if you're gonna "cherry pick" something, you should include the ENTIRE statement.

The statement is:

"UnitedHealthcare pays royalty fees to Holding Company of The Villages, Inc. (The Villages) for the use of its intellectual property"

In other words, UHC pays the Villages to use it's logo's on its website.

[Challenger]

ok, if you're gonna "cherry pick" something, you should include the ENTIRE statement.

The statement is:

"UnitedHealthcare pays royalty fees to Holding Company of The Villages, Inc. (The Villages) for the use of its intellectual property"

In other words, UHC pays the Villages to use it's logo's on its website.

Conspiracy theories are most often supported by cherry picking statements.
"The truth the whole truth"

[chuckinca]

Who pays for the Villages Health System facilities?

.

[rdhdleo]

Sure doesn't make sense considering the number of Veterans residing in the area. Good thing I never wanted to have to go to TVRH anyway.

[mgjim]

Sure doesn't make sense considering the number of Veterans residing in the area. Good thing I never wanted to have to go to TVRH anyway.

Tricare for Life isn't available to all veterans; only retirees and their eligible family members. Most veterans are faced with the same Medicare decisions that non-veterans have to make.

Be that as it may, people with Tricare for Life still have local options other than The Villages Health when seeking medical care and they can still receive treatment at The Villages Regional Hospital (TVRH).

[rdhdleo]

Yes I meant Retired Veterans since that is what resides in The Villages ;)

[graciegirl]

Yes I meant Retired Veterans since that is what resides in The Villages ;)



I don't think that retired veterans were singled out or are being abused. Many of us can't use the Health Care Services, because it doesn't accept all insurance, but all of us can use the Hospital.


I am trying to keep rumors down. Veterans can use the hospital. People with acceptable insurance, veterans and non-veterans can use the health care system.


The Hospital and the health care system are different entities.

[rdhdleo]

I didn't say that, I just replied that I meant retired veterans are what resides in TV's. But probably many do not know the difference between the TVRH and The Villages Healthcare System I guess. I don't use either so for us it matters not. I am sure for many it does.

[graciegirl]

I didn't say that, I just replied that I meant retired veterans are what resides in TV's. But probably many do not know the difference between the TVRH and The Villages Healthcare System I guess. I don't use either so for us it matters not. I am sure for many it does.


I am very proud we have so many veterans living here. Thank you once again, ladies and gentlemen, if you are reading this.

[chuckinca]

Thank You GG!

I would guess that the majority of retired folk who are veterans in the villages are not military retirees and not eligible for tri care for life.

.

[tcxr750]

Tricare For Life is for pensioned retired military who are Medicare eligible is my understanding.

[pgc4340]

FYI - As of October 16, 2015 The Villages Health Care System is no longer accepting patients who have TriCare for Life. Those already in the Health Care System are safe and will not be kicked out. However, no newTriCare patients will be accepted. This is sad state of affairs. Our men and women served their country with promises of life long medical services and now this. I guess the almighty dollar is still king, even here.
It appears I was correct when talking my husband out of joining. Does this mean The Villages no longer cares about Veterans?

[pgc4340]

Clearly stated "United Health Care pays royalty fees to Holding Company of The Villages Inc." in box at bottom of attached link.


https://ma.uhcmedicaresolutions.com/2016/offline/12?WT.mc_id=881806

The Villages is all about money now!

[gerryh1943]

They are accepting Medicare and Blue cross only if you were already in the Village health.

[gerryh1943]

If you were in the Villages Health and had Medicare and a supplement you are grandfather in that is what they told me yesterday, but if I change supplement and not with UHC than they will not except me or anyone else.

[rubicon]

.The Villages is all about money now!

I happen to disagree with your statement The Villages is not about money now, The Villages HAS ALWAYS BEEN ABOUT MONEY.

The Villages of Lake-Sumter, Inc. (TVLSI) (Developer) isn't and never was as some residents believe, altrustic, a do gooder that provided shang gri la just for them. Its a business (period)

One poster used the term "cherry pick" and my thought to that term focused on how nice that TVLSI who owns and controls the Villages Health Care System can cherry pick its patients.

Some residents will reply with what's wrong with making a profit and my response is nothing of course that is the purpose of creating a for profit organization.

Given my occupation and the educational credentials associated with this occupation we had sworn to an ethical oath of business conduct. so that "to seek honor before profit is the surest means of finding profit with honor". Felix Nadar's statement succinctly reflected that oath. In planning and presenting a three day seminar for employees I devoted one 1/2 day to the discussion of ethical conduct and behavior in our industry.

My intent here is not to judge it is to only opine others can decide

[graciegirl]

The Villages Health Care System is a great bunch of doctors and nurses according to a lot of folks I know who use them and I wish they would accept our insurance.


I do not come on here and say that my husband worked for the same huge established corporation for decades to have the benefits of a fine insurance system for his family and I taught small children for decades to do the same and that money making group of Morses owns an excellent Health Care System and won't let us in.


It is a wonderful privilege, but there are many doctors who practice here and in Leesburg and in Ocala (ALL that we have consulted) that do take our very good insurance.


I wish we would be accepted, we have excellent insurance but not the kind The Villages Health Care system takes. We all can still use The Villages Hospital. I just say that to clarify that they are two entities; The group of doctors and nurses known as The Villages Health Care system and the Health Alliance that runs the hospitals here and in Leesburg.

If you don't have the insurance they take....you don't get in. It is not unpatriotic, it is not nasty. It is a privilege your insurance company may not pay.

[villagetinker]

Please contact SHINE, State of FL Department of Elder Affairs, website: SHINE - Home
SHINE Program
or
Department of Elder Affairs
4040 Esplanade Way, Suite 270 Tallahassee, FL 32399-7000
Toll Free 1-800-96-ELDER
1-800-963-5337
TDD/TTY 1-800-955-8770
Fax 850-414-2150
Email information@elderaffairs.org

or go to one of the local meetings, see the Rec NEWS for time and locations. They will give you the straight scoop on this, and YES The villages Health care is placing limits on the carriers they accept.
Hope this helps.

[johnsct]

I am a verteran and my wife just switched to UHC. She switched because she feels it will be better than medicare. We made several phone calls to Tricare for Life and The Villages Health Care to sort out the confusion the United Health Care agents had on this subject. The plan my wife got has no additional expense to us and we still make her medicare payments. With her plan there isn't any co pay from TVHC, but will be some from the specialist when you are referred to one. TFL will pick up the copays from the specialist. When talking to the TFL folks they indicated they like UHC plans as they cover more than what medicare covered.

I switched from medicare to Humana a couple of years ago and it works the same way. Any copays are picked up by TFL. If my wife has good luck with TVHC then I will switch next year. But Humana has been good to me as well. Hope this helps clear up any confusion.

[Topspinmo]

It should be against the law for any health care system to NOT accept insurance. Insurance Lobbists along with any Lobbists should be inprisioned for greasing any business or politicians. Lobbists IMO should be treated one notch below terrorist.:shocked:

[ltcinf]

FYI - As of October 16, 2015 The Villages Health Care System is no longer accepting patients who have TriCare for Life. Those already in the Health Care System are safe and will not be kicked out. However, no newTriCare patients will be accepted. This is sad state of affairs. Our men and women served their country with promises of life long medical services and now this. I guess the almighty dollar is still king, even here.

I retired after 30 years in the U.S. Army including combat tours in Vietnam and Iraq. Everywhere I have lived since retiring gladly accepted TCFL. I recently moved to The Villages and am astounded that we have been rejected by The Villages healthcare system. They also won't accept my dependent's Tri-Care Prime. So much for supporting us who gave so many years of our lives in the military defending the right for us to even have a health care system. I wonder how many of these participating doctors even served in the military. It's a tough life in the military and this is a real slap in the face. A real patriotic move!

[rubicon]

It should be against the law for any health care system to NOT accept insurance. Insurance Lobbists along with any Lobbists should be inprisioned for greasing any business or politicians. Lobbists IMO should be treated one notch below terrorist.:shocked:

Topsinmo. I said the same thing when this topic was discussed about two years back on this forum. One of the biggest lobbyist responsible for this class distinction AARP. They pushed hard for ACA because they wanted a big junk of Medicare Advantage Plan . Its when AARP supported ACA that I dropped my membership and haven't been back since. AARP doesn't represent my interests but only their own greedy selfish goals

the specific question I asked is why isn't this practice discrimination? The federal government established protected classes to prevent discrimination but apparently because the elderly are not a protected class they can go fish:D And if you apply their desparate impact theory which is essentially (bupkus) it certainly has an adverse affect on a specific group in this case retired military

I receive my care from Monroe Hospital and doctors affiliated with this Health Care system and they are honored to accept my insurance plans:D

[tcxr750]

Couldn't you use TVHCS and submit DD2642 for payment from TFL. Call TFL and ask.

[Alice &Bill Schomburg]

What happened to America's friendliest home town?? Over 20%of the villages are vets, we need to respond, after all we defended the villages too!!

[graciegirl]

What happened to America's friendliest home town?? Over 20%of the villages are vets, we need to respond, after all we defended the villages too!!



Good grief. Insurance is accepted or not accepted by all of the doctors offices here in The Villages in the same way it was where we came from.


The Villages Health Care System consists of six PCP doctors offices that have been set up by the Morses to facilitate good health care here. They don't take most insurance because I would love to use them. I would hazard a guess that more than 80% of Villagers have found OTHER primary and specialized care here in this area that accepts their insurance.


The Health Alliance of Central Florida consists of The Villages Hospital and Leesburg hospital and has NOTHING to do with the Villages health care offices. The Village Hospital building is owned by the Morses but run by an entitity that leases it.


Please know that this is a very patriotic place to live and people here overwhelmingly approve and respect retired military.

Central Florida Health Alliance | Leesburg, Florida (http://www.cfhalliance.org/)

Accepted Insurance by The Villages Health (http://www.thevillageshealth.com/insurance.php)

[RickeyD]

It should be against the law for any health care system to NOT accept insurance. Insurance Lobbists along with any Lobbists should be inprisioned for greasing any business or politicians. Lobbists IMO should be treated one notch below terrorist.:shocked:


Single payer is the answer. How many years must we wait for the obvious to become law.

[graciegirl]

http://www.thevillageshealth.com/insurance.php (http://www.thevillageshealth.com/insurance.php)

[JoMar]

Single payer is the answer. How many years must we wait for the obvious to become law.

Crank it up.....lol.

[dbussone]

It should be against the law for any health care system to NOT accept insurance. Insurance Lobbists along with any Lobbists should be inprisioned for greasing any business or politicians. Lobbists IMO should be treated one notch below terrorist.:shocked:

"Some" insurance is not worth accepting. If hospitals were required to do so, you likely might not find a hospital or doc to go to because they would have gone out of business.

[dbussone]

Single payer is the answer. How many years must we wait for the obvious to become law.

I must respectfully disagree. In the UK many people buy private insurance so they don't have to wait an inordinate time before receiving care that is sometimes emergent. Private hospitals in the UK are rapidly growing as the capital starved public system deteriorates.

In Canada, some folks buy private insurance so they can come across the border to receive care in the US...not just those who are seasonal residents. There are hospitals in major northern cities that cater to Canadians.

[RickeyD]

I must respectfully disagree. In the UK many people buy private insurance so they don't have to wait an inordinate time before receiving care that is sometimes emergent. Private hospitals in the UK are rapidly growing as the capital starved public system deteriorates.

In Canada, some folks buy private insurance so they can come across the border to receive care in the US...not just those who are seasonal residents. There are hospitals in major northern cities that cater to Canadians.


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