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goingtothevillages
07-17-2016, 12:02 PM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

Bogie Shooter
07-17-2016, 03:16 PM
Is it really 10,000?

jimnc
07-18-2016, 05:33 AM
Any recommendations for quality physicians who are taking new patients?

villagetinker
07-18-2016, 06:57 AM
Is it really 10,000?

I was told by a rep from SHINE that it was 15,000. I imagine that it is going to be shear chaos as people look at changing doctors.

Personally, I am up to 23 questions that I will be asking both UHC and SHINE to figure out what we are going to do.

ColdNoMore
07-18-2016, 07:31 AM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

According to some of the usual developer shills (albeit unpaid shills presumably), you aren't technically being "kicked out."

However, imagine being in a general car club and then told that if you didn't buy a new Porsche, you would no longer be allowed to be in the club.

While not technically being "kicked out" of the car club, the net result is the same.


Anyway, good luck to you (and the the thousands of others not being 'kicked out') on finding a new doc that you're comfortable with. :thumbup:

graciegirl
07-18-2016, 07:55 AM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

We were never allowed into that fine Healthcare system because we have company insurance and that wasn't accepted. We really envied all who could take advantage of it. That said, we have a PCP we like, also a dermatologist, endocrinologist, gastroenterologist and foot doctor. It was not easy to find them. Florida is not tops in this country for excellent health care and that is probably why The Developer tried to provide and hire some good doctors for this community and establish a good health care system like he started good restaurants and a bank and things like transportation systems and even had a first rate furniture store. I think the developers were planning on the backing of USF and they fled for some reason, maybe not enough dough?

It is not easy to find excellent health care in Florida and if you come from Boston, L A, Houston or Cincinnati to name a few meccas of medicine in the U.S.,you will feel the lack deeply.

I have run into some really not good doctors and absolute scam dentists here in this part of Florida.

The best and brightest medical folks are attracted to large nationally accredited teaching facilities I guess.

We still have good doctors here for most things that affect us.

When searching for doctors, ask if they are board certified, and note where they were educated to start. Having a nice personality, or good bedside manner isn't as important as having up to date medical knowledge.

alemorkam
07-18-2016, 08:16 AM
I just got my letter, I am on Medicare and have Tricare. Says I don't have to do anything and I can remain in the system. I thought I had read that they were not allowing Tricare for life patients to stay?

jimnc
07-18-2016, 08:43 AM
The question still remains. Does anyone have the name of a good doctor in the area who can take new patients?

patoonya
07-18-2016, 08:47 AM
This decission by The Villages maybe their down fall?????

graciegirl
07-18-2016, 08:55 AM
This decission by The Villages maybe their down fall?????

Why? People have been finding doctors for a long time. I don't think it will harm the company if the healthcare system fails. They tried.

Radioman41
07-18-2016, 10:22 AM
Many people have supplemental coverage, partially subsidized by their former employer, in addition to traditional medicare. They will be extremely reluctant to give up that coverage for the United Healthcare plan. I sat down with a United Healthcare representative earlier this summer and went over their plan compared to my bc/bs supplemental plan. The agent admitted my current plan is superior, especially to coverage outside their coverage area. In our case we spend several months a year out of TV and would only have limited coverage. Also under what I presently have there is no restriction on where I can go for care if the need arises. As we get older, that is a hard option to give up.

REDCART
07-18-2016, 10:52 AM
We're in exactly the same situation and are very satisfied with our BC/BS Medicare supplement primarily for its portability and coverage. We're using Dr. John Im on CR101. In addition to urgent care, Dr Im is taking non-emergency private patients by appointment. We're very satisfied with his care and as an added bonus, his sister Kelly is a nurse practitioner, and part of his practice. Both are extremely easy to speak with. We started with Dr Ready but found his bedside manner lacking.

BN95303465
07-18-2016, 11:12 AM
Apparently the Villages only cares about making money. They are now kicking out people who are on medicare with a supplemental plan even if it's from United Healthcare. They are well aware that many people do not want to be stuck with an insurance company who restricts providers and can change them whenever they want. They sold this as a retirement community with great Healthcare who cares but slowly but surely their care is replaced by the almighty dollar.

retiredguy123
07-18-2016, 12:00 PM
Norman Novis

2BNTV
07-18-2016, 01:51 PM
This is my understanding.

For healthy people Medical Advantage plans are best for you.

For those who have recurring conditions and may need to be hospitalized, original Medicare with a supplement is best for you. It also gives you a wider range of doctors one can seek, for their medical needs.

Sunday's DS had an article explaining the VHS favors UHC Medical Avantage plans as the doctors can spend 1/2 hours per patient than original Medicare, as that plan is geared for a doctor to spend 10 minutes, per patient. The article also says one receives more coverage for a MA plan for what one pays. If one has OM plus a supplement, they would be spending about $3600 per year. If one has an MA plan, one pays $1260 per year. With an OOP max of $4600. They indicated one could save money and still receive excellent care as the average patient may spend $800 past the $1260 per year.

One has to pick the plan that best needs their needs. For some people OM with a supplement provides peace of mind.

As they say on the cops and robbers shows, "follow the money". It's all about the money. Personally, I am disappointed that one can't switch to OM with a supplement and stay within TV Health network. I personally think they are making a mistake.

gap2415
07-18-2016, 01:59 PM
In spite of going out of our way recently to the Colony office and being "assured" we are not on a list to be given a dismissal letter, it arrived today.

Last time I went to the Rose Clinic on Old Camp Road, I was told a new M.D. Was joining their practice named Dr. Beams. We are calling him today.

bbrizendine
07-19-2016, 01:43 PM
You can join the Advantage plan and stay on. Do not believe anything that they're telling you about improvements. This is all about money$$$ and greed. The other issue they have is that they don't want to deal with submitting bills to Medicare and private secondary insurers...it's too much trouble. One of the reasons that my wife and I moved here was the state of the art, magnificent medical care that would be offered to us, which we took. When they closed the door last year to people that had private insurance, they promised that we'd be grandfathered. They lied. They have not kept their word. They have no integrity. What those of you that remain will have is an HMO, no matter what they tell you. Remember them? Can you remember any of your friends or family who had HMO's that were satisfied? The Villages have failed miserably. I'll never trust them again.

CritterLover
07-26-2016, 02:42 PM
Why? People have been finding doctors for a long time. I don't think it will harm the company if the healthcare system fails. They tried.

I really believe they have a good thing going and I hope I'm around to enjoy it till I'm very old and crotchety! I so wish all the people feeling dumped on would talk to the right people..they'd feel so much better.

flredhead
07-26-2016, 02:54 PM
The question still remains. Does anyone have the name of a good doctor in the area who can take new patients?
Dr. Martizez-Cruz located in The Summit on 466 750 6650 hours start at 7 in the am until the middle of the afternoon and his office is also open every other Saturday morning. Listens to your problem and then answers in a manner you will know what is wrong and what can be done about it. You will like him.

lynn22
07-30-2016, 04:18 AM
May I ask who your Dr.'s are

Villager Dude
07-30-2016, 10:12 PM
Not positive but I heard Tricare would be accepted until you are 65. It would be nice if someone could clarify this.

I would have hoped that TVH would have grandfathered anyone already in the system as they had promised. Through attrition that would have solved the problem.

Seems like the only reason to make this drastic decision is they do not have patient space to take in those that want to be on MA.

I guess I would take a little money ( US ) on Original Medicare rather than no money.

I heard from someone under 65 that United Health is cancelling policies for those on the open market effective January 1st.

buckscounty
07-30-2016, 10:29 PM
This decission by The Villages maybe their down fall?????

Very happy with united health care.

Inexes@aol.com
07-31-2016, 11:49 AM
Did anyone ever answer your question about local docs? You can PM me. I am a practicing RN and have some knowledge of who I would or would not see in this area. Would be glad to supply you with the information I have.

rcdqb
08-18-2016, 12:48 PM
If you receive any good references will you let me know please? I'm in the same boat

2BNTV
08-18-2016, 05:29 PM
1.A lot of people like Dr Florian Gegaj
2. Dr Felix Agbo, (I found him difficult to understand even though he speaks english, heavy accent). Went to him for 2 years. Excellent doctor trained at Mt Sanai in NY and in England.

Left to join TVH system.

Paulette and Tommy
08-18-2016, 05:59 PM
Please help me. I'm looking for a compationate RA doctor in the villages
Please contact me at Paulette9055@gmail.com Thank you

AliceInWonderland
09-12-2016, 09:38 PM
NY Civil Service advised do NOT join Advantage as will be dropped from NYS Plan. Once that happens you cannot rejoin.

Jakesmom208
09-13-2016, 04:54 AM
Any information on Dr. Sietarski?

jeriteri
09-13-2016, 05:34 AM
My wife and I joined The Villages Healthcare a year ago and have had great medical coverage and care. I see no reason not to stay with the system using United Healthcare that they provide. Beautiful facilities, you can choose from four of them. Zero or low premiums, low co-pays, eye care, dental and prescriptions included. Get in now before you can't. The Doctors can only take so many new patients or you may be able to keep the one you have had in the system. Stop in the Medicare Store and talk to them a.s.a.p..

drannamarie
09-13-2016, 09:20 PM
Check out the new Affordable Health Care Channel! They have great docs ...variety of specialists. My deductible is so high...I ended up paying a lower cash price for better care ;-) Hope a good lead

Viperguy
09-23-2016, 06:11 AM
Not sure about that but I am in the same situation. I have TFL and when I approached a Villages provider they said they would accept me but I had to file claims with Tricare. They would not do it. Medicare files claims automatically with Tricare so you usually have nothing to worry about. Checking out doctors on the Medicare.gov website is a nightmare. Really easy to find providers but getting one that is good or taking new patients is another. So far I have seen two and they are terrible. Unorganized staff and usually from some far away country. I really believe that The Villages is in some sort of agreement with UHC to force people into their system. $$$? maybe. Something to consider for us planning to spend the rest of our lives here.

Viperguy
09-23-2016, 06:14 AM
Most insurance companies allow you to "suspend" coverage. You are locked out for a year but can rejoin. My wife is in a government program and plans to do that the end of the year to rejoin my Tricare program. She can return after a year if she so desires. I think?

outlaw
09-23-2016, 07:29 AM
Most insurance companies allow you to "suspend" coverage. You are locked out for a year but can rejoin. My wife is in a government program and plans to do that the end of the year to rejoin my Tricare program. She can return after a year if she so desires. I think?

My understanding is that once you go with medicare advantage for over a year, you will have to "qualify" for supplemental insurance if you want to go back to medicare part b. By qualify, I mean the insurance companies will take into account your medical/health condition and age, and base your premium on those factors.

John_W
09-23-2016, 02:08 PM
I have a retired cardiologist in my workout class at MVP and he had Medicare Advantage with TV at Colony. I asked him today how he liked his doctor. He said because of all the traveling he does, he's concerned with the limited coverage when he leaves Florida. He has a medigap plan F that is much better and that he had talked to the folks at the new 441 Urgent Care Center that recently opened in the small strip center on 44 across from Powell Rd where O'Shea's used to be. They told him they are getting a fulltime family doctor on staff in October and will be taking patients soon. He said he's going to drop his Villages plan and go with his plan F at the Urgent Care Center.

Here is the address if you're not sure of where it's at, it's across from the Grand Traverse Shopping Center before Sparr Building Supplies.

Suite 101, 4669 FL-44, Wildwood, FL 34785

Villager Joyce
09-23-2016, 03:03 PM
I have a retired cardiologist in my workout class at MVP and he had Medicare Advantage with TV at Colony. I asked him today how he liked his doctor. He said because of all the traveling he does, he's concerned with the limited coverage when he leaves Florida. He has a medigap plan F that is much better and that he had talked to the folks at the new 441 Urgent Care Center that recently opened in the small strip center on 44 across from Powell Rd where O'Shea's used to be. They told him they are getting a fulltime family doctor on staff in October and will be taking patients soon. He said he's going to drop his Villages plan and go with his plan F at the Urgent Care Center.

Here is the address if you're not sure of where it's at, it's across from the Grand Traverse Shopping Center before Sparr Building Supplies.

Suite 101, 4669 FL-44, Wildwood, FL 34785

Are you saying he has Advantage AND Plan F?

CFrance
09-23-2016, 09:47 PM
Dr. Martizez-Cruz located in The Summit on 466 750 6650 hours start at 7 in the am until the middle of the afternoon and his office is also open every other Saturday morning. Listens to your problem and then answers in a manner you will know what is wrong and what can be done about it. You will like him.
He also reads and answers emails twice a day, even on weekends. He did his residency at Mass General in Boston and came across some very unusual conditions; as a consequence, he was able to diagnose and treat my husband for an uncommon condition before he sustained organ damage.

Dr. M-C is not board certified because he chooses not to be. We discussed this with him and accepted his reasons. He will accept patients with no medical insurance for a flat fee. He goes out of his way to find people of limited means the least expensive way to treat their conditions, including the buying in bulk and undercharging for medical pressure socks when he found out how much they were being sold for in area stores, as well as advising where some prescription drugs can be bought for the least $.

I could go on. His WIFE is his office manager. He has an autistic child and does much work for autism. But give his office a call and go in to talk to him. Make your own decision.

He's the best doctor we've ever had. He spends much time with you during a visit and doesn't overbook. So my only hesitation in recommending him now and in the past is the hope that he will not become swamped.

John_W
09-24-2016, 03:19 PM
Are you saying he has Advantage AND Plan F?

Yes, that is what he said, I didn't quiz him on his details. He's a retired doctor 78 years old. He stayed with TVHS and enrolled in Medical Advantage. With his traveling he has concerns, his wife just returned from 3 weeks in Europe, so he has been looking for a way to use his supplement plan. He liked what he saw and what they told him at 441 Urgent Care on Hwy-44. So he switching to them and dropping his Advantage plan, then he'll also be able to travel and have complete coverage.

joebjwb
09-26-2016, 02:37 AM
Dr. Agbo with Sinai Med was a great find for my wife and I he's knowlegable friendly and easy to access.

pszakacs
09-26-2016, 05:50 AM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks
I have had good luck with referrals to Dr. Felix Agbo of Sinai Medical at Lake Sumter Landing. He is the only doctor - so you can develop a relationship. He also has a Nurse Practitioner in his office to assist.

lpaul530
09-26-2016, 07:38 AM
Dr. Marivic Villa (352)561-6299

OhioBuckeye
09-26-2016, 09:03 AM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks
I go to Dr. Fairborz Delbakhsh, they just call him Dr. Dell, he's internist & he does have a great General Practitioner working for him & as far as I know he is taking new patience. I'm on Medicare & my secondary Ins. is BC/BS. He's on 441/27.

LynnWM158
09-26-2016, 09:05 AM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks
I owned a medical practice management company for years and could see the handwriting on the wall when we received the change or else notice last year. When the notice came this year to change or else I found a new physician with Florida Heart Specialists. They have internal medicine physicians as well as heart and sleep disorder physicians. There are several offices in and close to TV and, as of a week ago, they still had some new patient openings. I'm sure those slots will fill up when the snow birds arrive so I wouldn't wait too long before finding another physician.
This move will probably hurt The Villages Healthcare system for a while but eventually newcomers to the area will fill the appointment books. Personally I feel this has placed a blemish on the reputation of TV.

OhioBuckeye
09-26-2016, 09:07 AM
I wish I understood this issue a little more about what's going on with this Ins. thing. Can someone put it in a nutshell & make it simple about why these Dr. won't except these 10,000 people. Sorry I'm so out of touch about these things. I guess since I'm not one of them, maybe that's why I never took more interest in it.

CFrance
09-26-2016, 09:12 AM
I wish I understood this issue a little more about what's going on with this Ins. thing. Can someone put it in a nutshell & make it simple about why these Dr. won't except these 10,000 people. Sorry I'm so out of touch about these things. I guess since I'm not one of them, maybe that's why I never took more interest in it.
The 10,000 retirees on Medicare plus a supplemental plan used to be part of The Villages Health system, but they had different kinds of insurance than TVHS wants to accept as of January 1. Those people now must either change to the Medicare Advantage plan TVHS will accept or find a new doctor outside of TVHS's system who will accept their insurance.

Retired and happy
09-26-2016, 09:37 AM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks
We have lived in The Villages for almost five years and have looked long and hard for a good GP. We had to kiss a few "frogs " before finding the wonderful, compassionate, and experienced Dr. Martinez- Cruz. We have been under his care for two years. I have had to see him for more than just general reasons, and when I met him for the first time, I found him to be a doctor who takes his time to listen carefully. He gave me his business card and pointed out his personal email address which he checks at least twice a day and qiuickly resonds to questions (I have written to him and he responds as promised); his cell phone number is also on the card, and if he doesn't answer immediately, he calls back quickly. His willingness to be available to his patients is amazing in this day and age. He has his own practice and has a an office staff who are just like him: committed to the patient's needs and very responsive to any requests. His office hours are Monday- Saturday....7:30-2:30 ( not sure about the Saturday hours)

This is his information: 352-750-6650. 781 Highway 466. Lady lake ( Summit Plaza. Near intersection of Rolling Acres and Rt 466)

PTennismom0202
09-26-2016, 01:30 PM
I have Medicare B and TFL, but got the boot when I turned 65. I think if you are already "in" with TFL you are being grandfathered.

bunnyhop
09-26-2016, 02:10 PM
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

A VERY GOOD DOCTOR
We had the same situation -- healthcare coverage through a retirement benefit. I was able to find an excellent doctor in Belleview -- Dr. James Brown. He told me that his practice is starting to get very, very busy because of the changes to The Villages Healthcare System. Good luck finding a good one!

outlaw
09-26-2016, 02:25 PM
I have Medicare B and TFL, but got the boot when I turned 65. I think if you are already "in" with TFL you are being grandfathered.

Not unless you switch to medicare advantage.

Mikeod
09-26-2016, 02:41 PM
I have Medicare B and TFL, but got the boot when I turned 65. I think if you are already "in" with TFL you are being grandfathered.

Not unless you switch to medicare advantage.
Not true. We have Medicare and TFL and we are OK without UHC through 2017. We'll see what happens after that, though.

outlaw
09-26-2016, 02:52 PM
It seems like many/most of the doctors recommended are graduates of low ranked or foreign medical schools. The typical comments are "He listens", or "He spends a lot of time with me", He's always on time, I never wait more than 10 minutes." Does anyone bother to check these doctors credentials? One of the highly recommended doctors graduated from Nigeria medical school. Others are from from schools in Peru, India, Mexico, etc. One doctor (a couple of posts up) graduated from a school ranked 167 out of 174! I'm not impressed with the quality of doctors' credentials in this area. Lots of DOs versus MDs. BTW, many of the lower ranked schools are DO schools (with corresponding low median MCAT scores). But my previous doctor in north Florida did warn me about central Florida. So far, I have found ONE doctor in this area from a top three school (Johns Hopkins). But no one mentioned him.

sharonga
09-26-2016, 03:48 PM
When we first moved here 4 years ago, we started with Dr. Paiano.we changed to Village Health Care. Since we got "kicked out" we went back to him. He is very thorough. My husbands specialists stayed the same. :clap2:

CFrance
09-26-2016, 03:51 PM
It seems like many/most of the doctors recommended are graduates of low ranked or foreign medical schools. The typical comments are "He listens", or "He spends a lot of time with me", He's always on time, I never wait more than 10 minutes." Does anyone bother to check these doctors credentials? One of the highly recommended doctors graduated from Nigeria medical school. Others are from from schools in Peru, India, Mexico, etc. One doctor (a couple of posts up) graduated from a school ranked 167 out of 174! I'm not impressed with the quality of doctors' credentials in this area. Lots of DOs versus MDs. BTW, many of the lower ranked schools are DO schools (with corresponding low median MCAT scores). But my previous doctor in north Florida did warn me about central Florida. So far, I have found ONE doctor in this area from a top three school (Johns Hopkins). But no one mentioned him.
Actually, yes, we did check ours out. He passed, on all counts, just not being a nice guy.

outlaw
09-26-2016, 03:57 PM
[QUOTE=outlaw;1295770]
Not true. We have Medicare and TFL and we are OK without UHC through 2017. We'll see what happens after that, though.
You are correct. You were already on medicare. In my case, I get the boot Dec 31 2016, because I became medicare eligible during 2016. Those who were already on medicare when the decision came down in 2015 get to stay until dec 31 2017.

Vladimir
09-26-2016, 04:02 PM
It seems like many/most of the doctors recommended are graduates of low ranked or foreign medical schools. The typical comments are "He listens", or "He spends a lot of time with me", He's always on time, I never wait more than 10 minutes." Does anyone bother to check these doctors credentials? One of the highly recommended doctors graduated from Nigeria medical school. Others are from from schools in Peru, India, Mexico, etc. One doctor (a couple of posts up) graduated from a school ranked 167 out of 174! I'm not impressed with the quality of doctors' credentials in this area. Lots of DOs versus MDs. BTW, many of the lower ranked schools are DO schools (with corresponding low median MCAT scores). But my previous doctor in north Florida did warn me about central Florida. So far, I have found ONE doctor in this area from a top three school (Johns Hopkins). But no one mentioned him.

You are so right. I am not concerned about the bed side manners as much as I am about the credentials and his skills.

gap2415
09-26-2016, 04:03 PM
It takes us 20 minutes but we found a wonderful well versed doctor in Tavaras, Dr. C. Onyon. Glad now we made the switch. Also, he is connected with TV hospital, Leesburg and Florida hospital so you don't have to go to TV hospital if you don't like or need it.

arickis
09-26-2016, 05:09 PM
Why not just get the Medicare Advantage plan from United. There is no extra charge other than the SS deduction that all Medicare people pay, and the doctors are great in The Villages Health Care System.

NavyVet
09-26-2016, 08:25 PM
First of all, having Tricare for Life is the holy grail of insurance plans. We would never give that up for an HMO with no advantage and plenty of restrictions. We've had numerous medical sources and Veterans Services Officers assure us that what we have is far superior.
Second, why should we "switch" when we EARNED our coverage by serving our country?
My hubby is on Tricare Standard and he got his 'dumped by TVH' letter because he doesn't get Medicare/Tricare for Life until after DEC 31. He has already found and seen his new pcp and he likes him.
I already have Medicare and Tricare for Life and my letter stated that I don't have to change anything. So, I'm 'safe' for now. However, it's only a matter of time before we TFL people get dumped as well and I'm not waiting around. I also have lined up a new pcp already.
If hubby isn't good enough for TVH, then I don't want to stay there either. It was nice while it lasted, but we are moving on. We know we'll be covered whenever we travel and we get to choose our doctors and specialists. No preauthorization required.
My advice for folks who have TFL and use TVH; run, don't walk, in the opposite direction.
Hope this helps clarify a few things.
Sorry if I ranted. I thank my lucky stars for our benefits and for the VA, who has always treated me very well. Peace.

rodway120@aol.com
09-26-2016, 10:29 PM
Disgraceful action on part of The Villages Health. No longer a beautiful day in the Villages. Now a SAD DAY IN THE VILLAGES .
Lets all start answering our phone with ITS A SAD DAY IN THE VILLAGES, or ITS A TERRIBLE DAY IN THE VILLAGES.
When people ask us about The Villages lets focus on this huge negative.

Time they published the peer review study that shows The VIllages are the healthiest home town or stopped using the phrase.

outlaw
09-27-2016, 08:25 AM
Why not just get the Medicare Advantage plan from United. There is no extra charge other than the SS deduction that all Medicare people pay, and the doctors are great in The Villages Health Care System.

Some refer to it as the Medicare Disadvantage plan...that's why not.

outlaw
09-27-2016, 08:29 AM
Actually, yes, we did check ours out. He passed, on all counts, just not being a nice guy.

Great! Please share with your fellow TVers.

2BNTV
09-27-2016, 03:58 PM
I wish I understood this issue a little more about what's going on with this Ins. thing. Can someone put it in a nutshell & make it simple about why these Dr. won't except these 10,000 people. Sorry I'm so out of touch about these things. I guess since I'm not one of them, maybe that's why I never took more interest in it.

This is my understanding:

TVH system made a business decision to only use UHC MA plans and Tricare for life and not accept original Medicare with a supplement. They want to practice medicine by giving more time for each patient, (30 minutes a visit), as opposed to original Medicare, (10 minutes a visit). They think it's a better way to practice medicine as people would receive better health care and would save more money per year.

Those with original Medicare with a supplement need to find a doctor outside of TVH system.

Bottom line is this model would allow them to stay in business with a profit.

BTW - Don't come after me, as this is TVH's point of view on the way healthcare should be handled, going forward.

emb2458
09-27-2016, 04:00 PM
Try Florida Heart & Vascular Multi-Specialty Group. My husband and I have been seeing Dr Florian Gegaj, MD for five years. We love him. We have Medicare and Tricare. No co-payments and no extra out of pocket expenses.

buckscounty
10-14-2016, 08:33 PM
I have United heath care and pay no monthy or prescriptions, never had a problem my Drs visits cost nothing if I go to a specialist i pay 30 dollars. i have had it for yrs. My husband has freedom same for him

pgc4340
10-19-2016, 01:01 PM
I just got my letter, I am on Medicare and have Tricare. Says I don't have to do anything and I can remain in the system. I thought I had read that they were not allowing Tricare for life patients to stay?

We have the same insurance coverage. My husband considered The Villages system, but I vetoed it. When we read that TV system would not accept Medicare and Tricare For Life in The Villages newspaper, hubby was very happy that I had vetoed it.

kaseydog
10-19-2016, 03:30 PM
I also have a ny state insurance plan from a government employer.under my plan if i leave i am banned for life. Was advised by tv health insurance agent not to take tv health medicare advantage plan 2017 version. Plan has many hidden costs & they are already planning a 2018 plan. Of course members of the 2017 plan are not privy to these changes as they may be detrimental & cost them more money. $0 dollar co-pay falls under the saying if is sounds too good to be true it is.

JoMar
10-19-2016, 08:41 PM
So the original poster asked for recommendations to fill their needs. Why do we go down the path, again, of rehash and speculation? Can anyone here help the OP?

Bgreuter
12-31-2016, 05:08 PM
Did anyone ever answer your question about local docs? You can PM me. I am a practicing RN and have some knowledge of who I would or would not see in this area. Would be glad to supply you with the information I have.
We are residents of the The Villages and live in Buttonwood. We started seeing Dr Aisenstat (Helen) when we moved here 3 years ago. We hated to see her go not that it would have mattered as my husband turned 65 and would have been booted if he did not join TV's plan.

Our adult son was born with spina bifida 38 years ago and lives at home with us. He has many health issues and is followed by a pediatric neurosurgeon in Gainesville, urologists here in TV, dermatologist here in TV but we need an internist who is willing to be extra attentive because of his needs. Dr Aisenstat was wonderful and accommodating.

Would you give me any information on who is a good doctor and more importantly, who is not? We have been through many specialists during Jon's life but finding an interested internist has been a challenge at times. Happy New Year!