Informal Poll on Recent Debate - Health Insurance

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  #16  
Old 07-23-2016, 12:19 AM
NYGUY NYGUY is offline
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I have a UHC Medicare Advantage PPO and plan to stay with TVH. But, I believe TVH was wrong to get in bed with UHC in the first place and the changes by TVH amount to classic bait and switch for those that would like to stay.
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Old 07-23-2016, 02:50 AM
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TVH is losing those with the best insurance plans and keeping those that feel United Health Advantage is better. There will be more Doctors setting up practice in our tri county area that like the idea of having patients with the best primary and supplement policy combinations. There will be doctors leaving TVH to open their own practice to fill the vacancies due to this decision by TVH. So, my fellow Villagers, we will do fine. If anyone should be worried, it is TVH Doctors as they will have to absorb lower payment per patient ratio that is inevitable with UHC style companies.
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Old 07-23-2016, 06:25 AM
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Originally Posted by NYGUY View Post
I have a UHC Medicare Advantage PPO and plan to stay with TVH. But, I believe TVH was wrong to get in bed with UHC in the first place and the changes by TVH amount to classic bait and switch for those that would like to stay.
That's what I was trying to say on the nurse's thread. You've said it well.
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Old 07-23-2016, 06:32 AM
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Originally Posted by inthemindofanurse View Post
You sir, are also wrong. Tricare is accepted
Not as a supplemental to medicare. Only as a supplemental to medicare advantage. You will still be in an HMO type system, with limitations on specialists that will be provided/paid by UHC.
  #20  
Old 07-23-2016, 06:37 AM
golfing eagles golfing eagles is offline
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Originally Posted by Joejohnson View Post
TVH is losing those with the best insurance plans and keeping those that feel United Health Advantage is better. There will be more Doctors setting up practice in our tri county area that like the idea of having patients with the best primary and supplement policy combinations. There will be doctors leaving TVH to open their own practice to fill the vacancies due to this decision by TVH. So, my fellow Villagers, we will do fine. If anyone should be worried, it is TVH Doctors as they will have to absorb lower payment per patient ratio that is inevitable with UHC style companies.

How so???? They are all on salary.
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Old 07-23-2016, 07:01 AM
spuds51 spuds51 is offline
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It looks like the numbers align with the national average here. If a earlier poster was correct in 22%. The national average is getting close to 3 out of 10 going with Medicare Advantage. When polled as to the reason they chose to leave Medicare most stated for financial reasons but being uninformed was up there too.
We will be leaving..we can afford to pay for supplements so it was really a easy choice. I don't want someone a thousand miles away deciding if a treatment is Medically Necessary.
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Old 07-26-2016, 01:30 PM
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I immediately smelled a rat with the developer getting into the healthcare business, just like I did with the Moffitt fiasco. I have UHC Advantage Villages Complete. I don't like HMO plans but all primary and specialist MDs I already used were in the plan and WERE NOT part of the Villages Health Care system. If they decide to bail out of this advantage plan I will change plans. I have always been of the mindset that only patients should choose their doctors. Convenience should not be the sole reason for making medical decisions.
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Old 07-26-2016, 03:15 PM
RedChariot RedChariot is offline
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We are both leaving TVH. We are accepting what we cannot change. Due to my husband's pension benefits we receive free NJ BC/BS supplemental insurance for both of us. Primary is Medicare. With that is a drug plan for medication coverage that we pay minimal for each drug. We don't want to change but we must. Morally I feel TVH should have grandfathered us in. Just as golfing eagles stated his medical practice did when making insurance changes. But it is not to be.

I have two "leftover" appointments. One with Helen Aisenstat who is gone and one with the endocrinologist. Interesting to see how TVH handles this. I have made appointments for us with a new internist. I am moving on. Sadly.
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Old 07-26-2016, 03:39 PM
Uberschaf Uberschaf is offline
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I'm kinda a math nerd and I still can't figure out whats going on. I have seen on line with over 25 letters to the editors on the other site. I don't understand the insurance debate that is going on.If someone could explain it that would help me.And by the way a new prime number has been found.It's 2^74,207,281 – 1.
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Old 07-26-2016, 03:48 PM
Bonnevie Bonnevie is offline
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Originally Posted by RedChariot View Post
We are both leaving TVH.

I have two "leftover" appointments. One with Helen Aisenstat who is gone and one with the endocrinologist. Interesting to see how TVH handles this. I have made appointments for us with a new internist. I am moving on. Sadly.
I, too, am leaving. I liked everything there but I don't pay anything with what I have. Sure it's costly, but I'm paying for the peace of mind should something serious happen to me.

I had appointments scheduled, but they cancelled them.
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Old 07-26-2016, 05:08 PM
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We loved the Villages Health system but also are moving on because we want the freedom and security of a supplement plan. Unfortunately for us we are paying the whole bill for supplements.
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Old 07-26-2016, 05:33 PM
TomOB TomOB is offline
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I looked at joining TVH but I wasn't impressed. Decided to stay with the coverage that I have and the Drs that I have.
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Old 07-26-2016, 08:38 PM
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I switched from BC/BS when I turned 65 in March to UHC and Medicare Advantage to stay with TVH because I love my primary. It was an emotional decision that came when I was blindsided at my appointment in Feb. I thought I was grandfathered in and had disregarded the letter that was sent because I had been with this firm when they were Family Physicians of Bellview even before they became TVH. Now that I have investigated it further and now that my husband has to make a choice also, I will finish this year with TVH and will return to BC/BS and Medicare under his plan in Jan. I hate losing my primary but it's more important that I keep my specialists that are not under TVH because of my health issues. I made a rash decision and thankfully found out that I can change back. I really feel let down by a firm that I had built a relationship with over a period of 6 years.
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Old 07-27-2016, 07:29 PM
trichard trichard is offline
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I'm out!
  #30  
Old 07-27-2016, 07:50 PM
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Quote:
Originally Posted by raynan View Post
I switched from BC/BS when I turned 65 in March to UHC and Medicare Advantage to stay with TVH because I love my primary. It was an emotional decision that came when I was blindsided at my appointment in Feb. I thought I was grandfathered in and had disregarded the letter that was sent because I had been with this firm when they were Family Physicians of Bellview even before they became TVH. Now that I have investigated it further and now that my husband has to make a choice also, I will finish this year with TVH and will return to BC/BS and Medicare under his plan in Jan. I hate losing my primary but it's more important that I keep my specialists that are not under TVH because of my health issues. I made a rash decision and thankfully found out that I can change back. I really feel let down by a firm that I had built a relationship with over a period of 6 years.
Before you get blindsided again, call SHINE and discuss your health issue, ASAP. My understanding, if you leave the advantage early, you may be able to get back into your old plan with no health questions or underwriting. If you wait until the year is up, you may be forced into health questions and underwriting. We did this and just managed to get changed over from the advantage plan to supplemental at week 50. This is very important, SHINE will be able to give you the up to date info, but I would start exploring this now, even to the point of changing ASAP.
Hope this helps
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