[nyclicker]

Bump

[Villages PL]

Originally Posted by Avista

New Villages HMO does not require a referral.

I'm not sure I understand. By "referral" do you mean "permission" to see a specialist? Any specialist you choose? Or do you mean permission to see only one in-network specialist?

If it's a certain in-network specialist, that makes sense to me because The Villages Health HMO has stated that their goal is to cut down on unnecessary expensive testing. Referring you to an in-network specialist gives them the control they need to do that.

Doctors in the network will share computer records and that will be part of that effort.

[Avista]

Originally Posted by Eyewiz

The Villages Eye Institute will be providers of the new UHC plan The Villages Medicare Complete.

Mid Florida Opthamalogists are also in the book. I have glaucoma, and that is where I go.

[Avista]

Originally Posted by Villages PL

I'm not sure I understand. By "referral" do you mean "permission" to see a specialist? Any specialist you choose? Or do you mean permission to see only one in-network specialist?

If it's a certain in-network specialist, that makes sense to me because The Villages Health HMO has stated that their goal is to cut down on unnecessary expensive testing. Referring you to an in-network specialist gives them the control they need to do that.

Doctors in the network will share computer records and that will be part of that effort.

it would be an in-network specialist -- not necessarily part of Villages Health Care.

[Villages PL]

Originally Posted by gomoho

PUP - they still have a part B rebate for 2014.

Since PUP does not mainly serve this area, what hospitals will be participating in their plan?

[NotGolfer]

We signed up with the UHC that's affiliated with the USF clinics. NO referrals to doctors within network!! All of our doctors are in this network so don't have to change them. Only thing that is different that I can see is dental...no longer Dr. Fisher is in that network if you had PCP before. We're not familiar with any of the dentist (there are several) on their list. Eye doctors are Lange, Ocala Eye and I think Mid-Florida but I could be wrong. I'm thrilled with this as before PCP I was with Ocala and liked being with them since I have diabetes and some other issues.

The Part D drug thing is different--"IF" you have many drugs etc., you may have to shop around (do your homework now) for the better places to get them.

[nyclicker]

Bump

[shankerman]

Originally Posted by nyclicker

For those of you that had Preferred Care Partners which is no longer available which plans are you considering for 2014?

.
************************************************** ***********
Florida Blue Medicare Advantage.
Moffitt Cancer Center accepts BC/BS Medicare Advantage plans. Shands Hospital in Gainsville also accepts BC/BS Medicare Advantage plans. .

Moffitt does not accept United Health Care - The Villages. Now isn't that strange since so much press was given to Moffitt coming to The Villages.

Did you know that Gary Morse owns 51% of United Health Care - The Villages? Do you suppose that's why The Villages Primary Care Centers which he also owns, will only accept United Health Care - The Villages Medicare Advantage plans?

Choose wisely friends.

[champion6]

Originally Posted by shankerman

Did you know that Gary Morse owns 51% of United Health Care - The Villages?

I can only assume that this is your OPINION, not fact. You have stated this before, but without any proof. Are we to believe that a private individual "owns" one health insurance plan which is offered by a diversified managed health care corporation?

[DDoug]

Kind of like self insurance

[NotGolfer]

The NEW United HealthCare plan that is a part of Villages Healthcare doesn't require a referral BUT you must still be in their network. We signed up with them.

[SusanOfWoodbury]

United Health Care, Villages does that mean you can only see there doctor's. at the new building on Santa Barbara?

[SusanOfWoodbury]

I read somewhere no sure where it was, maybe the Village News, but Morse does not own the hospital...

[2BNTV]

Originally Posted by SusanOfWoodbury

United Health Care, Villages does that mean you can only see there doctor's. at the new building on Santa Barbara?

Your primary care doctor is the one you will go to and if not available, another doctor will see you. I called yesterday as I was under the impression thay took other Medicare Advantag plans. The literature wasn't clear at least to me they only took the UHC Medical Advantage Plan. They accept other plans if you are not on Medicare. According to the literature, they accept straight Medicare.

You can call them at 352.674.1700.

[jazzeoneaj]

I recently wanted to 'scope out' what medical facilities were accepted by the Villages UHC HMO Plan if you had a serious dx or life threatening disease.

Moffet, Shands, Mayo..none of them take the new Medical Advantage HMO Plan. They are not in network according to the Agent at UHC to which I spoke. If you choose the other Medical Advantage Plan that has the option of 'going out of network'..youdo have a coinsurance to pay.. might cost a bit more but at least you have another option.

I asked then 'where do you go for something catastrophic..she replied' TVH, Leesburg, ORMC...so not sure there are a lot of choices. Be careful and scope out if the HMO is really for you.

HMO is fine if you don't have a lot of health issues. Too bad we lost Preferred Care.