Medicare, Tricare, United Health

Medicare, Tricare, United Health

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  #11  
Old 07-19-2019, 04:24 PM
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villagetinker villagetinker is offline
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I will provide a clarification, there were specialists available in the TVHC system BUT most if not all had very long times for the initial visit (3 or 4 months), and then it was typically another month to actually get an appointment to see the doctor. This was not acceptable as my wife already had specialists that she was happy with, but these would NOT accept the ADVANTAGE plans. You need to do suitable research , what works very well for one person may not work at all for another.
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  #12  
Old 07-19-2019, 07:54 PM
HIgolfers HIgolfers is offline
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My husband signed up for United Health (a Medicare Advantage plan) six months ago and Tricare For Life works as a secondary payer. So far so good. You just have to remind Specialists and labs that you have TFL as a secondary because they repeatedly try to bill him for the co-pay, which TFL typcially covers. Since there is no premium for United Health, and there are extra benefits like free gym membership to MVP (which he was paying $60 per month for before) and $40 worth of Over the counter medical supplies every quarter, it has worked out well for him so far. However, since the Medicare Advantage plan includes part D (drugs) his Medicare premium went up quite a bit. The amount depends on your income. He can still use Express Scripts as well, though since he is really healthy, he hasnot needed to!!
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  #13  
Old 07-20-2019, 08:22 AM
alemorkam alemorkam is online now
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Found out yesterday that anyone can use The Villages Health Specialty clinics with many different heath care insurances. They just cannot have a primary doctor there without United Health Care. Found that interesting.
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  #14  
Old 07-20-2019, 09:21 AM
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villagetinker villagetinker is offline
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Quote:
Originally Posted by alemorkam View Post
Found out yesterday that anyone can use The Villages Health Specialty clinics with many different heath care insurances. They just cannot have a primary doctor there without United Health Care. Found that interesting.
I agree, I have used a couple of the TVHC specialists with Medicare and a supplemental plan no problems. We were really annoyed when we had to drop our primary care doctor at TVHC, but we have found another one in Leesburg that we like.
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  #15  
Old 07-30-2019, 12:51 PM
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Sparty6971 Sparty6971 is offline
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Folks really need to talk directly with SHINE and directly with The Villages Health Care System before doing anything like changing insurance plans. We did not get a hard sell at all about joining "their" insurance plan - they offered us info about UHC and about the Medicare Advantage Plan but didn't push us to sign up before getting served. We had and still have Basic Medicare (NOT an Advantage plan) and we have Tricare for Life with Express Scripts for drugs. We use TVHC and have for several years now - yes, we have a dedicated primary care doctor (well, we share him with a few others). It is true that TVHC will sometimes have to assign you to a different doctor if it's a rush need and your PC doctor is not available for some reason, but we've never had that problem. It's not a perfect system but we had a couple off-campus doctors before joining TVHC and they weren't perfect either. In short, there is some good information on many topics in this forum but please, please, please go to SHINE and to TVHC and talk, question, and think before you make any changes.
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  #16  
Old 07-30-2019, 02:53 PM
NotGolfer NotGolfer is offline
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Originally Posted by rustyp View Post
Live in TV and snowbird in northern NY. The Villages Health plan is by far the best we found after much research including Shine (who did a very good job explaining differences but will not give a recommendation). Found that a lot of info about this subject on this website is just plain false. Mostly because of people's reluctance to give up their existing plan. Then the fear mongering starts without facts. Could not be happier with our choice.
Social media isn't always the way to go for infrmation such as this, neither due to the mis-information and people who "think" they know what's what. You're absolutely right in your comments. We've traveled back home and have used the advantage plan without any issues.
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