[outlaw]

Originally Posted by Bonny

Yes, we have TriCare and can stay.

Yes. I have tricare, and was also told I was grandfathered. Then I got the letter.

[golfing eagles]

Originally Posted by dbussone

I don't belong to the VHS, preferring instead to not be limited in the selection/referral of physicians. Having said that, I don't understand why VHS would be a factor in calling TV "unfriendly."

VHS will continue to work for some, and those who have been forced to seek other sources for healthcare may be justifiably upset. However, the existence of VHS is a benefit for those who can use it.

When you get down to it, the developer is trying to provide a decent source of healthcare for the residents of TV. He certainly had no obligation to do so. I can't think of another similar municipality that has taken on this challenge.

VHS is a business, and businesses make decisions based on environmental and other circumstances. VHS is not my cup of tea, but I wouldn't castigate VHS or the developer for attempting to initiate something unique or different. I won't use VHS but will give it a thumbs up! [emoji106][emoji106]


Sent from my iPad using Tapatalk

Very well said. I get the impression from hundreds of posts on the subject that many people feel that TVH was THE health system of TV, and that it would be the best choice for EVERYONE. Clearly, it is not. There are those that complain that it was used as a "selling point"---anyone who made a decision to buy here on that basis is frankly naïve. There are those that feel it was a "bait and switch" scam, but that is a wild accusation based on the assumption that changing to UHC advantage only was a decision made years in advance, which is simply unrealistic if you know how the insurer-provider relationship works.
TVH was an attempt to offer a quality choice in healthcare for residents of TV. The "developer" poured millions into building state of the art office space, recruiting physicians and staffing these offices. They DID NOT have to do that. TVH is NOT TV. It is a separate business entity that is attempting to be the quality model of an ACO/PCMH. So far they are achieving that goal, thanks to the hard work of those involved. Do they face hard financial decisions? All businesses do. Does anyone think, given the current direction of national healthcare policy that they will continue to have the myriad of insurance choices that they currently have? Think again, remember the Holy Grail of the left, and the starting point of the ACA was single payer government health insurance. Be thankful for the choices you have right now, as long as they last. The current trajectory will change that.

To those that feel they were "sold" on TV because of TVH---TVH has been here 4-5 years, TV for over 25. Gee, how did they ever sell a property before TVH???

To those that feel it was "bait and switch"---I have no knowledge of the early days of TV, but there are people out there who do, so...
When the first pickleball court opened, was it available for anyone to play? Was it only later that you needed to take the course and get ranked? Was that "bait and switch", or did things change?
When the first golf course opened, was there anything like "priority membership"? As expansion occurred, priority membership is almost required to get a decent tee time in high season. Was that "bait and switch"?
Early residents saw a small golf cart community with decent amenities. Did they envision expansion across 466, then 466A, and now 44? There are still those that complain about that. Was it "bait and switch"?

I think there are those that have the mindset that TVH is just another "amenity". It is not. It is a choice. That choice will work for some and not others. Healthcare delivery will change, and while upsetting, that will force patients to make changes as well. People tend to abhor change, hence the angst.

[Jayhawk]

Originally Posted by golfing eagles

Very well said. I get the impression from hundreds of posts on the subject that many people feel that TVH was THE health system of TV, and that it would be the best choice for EVERYONE. Clearly, it is not. There are those that complain that it was used as a "selling point"---anyone who made a decision to buy here on that basis is frankly naïve. There are those that feel it was a "bait and switch" scam, but that is a wild accusation based on the assumption that changing to UHC advantage only was a decision made years in advance, which is simply unrealistic if you know how the insurer-provider relationship works.
TVH was an attempt to offer a quality choice in healthcare for residents of TV. The "developer" poured millions into building state of the art office space, recruiting physicians and staffing these offices. They DID NOT have to do that. TVH is NOT TV. It is a separate business entity that is attempting to be the quality model of an ACO/PCMH. So far they are achieving that goal, thanks to the hard work of those involved. Do they face hard financial decisions? All businesses do. Does anyone think, given the current direction of national healthcare policy that they will continue to have the myriad of insurance choices that they currently have? Think again, remember the Holy Grail of the left, and the starting point of the ACA was single payer government health insurance. Be thankful for the choices you have right now, as long as they last. The current trajectory will change that.

To those that feel they were "sold" on TV because of TVH---TVH has been here 4-5 years, TV for over 25. Gee, how did they ever sell a property before TVH???

To those that feel it was "bait and switch"---I have no knowledge of the early days of TV, but there are people out there who do, so...
When the first pickleball court opened, was it available for anyone to play? Was it only later that you needed to take the course and get ranked? Was that "bait and switch", or did things change?
When the first golf course opened, was there anything like "priority membership"? As expansion occurred, priority membership is almost required to get a decent tee time in high season. Was that "bait and switch"?
Early residents saw a small golf cart community with decent amenities. Did they envision expansion across 466, then 466A, and now 44? There are still those that complain about that. Was it "bait and switch"?

I think there are those that have the mindset that TVH is just another "amenity". It is not. It is a choice. That choice will work for some and not others. Healthcare delivery will change, and while upsetting, that will force patients to make changes as well. People tend to abhor change, hence the angst.

Beautiful explanation.

[Jayhawk]

Originally Posted by outlaw

Yes. I have tricare, and was also told I was grandfathered. Then I got the letter.

Could you post the "you're grandfathered" letter? No one has yet. Makes people wonder if it even exists.

[Bonny]

Originally Posted by golfing eagles

Very well said. I get the impression from hundreds of posts on the subject that many people feel that TVH was THE health system of TV, and that it would be the best choice for EVERYONE. Clearly, it is not. There are those that complain that it was used as a "selling point"---anyone who made a decision to buy here on that basis is frankly naïve. There are those that feel it was a "bait and switch" scam, but that is a wild accusation based on the assumption that changing to UHC advantage only was a decision made years in advance, which is simply unrealistic if you know how the insurer-provider relationship works.
TVH was an attempt to offer a quality choice in healthcare for residents of TV. The "developer" poured millions into building state of the art office space, recruiting physicians and staffing these offices. They DID NOT have to do that. TVH is NOT TV. It is a separate business entity that is attempting to be the quality model of an ACO/PCMH. So far they are achieving that goal, thanks to the hard work of those involved. Do they face hard financial decisions? All businesses do. Does anyone think, given the current direction of national healthcare policy that they will continue to have the myriad of insurance choices that they currently have? Think again, remember the Holy Grail of the left, and the starting point of the ACA was single payer government health insurance. Be thankful for the choices you have right now, as long as they last. The current trajectory will change that.

To those that feel they were "sold" on TV because of TVH---TVH has been here 4-5 years, TV for over 25. Gee, how did they ever sell a property before TVH???

To those that feel it was "bait and switch"---I have no knowledge of the early days of TV, but there are people out there who do, so...
When the first pickleball court opened, was it available for anyone to play? Was it only later that you needed to take the course and get ranked? Was that "bait and switch", or did things change?
When the first golf course opened, was there anything like "priority membership"? As expansion occurred, priority membership is almost required to get a decent tee time in high season. Was that "bait and switch"?
Early residents saw a small golf cart community with decent amenities. Did they envision expansion across 466, then 466A, and now 44? There are still those that complain about that. Was it "bait and switch"?

I think there are those that have the mindset that TVH is just another "amenity". It is not. It is a choice. That choice will work for some and not others. Healthcare delivery will change, and while upsetting, that will force patients to make changes as well. People tend to abhor change, hence the angst.

Very well said.

[Bonny]

Originally Posted by Jayhawk

Could you post the "you're grandfathered" letter? No one has yet. Makes people wonder if it even exists.

I haven't gotten a letter. I did talk to my Doctor & it was also mentioned in the paper.

[NYGUY]

Originally Posted by golfing eagles

Very well said. I get the impression from hundreds of posts on the subject that many people feel that TVH was THE health system of TV, and that it would be the best choice for EVERYONE. Clearly, it is not. There are those that complain that it was used as a "selling point"---anyone who made a decision to buy here on that basis is frankly naïve. There are those that feel it was a "bait and switch" scam, but that is a wild accusation based on the assumption that changing to UHC advantage only was a decision made years in advance, which is simply unrealistic if you know how the insurer-provider relationship works.
TVH was an attempt to offer a quality choice in healthcare for residents of TV. The "developer" poured millions into building state of the art office space, recruiting physicians and staffing these offices. They DID NOT have to do that. TVH is NOT TV. It is a separate business entity that is attempting to be the quality model of an ACO/PCMH. So far they are achieving that goal, thanks to the hard work of those involved. Do they face hard financial decisions? All businesses do. Does anyone think, given the current direction of national healthcare policy that they will continue to have the myriad of insurance choices that they currently have? Think again, remember the Holy Grail of the left, and the starting point of the ACA was single payer government health insurance. Be thankful for the choices you have right now, as long as they last. The current trajectory will change that.

To those that feel they were "sold" on TV because of TVH---TVH has been here 4-5 years, TV for over 25. Gee, how did they ever sell a property before TVH???

To those that feel it was "bait and switch"---I have no knowledge of the early days of TV, but there are people out there who do, so...
When the first pickleball court opened, was it available for anyone to play? Was it only later that you needed to take the course and get ranked? Was that "bait and switch", or did things change?
When the first golf course opened, was there anything like "priority membership"? As expansion occurred, priority membership is almost required to get a decent tee time in high season. Was that "bait and switch"?
Early residents saw a small golf cart community with decent amenities. Did they envision expansion across 466, then 466A, and now 44? There are still those that complain about that. Was it "bait and switch"?

I think there are those that have the mindset that TVH is just another "amenity". It is not. It is a choice. That choice will work for some and not others. Healthcare delivery will change, and while upsetting, that will force patients to make changes as well. People tend to abhor change, hence the angst.

Bait and Switch is a less than honest marketing tactic in which the product's marketer offers a service meant to attract customers (the bait). Once the customer has bought in, the marketer eliminates the service and replaces it with a service more profitable to the marketer (the switch) in hopes the customer will stay on board.

[golfing eagles]

Originally Posted by NYGUY

Bait and Switch is a less than honest marketing tactic in which the product's marketer offers a service meant to attract customers (the bait). Once the customer has bought in, the marketer eliminates the service and replaces it with a service more profitable to the marketer (the switch) in hopes the customer will stay on board.

Thanks for the definition. Just how do you think it applies here, unless you believe that in a rapidly changing health insurance industry that this was the plan all along? (i.e. "The Conspiracy Theory"). This would mean they had advance knowledge that UHC would eventually make them a lucrative offer. Quite "psychic" of them.

So pickleball, priority membership, and expansion were all "bait and switch" also?

[NYGUY]

Originally Posted by golfing eagles

Thanks for the definition. Just how do you think it applies here, unless you believe that in a rapidly changing health insurance industry that this was the plan all along? (i.e. "The Conspiracy Theory"). This would mean they had advance knowledge that UHC would eventually make them a lucrative offer. Quite "psychic" of them.

I seriously doubt the agreement (your lucrative offer) between UHC and TVH was made recently, yet they continued to "bate" customers. But, heck, we can disagree, it helps to make life interesting.

[golfing eagles]

Originally Posted by NYGUY

I seriously doubt the agreement (your lucrative offer) between UHC and TVH was made recently, yet they continued to "bate" customers. But, heck, we can disagree, it helps to make life interesting.

My wife says I love to disagree. Would your opinion change if I told you this deal was made this year?

[rxatkin]

I called The Villages Health Care and spoke to a woman who said I'd be fine with my Medicare and Tricare For Life. Now, after "reading the fine print" I'm thinking I was misinformed. I'll have to do some more research on this subject. I guess the SHINE people would be a good first step.

[NYGUY]

Originally Posted by golfing eagles

My wife says I love to disagree. Would your opinion change if I told you this deal was made this year?

Maybe...

I remember when you thought TVH would never and could never survive as a medicare only practice. What do you think now?

[golfing eagles]

Originally Posted by NYGUY

Maybe...

I remember when you thought TVH would never and could never survive as a medicare only practice. What do you think now?

If you remember, at the time, the impression was that not only were they only going to accept UHC MA only, but also "dump" everyone under 65. As I stated at the time, this would give TVH a life span of about 20 years, since very few people who move here at a younger age and establish with another physician would switch at age 65. However, they didn't make any changes to the under 65 insurances they accept, so TVH may very well remain viable. If another poster is correct that 78% of current TVH patients will leave, they might still have problems. My experience with insurance changes is that about 40-50% leave, but those are mostly working people who have insurance choices limited by their employer. TVH might do better since seniors can choose UHC MA. Once they look at the differences in the plans, they will realize that the sky is not falling, and many will stay with their doctor.

[big guy]

Originally Posted by Vladimir

I joined The Villages Health system two years ago and when they and United Health made a decision to be the only acceptable insurance plan I was told I was grandfathered. Well, I just received my notice to either go with United Health or seek services some place else. United Health is losing too much money so their new business plan is to have The Villages Health accept only United Health, which I think will fail. My health plan is far superior to theirs so now all my medical needs will be met by doctors, specialists and hospitals outside The Villages network. I will be driving to Ocala, Leesburg and Tavares or areas on Rt 441. It's a shame since a turn key health care concept that The Villages Health was espousing sounded intriguing and was a good selling point. If you are not with United Health then expect a call in the future as they transition their patients.

Some of your info is not quite right. The Villages Health has been accepting AARP United Health Care Plan F and Medicare. It's The Villages Health Care that is losing money so want everyone to switch to Medicare Advantage. We will be going elsewhere. We seldom see our Villages Health Care doctor, most of the time we see the P.A. We prefer to be able to choose the doctor(s) we go to. We have been through this before when we were Kaiser-Permanente patients. We were very fortunate that neither of us got seriously ill. We are not giving up our Medicare or AARP United Health Care Plan F. My husband had a liver transplant and we didn't have to pay a cent. I have had a couple of costly procedures and didn't have to pay anything. You don't have to go out of town to find a doctor. I think The Villages Health Care will go the way of The Moffitt Cancer Center, which disappeared without a word of explanation.

There is a 15 minute talk on You Tube that clarifies Medicare Advantage and giving up Medicare.

No Premium "FREE" Medicare Plans | You Get What You Pay For - YouTube

[big guy]

Originally Posted by Tinkerbelle

Funny only one person has received a letter like this. Anyone else have one? I did get one that I am grandfathered in.

My husband and I, each, received a letter that stated that if we did not have Medicare Advantage by Dec 31, 2016 that we would have to leave The Villages Health Care.

I am posting a 15 minute talk on YouTube about Medicare Advantage and Medicare. It clarifys it nicely.

No Premium "FREE" Medicare Plans | You Get What You Pay For - YouTube