![]() |
Quote:
There is an out of pocket yearly cap on these plans. And that cap depending on your plan is usually less or not much more then what you’d pay for a supplement. And the odds of meeting that cap may be slim because these plans are required to pay what Medicare does. It’s a win win for us with dental, vision, OTC allowance, gym membership, bonuses for doing healthy activities, prescription coverage etc. We get to choose our own Drs. With our PPO plan and don’t need referrals. We really like our Villages Drs. They’re a golf cart away and they don’t take regular Medicare. |
Quote:
|
So much BS here and other threads about MA plans.
|
Quote:
As I mentioned there is a cap on these plans. I believe the cap on The Villages plan is a couple thousand dollars. So let’s say worse case scenario you cap out - you are out a couple thousand dollars. That is most likely not much more then what you would pay in supplement premiums. And you are paying those for years without the perks of vision, dental, etc. It made no sense to us to pay hundreds in guaranteed premiums every year for ‘what if’ when if the worst actually happened (and insurance didn’t pay - and they are required to pay what regular Medicare does) our out of pocket cost wouldn’t be much more then the guaranteed premiums. Plus we get prescription, dental, vision and more. |
There happens to be only one advantage to an Advantage Plan.
. It's good if only you do not need extensive medical attention. . When you retire and you're healthy save with an Advantage plan. Possible limited access and long waits to see specialists. . When you get older and start having more medical conditions hopefully you can afford to go back to the original Medicare with a Supplement plan. . Talk to your friends and neighbors for their thoughts as the Insurance brokers do not tell it all. Quote:
|
Quote:
Medicare= you pay on the front end Advantage= you pay at the back end |
Quote:
|
Quote:
|
Stop worrying
|
When we lived in The Villages we waited about one year to be able to use The Village Medical facilities. We were impressed with their expertise and were fortunate to have a great doctor from New York.
. After 2 years they kicked us out (with thousands of others) as they would only accept UHC Advantage plans. No way we would limit our medical coverage for their benefit. Why was there an advantage for them to do this? Wouldn't be for financial reasons, would it? Does the Mosre clan need more money? . So we moved on to other doctors and services in The Villages .and were pleased. . Do your homework before sacrificing your health service needs and outlay of monies. . If you talk to an Advantage salesperson ask them how many days will you be covered if you require an extended stay in any hospital. . Another shameful thing is the hospitals you might need for care near The Villages. In your senior years, you should be treated like seniors with proper medical attention. The reports on The Villages Hospital are sickening. . As well, if so what other doctor charges will you be responsible for as doctors like to visit you daily for 5 minutes and of course bill the insurance companies regardless of what insurance plan you have? . Doctors say they are making their rounds, however, they are building their incomes dramatically. Look at their hospital billings on your monthly insurance statements after you are in a hospital compared to an office visit billing. . Stay healthy and save monies so you can afford to pay for your needed medical insurance coverage if and when you need it. |
Quote:
I was under 65 and joined The Villages Health - at that time they would accept (and I believe still do) many insurance plans but for pre 65 year olds. They threw me to the curb at 65 unless I got their approved Advantage Plan. I did and many years hence with some health speed bumps along the way I am still very happy. I asked my PCP why TV Health did not accept Medicare. His answer to me (be it true or not) was getting paid and the paperwork involved dealing with Medicare direct from their end is a nightmare. By offering a very low number of Advantage plans tuned to their practice the paperwork nightmare is much less and allows for their primary focus to be on the patient not the system. Do with that info as you wish but just to add some validity I am a snowbird and have gone to doctors in my summer hometown and was told they do not accept Medicare patients for that same reason. However they accepted my TV Advantage Plan and as in network also. |
The main three Advantage plans that are accepted by Villages Health:
FloridaBlue BlueMedicare - sometimes need a referral United Villages Focus - need a referral United Villages Advantage - don't need a referral (not sure about AARP or Humana, the other two) We recently switched my father-in-law from BlueMedicare to United Villages Focus. When he needed a nursing facility, the one near his house wouldn't take BlueMedicare but would take the United plans. They also have a much better system for free over-the-counter stuff and better dental coverage. |
Quote:
|
Quote:
|
If you want absolute control of who you can see and where you go, or travel a lot , stay with plain Medicare. In my experience as a provider with the local VA clinic and after with the Villages Health and UHC advantage plan, care and options have been very good, well covered a timely. I think there are good doctors outside the plan but the can be hard to find. There is a 40,000 shortage of primary care in the country, recruiting is difficult everywhere.
|
All times are GMT -5. The time now is 03:48 AM. |
Powered by vBulletin® Version 3.8.11
Copyright ©2000 - 2025, vBulletin Solutions Inc.
Search Engine Optimisation provided by
DragonByte SEO v2.0.32 (Pro) -
vBulletin Mods & Addons Copyright © 2025 DragonByte Technologies Ltd.