[PTennismom0202]

We have only lived in The Villages 2 years but have already had 3 PCPs leave. I qualify for TV Health based on my insurance coverage, but my husband doesn't. We have not had good experiences with specialists. The hospital doesn't have a good patient experience score from Medicare.

https://www.medicare.gov/hospitalcom...ng=-81.8879884

We are seriously considering leaving TV because we can't rely on getting good health care here.

[Fredwms]

Originally Posted by Challenger

If you have Medicare and Tricare for Life, why are you paying Humana premiums? Just wondering!!!

My fiancé's ex was a Navy captain and she qualified for Tricare under their 20/20 program (20 years in service and 20 years married). I personally have Humana Advantage under Medicare as I am not military and not eligible for Tricare.

[Radioman41]

I'm not sure what Villages Health was thinking when establishing this new policy. There are many retired federal employees moving to The Villages. I doubt if they will give up, or suspend their federal health plan (fep ~ very often Blue Cross) for Medicare Advantage in order to join Villages Health. With Medicare A & B along with fep insurance, a retired federal employee can get medical care almost anywhere if necessary.

[ekdk92]

This policy means the Villages Health is not available to anyone under age 65.

Doesn't seem to fit the needs of a 55 and over community.

[Mikeod]

Originally Posted by ekdk92

This policy means the Villages Health is not available to anyone under age 65.

Doesn't seem to fit the needs of a 55 and over community.

No, it just means medicare eligible members are restricted to one advantage plan. If you don't want or aren't eligible for that plan, you must look elsewhere for service.

[golfing eagles]

Originally Posted by ekdk92

This policy means the Villages Health is not available to anyone under age 65.

Doesn't seem to fit the needs of a 55 and over community.

I don't think it is clear from this thread that TV Health is closed to anyone under 65. If it is, it is a poor business decision in the long run. From a practical point of view, sign up an 18 year old and you may have a patient for the next 80 or 90 years. Sign up a 99 year old and ........

[bimmertl]

Originally Posted by golfing eagles

I don't think it is clear from this thread that TV Health is closed to anyone under 65. If it is, it is a poor business decision in the long run. From a practical point of view, sign up an 18 year old and you may have a patient for the next 80 or 90 years. Sign up a 99 year old and ........

The policy is that new patients must enroll in UHC Medicare Advantage to be accepted in the Villages system, you can't do that unless you qualify for Medicare so you have to be 65. Where is the grey area?

[golfing eagles]

Originally Posted by bimmertl

The policy is that new patients must enroll in UHC Medicare Advantage to be accepted in the Villages system, you can't do that unless you qualify for Medicare so you have to be 65. Where is the grey area?

The grey area is whether the policy applies to ALL new patients or all new patients that are medicare eligible.
Most medical practices actively seek younger patients with private insurance, some will not take anymore medicare patients, so to close a large practice to all but those over 65 with UHC MA is somewhat counterproductive. Do you know for a FACT that they are not taking anyone under 65??

[NYGUY]

Originally Posted by golfing eagles

The grey area is whether the policy applies to ALL new patients or all new patients that are medicare eligible.
Most medical practices actively seek younger patients with private insurance, some will not take anymore medicare patients, so to close a large practice to all but those over 65 with UHC MA is somewhat counterproductive. Do you know for a FACT that they are not taking anyone under 65??

I thought it was very clear that NO NEW patients will be accepted unless they have a UHC Medicare Advantage Plan (that would be their Advantage HMO or PPO). I believe that means you have to be at least 65 or have qualified under the SS disability provisions)

[golfing eagles]

Originally Posted by NYGUY

I thought it was very clear that NO NEW patients will be accepted unless they have a UHC Medicare Advantage Plan (that would be their Advantage HMO or PPO). I believe that means you have to be at least 65 or have qualified under the SS disability provisions)

And from their update web page:

If you are eligible for Medicare, we want you to know that the only Medicare Advantage plans The Villages Health participates in are those offered by UnitedHealthcare®.
•UnitedHealthcare® The Villages® MedicareComplete® (HMO)
•AARP® MedicareComplete Choice® (Regional PPO)

Please note the first word---IF. So I still think it's unclear, I'm sure it will be made more clear in the coming days

[memason]

Not sure this is all accurate.....My wife and I are not 65 yet and we both go to The Villages Health Care. We just recently signed up and have initial appointments in May, although I have already been to the audiologist there a few times.

They have no problems with our insurance carrier...

[outlaw]

Originally Posted by memason

Not sure this is all accurate.....My wife and I are not 65 yet and we both go to The Villages Health Care. We just recently signed up and have initial appointments in May, although I have already been to the audiologist there a few times.

They have no problems with our insurance carrier...

Same here....but, when you reach 65 and are eligible for medicare, they may tell you that you have to go on UHC medicare advantage versus medicare. Pluses and minuses for both types. I have already received an email that tells me to get with them to "discuss" insurance options when I reach medicare eligibility.

[golfing eagles]

Originally Posted by outlaw

Same here....but, when you reach 65 and are eligible for medicare, they may tell you that you have to go on UHC medicare advantage versus medicare. Pluses and minuses for both types. I have already received an email that tells me to get with them to "discuss" insurance options when I reach medicare eligibility.

I'm under 65 with BC/BS My wife is over 65 with traditional medicare/UHC supplemental. We both signed up last week

[outlaw]

Originally Posted by golfing eagles

I'm under 65 with BC/BS My wife is over 65 with traditional medicare/UHC supplemental. We both signed up last week

The big question is whether TVH will force you to convert to UHC medicare advantage versus medicare with supplemental. If your wife just signed up with medicare and supplemental, that is a good sign. But, it may just be a misread by me. They still may force you onto medicare advantage versus medicare with supplemental. The wording on the website is very clever. If you try to check on "accepted insurance", the website will take you to the medicare advantage plan statement. You can't find "accepted" supplemental insurance or any other insurance for that matter. Just the medicare advantage statement. Very suspicious, imo.

[outlaw]

Originally Posted by golfing eagles

I'm under 65 with BC/BS My wife is over 65 with traditional medicare/UHC supplemental. We both signed up last week

Look for the infamous email. You will get it.