Max out of pocket will prevent a bankruptcy in just about all cases.

A friend just told me he was accepted by The Villages Health system just before the cut-off date. His wife, who is on the same insurance policy, was denied acceptance since she did not apply by that date. So, The Villages Health says what they mean and they mean what they say.

Considering they were on the same policy together their decision is heavy handed. If I were the husband I'd withdraw and shop elsewhere. It's not like they're the platinum standard. Are they giving out vanity plates so the members can showboat?

we do too.
no problem.

Sounds like you're grandfathered in.

Full page articles in the Sunday paper are working hard to move people into the UHC Advantage Plan which employs The Villages Health PCPs, specialists and services. It is a very lucrative profit center for TV. That being said, the calibre of docs being brought into TV are better than before. Note that insurance companies take about 17% right off the top of the medical dollar, and compete hard for your business, as do docs, usually. TV is becoming a captive market. I'm continuing to choose my physician/specialists, especially in travel by purchasing a supplement plan and a Part D, which is quite easy to do by calling Medicare. Rather have alittle more control.

If it were me I would appeal that decision to upper management. Finally if Villages Health is not the "platinum standard", what's the big deal?

Consulting the Villages Health System is a choice just like what car you drive and what restaurant you choose.


I wish they would take my insurance. I would use them in a heartbeat. Health care in Central Florida is not as good as where I came from. We lived near to a large teaching hospital with tons of research grant money and doctors who were prestigious in their fields.


I think, because I am really taken in by the Morse family and think they are great, that they were trying to provide good health care for Villagers, and make money too. That is how it works. It would finish off their fine idea place very well.


But me, I am just a hick from Ohio, what do I know?

check the hospitalization coverage and medical tests outside the routine. the max out of pocket is for medicare covered services and not for tests, treatments or other services not covered by medicare...those you will still pay for after max out of pocket is reached.

Yes, but is that for ALL new patients, or only those who are old enough to be eligible for Medicare?
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bc

Since they only accept UHC Medicare Advantage Plans they will only accept new patients who are eligible for Medicare (I can only think of two categories that are eligible, age 65 and those younger but are on Social Security Disability).

Dr. Delbakhsh and his new partner, Dr. Lorenzo are excellent...smart, thorough, follow-through and an office staff to support the practice!!

I'm too tired from unpacking to make a long dissertation on all the disinformation posted so far, so I'll just say this: If you are under 65 and interested in TV Health, call and ask if they accept your insurance. I very much doubt they are not accepting patients under 65. If you are medicare eligible, they will only accept UHC advantage for NEW patients. If you don't understand $4500 out of pocket max, and some apparently don't, call UHC and ask.

According to the description of SHINE in the Recreation News they only deal with Medicare issues. If that is so they would not be able to help the OP because she is younger than 65.

:agree: