Talk of The Villages Florida

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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   The Villages Health Care System (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-care-system-171366/)

rexxfan 11-19-2015 10:16 AM

Quote:

Originally Posted by golfing eagles (Post 1147666)
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.

I agree, it doesn't make sense to me that they would not accept new patients under 65, although it is possible, so a clear statement from them on this would be helpful. I'm going in Monday for my first appointment. I'll ask.
--
bc

dbussone 11-19-2015 11:36 AM

For those on this thread who think the insurance companies are just out to get every penny they can out of your pocket, the following might surprise you:

"UnitedHealth Group has lost $425 million from health plans sold on the Affordable Care Act's marketplaces, which forced the company to lower its profit projections for the rest of the year. The company suggested it may exit the exchanges altogether by 2017.

It's a potentially huge blow to President Barack Obama's healthcare reform law. The exchanges have been viewed as the primary conduit to expand health coverage to middle-class Americans. If a major publicly traded insurer bows out, others may follow and destabilize the entire individual market.

“We cannot sustain these losses,” UnitedHealth CEO Stephen Hemsley said on an investor call Thursday.

The $425 million shortfall from exchange products includes $275 million that UnitedHealth expects to lose from its 2016 plans. There's also another $200 million to $225 million in potential exchange losses that can't be booked until next year, the Minnetonka, Minn.-based health insurer and services conglomerate said.

UnitedHealth will evaluate its public exchange status during the first half of next year before deciding if it will leave the market. It has also “pulled back” significantly on marketing its 2016 plans and cut commissions to insurance brokers to minimize enrollment growth.

It's a swift turn of events for the nation's largest health insurer, which only a month ago touted its exchange strategy and said it was expanding into 11 new markets next year.

Healthcare stocks have been taking a beating Thursday morning in light of UnitedHealth's announcement. UnitedHealth's shares were down 3.6%. Anthem's stock plummeted 6.8%, while Aetna lost 4%. Hospital chains HCA and Community Health Systems were down 5.2% and 8.3%, respectively."

Just released by Modern Healthcare.

RickeyD 11-20-2015 06:47 AM

The Villages Health Care System
 
Quote:

Originally Posted by dbussone (Post 1147873)
For those on this thread who think the insurance companies are just out to get every penny they can out of your pocket, the following might surprise you:

"UnitedHealth Group has lost $425 million from health plans sold on the Affordable Care Act's marketplaces, which forced the company to lower its profit projections for the rest of the year. The company suggested it may exit the exchanges altogether by 2017.

It's a potentially huge blow to President Barack Obama's healthcare reform law. The exchanges have been viewed as the primary conduit to expand health coverage to middle-class Americans. If a major publicly traded insurer bows out, others may follow and destabilize the entire individual market.

“We cannot sustain these losses,” UnitedHealth CEO Stephen Hemsley said on an investor call Thursday.

The $425 million shortfall from exchange products includes $275 million that UnitedHealth expects to lose from its 2016 plans. There's also another $200 million to $225 million in potential exchange losses that can't be booked until next year, the Minnetonka, Minn.-based health insurer and services conglomerate said.

UnitedHealth will evaluate its public exchange status during the first half of next year before deciding if it will leave the market. It has also “pulled back” significantly on marketing its 2016 plans and cut commissions to insurance brokers to minimize enrollment growth.

It's a swift turn of events for the nation's largest health insurer, which only a month ago touted its exchange strategy and said it was expanding into 11 new markets next year.

Healthcare stocks have been taking a beating Thursday morning in light of UnitedHealth's announcement. UnitedHealth's shares were down 3.6%. Anthem's stock plummeted 6.8%, while Aetna lost 4%. Hospital chains HCA and Community Health Systems were down 5.2% and 8.3%, respectively."

Just released by Modern Healthcare.


Getting real tired of this argument. Health care may not be a right, but it is a necessity. Water, electricity, law enforcement, fire protection, sanitation are all necessities. In many areas of our country these are all public services. Health care needs to be nationalized so as to provide ALL of us with affordable services unencumbered by shareholder greed. Medicare for all and let's see if these companies "pull out". They'll always be money that will operate out of the system but the remaining 98% of us will still generate an effective and productive health care system.

Chi-Town 11-20-2015 07:29 AM

Agree that healthcare needs to be a Medicare for all model.. The ACA was a compromised step in that direction.

fredthefisherman 11-20-2015 07:44 AM

Anyone go to Dr. Qamar in Ocala?
Lawsuit continues against Ocala's Dr. Asad Qamar after judge denies motion to dismiss | Ocala.com

Buckeyephan 11-20-2015 08:33 AM

Happy Friday morning to me. At 8:00 this morning, I received a call from the Villages Health Care telling me that they will no longer accept my insurance. After over 2 years with them, I now have to find a new PCP. It is difficult to wade through the qualifications of so many physicians who were not educated in our country. Changing plans is not an option since mine is provided by my retirement system. Wish me luck.

Blessed2BNTV 11-20-2015 08:41 AM

Quote:

Originally Posted by John_W (Post 1146977)
Have you tried Premier Medical? They had a full page ad in today's Sun newspaper. My wife used them for 4 years when we came here. They have two locations, one at Lake Sumter and one on Santa Barbara by the hospital. That second location also has an urgent care and lab. Here's their website Premier Medical Associates

http://pma-physicians.com/pmaphysici...1/SBB_HOME.jpg

http://pma-physicians.com/pmaphysici...erior-Home.jpg

Mom uses Dr. Shah at Premier. She likes him, as I do (I take her to all visits).

Hubby and I prefer a holistic approach so we use Healthcare Care Partners and see Dr K - Contact Us | HealthCare Partners Family Medicine, LLC

He accepts our insurance with is United Healthcare.

fredthefisherman 11-20-2015 08:52 AM

You can go here to look up doctors background
https://appsmqa.doh.state.fl.us/IRM00PRAES/PRASLIST.ASP

fredthefisherman 11-20-2015 08:54 AM

Dr. K went to medical school in the Phillipines - UNIV OF THE EAST, RAMON MAGSAY from 1982-86. That's where he met his wife Dr. Villa.

fredthefisherman 11-20-2015 08:57 AM

Villages Health accepted insurance
Accepted Insurance by The Villages Health

rexxfan 11-20-2015 12:22 PM

Quote:

Originally Posted by RickeyD (Post 1148204)
Getting real tired of this argument. Health care may not be a right, but it is a necessity.

It really all boils down to who do you trust more to run the health system, private industry or the government. Private industry has a profit motive. Government has a power and control motive. They both have bureaucracy issues. Tough choice. I prefer to have the freedom to choose for myself.
--
bc

rexxfan 11-20-2015 12:24 PM

Quote:

Originally Posted by fredthefisherman (Post 1148244)
Villages Health accepted insurance
Accepted Insurance by The Villages Health

Quoting from the website:

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®.

... which does nothing to clear up the confusion regarding those who are not (yet) eligible for MediCare.
--
bc

fredthefisherman 11-20-2015 12:42 PM

My daughter has BCBS. She has been a patient there since 2013.

dbussone 11-20-2015 05:13 PM

Quote:

Originally Posted by RickeyD (Post 1148204)
Getting real tired of this argument. Health care may not be a right, but it is a necessity. Water, electricity, law enforcement, fire protection, sanitation are all necessities. In many areas of our country these are all public services. Health care needs to be nationalized so as to provide ALL of us with affordable services unencumbered by shareholder greed. Medicare for all and let's see if these companies "pull out". They'll always be money that will operate out of the system but the remaining 98% of us will still generate an effective and productive health care system.


I'm sorry you're tired of the argument. But I'm as entitled to my opinion as you are yours. I respect your opinion but disagree with it.

I have no interest in the Feds running our healthcare system. They've proven they can't even provide adequate care to our veterans for goodness sake. And a single payer system would mean the Feds would control our healthcare system. Try reading the 2200 pages of the ACA if you want to see what to expect.

JoMar 11-20-2015 05:32 PM

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