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The Villages Health - Grandfathered?!

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  #46  
Old 07-13-2016, 02:19 PM
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I went to the Medicare store in SS and the rep told me starting in 2017, one has to sign up for UHC Medical Advantage Plan as they will not take any other insurance.

If one signs up for original Medicare plus a supplement, they will have to go outside of TV Health system.

I may be wrong and frequently, I am...........
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Old 07-15-2016, 05:32 AM
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Who will they take in the future when the UHC plan as have the previous plans no longer serves their needs. This is why privatizing Medicare & SS is not such a good idea.
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Old 07-15-2016, 10:47 AM
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Just got the letter. It says "...we have decided to no longer accept Original Medicare with a traditional Medicare Supplemental policy for all new and existing patients starting January 1, 2017. This means that as of next year, you will need to be enrolled in a United Healthcare Medicare Advantage plan to remain a patient with The Villages Health."
  #49  
Old 07-15-2016, 11:16 AM
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Originally Posted by pjolson View Post
Just got the letter. It says "...we have decided to no longer accept Original Medicare with a traditional Medicare Supplemental policy for all new and existing patients starting January 1, 2017. This means that as of next year, you will need to be enrolled in a United Healthcare Medicare Advantage plan to remain a patient with The Villages Health."


In other words...We have decided to F you and we don't care if you walk or not.
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Old 07-15-2016, 11:27 AM
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My wife just received her letter stating "Our records indicate you have a commercial insurance plan that we accept. As long as you continue with the same plan, you can remain a patient with TVH. ... When you become Medicare eligible, you will need to choose a UnitedHealthcare Medicare Advantage plan to remain a patient with TVH."
  #51  
Old 07-15-2016, 12:18 PM
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In other words...We have decided to F you and we don't care if you walk or not.
The letter takes a "pea on their back and tell them it's raining" approach to the TVH decision.
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Old 07-15-2016, 12:36 PM
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Originally Posted by trichard View Post
My wife just received her letter stating "Our records indicate you have a commercial insurance plan that we accept. As long as you continue with the same plan, you can remain a patient with TVH. ... When you become Medicare eligible, you will need to choose a UnitedHealthcare Medicare Advantage plan to remain a patient with TVH."
This is correct, I checked yesterday. IF you are 65 or over, the only medicare they will take as of 1/1/17 is UHC advantage. IF you are under 65 this does not affect you, you can continue with your current insurance (until you hit 65)
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Old 07-15-2016, 12:39 PM
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This is correct, I checked yesterday. IF you are 65 or over, the only medicare they will take as of 1/1/17 is UHC advantage. IF you are under 65 this does not affect you, you can continue with your current insurance (until you hit 65)
The only caveat seems to be if you are under 65 with a commercial insurance plan you need to stay with your "current plan" according to the TVH letter.
  #54  
Old 07-15-2016, 01:17 PM
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The SS rep went on to say that he didn't agree with their decision not to accept original Medicare plus a supplement starting Jan 1, 2017 but thought the decision was made purely from economics. He felt they were throwing away money from all customers.

He seem to imply they get more money from UHC Advantage plans and that might be driving their decision.
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Last edited by 2BNTV; 07-15-2016 at 01:29 PM.
  #55  
Old 07-15-2016, 01:19 PM
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The SS rep went on to say that he didn't agree with their decision not to accept original Medicare plus a supplement starting Jan 21, 2017 but thought the decision was made purely from economics. He felt they were throwing away money from all customers.

He seem to imply they get more money from UHC Advantage plans and that might be driving their decision.
It is purely an economic decision. Current management is unable to generate a positive bottom line.
  #56  
Old 07-15-2016, 01:38 PM
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Old 07-15-2016, 02:16 PM
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The letter also says...."Because our superior care best aligns with Medicare Advantage". Translation: Because we make more money off Medicare Advantage.
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Old 07-15-2016, 02:20 PM
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Spouse on Tri Care for Life. She receives letter that she is fine. I will be on Tri Care for Life in January, receive letter that I won't be a patient. How does that make sense??
  #59  
Old 07-15-2016, 05:16 PM
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Originally Posted by daveczo View Post
Spouse on Tri Care for Life. She receives letter that she is fine. I will be on Tri Care for Life in January, receive letter that I won't be a patient. How does that make sense??
If your ages differ, it might be a factor.
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Old 07-15-2016, 07:02 PM
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My wife and I both received a letter today from TVH dated July 12,2016 signed by Tom Menichino, CEO and Jeffrey Lowenkron,MD, Chief Medical Officer which states,"Because our superior care best aligns with Medicare Advantage,we have decided to no longer accept Original Medicare with a traditional Medicare Supplemental policy for all new and existing patients starting January 1, 2017.
Therefore,for many of us, we will have to change to UHC Medicare Advantage which is an HMO and will decide the rationed type of treatment you will receive or find providers outside The Villages. The TVH powers to be have decided that money is more important the health and welfare of its residents.
This is really an outrage and a slap in the face to all of us who trusted them to insure our healthcare
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