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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   The Villages Health - Grandfathered?! (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-grandfathered-199615/)

2BNTV 07-13-2016 02:19 PM

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...........

RickeyD 07-15-2016 05:32 AM

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.

pjolson 07-15-2016 10:47 AM

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."

RickeyD 07-15-2016 11:16 AM

Quote:

Originally Posted by pjolson (Post 1254531)
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.

trichard 07-15-2016 11:27 AM

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."

trichard 07-15-2016 12:18 PM

Quote:

Originally Posted by RickeyD (Post 1254541)
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.

golfing eagles 07-15-2016 12:36 PM

Quote:

Originally Posted by trichard (Post 1254543)
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)

trichard 07-15-2016 12:39 PM

Quote:

Originally Posted by golfing eagles (Post 1254554)
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.

2BNTV 07-15-2016 01:17 PM

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.

trichard 07-15-2016 01:19 PM

Quote:

Originally Posted by 2BNTV (Post 1254565)
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.

RickeyD 07-15-2016 01:38 PM

http://uploads.tapatalk-cdn.com/2016...40c6a134ab.jpg

NYGUY 07-15-2016 02:16 PM

The letter also says...."Because our superior care best aligns with Medicare Advantage". Translation: Because we make more money off Medicare Advantage.:a20:

daveczo 07-15-2016 02:20 PM

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??

champion6 07-15-2016 05:16 PM

Quote:

Originally Posted by daveczo (Post 1254587)
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.

vinnyc 07-15-2016 07:02 PM

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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