Talk of The Villages Florida
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Talk of The Villages Florida (https://www.talkofthevillages.com/forums/)
-   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/)

ColdNoMore 07-16-2016 12:42 PM
Quote:
Originally Posted by LvmyPug2 (Post 1254839)
What they are doing is what we in healthcare used to call "Patient Dumping". A despicable practice of dumping the costliest and/or lowest revenue producting patients into a community with no regard as to where/how these patients will get their care in the future. To do this is extremely unprofessional. Really shows you how "caring" our developer and these so called "caring professionals" really are.
Quote:
Originally Posted by trichard (Post 1254840)
What I call it is a lack of business ethics.
You both nailed it! :thumbup:

kandmroberts 07-16-2016 01:18 PM
What a scam!
 
Just got a cancellation letter today from Villages Health. What a scam! I have the best Medicare secondary coverage plan F, and now they only take United Healthcare Advantage Plan? Read your policies folks. That plan has serious deductables and if you are outside of "The Villages" and require a doctor or surgery you WILL HAVE AN EMPTY WALLET when they finish will you. They will try to get you to "convert" to this lower quality plan or quit taking you as a patient effective 12/31/2016. I've been with them since day one. Is this a prelude to our way of living in "America's Favorite Town?

kandmroberts 07-16-2016 01:19 PM
Quote:
Originally Posted by trichard (Post 1247492)
Grandfathered? Think again. If you have Medicare Original get ready to be "porked". Beginning January 1, 2017 you either switch to United Healthcare Medicare Advantage Plan or seek care elsewhere. They will tell you that it is to improve the quality of care, but it has only to do with increasing the quantity of money! They are sucking a lot of red ink due to the quality of their top management staff.
Just got a cancellation letter today from Villages Health. What a scam! I have the best Medicare secondary coverage plan F, and now they only take United Healthcare Advantage Plan? Read your policies folks. That plan has serious deductables and if you are outside of "The Villages" and require a doctor or surgery you WILL HAVE AN EMPTY WALLET when they finish will you. They will try to get you to "convert" to this lower quality plan or quit taking you as a patient effective 12/31/2016. I've been with them since day one. Is this a prelude to our way of living in "America's Favorite Town?

MSNPA 07-16-2016 01:32 PM
We have been extremely happy with the Villages Health and our physicians. I have Cloukey and my husband has Kelly. We received our letters and will be fine until we are eligible for Medicare. This will occur in 2017 and 2018. As of this moment we do want their advantage plan and realize in the not so distance future we will need to look for new doctors. We find this disconcerting and are hoping something changes before we need to leave the practice. Hate looking for new doctors.

Grand Islanders 07-16-2016 01:54 PM
Grandfathered?
 
Quote:
Originally Posted by Villageswimmer (Post 1248264)
I should have added that history has shown that TV does not make poor business decisions. If this change happens, you can be sure they have thoroughly researched the pros/cons and the money is there.

Neither side--you nor VHS--signed a contract. They can do what they want even if people think it stinks. I don't see it as bait and switch at all.

If I decided to leave VHS for whatever reason, would that be bait and switch? Did I promise to remain there for life?

It's a free marketplace. All they have to lose (apparently) is some goodwill. We'll get over it; they'll make bucks. :spoken:

Whether it is good business or greed is open to debate. What is not open for debate is that we were lied to when TVH said we were grandfathered. We have been with the VHS since the beginning. We were told current patients could stay. Lying is never right...even if it is to make more $$ money!

patoonya 07-16-2016 02:20 PM
I.m one of the TV being dumped. This not the way it was advertised in the beginning, but its obvious the United Healthcare and the Villages are out to make money and we the dumpee's they could care less about. Real Hometown freindly????

gomsiepop 07-16-2016 02:26 PM
I received the letter today and would like to know if I currently have Medicare and United Healthcare (not an Advantage Plan) as my secondary am I ineligible to remain with the Villages Healthcare?

Grannygail 07-16-2016 02:27 PM
I don't know how many people are being dumped, but I question if they have enough United Health Advantage participants to keep them in business. Once the UHA have a major illiness, they will be jumping ship theirselves.

spuds51 07-16-2016 02:37 PM
Quote:
Originally Posted by gomsiepop (Post 1254916)
I received the letter today and would like to know if I currently have Medicare and United Healthcare (not an Advantage Plan) as my secondary am I ineligible to remain with the Villages Healthcare?
As I read it you won't. You can call and ask for sure but it seems pretty clear. If you don't have UHC Medicare Advantage you're out.

spuds51 07-16-2016 02:42 PM
Quote:
Originally Posted by trichard (Post 1254651)
You may want to check with Shine. It is my understanding that once you switch to a Medicare advantage product you can only get back to original Medicare during an initial 6-month period. Otherwise you will never be able to have original Medicare again.
I believe you can go back during the open enrollment period each year but you will be subject to underwriting.

champion6 07-16-2016 02:42 PM
Quote:
Originally Posted by gomsiepop (Post 1254916)
I received the letter today and would like to know if I currently have Medicare and United Healthcare (not an Advantage Plan) as my secondary, am I ineligible to remain with the Villages Healthcare?
No.

champion6 07-16-2016 02:46 PM
Here is The Letter
 
1 Attachment(s)
Attached is a scan of the now infamous letter from TVH.

obxgal 07-16-2016 02:53 PM
My birthday is in July and was put on medicare/Freedom blue through my husbands benefits plan.

A few years ago I had a doctors appointment in November and being I went on medicare/Freedom Blue in July,
they would not take me for my November visit, I had to sign up for the UHC and reschedule my appointment to
January after the UHC insurance took effect. So if your 65th birthday is coming up between now and December 31st
they will not honor you currant insurance.

champion6 07-16-2016 02:54 PM
Quote:
Originally Posted by Grannygail (Post 1254917)
I don't know how many people are being dumped, but I question if they have enough United Health Advantage participants to keep them in business. Once the UHA have a major illness, they will be jumping ship themselves.
I have been wondering the same thing. My gut tells me that in about two years, we will receive "We Want You Back" letters.

trichard 07-16-2016 03:12 PM
Quote:
Originally Posted by gomsiepop (Post 1254916)
I received the letter today and would like to know if I currently have Medicare and United Healthcare (not an Advantage Plan) as my secondary am I ineligible to remain with the Villages Healthcare?
No!


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