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 - Grandfathered?! (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-grandfathered-199615/)

trichard 07-16-2016 03:16 PM

Quote:

Originally Posted by Grand Islanders (Post 1254900)
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!

Exactly! When the grandfathering issue was brought up TVH denied having said it and, if they did, things change!

marennorge 07-16-2016 03:29 PM

I have a United Healthcare Supplemental Plan and just got a letter today from TV Health Systems stating I have to switch to an Advantage plan or find other doctors outside their system. So much for being grandfathered.

NYGUY 07-16-2016 03:29 PM

Quote:

Originally Posted by champion6 (Post 1254765)
Are you referring to AARP Medicare Complete Choice (Regional PPO)?

I have AARP Medicare Complete Choice Plan 2 (Regional PPO)

NYGUY 07-16-2016 03:41 PM

I got my own letter today (telling me I was OK). It also said if you "would like to provide feedback" to call 352-674-8789. Sounds like an opportunity to voice you displeasure.

skyking 07-16-2016 03:51 PM

Quote:

Originally Posted by wendyquat (Post 1249110)
But wait --- "if you like your health care and your doctor, you can keep them" --- right?

Who said that?? 😃

studylady 07-16-2016 04:39 PM

If all of us still "grandfathered" leave now maybe they will decide differently when they can't pay the providers without payments from our better insurance companies?

zendog3 07-16-2016 05:13 PM

I got the notice today that I can switch to Big Brother's cash cow or get out. When I signed on, as a client to TV Health System's their association with one Medicare Advantage plan looked too cozy. I asked my doctor (Dr. Welby) if I was going to be squeezed out later. "Oh no. perish the thought.)

Here is the message to all the Doctors and staff of TV Health: Marcus Welby is FICTIONAL! A COMPANY THAT WILL MISLEAD AND DECEIVE ITS PATIENTS WILL MISLEAD AND DECEIVE ITS EMPLOYEES. This is a MARKETING-based company not a VALUES-based company. You are a cost column in their spreadsheet and sooner or later they will find a way to move money from your cost column to the profit column.

NYGUY 07-16-2016 10:13 PM

Quote:

Originally Posted by skyking (Post 1254953)
Who said that?? 😃

Certainly not The Villages Health!!

trichard 07-17-2016 05:14 AM

Quote:

Originally Posted by NYGUY (Post 1254948)
I got my own letter today (telling me I was OK). It also said if you "would like to provide feedback" to call 352-674-8789. Sounds like an opportunity to voice you displeasure.

They don't care about your displeasure. Decision is made.

rustyp 07-17-2016 05:27 AM

I read much displeasure about The Villages dictating what medical plan you must have and also understand they have gone back on their word about grandfathering. What I don't understand is if you like The Villages health system why not switch to United Healthcare Medical Advantage ? Is there something bad about this plan?

trichard 07-17-2016 05:35 AM

Quote:

Originally Posted by rustyp (Post 1255095)
I read much displeasure about The Villages dictating what medical plan you must have and also understand they have gone back on their word about grandfathering. What I don't understand is if you like The Villages health system why not switch to United Healthcare Medical Advantage ? Is there something bad about this plan?

If you want superior healthcare you will want to take original Medicare. Otherwise, UHC's MA is okay.

rustyp 07-17-2016 05:41 AM

Quote:

Originally Posted by trichard (Post 1255097)
If you want superior healthcare you will want to take original Medicare. Otherwise, UHC's MA is okay.

I don't understand - I thought any policy that replaces Medicare must have equal or better than coverage by law.

trichard 07-17-2016 05:47 AM

Quote:

Originally Posted by rustyp (Post 1255098)
I don't understand - I thought any policy that replaces Medicare must have equal or better than coverage by law.

Covered services are equal. MA is great as long as you do not have serious health issues. Then access to the best specialty physicians and hospitals in the country is limited.

donbettyr 07-17-2016 06:47 AM

Medicare Advantage
 
I have said from the start that this would be the end result. Villages Health gets payed per head. They want you to join, but not show up for treatment - that is how this system makes money.This is a capitation plan. You do not get something for nothing. There are copays, and the biggest problem, most of the good specialists do not participate. That is why we know people who have to travel to Cleremont, Tavares, etc. to get treatment. Have been on tradational Medicare with supplement for 6 years, and have never payed a penny for anything. Know patients in the Villages Health who pay $500-1000 out of pocket as their copay for treatment.

rustyp 07-17-2016 07:19 AM

Quote:

Originally Posted by donbettyr (Post 1255114)
I have said from the start that this would be the end result. Villages Health gets payed per head. They want you to join, but not show up for treatment - that is how this system makes money.This is a capitation plan. You do not get something for nothing. There are copays, and the biggest problem, most of the good specialists do not participate. That is why we know people who have to travel to Cleremont, Tavares, etc. to get treatment. Have been on tradational Medicare with supplement for 6 years, and have never payed a penny for anything. Know patients in the Villages Health who pay $500-1000 out of pocket as their copay for treatment.

Help me - What plan do you have and how much is it? How much is United Healthcare Advantage and what is different about it Vs. your plan ?


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