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-   -   The Villages Health....It's All About The Money (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-its-all-about-money-201831/)

big guy 07-20-2016 11:22 AM

I believed the hype when I moved here about The Village Health, joined and used my medicare and a supplemental from United Healthcare. My circumstances are special because I am a transplant patient. I used VHC for the regular aches, pains and sprains but I need to visit the transplant clinic for followup evaluations. Now I am going to be in a bind. None of my specialists accept Advantage and the local Advantage network does support transplant work. Do I shoot craps, use VHC and hope a GP will be able to get me help, or do I find a new GP miles away? Urgent Care or ER are starting to look like a good bet while keeping my medicare and supplemental. I feel the VHC sold out and there promotions for Healthiest Hometown were for suckers.

CritterLover 07-20-2016 12:35 PM

Quote:

Originally Posted by cavalier65 (Post 1256907)
Sorry Critter you miss the point. UHC is no better than many other plans nor is less expensive. The point is that TVH is not the "nice" program that their propaganda would have you believe. It is no different than countless other outfits around the country. Actually one gets better specialty care elsewhere since TVH has no specialists of note. It is all about the money under the guise of healthcare.

That's a rather "cavalier" attitude. See what I did there? :) In all seriousness, you are obviously entitled to your opinion, but I must, again, beg to differ. Based on personal experience, TVH is a great program, and thru my own research, speaking with reps from both TVH and UHC, I have found that, in fact, the MA plans may work very well FOR ME. I'm certain others can and will say the same.

If TVH is going to be vilified for wanting to make money, that's ludicrous, as it would be plain foolish for anyone to go in to business with their plan to be anything but profitable.

I have ZERO problem with any company owned by TV doing whatever they need to do in order to be profitable. How else will they pay to keep all of other great stuff up and running??

In closing, (and we can part as friends!!), my personal experience with the TVH specialists has been top-notch!

jensul619 07-26-2016 05:47 PM

Quote:

Originally Posted by tedquick (Post 1255505)
While I had heard some horror stories about the Advantage Plan, my wife and I, after a lengthy discussion with our insurance agent, switched to it and have been quite happy. We also saved a substantial amount of money, that is so far we have. If and when something serious happens and it tends to as we age, :) that might present us with a whole new picture but for now we are both very pleased with the plan.

Just pray you don't get sick. HMO doctors, networks, referrals and refusals to cover tests and surgery. know this from experience. I would rather pay my premium every month and know that I can go to any doctor, anywhere in the world and pay nothing!

golfing eagles 07-26-2016 06:59 PM

Quote:

Originally Posted by jensul619 (Post 1260693)
Just pray you don't get sick. HMO doctors, networks, referrals and refusals to cover tests and surgery. know this from experience. I would rather pay my premium every month and know that I can go to any doctor, anywhere in the world and pay nothing!

So which one is it???? Hmmm, contradicting oneself in the same sentence

villagerjack 07-26-2016 07:18 PM

Quote:

Originally Posted by big guy (Post 1256946)
I believed the hype when I moved here about The Village Health, joined and used my medicare and a supplemental from United Healthcare. My circumstances are special because I am a transplant patient. I used VHC for the regular aches, pains and sprains but I need to visit the transplant clinic for followup evaluations. Now I am going to be in a bind. None of my specialists accept Advantage and the local Advantage network does support transplant work. Do I shoot craps, use VHC and hope a GP will be able to get me help, or do I find a new GP miles away? Urgent Care or ER are starting to look like a good bet while keeping my medicare and supplemental. I feel the VHC sold out and there promotions for Healthiest Hometown were for suckers.

I am astonished that before you switched you did not check to see if the doctors you needed were on the Plan. In fact, the sales person I went to in Brownwood insisted that we look at the list of doctors we needed and said that if they not not meet our needs, we should not switch. He was very open and honest about the Pksn and did say, it works for a lot of people but NOT EVERYONE.

Did you look for your doctors before you switched? What happened?

villagerjack 07-26-2016 07:21 PM

Quote:

Originally Posted by Joejohnson (Post 1256794)
I don't see but a few that are unhappy with medical or personal treatment in VHC Clinics. It's the UNITED Health care that is the worry.

United has a reputation of slow pay to specialists. This causes Drs and hospitals to ask you for payment and expect you to fight UHC for reimbursement.

Critter: Villages Health Care is wonderfull, but beware of United Healthcare Advantage. I did my research and my assessment is OMG!!

United Healthcare is the largest in the Country. Did they get there by abusing doctors and patients?

dbussone 07-26-2016 07:25 PM

Quote:

Originally Posted by big guy (Post 1256946)
I believed the hype when I moved here about The Village Health, joined and used my medicare and a supplemental from United Healthcare. My circumstances are special because I am a transplant patient. I used VHC for the regular aches, pains and sprains but I need to visit the transplant clinic for followup evaluations. Now I am going to be in a bind. None of my specialists accept Advantage and the local Advantage network does support transplant work. Do I shoot craps, use VHC and hope a GP will be able to get me help, or do I find a new GP miles away? Urgent Care or ER are starting to look like a good bet while keeping my medicare and supplemental. I feel the VHC sold out and there promotions for Healthiest Hometown were for suckers.


You don't have to go to a GP miles away. Find one here who can intelligently understand both your problem as well as your need to see your transplant team. Even if you find a doc in VHC who understands your problem, there is no guarantee that the insurance plan would ever approve the referral.

Why would you even consider staying in a plan that doesn't support transplant work. Shooting craps is for Vegas not for transplant patients. Somehow I think you already knew what you should do.


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