Talk of The Villages Florida

Talk of The Villages Florida (https://www.talkofthevillages.com/forums/)
-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Villages Healthcare eligibility (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-healthcare-eligibility-91101/)

champion6 10-12-2013 11:07 AM

Quote:

Originally Posted by mac9 (Post 761604)
Untied Healthcare is an HMO. Good luck if you travel!

UnitedHealthcare also offers a PPO Medicare Advantage plan.

Jakel 10-12-2013 03:57 PM

Our former employer switched to Aetna, and we had to stop going to the Villages Health, we did like it there.

tommy steam 10-13-2013 11:04 AM

Quote:

Originally Posted by bimmertl (Post 761316)

Thank you for providing great information.

greenhillsgirl 10-14-2013 05:12 PM

Villages Health Care
 
That's all pretty interesting. I inquired as well...went to the Colony Office...they looked at my husband's & my cards...Medicare & Florida BCBS Plan "F" which is the best. They said that they participate with our plan and our appointments were scheduled and our 'new patient' appointments are next week at the Santa Barbara Office near our home.

gerryann 10-15-2013 01:35 PM

Quote:

Originally Posted by mac9 (Post 761604)
Untied Healthcare is an HMO. Good luck if you travel!

United Heath care has a Medicare advantage plan that is a PPO. You can see any specialist without a referral. You can also see any doctor ANYWHERE and pay the "out of network" fee. No, you do not get any money re-enbursed. You are covered at TV clinics if that is where you choose to go.

Bob45 10-23-2013 11:11 AM

Quote:

Originally Posted by Avista (Post 760917)
Can't you change after Jan 1 2014? There is no premium for the new Villages Plan.

Getting my insurance paid for is part of my retirement package. If I drop it I can't go back. With the uncertainty of healthcare right I'm not making any moves.

ilovetv 10-23-2013 11:15 AM

Quote:

Originally Posted by Avista (Post 760917)
Can't you change after Jan 1 2014? There is no premium for the new Villages Plan.

No premium? I'd stick with the old adage my folks and grandparents taught us, which is....

"There's no such thing as a free lunch".

Pocrunner 10-24-2013 05:01 PM

You are correct about United Healthcare. Check with SHINE.....they are a great source of information.

graciegirl 10-24-2013 06:18 PM

Quote:

Originally Posted by Kdvogras (Post 761663)
I asked to join also and I have Blue Cross Blue Shield/Medicare Plus and was told they don't take that either. I guess they only want a select few. So much for all their worry about our health.
Deanna

Apparently, it is a business. They don't accept our insurance either. It is what it is. We have found someone who I think will be a good PCP for us, he is AMA and board certified and many members of this forum say good things about him. Dr. Agbo.

I see you are new to the forum.

skip0358 10-24-2013 06:29 PM

This is from their WebSite so what gives ??
 
FAQs


UNITED HEALTHCARE®
ACCEPTED INSURANCE
REGISTER FOR A CLASs
accepted insurance
If you are eligible for Medicare, we want you to know that the only Medicare Advantage plans The Villages Health participates in are those offered by UnitedHealthcare®. UnitedHealthcare® Insurance Company is the same Medicare insurance provider that many Villagers already rely on for AARP® Medicare Plans.
•Traditional Medicare
•UnitedHealthcare® The Villages® MedicareComplete® (HMO)
•AARP® MedicareComplete Choice® (Regional PPO)

We also accept most major health insurance plans:

Accountable Health Plan
AARP
Avmed
Blue Cross & Blue Shield


• Federal
• Blue Options
• Empire
• Health Options
• Preferred Patient Care
• Traditional

BCE Emergis
CCN
CCN/One Source
Champus/Tricare
ChampVA
Cigna
Coventry Health Care/First Health
Evolutions Healthcare
First Health
First Health Mail Handlers
GHI
Great West
Humana
Humana PPO
Interplan
Mail Handlers
Multiplan
NALC
One Health Plan
Pacificare
Private Healthcare System/PHCS
Proamerica
Railroad Medicare
Southcare
Up & Up
United Healthcare

Most major Preferred Provider Organization Plans

Bizdoc 10-24-2013 09:45 PM

You will note that the list of insurance accepted has been growing. Keep in mind that doctors and insurance companies "negotiate" reimbursement rates. In some cases, insurance companies may feel that it isn't worth servicing an area because there aren't enough potential policy holders (Cigna is famous for that - trying finding a Cigna participating provider in a rural area!) In other cases, doctors have negative experiences with an insurance company or feel that the rates are too low and drop out of that insurers network.

I seem to recall that someone commented last spring or summer on the absence of Cigna providers in the area after having used them in Jax. Clearly they are now here (several of the federal plans like NALC and SAMBA are actually administered by Cigna.

If you snow bird, summer travel or whatever, you may want to look at providers at both ends of your travels. DW got sick in AZ and her Kaiser HMO was essentially worthless. ("If you'll drive up to Portland, OR you can be seen in our clinics there...")

shankerman 10-25-2013 09:08 AM

Quote:

Originally Posted by Bob45 (Post 760887)
Just talked to the Villages healthcare folks about joining their program. They told me they will only accept United Healthcare Advantage plans. I have Aetna Advantage and my wife has Humana Advantage plan. Therefore we can't join. I was excited when I first heard of the program, just to be let down. I am wondering how many others are in the same situation.

Bob

Bob,
Are you aware that Gary Morse owns 51% of United Health Care - The Villages? Does that help you understand why The Villages Primary Care Centers, which Gary Morse owns, will only accept United Health Care - The Villages. Coincidence? I think not.

champion6 10-25-2013 09:30 AM

Quote:

Originally Posted by shankerman (Post 768291)
Bob,
Are you aware that Gary Morse owns 51% of United Health Care - The Villages?

WHAT? That's an incredible claim! Do you have a source for this information that is publicly accessible?

Russ_Boston 10-25-2013 10:00 AM

Quote:

Originally Posted by shankerman (Post 768291)
Bob,
Are you aware that Gary Morse owns 51% of United Health Care - The Villages? Does that help you understand why The Villages Primary Care Centers, which Gary Morse owns, will only accept United Health Care - The Villages. Coincidence? I think not.


But what exactly is that? I know that the underwriting INSURANCE agent (United Health care) is a national company that Mr. Morse seems to have nothing to do with if you look at their website. Can you explain the relationship? Are we talking about just the actual health system in tv?

Thanks.

And who really cares if a health company takes your insurance. If they don't find someone else. It's a business and they can do as they please. They obviously feel that they have plenty of patients or they wouldn't keep this insurance model.

ilovetv 10-25-2013 10:37 AM

Quote:

Originally Posted by shankerman (Post 768291)
Bob,
Are you aware that Gary Morse owns 51% of United Health Care - The Villages? Does that help you understand why The Villages Primary Care Centers, which Gary Morse owns, will only accept United Health Care - The Villages. Coincidence? I think not.

Wow. Imagine that. An investor that will make sure the operation earns more than it spends. What a concept!!


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