Talk of The Villages Florida

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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Help Finding New Doctor (https://www.talkofthevillages.com/forums/medical-health-discussion-94/help-finding-new-doctor-201796/)

goingtothevillages 07-17-2016 12:02 PM

Help Finding New Doctor
 
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

Bogie Shooter 07-17-2016 03:16 PM

Is it really 10,000?

jimnc 07-18-2016 05:33 AM

Any recommendations for quality physicians who are taking new patients?

villagetinker 07-18-2016 06:57 AM

Quote:

Originally Posted by Bogie Shooter (Post 1255392)
Is it really 10,000?

I was told by a rep from SHINE that it was 15,000. I imagine that it is going to be shear chaos as people look at changing doctors.

Personally, I am up to 23 questions that I will be asking both UHC and SHINE to figure out what we are going to do.

ColdNoMore 07-18-2016 07:31 AM

Quote:

Originally Posted by goingtothevillages (Post 1255266)
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

According to some of the usual developer shills (albeit unpaid shills presumably), you aren't technically being "kicked out."

However, imagine being in a general car club and then told that if you didn't buy a new Porsche, you would no longer be allowed to be in the club.

While not technically being "kicked out" of the car club, the net result is the same.


Anyway, good luck to you (and the the thousands of others not being 'kicked out') on finding a new doc that you're comfortable with. :thumbup:

graciegirl 07-18-2016 07:55 AM

Quote:

Originally Posted by goingtothevillages (Post 1255266)
My wife and I are 2 of the over 10,000 villagers being kicked-out of the Villages Health Care system. Health Insurance is part of our retirement benefits and we can't afford to pay additional funds for something that won't provide any additional benefits. So, we are now looking for a new Internist or General Practitioner before December 31. Does anyone have any suggestions of a good internist or general practitioner? Thanks

We were never allowed into that fine Healthcare system because we have company insurance and that wasn't accepted. We really envied all who could take advantage of it. That said, we have a PCP we like, also a dermatologist, endocrinologist, gastroenterologist and foot doctor. It was not easy to find them. Florida is not tops in this country for excellent health care and that is probably why The Developer tried to provide and hire some good doctors for this community and establish a good health care system like he started good restaurants and a bank and things like transportation systems and even had a first rate furniture store. I think the developers were planning on the backing of USF and they fled for some reason, maybe not enough dough?

It is not easy to find excellent health care in Florida and if you come from Boston, L A, Houston or Cincinnati to name a few meccas of medicine in the U.S.,you will feel the lack deeply.

I have run into some really not good doctors and absolute scam dentists here in this part of Florida.

The best and brightest medical folks are attracted to large nationally accredited teaching facilities I guess.

We still have good doctors here for most things that affect us.

When searching for doctors, ask if they are board certified, and note where they were educated to start. Having a nice personality, or good bedside manner isn't as important as having up to date medical knowledge.

alemorkam 07-18-2016 08:16 AM

I just got my letter, I am on Medicare and have Tricare. Says I don't have to do anything and I can remain in the system. I thought I had read that they were not allowing Tricare for life patients to stay?

jimnc 07-18-2016 08:43 AM

The question still remains. Does anyone have the name of a good doctor in the area who can take new patients?

patoonya 07-18-2016 08:47 AM

This decission by The Villages maybe their down fall?????

graciegirl 07-18-2016 08:55 AM

Quote:

Originally Posted by patoonya (Post 1255683)
This decission by The Villages maybe their down fall?????

Why? People have been finding doctors for a long time. I don't think it will harm the company if the healthcare system fails. They tried.

Radioman41 07-18-2016 10:22 AM

Many people have supplemental coverage, partially subsidized by their former employer, in addition to traditional medicare. They will be extremely reluctant to give up that coverage for the United Healthcare plan. I sat down with a United Healthcare representative earlier this summer and went over their plan compared to my bc/bs supplemental plan. The agent admitted my current plan is superior, especially to coverage outside their coverage area. In our case we spend several months a year out of TV and would only have limited coverage. Also under what I presently have there is no restriction on where I can go for care if the need arises. As we get older, that is a hard option to give up.

REDCART 07-18-2016 10:52 AM

We're in exactly the same situation and are very satisfied with our BC/BS Medicare supplement primarily for its portability and coverage. We're using Dr. John Im on CR101. In addition to urgent care, Dr Im is taking non-emergency private patients by appointment. We're very satisfied with his care and as an added bonus, his sister Kelly is a nurse practitioner, and part of his practice. Both are extremely easy to speak with. We started with Dr Ready but found his bedside manner lacking.

BN95303465 07-18-2016 11:12 AM

Villages medical
 
Apparently the Villages only cares about making money. They are now kicking out people who are on medicare with a supplemental plan even if it's from United Healthcare. They are well aware that many people do not want to be stuck with an insurance company who restricts providers and can change them whenever they want. They sold this as a retirement community with great Healthcare who cares but slowly but surely their care is replaced by the almighty dollar.

retiredguy123 07-18-2016 12:00 PM

Norman Novis

2BNTV 07-18-2016 01:51 PM

This is my understanding.

For healthy people Medical Advantage plans are best for you.

For those who have recurring conditions and may need to be hospitalized, original Medicare with a supplement is best for you. It also gives you a wider range of doctors one can seek, for their medical needs.

Sunday's DS had an article explaining the VHS favors UHC Medical Avantage plans as the doctors can spend 1/2 hours per patient than original Medicare, as that plan is geared for a doctor to spend 10 minutes, per patient. The article also says one receives more coverage for a MA plan for what one pays. If one has OM plus a supplement, they would be spending about $3600 per year. If one has an MA plan, one pays $1260 per year. With an OOP max of $4600. They indicated one could save money and still receive excellent care as the average patient may spend $800 past the $1260 per year.

One has to pick the plan that best needs their needs. For some people OM with a supplement provides peace of mind.

As they say on the cops and robbers shows, "follow the money". It's all about the money. Personally, I am disappointed that one can't switch to OM with a supplement and stay within TV Health network. I personally think they are making a mistake.


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