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-   -   United Health Care Complete (HMO) (https://www.talkofthevillages.com/forums/medical-health-discussion-94/united-health-care-complete-hmo-155960/)

gpirate 06-15-2015 02:10 PM

United Health Care Complete (HMO)
 
Anyone using this network of doctors? This plan covers supplement ins. and drug plan with no premium but has up to a $4500 yearly deductible. Just wondering how it works for people living in TV and good network of doctors and hospitals?

greg&sueby 06-15-2015 03:27 PM

Wife and I have had the insurance for 2 years. I think its great. Good primary care doctors, close to home. I was referred to 2 specialists, took care of my prostate cancer, did not cost me a penny. Very good network of good doctors.
Hope this helps out.

NYGUY 06-15-2015 03:54 PM

Quote:

Originally Posted by gpirate (Post 1074604)
Anyone using this network of doctors? This plan covers supplement ins. and drug plan with no premium but has up to a $4500 yearly deductible....

Confused....is this a Supplement or an HMO?

gpirate 06-15-2015 04:00 PM

Quote:

Originally Posted by NYGUY (Post 1074667)
Confused....is this a Supplement or an HMO?

My understanding it's and HMO but takes the place of the supplement and also has drug coverage with it. I never wanted an HMO but it seems to be okay in TV and FL areas and their is no premium paid. For me and my spouse that is about $4000 we save in premium cost.

gpirate 06-15-2015 04:01 PM

Quote:

Originally Posted by greg&sueby (Post 1074646)
Wife and I have had the insurance for 2 years. I think its great. Good primary care doctors, close to home. I was referred to 2 specialists, took care of my prostate cancer, did not cost me a penny. Very good network of good doctors.
Hope this helps out.

Thanks I appreciate the information. We just moved to TV and looking into changing our insurance coverage.

gomoho 06-15-2015 06:34 PM

If this is the same plan as United Health Care The Villages HMO - buyer beware. I currently have a dear friend whose husband has this coverage and is experiencing end stage renal failure. Because they cannot find a doctor in the area that takes this plan they have to travel all the way to Clermont 3 times a week for dialysis.

Brendanyc 06-15-2015 06:36 PM

Quote:

Originally Posted by gpirate (Post 1074672)
My understanding it's and HMO but takes the place of the supplement and also has drug coverage with it. I never wanted an HMO but it seems to be okay in TV and FL areas and their is no premium paid. For me and my spouse that is about $4000 we save in premium cost.

I moved to TV in early April. My mom lives with us. She had United Health Care Medicare Complete in NY and we transferred to the Florida plan upon our arrival for her. We are not yet eligible for medicare otherwise we would have chosen the same plan. We were with the plan in NY and are more than happy with the plan here in TV. She sees a primary doctor in Pinellas Center and via United Health Care had occupational therapy and physical therapy initiated within two weeks of her arrival . The network is great. She recently received hearing aides through United Health and for a total cost of $500 she is skippin'. lol She will soon see a podiatrist, as well as, have a mammo and bone density test. All here conveniently located in TV. :coolsmiley:

Floridagal 06-15-2015 07:06 PM

My husband and I both have United Health Care The Villages HMO and we think it is wonderful. The doctors are great and so is the staff.

NYGUY 06-15-2015 09:11 PM

Quote:

Originally Posted by gpirate (Post 1074672)
My understanding it's and HMO but takes the place of the supplement and also has drug coverage with it. I never wanted an HMO but it seems to be okay in TV and FL areas and their is no premium paid. For me and my spouse that is about $4000 we save in premium cost.

OK, now I understand. It is not a supplement but rather a Medicare Advantage HMO (if it were a supplement, you would pay virtually no medical costs but would pay a high premium). I also have a Medicare Advantage Plan through United Healthcare, but it is a PPO, not an HMO (referrals not required and also no premium).

Avista 06-16-2015 06:00 AM

Quote:

Originally Posted by gpirate (Post 1074604)
Anyone using this network of doctors? This plan covers supplement ins. and drug plan with no premium but has up to a $4500 yearly deductible. Just wondering how it works for people living in TV and good network of doctors and hospitals?

We also use Villages United Healthcare Complete. You've probably been to The Villages Health Care Web Site, but if notit is a good place to go and get a look at the docs. Can also see wiich
are more close to your home. The Villages Health | America's Healthiest Hometown

dave from deland 06-16-2015 07:59 AM

Quote:

Originally Posted by gpirate (Post 1074675)
Thanks I appreciate the information. We just moved to TV and looking into changing our insurance coverage.

When I went on Medicare, I took out a Humana supplemental plan (Plan F). It is a little more than the similar plan with UHC but does include gym member ship. I pay around $230. per month, not counting Medicare payments, for me and my wife.

There is no deductible and no referral required. Villages UHC system accepts this insurance. If the doctor or medical provider accepts Medicare, this plan pays the remainder.

gpirate 06-16-2015 10:08 AM

Quote:

Originally Posted by NYGUY (Post 1074785)
OK, now I understand. It is not a supplement but rather a Medicare Advantage HMO (if it were a supplement, you would pay virtually no medical costs but would pay a high premium). I also have a Medicare Advantage Plan through United Healthcare, but it is a PPO, not an HMO (referrals not required and also no premium).

What is the deductible amount with the PPO?

NYGUY 06-16-2015 10:34 AM

Quote:

Originally Posted by gpirate (Post 1074944)
What is the deductible amount with the PPO?

There is no deductible for medical costs (there is a $200 deductible for Tier 3 & 4 drugs). You pay copays or coinsurance up to a maximum out-of-pocket of $6,700 in-network and $10,000 combined in and out-of-network.

gpirate 06-16-2015 11:13 AM

Thanks to all of you for lending your experiences. It is appreciated.

gego3650 07-13-2015 02:34 PM

My opinion
 
I went ton village health 2 times after falling 7 times in the house. The docter at village health new nothing. I will never trust my healh to a group where the doctors are so clueless. Ii am 78 and will not skimp on health care. It cost a bit more but we want good care and not some rejects who could not make it on there own.


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