Talk of The Villages Florida

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-   -   The Villages Health Care System (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-health-care-system-171366/)

Chinook 11-17-2015 10:54 AM

The Villages Health Care System
 
I'm really disappointed in the Villages. I moved here with good insurance, but I'm not 65 yet. The villages developed this wonderful health care clinic system and they only take ONE insurance and that is a Medicare Advantage Plan. ONE insurance. How nice for the rest of us that are not 65 or are 65 and do not want an HMO Medicare plan which is what it is. I know they make a bundle of money taking the capitation from the only plan they accept but the system they developed is only accessible to a few villagers. What do Villagers think about this "Villages Health Care system"?
Can anybody recommend a good family or internal medicine primary doctor?

Disappointed Villager

Avista 11-17-2015 11:14 AM

Have you been to the Medicare store in Sumter? Get your questions answered.

vlm790 11-17-2015 11:26 AM

I am 55 and I have BC/BS and they accept it.

graciegirl 11-17-2015 11:33 AM

Quote:

Originally Posted by Chinook (Post 1146913)
I'm really disappointed in the Villages. I moved here with good insurance, but I'm not 65 yet. The villages developed this wonderful health care clinic system and they only take ONE insurance and that is a Medicare Advantage Plan. ONE insurance. How nice for the rest of us that are not 65 or are 65 and do not want an HMO Medicare plan which is what it is. I know they make a bundle of money taking the capitation from the only plan they accept but the system they developed is only accessible to a few villagers. What do Villagers think about this "Villages Health Care system"?
Can anybody recommend a good family or internal medicine primary doctor?

Disappointed Villager



Yeah. We can't have everything we want sometimes.




Here is a list of doctors and health care folks we see and find to be good;


Dr. Felix Agbo PCP
Dr. Judith Milstead ENT
Dr. Hamilton Fish, Endocrinologist
Dr. Caspar, Dermatologist
Dr. Han, Gastroenterologist
Drs, Rosario and Caylor, Oral Surgeons
Dr. Alex Ghazal, Endodontist
Dr. Wu, Podiatrist
Drs. Jabar and Williams, Dentists
Lake Imaging, Mammography and other imaging.
Publix, Flu Shots and Pharmacy.

sirknor 11-17-2015 12:09 PM

I really like The Villages Health. We got in at the start.Their are many health care providers in the area. Like any other city you need to find a provider that takes your insurance.

billybye 11-17-2015 12:42 PM

No need to be upset if your insurance is not accepted at Village Health.
The BEST doctors in this area are not in their system. Look around, TV area has plenty of excellent doctors, and they also do not rush you through an appointment.

John_W 11-17-2015 12:47 PM

Have you tried Premier Medical? They had a full page ad in today's Sun newspaper. My wife used them for 4 years when we came here. They have two locations, one at Lake Sumter and one on Santa Barbara by the hospital. That second location also has an urgent care and lab. Here's their website Premier Medical Associates

http://pma-physicians.com/pmaphysici...1/SBB_HOME.jpg

http://pma-physicians.com/pmaphysici...erior-Home.jpg

NotGolfer 11-17-2015 01:10 PM

Could this be an example of "you can keep your insurance and also your doctors"? Folks all over the country (I know some of them) are not getting the care and coverages they'd been promised. SOME doctors even aren't accepting Medicare and/or some insurances/

rexxfan 11-17-2015 01:27 PM

Quote:

Originally Posted by Chinook (Post 1146913)
they only take ONE insurance and that is a Medicare Advantage Plan.

I'm not sure that's correct. Have you called to ask them whether your insurance is accepted for those not yet Medicare eligible? Mine was (but admittedly I inquired about it last Spring when I made my first appointment, so things may have changed). That appointment is coming up next week (yes, it was a long wait but it was alright with me as I am fortunate to be generally healthy). I even received an email from them around the time of the announcement of the Medicare Advantage plan being the only plan they accept for Medicare-eligible folk that said not to worry, that that did not apply in my case. I presumed that also applied to everyone not currently eligible for Medicare. Bottom line, don't assume, call and ask.
--
bc

perrjojo 11-17-2015 05:11 PM

Quote:

Originally Posted by rexxfan (Post 1147000)
I'm not sure that's correct. Have you called to ask them whether your insurance is accepted for those not yet Medicare eligible? Mine was (but admittedly I inquired about it last Spring when I made my first appointment, so things may have changed). That appointment is coming up next week (yes, it was a long wait but it was alright with me as I am fortunate to be generally healthy). I even received an email from them around the time of the announcement of the Medicare Advantage plan being the only plan they accept for Medicare-eligible folk that said not to worry, that that did not apply in my case. I presumed that also applied to everyone not currently eligible for Medicare. Bottom line, don't assume, call and ask.
--
bc

I agree. I think the United Heatlh care is the only Advantage insurance they take but they do take many other insurance plans. Please check this out further, you may have been misinformed.

villagetinker 11-17-2015 05:17 PM

Call SHINE, they will give you the straight scoop. I have posted this info twice, so do a search on the word SHINE and you will get all the contact info. They are very knowledgeable and helpful.

billybye 11-17-2015 06:30 PM

Quote:

Originally Posted by John_W (Post 1146977)
Have you tried Premier Medical? They had a full page ad in today's Sun newspaper. My wife used them for 4 years when we came here. They have two locations, one at Lake Sumter and one on Santa Barbara by the hospital. That second location also has an urgent care and lab. Here's their website Premier Medical Associates

http://pma-physicians.com/pmaphysici...1/SBB_HOME.jpg

http://pma-physicians.com/pmaphysici...erior-Home.jpg

Good doctors and never rushed out during appointments

NYGUY 11-17-2015 10:20 PM

Quote:

Originally Posted by perrjojo (Post 1147079)
I agree. I think the United Heatlh care is the only Advantage insurance they take but they do take many other insurance plans. Please check this out further, you may have been misinformed.

FOR NEW PATIENTS, they only will accept UHC Advantage plans, both HMO and PPO.

looneycat 11-18-2015 09:53 AM

Quote:

Originally Posted by NYGUY (Post 1147188)
FOR NEW PATIENTS, they only will accept UHC Advantage plans, both HMO and PPO.

unfortunately that is why I can't use them. I have had too many issues requiring hospitalization, if I was on an advantage plan last year, with villages health care, I would be bankrupt now.

Avista 11-18-2015 10:19 AM

Quote:

Originally Posted by looneycat (Post 1147344)
unfortunately that is why I can't use them. I have had too many issues requiring hospitalization, if I was on an advantage plan last year, with villages health care, I would be bankrupt now.

Well there is max out of pocket of $4500.
Their other plan 's out of pocket is about half of that.


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