Are you staying with TVH next year?
 

With all of the issues with TVH, is anyone considering dropping The Villages Health
(TVH)?

I am currently with Advantage UHC but I am waiting to see what the options are for next year.

I think the period to change from Advantage to Medicare is from Oct. 15 to Dec. 7. The MA plans have to come out with their prices in the next six weeks and with all of the uncertainty of the TVH bankruptcy, I am definitely looking at other options.

At this point, we don't know if TVH will still be in bankruptcy next year and we don't know how many doctors will leave and what will happen if Humana buys TVH. There are a lot of questions and it is tough to make any decision because no one is giving us any answers.

If you are considering changing, I would suggest looking into the various options sooner rather than later.

I dropped them at the end of 2024, the level of care seemed to have fallen off. Getting an appointment to see my pcp was getting harder and harder. Forget about getting anyone on the phone.

My spouse switched from TVH to Humana this year and it's been a nightmare. Every single screw up, the Dr.'s office employee says "this happens a lot with Humana". No idea what to do for next year.

Traditional Medicare, starting in 2022, was my first choice. I like the ability to choose my physician’s based on needs. My entire life I have never used a PC, last year I made an appointment, that was one and done. While he was excellent, came from medical schools and facilities I grew up with, we both agreed I needed to just stick with the 2 specialist I currently use.

Made my first dermatologist appointment, who admitted his services weren’t needed. Call if I notice something out of the ordinary. Apparently my skin is in great shape.

I don’t want to be locked into a plan with someone who doesn’t understand rare hereditary medical issues.

Quite happy with TVH, so I am crossing my fingers that I will be able to continue with the new version of them. I have BlueCross MA while husband has UHC. Never a problem with my primary or the PAs. Got right into whatever specialist I needed. Expensive infusions covered.

My TVH doctor sent out a letter that she was retiring but that they would find me another PCP. Since I don’t like surprises I went to another practice.

If you plan to shift to traditional Medicare with a supplement you may need to medically qualify.
When my wife switched from TVH years ago she just made it below a limit by 10%.
She would be rejected now because of Afib. BCBS said one of the upcodes was “specified Heart Arrhythmia.” This may be a problem if it is in your medical records and you want to transfer to Traditional Medicare.

I am confused.

How do you switch from TVH to Humana? Were you still in advantage or did you go to Medicare? Humana is an advantage insurer and TVH takes Humana advantage.

What doctor’s office are you referring to?

I don't start Medicare until May, and can't start enrollment until February. I have no idea what I'm going to do when the time comes, because I have no idea what plans will be available to me until then.

I have a normal "bronze" plan now, which has low premiums but high out of pocket costs and limited coverage (my radiation therapy cost me $80/day, five days a week, for 5 weeks, and that didn't even put a dent in my out of pocket cost maximum for the year).

I don't even know what I'm going to do for the January-May period. Maybe I'll stick with what I have and hope I don't get sick or injured until Medicare kicks in. Or maybe I'll go for broke, pick an expensive plan with low OOP costs, and hope I need an emergency hip replacement during the first quarter of the year.

I'll have to wait until October, when the insurance companies finally inform us all what the new plans will be and how much it's going to cost us.

I really don’t care as long as I can get appointments close when needed, close meaning within 20 miles. Liked VHC before I got booted out and still see some specialist. IMO got snookered into UHC now chickens have come home to roost….:faint:

For those of you that do not have Medicare Advantage, how difficult is it to find a primary care physician and/or a specialist? How far do you have to travel? Are you satisfied with the quality of your doctors? Any other comments?

If you can switch to Medicare with a supplement. You may need to be underwritten. Advantage Medicare was never to "your" advantage. ������

Florida Blue is accusing TVH of falsely entering a diagnosis of "Coagulation Defects and Other Specified Hematological Disorders and specified Heart Arrhythmia" in patient records as part of a scheme. This according to an on line news source. If this is true then traditional Medicare won't be an option for many.

It's a tough situation. Staying with TVH means facing an uncertain future, while leaving could mean long wait times in doctor's offices due to the influx of 55,000 new patients.

If you go with a POS advantage plan when you hit 65, you probably have a 5% chance of converting to a Medicare supplement plan in the future. Any supplement plan has the right to refuse you if you have ANY medical issues in the past 2 years. I had a supplement plan from out of state and I looked to get a local supplement plan from any insurance company, even my current provider but from Florida and I was refused by all of them. So what they say about good luck to be able to switch to a supplement in the future is true. Get a good supplement when you turn 65