Medicare plus blue group PPP. Medicare plus blue group PPP. - Talk of The Villages Florida

Medicare plus blue group PPP.

Closed Thread
Thread Tools
  #1  
Old 06-12-2013, 02:57 PM
Ckratz Ckratz is offline
Junior Member
Join Date: Jan 2011
Posts: 3
Thanks: 0
Thanked 0 Times in 0 Posts
Default Medicare plus blue group PPP.

This is a Medicare Advantage Plan for Michigan Retirees and it's not accepted by the new villages UCF offices. Colony rejected me even though its Blue Cross since they would bill Blue Cross even though Medicare is primary. They told me months ago they were working it out but it's not happening. Does anyone have any updates?
  #2  
Old 06-12-2013, 03:00 PM
jimmy D jimmy D is offline
Senior Member
Join Date: May 2012
Posts: 168
Thanks: 0
Thanked 1 Time in 1 Post
Default

Quote:
Originally Posted by Ckratz View Post
This is a Medicare Advantage Plan for Michigan Retirees and it's not accepted by the new villages UCF offices. Colony rejected me even though its Blue Cross since they would bill Blue Cross even though Medicare is primary. They told me months ago they were working it out but it's not happening. Does anyone have any updates?
I was told they only take United and Preferred care Partners , unless you have a Medicare Supplement not an Advantage plan
  #3  
Old 06-12-2013, 03:10 PM
gomoho's Avatar
gomoho gomoho is offline
Sage
Join Date: May 2012
Posts: 4,333
Thanks: 0
Thanked 1 Time in 1 Post
Default

I have Blue Cross/Blue Shield and because they code by medicare standards rather than Blue Cross my provider will not cover my physical. Villages Health said it turned into an office visit rather then the physical I requested when she renewed my prescriptions and went over my blood work. I have never heard such craziness in my life. Thought they had negotiated my coverage with Blue Cross since I am not yet eligible for medicare. I think what is happening as long as you are medicare United or PCP you will be fine with the billing 'cause they will basically pay anything they are billed for. Is it any wonder medicare is in so much trouble???
  #4  
Old 06-12-2013, 04:23 PM
dgammon6's Avatar
dgammon6 dgammon6 is offline
Senior Member
Join Date: Jun 2008
Location: The Village of Hadley
Posts: 327
Thanks: 4
Thanked 1 Time in 1 Post
Default

Accepted Insurance by The Villages Health

This site will give you a list of insurance companies they accept at this time.
__________________
Retired Firefighter
Indianapolis, Indiana
"Livin our Dream"
  #5  
Old 06-13-2013, 03:52 PM
Bizdoc Bizdoc is offline
Veteran member
Join Date: Dec 2012
Location: Village of Fernandina
Posts: 805
Thanks: 2
Thanked 23 Times in 3 Posts
Default

Keep in mind that many companies (including most BC/BS plans) have preferred provider networks. For most BC/BS plans, those networks are *only* inside the state where the plan is located. As the result, they pay a smaller percentage and often have stricter pre-auth procedures.

Note that not all BC/BS plans are like that The FEHBP non-HMO plans are generally national. My BC/BS works here just as well as in NC and WV.
Closed Thread


You are viewing a new design of the TOTV site. Click here to revert to the old version.

All times are GMT -5. The time now is 12:50 PM.