Private Fee-for-Service

Function

Private Fee-for-Service plans are offered through independent insurance agencies. They are in the Advantage Plan category and an excellent option for beneficiaries who want to know exactly how much something will cost. Although this plan is offered through an insurance company, they contact Medicare and operate under certain rules to establish uniformity and consistency.

Cost determination

Fee-for-Service plans work by deciding upon predetermined amounts in which providers get paid for each specific procedure or appointment. Pricing may vary depending on location. Some Fee-for-Service options may utilize networks to suggest which providers should be used, while others may decide coverage based on other factors.

Drug coverage and specialists

Not all Fee-for-Service plans have drug coverage. If your current plan doesn’t include medication coverage, speak to an insurance agent about what additional insurance you can purchase.

Fee-for-Service plans do not require patients to obtain a referral before booking an appointment with a healthcare provider. This can be especially useful in situations when time is of the essence.

Enroll today

If you’re wanting to enroll in a Fee-for-Service plan, there are insurance professionals who are here to help. Fussell & Goodyear provides an array of unique options, and our insurance agents are here to guide you through the process of enrollment.