If you are shopping for Medicare Advantage plans, you may have Private-Fee-For-Service plans in your area. Private-Fee-For-Service plans are a certain type of Advantage plan that offers unique benefits to their beneficiaries. This is what you need to know about Private-Fee-For-Service plans.
What Is Private-Fee-For-Service?
Private-Fee-For-Service (PFFS) plans are offered by many Medicare Advantage policy providers. They sometimes require you to see health care providers within a specific network, but some may not have this requirement. In many cases, doctors and health care services providers are free to not accept a PFFS plan’s patients.
With a PFFS plan, you do not need a referral from a primary care doctor to see specialists. This rule allows more flexibility in who you do see and offers you the opportunity to save time in scheduling treatment. A majority of Medicare Advantage PFFS plans include prescription drug coverage but check with your preferred insurer to ensure that the policy you are interested in has all of the benefits you need.
Medicare Private-Fee-For-Service Plan Cost
PFFS plans are offered through third-party insurers providers that contract with Medicare to offer Part A, B, and D benefits. The combined cost of these benefits differs based on the provider you source your policy from, but Medicare may place specific out-of-pocket cost maximums for Advantage plans. To learn the monthly cost and other associated costs of a PFFS plan, contact a Medicare specialist.
Find A Medicare Advantage Plan
Finding a PFFS plan that fits your unique health care needs may be difficult without specific knowledge of how the Medicare system works. The team at The Fussell Group is prepared to review your case and help you determine which Medicare Advantage policy fits your needs best. Contact us now to schedule a consultation.