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Medicare Private Fee for Service Plan (PFFS)

A Medicare Private Fee-for-Service Plan is a Medicare Advantage Plan offered by a private insurance company. In a Medicare Private Fee-for-Service Plan, Medicare pays a set amount of money every month to the private insurance company to provide health care coverage to people with Medicare. Each year, Medicare Private Fee-for-Service Plans establish the amounts they charge for premiums, deductibles, and services.  The Medicare Private Fee-for-Service Plan (rather than the Medicare Program) decides how much you pay for the covered services you get.  What you pay the plan may change only once a year on January 1.
In Medicare PFFS Plan, it is permissible for you to service from any health care provider who is approved by Medicare and agrees to the plan's term and condition. Medicare Prescription Drug Coverage may or may not be available in Medicare PFFS Plans. If prescription drugs are not covered in the plan, you may enroll in a Medicare Prescription Drug Plan for prescription drug coverage. You do not need to choose a primary care physician. You do not need a referral to see a specialist.
If you need emergency care, it is covered whether the provider accepts the plan’s payment terms or not. If you join a Medicare Private Fee-for-Service Plan, not all providers will accept the plan’s payment terms or agree to treat you. Before you get any services, ask your doctor or hospital if they are willing to contact the plan for payment information and accept the plan’s payment terms.
Call for a quote today if you feel this plan may be right for you.