Private Fee for Services (PFFS)

Medicare Private Fee-for-Service (PFFS) Plans

A Medicare Private Fee-for-Service (PFFS) plan is a type of Medicare Advantage (Part C) plan offered by private companies. These plans provide Medicare benefits along with additional coverage, offering more flexibility in choosing healthcare providers.

Key Features of PFFS Plans:

  • Provider Flexibility: You can see any healthcare provider who is eligible to receive payment from Medicare, as long as the provider agrees to the plan’s terms and conditions of payment before each visit. This gives you the freedom to choose your doctors and specialists.
  • Additional Benefits: PFFS plans often cover extra services that are not typically included in Original Medicare, such as vision or dental care, depending on the plan.

Prescription Drug Coverage:

  • Drug Coverage Options: Some PFFS plans include Medicare Part D prescription drug coverage. If your PFFS plan does not offer drug coverage, you can enroll in a separate Medicare drug plan to ensure your medications are covered.

PFFS plans combine the flexibility to choose your providers with the comprehensive benefits of Medicare Advantage, giving you more control over your healthcare options.

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