Medicare Advantage Private Fee For Service (PFFS) plans are a type of Medicare Advantage Plan that is generally only available in rural areas where there are not many plan options available. PFFS plans do not require you to choose a primary care physician (PCP) or need a referral to see a specialist like HMO plans do. Not all PFFS plans have a physician and hospital network; you must receive care within. Some PFFS plans allow you to go to any Medicare doctor, healthcare provider, or hospital, as long as they accept the plan’s payment terms and agrees to treat you. One additional unique aspect of PFFS plans is that doctors can accept a PFFS plan’s payment terms for one treatment and not another. It is very important if you are enrolled in a PFFS plan to ask if your doctor or other health care provider will accept your PFFS plans payment terms for every treatment you receive.
Medicare Part B – Second opinion before surgery
May 31, 2023