A Medicare PFFS Plan is a type of Medicare Advantage Plan (Medicare Part C) offered by a private insurance company. PFFS plans aren’t the same as Original Medicare or Medigap. The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care.
If you join a PFFS Plan that has a network, you can also see any of the network providers who have agreed to always treat plan members. You can also choose an out-of-network doctor, hospital, or other provider, who accepts the plan's terms, but your costs will usually be lower if you stay in the network.
Note:
You can go to any Medicare-approved doctor, other health care provider, or hospital that accepts the plan's payment terms and agrees to treat you. Not all providers will.
Prescription drugs may be covered in PFFS Plans. If your PFFS Plan doesn't offer drug coverage, you can join a Medicare Prescription Drug Plan (Part D) to get coverage.
You don't need to choose a primary care doctor in PFFS Plans.
You don't have to get a referral to see a specialist in PFFS Plans.
Copyright © 2023 Braden MSI Insurance- All Rights Reserved.
" Disclaimer: Medicare has neither reviewed nor endorsed this information. Braden Medicare Insurance Agency is not associated with or endorsed by the United States Government or the Federal Medicare program. Braden Medicare Insurance is an Independent Medicare/Healthcare Broker offering Medicare Supplement and Medigap Plans, Medicare Advantage Plans, Medicare Prescription Drug Plans, Under 65 Health Insurance, Short Term Health Insurance, Life Insurance, Dental, Vision, and Hearing Insurance. The Braden Medicare Insurance Agency is not affiliated with the U.S. Government or the Federal Medicare Program"
Powered by GoDaddy
We are a licensed, independent Medicare Broker since 2015. We are passionate about helping seniors and we are dedicated to educating them about Medicare. We are going to treat you like a member of our own family. We'll ask you questions and then get busy helping you you with your Medicare Health Insurance plans. You can call or email us for a free, complimentary review of your current plan. We will even assist you with getting enrolled if you need it. At Braden Medicare, we make learning easy and you'll be speaking Medicare fluently in no time!
(480) 418-7968
This website uses cookies. By continuing to use this site, you accept our use of cookies.