PFFS - Private Fee For Service Plans

What is a Private Fee For Service Plan

A Private Fee-For-Service (PFFS) plan is a Medicare Advantage (MA) health plan, offered by a state licensed risk bearing entity, which has a yearly contract with the Centers for Medicare & Medicaid Services to provide beneficiaries with all their Medicare benefits plus any additional benefits the company decides to provide.   One major difference between a PFFS Medicare Advantage Organization (MAO) and other MAOs is that, in most cases, people who join a PFFS MAO are not required to use a network of providers.  Beneficiaries can see any provider who is eligible to receive payment from Medicare and agrees to accept payment from the PFFS MAO.

Please contact us at any point if your should have specific questions or need additional information.

Types Of Medicare Plans:

• Traditional Medicare Supplements
• Medicare Advantage Plans
• Medicare Part D Plans

Types of Medicare Advantage Plans

• PPO - Preferred Provider Organization
• HMO - Health Maintenace Organization
• POS - Point of Service Plans
• PFFS - Private Fee For Service Plans
• MSA - Medical Savings Account

Resources

• Client Services: Medicare Advantage Plans
• Client Services: Traditional Medicare Supplements
• Client Services: Medicare Part D RX Plans
• Goverment Resources