California Medicare Private Fee for Service Plans
Medicare Private Fee for Service Plans allow you to see any provider who is willing to accept that plan's payment for services. These plans are a lot like the insurance we used to have many years ago when we went to virtually any doctor and did not have to worry about a network.
The advantages of the PFFS plans include:
- No list of providers: Freedom to see almost any doctor, specialist, or hospital in the United States.
- No need for referrals: You have the power to control your own use of health services.
You can choose to see any provider who accepts Medicare patients. Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital must agree to accept the plan's terms and conditions prior to providing healthcare services to you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may not provide healthcare services to you, except in emergencies.
PFFS plans are available in many areas of California and may be a good choice IF your doctor and hospital are willing to accept the insurance. Since they do not have to accept your plan you must be very careful. Either you must or your agent must contact your providers before you enroll.
If you have questions on this type of plan, please contact us. We have extensive experience with this type of coverage and can help you with what is really the most complicated of all the Medicare Advantage plans.