What is a Medicare Advantage PFFS plan?
A. With a Medicare Advantage PFFS plan, you have the freedom to select any doctor, hospital, or health care provider who accepts Humana’s payment terms and conditions, without worrying about referrals or a list of doctors who participate in the plan’s network. PFFS plans feature limits on out-of-pocket expenses, coverage for emergency and urgent care, and in some cases, a prescription drug benefit. If you select a PFFS plan, it replaces your Original Medicare coverage. However, you can return to Original Medicare down the road if you wish. A 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. Providers can find the plan’s terms
A. With a Medicare Advantage PFFS plan, you have the freedom to select any doctor, hospital, or healthcare provider who is willing to accept the plan’s payment terms and conditions – without worrying about referrals or a list of doctors who participate in the plan’s network. PFFS plans feature limits on out-of-pocket expenses, coverage for emergency and urgent care, and in some cases, a prescription drug benefit. If you select a PFFS plan, it is an alternative to your Original Medicare coverage. However, you can return to Original Medicare if you wish. We recommend you always check with your doctor and your hospital of choice to see if they accept this PFFS plan. Do not change plans without checking first.
With a Medicare Advantage PFFS plan, you have the freedom to select any doctor, hospital, or healthcare provider who accepts Humana’s payment terms and conditions – without worrying about referrals or a list of doctors who participate in the plan’s network. PFFS plans feature limits on out-of-pocket expenses, coverage for emergency and urgent care, and in some cases, a prescription drug benefit. If you select a PFFS plan, it is an alternative to your Original Medicare coverage. However, you can return to Original Medicare down the road if you wish. How Humana’s PFFS plans work. An Insurance Company with a Medicare Advantage contract to offer a Private Fee-for-Service plan available to anyone enrolled in both Part A and Part B of Medicare through age or disability. Enrollment period restrictions apply, call Humana for details. A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital is not required to agree to accept th
Related Questions
- What do individuals need to know if they have a Medicare Advantage Plan (like an HMO, PPO, or PFFS Plan) or other Medicare Health Plan?
- What do I need to know if I have a Medicare Advantage Plan (like an HMO, PPO, or PFFS Plan) or other Medicare Health Plan?
- What do I need to know if I have a Medicare Advantage Plan (like HMO, PPO, or PFFS Plan) or other Medicare Health Plan?
