What is a PFFS service plan in Medicare Advantage?
Many older people feel depressed when they start shopping and compare their Medicare options. First you have Medicare Part A and B. Then you will learn about the plans for supplementing Medicare AL. Then they start talking about these Medicare Advantage Private Fee-For-Service (PFFS) plans, and you feel like your head is going to explode! But do not worry. This is not as difficult as you think, if you enlist the help of a professional.
Medicare Advantage Plans are a type of Medicare plan. But, unlike regular Medicare A & B with an additional plan to fill the gaps, the PFFS is an all-in-one plan that combines your Medicare benefits with preventative indications, some visions and teeth benefits a coating of Part D.
With one of these plans, Medicare pays the insurance company that you work for, and the insurance company pays the doctor or hospital where you get the services. The insurance company hires that they will pay less than they receive and will be able to earn money.
How predictable are the costs?
If you visit the doctor very often, then Medicare Supplement may be better for you. But if you rarely go to a doctor, or maybe you travel 10 times or less a year, then Advantage can save you a lot of money. Medicare Supplement premiums can range from $ 90 to $ 165 / month for a 65-year-old, Plan F, depending on the state you live in. But then when you go to the doctor, you don’t have to pay at all from your pocket. Many Advantage plans have a monthly premium of $ 34, and some - $ 0 per month. But then when you go to a doctor or get medical care, you pay a co-payment from your pocket. Your personal expenses are usually limited to about $ 3,000 per year, so your risk is limited.
Do some research first.
Your doctor or hospital is not required to agree to the terms of Advantage plans, and some simply do not accept them at all. Before registering, consult your doctor to make sure that this is not a problem. Ask if they agree with Medicare Advantage Private Fee-For-Service plans. As a guarantee, Medicare gives you a 12-month period after registering with one of these Advantage plans to return to the Medicare supplement plan for any reason. If you return during this 12-month period, you do not need to answer any medical questions.
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