Who Can I See With PFFS Coverage?
Like PPO plans, you do not have to choose a primary care provider (PCP). Also, you do not have to have referrals to see a specialist. Plans include different options depending on your needs. Ususally, plans include the option for you to see any Medicare approved doctor or other provider. Some plans give you access to a network of providers that agree to accept and treat anyone on the PFFS plan. You can see providers out of the network, but costs will be lower if you stay in-network.
What Do I Need to Know When I Receive Care?
Bring your insurance plan card with you, every time you receive care. Sometimes, and with some plans, providers may decide not to treat you, even if you’ve seen them in the past. Providers can choose at any time to not accept the terms and conditions of your PFFS plan. Original Medicare will not pay for care while you have coverage through a Medicare PFFS plan. Be prepared to pay any copays or coinsurance costs described in your plan.
Will My PFFS Cover My Prescriptions?
It depends on the PFFS plan. If you need prescription drug coverage, look for PFFS plans that will cover them. If you have a PFFS already that doesn’t cover your prescriptions, you can get coverage with a Medicare Prescription Drug Plan.
Other Medicare Advantage Plans
Let Us Help You Find The Right Plan
At Buffalo Health Advisors, we believe in providing solutions to seniors as they transition to Medicare plans. Not only can Medicare Advantage work to protect your health, choosing the right plan can go a long way toward protecting your wealth. This plan is critical if you are going to be living on a fixed income during your retirement years.
It will cost you nothing to learn more about the options available to you. Call or stop by our Nashville, TN office to discuss your Medicare plan options with one of our experienced agents.
To learn more about how working with a health insurance advisor can help you, visit our In the Media page for helpful videos about getting started with health insurance.
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