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Last Updated:2/10/2006 Private FeeForService Beneficiary Questions and Answers1. What Is a Private FeeForService Plan? A Private FeeForService plan is a Medicare Advantage health plan offered by a
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Private fee-for-service (PFFS) is a type of Medicare Advantage plan in which beneficiaries have the freedom to choose any Medicare-approved doctor or hospital that accepts the plan's payment terms.
Beneficiaries who are enrolled in a private fee-for-service Medicare Advantage plan are not required to file any specific forms.
There is no specific form to fill out for private fee-for-service beneficiaries. However, beneficiaries should keep their plan documents and medical records handy for reference.
The purpose of private fee-for-service Medicare Advantage plans is to provide beneficiaries with more flexibility in choosing healthcare providers, as well as additional benefits not covered by original Medicare.
Private fee-for-service plans are required to report certain information to Medicare, such as the number of enrolled beneficiaries, claims data, and financial information.
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