If a customer on Medicaid applies for a PFFS plan, what might they be responsible for?

When a customer on Medicaid applies for a Private Fee-For-Service (PFFS) plan, they may be responsible for cost sharing. Cost sharing refers to the out-of-pocket expenses the customer must pay when receiving healthcare services, which can include copayments, coinsurance, and deductibles, depending on the specific terms of the plan.

While Medicaid provides a safety net for low-income individuals, it does not cover all costs associated with healthcare plans, including those for PFFS plans. Therefore, even if they have Medicaid, they may still encounter financial responsibilities tied to their coverage, such as cost sharing for services received under the PFFS plan.

Total premium payments wouldn't typically apply for someone with Medicaid, as many would be eligible for subsidies or may not pay premiums at all. Copayments only is too narrow a focus, as cost sharing can encompass a broader range of financial responsibilities. Networking fees are not a standard term related to PFFS plans or costs that a Medicaid recipient would be responsible for in this context.