What does PFFS stand for?

The acronym PFFS stands for Private Fee for Service. This type of Medicare Advantage plan offers beneficiaries the flexibility to see any doctor or specialist who accepts Medicare, rather than being restricted to a network of providers. In a Private Fee for Service plan, Medicare pays a fixed amount for care each month, and providers can set their own rates, which means beneficiaries may have to pay additional costs for certain services out-of-pocket if the provider charges more than what Medicare will pay.

Understanding PFFS plans is essential because they provide more choice and flexibility to beneficiaries who may prefer not to be tied to a specific network. This contrasts with plans that focus on managed care networks where provider options are limited, and costs may be predictable but less flexible. Hence, recognizing "Private Fee for Service" as a valid category under Medicare Advantage plans is important for those navigating healthcare options.