What must a PFFS member do before seeing a provider?

A PFFS (Private Fee-for-Service) member must inform the provider about their PFFS membership before receiving services. This is crucial because PFFS plans do not require members to use a specific network of providers. Instead, they can see any provider who accepts the terms of the plan, but the provider must be made aware of the member’s PFFS status to confirm that they can provide care under the plan's guidelines. This notification helps to ensure that the provider understands the coverage details and payment arrangements, which differ from standard Medicare practices.

The other options involve steps that are not necessary for a PFFS member. For example, arranging payments in advance is not required, and completing a referral form is not typically part of PFFS protocols since PFFS members do not need referrals to see specialists. Verifying a provider's Medicare status might be relevant in some contexts, but the direct communication about PFFS membership is essential to ensure proper billing and service provision under the PFFS plan.