When advising customers about enrolling in a PFFS plan, what is crucial to disclose?

When advising customers about enrolling in a Private Fee-for-Service (PFFS) plan, it is crucial to disclose potential negative impacts. This is essential because PFFS plans differ from other Medicare options in how they operate, particularly in terms of provider networks and overall costs. Customers need to understand that they may encounter higher out-of-pocket expenses, especially if they seek care from providers who do not accept the plan's terms.

Transparency about these potential drawbacks allows customers to make informed decisions about their healthcare coverage. It also enables them to weigh the risks involved with a PFFS plan against their personal healthcare needs and financial situations. By understanding these negative impacts, customers can better assess whether the plan is suitable for them or if they should consider other alternatives that might provide more comprehensive support for their healthcare needs.