Which of the following is true about a PFFS plan regarding referrals?

A PFFS (Private Fee-for-Service) plan does not require referrals for services. This feature is a distinct aspect of how PFFS plans operate compared to other types of managed care plans. Beneficiaries enrolled in a PFFS plan have the flexibility to seek care from any provider that accepts the plan’s terms and conditions, without the need for a referral from a primary care physician or any other gatekeeper.

This flexibility allows enrollees to access healthcare services more freely, facilitating immediate care without the extra step of obtaining a referral, which can be a barrier in other health plan structures. PFFS plans emphasize patient choice and access, which makes the absence of a referral requirement particularly valuable for beneficiaries who may need more direct access to various healthcare services.