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2013 Medicare Advantage Private Fee-for-Service (PFFS) Plans

2013 Medicare Advantage Private Fee-for-Service (PFFS) Plans

Today's Options® PFFS plans are offered in Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Oklahoma, Texas, Vermont, Washington, and Wisconsin.

Today's Options® Network PFFS plans are offered in Arkansas, Georgia, Illinois, Indiana, Iowa, Kansas, Maine, Mississippi, Missouri, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, Virginia, and Wisconsin.

Today's Options® PFFS are Medicare Advantage Private Fee-for-Service (PFFS) plans that provide comprehensive medical and hospital coverage, health and wellness benefits, and the option to add prescription drug coverage.

We offer two types of PFFS plans, available based on where you live:

  • Today's Options PFFS: Gives you the freedom to choose which doctors, specialists, and hospitals you visit, provided they participate in the Medicare program and accept the terms and conditions of our plan. You are not locked in to a network of doctors and hospitals. We do not require a referral to see a specialist and there is no limit on covered office visits so you can see your doctor as often as you choose.
  • Today's Options Network PFFS: Gives you the freedom to choose which doctors, specialists, and hospitals you visit. However, you may pay less for services received from healthcare providers who are in our broad network. You may see a specialist without a referral. And, there is no limit on covered office visits so you can see your doctor as often as you choose. Providers in the network can change at any time.

Our plans are also affordable and may save you money with the following benefits*:

  • Low doctor visit copays
  • Low hospital copays
  • Plan options with prescription drug coverage
  • Annual out-of-pocket spending limits on medical expenses
  • Preventive screenings, such as mammograms and prostate screenings
  • Additional service not offered by Original Medicare, such as vision care, hearing care, and access to professional nurses 24/7**

Today’s Options® PFFS

Today's Options Network PFFS is offered in Arkansas, Georgia, Illinois, Indiana, Iowa, Kansas, Maine, Mississippi, Missouri, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, Virginia, and Wisconsin.

Today's Options PFFS is offered in Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Oklahoma, Texas, Vermont, Washington, and Wisconsin.

Out-of-Pocket Costs:

Costs that you may pay for healthcare because they are not covered by your Medicare plan or other insurance.

Copay/Copayment:

A dollar amount or percentage that you pay when your plan does not cover 100% of the cost of your medicines or your medical care. For example, if you pay a certain pre-determined amount for a medicine, or for a visit to the doctor, that amount is your copay.

Disclaimer Information:

Today's Options® PFFS is a Health plan with a Medicare contract.

A Private Fee-for-Service plan is not a Medicare supplement plan. Providers who do not contract with our plan are not required to see you except in an emergency.

* The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, premium and/or copayment/co-insurance may change on January 1 of each year.

** Medicare has neither reviewed nor endorsed this information.

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Y0067_WEB_UAM6_1212 (CMS Approved 1/8/2013) Last Updated: 1/3/2013