PFFS Medicare Advantage Plans

Sunflower - Understanding Medicare Advantage PFFS plans PFFS Plans
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How Does a PFFS Plan Work?

A Medicare Advantage Private Fee-for-Service (PFFS) plan is a type of Medicare Advantage plan (also known as Medicare Part C) in which you have the freedom to choose any doctor or hospital that accepts the plan's terms and conditions. The health plan, rather than the Medicare Program, decides what you'll pay for the services you will receive. Some of the advantages of PFFS Medicare Advantage plans are that you may pay less for Medicare-covered benefits and may have extra benefits that Original Medicare doesn't cover. PFFS plans may also include Medicare Part D prescription drug coverage.

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

Enroll in a Medicare Advantage PFFS Plan Today!

You may be eligible to enroll in a Medicare Advantage plan during your Initial Coverage Election Period (ICEP), when you become eligible for Medicare Parts A and B. This is usually during the three months prior, the month of, and the three months after your 65th birthday month or your 25th month of disability.

Medicare's Special Election Period allows you to enroll in a Medicare Advantage plan if you meet other conditions. Find a list of qualifying conditions.

Today's Options® offers PFFS plans in New York and Maine. Enroll in a PFFS plan now.

By choosing a 2018 Today's Options PFFS plan, you'll get:

  • Affordable coverage – low monthly premiums and cost sharing

  • Preventive care at no cost - $0 copays for preventive screenings

  • Freedom to choose providers – see doctors both in and out-of-network

  • Drug coverage – plans available with comprehensive Medicare Part D prescription drug coverage in most locations

  • Extra benefits and services not covered by Original Medicare

  • Plus, a yearly limit on what you could pay out-of-pocket - so you're protected in the event that you have a significant health situation and expense.

Enrollment disclaimer information:
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You may enroll in the plan only during specific times of the year unless you qualify for a Special Election Period (SEP) or Initial Coverage Election Period (ICEP).

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