Medicare Advantage PFFS Plans For California

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Medicare PFFS plans allow you to go to any Medicare-approved doctor or hospital, as long as the terms of your plan's payment are accepted. Before enrolling in a PFFS plan, make sure your doctors and other health care providers accept the plan's terms and conditions for payment.
In other words, your providers must agree to bill the plan, not Medicare, for their services. The private company, not Medicare, decides how much it will pay and how much you will pay for the services you receive.

Starting in January 2011, some PFFS plans are required to have a network of doctors for members to use, similar to HMOs. This change means that if you're in a county with at least 2 HMOs and/or local PPOs, your PFFS plan is required to provide you with a list of network providers who accept your plan's payment terms. Because of this new requirement, PFFS plans have left many counties and are available in only 25 counties in California in 2011, compared to every county in 2010.

Some PFFS plans offer Medicare prescription drug coverage. If a PFFS plan does not offer prescription drug coverage, you can join a separate Medicare prescription drug plan (PDP). In addition, a PFFS plan may offer extra benefits not covered under Original Medicare, such as additional days in the hospital.

Call our toll-free number or fill out the Quick web form to get Medicare Advantage Plan Information or Question Answered. We can answer any questions you may have to help you understand the plan differences and we will gladly assist you through the enrollment process.

Choosing you policy can be as simple as 1-2-3 with our highly skilled and qualified staff of Medicare Advisors.