Medicare Private Fee-For-Service (PFFS) Plan

A type of Medicare Advantage Plan (Part C) in which a beneficiary can generally go to any doctor or hospital an individual could go to if they had Original Medicare, if the doctor or hospital agrees to treat them. The plan determines how much it will pay doctors and hospitals, and how much the beneficiary must pay when they get care. A Private Fee-For-Service Plan is very different than Original Medicare, and a beneficiary must follow the plan rules carefully when they go for healthcare services. When a beneficiary is in a Private Fee-For-Service Plan, they may pay more or less for Medicare-covered benefits than in Original Medicare.