Medicare Advantage PFFS

A Medicare Advantage PFFS (Private-Fee-for-Service) plan gives you the freedom to see virtually any Medicare-participating doctor or hospital in the country — without referrals, without network restrictions, and without being tied to a primary care physician. PFFS plans are offered by private insurance companies approved by Medicare and are especially popular with Nevada seniors who travel frequently or want maximum flexibility in choosing their providers.

 

Key benefits of a Medicare Advantage PFFS plan:
• See any doctor or hospital that accepts Medicare — no network required
• No referral needed to see a specialist
• Works anywhere in the U.S. — ideal for frequent travelers
• No requirement to choose a primary care physician
• Some PFFS plans include built-in Part D prescription drug coverage
• No health questions required to enroll

 

PFFS plan availability varies by county across Nevada. Not every zip code has a PFFS option. Call us at 702-840-1111 and we’ll instantly check which plans — including PFFS — are available in your specific area at no charge.

Have questions about PFFS plans in your area?

Our licensed Nevada advisors compare every available plan in your county — checking your doctors, your prescriptions, and your budget — completely free. Call 702-840-1111 or request a callback below.

How Does Medicare Advantage PFFS plan work?

With Medicare Advantage PFFS plan, you agree to pay the plan’s monthly premiums, co-pays and coinsurance for medical services. The thing that makes these plans different from an HMO or PPO is that you are not limited to any certain network of providers.

When you present your Medicare Advantage PFFS plan ID card to any provider, before they treat you, the provider must agree to accept the plan’s payment terms and conditions and bill the plan.

In the past, some people have confused PFFS plans with supplements. It is important you understand the following:

It’s important to know that a PFFS plan is not the same as Medicare Supplement (Medigap) insurance. With a PFFS plan, providers are not required to treat you unless they agree to the plan’s payment terms at the time of your visit — except in an emergency. This is why we strongly encourage you to confirm with your doctors before enrolling. Our advisors do this verification for you at no cost — call 702-840-1111.

PFFS plans have specific rules about how and when you can access providers — and the details matter. Enrolling in the wrong plan can leave you with unexpected bills or providers who won’t accept your coverage.

 

At Nevada Medicare, we review every PFFS and Medicare Advantage plan available in your Nevada county, verify your doctors accept it, and confirm your prescriptions are covered — before you ever sign anything. 

At Nevada Medicare we go through a rigorous assessment and review of each plan. Our Medicare licensed agents can breakthrough the ever confusion and errors that happens frequently with Medicare recipients. We know this because we hear from folks like you everyday.

Let us do the hard work everyday, while you live and enjoy the more important aspects of your lifetime. Contact Us our help is free.

Not sure if Medicare Advantage is right for you?

 We compare every plan available in your Nevada county — checking your doctors, your medications, and your budget — at no cost. Call Nevada Medicare at 702-840-1111 or visit us at 2412 Stewart Ave, Las Vegas, NV 89101.