Should I Let My Medicare Part C Plan Automatically Renew?
Medicare Part C, also known as Medicare Advantage, is set for automatic renewal when you sign up
Medicare Supplements are available to individuals who receive Medicare. This type of supplemental insurance is also known as Medigap. Medicare Supplement Insurance helps members of Original Medicare to ‘fill in the gaps’ of their coverage.
Many people have questions about whether Medicare has any dental, vision, and hearing plans. The unfortunate reality is that Medicare doesn’t cover basic examinations for any of them. What’s worse is that Medicare doesn’t cover copays that deal with the health of your ears, smile, and eyes. So, it is important to seek out coverage for these essential health costs.
And there are plenty of affordable policy options available.
Individual health insurance policies are those that you buy on your own. They are not part of employer health plans. These plans can cover a single person or an entire family.
The landscape of Individual health insurance policies changed in 2014 with the passing of the Affordable Health Care Act (ACA). The ACA standardized and increased the benefits provided by these policies and offered Americans more policy options. This law also guaranteed coverage for individuals and offered subsidies to help people afford the insurance coverage they deserve.
Cancer plans can literally be a lifesaver.
Being diagnosed with cancer is accompanied by many unexpected expenses, including examinations, medical care visits, and expensive treatments. So, while you and your family face severe emotional challenges, financial stress often adds to this trying situation.
Cancer is a growing problem around the world. And cancer treatment is extremely expensive.
Final expense insurance, also known as burial insurance, provides your loved ones with peace of mind after your death. Money is paid to your beneficiary that can be used to pay for funeral expenses or whatever needs arise.
Phone: (855) 952-1941 – TTY Users 711
Hours: Mon – Fri, 8AM – 7PM CST
Address: 3595, 10998 Wilcrest Dr #195, Houston, TX 77099
Our blog covers a wide range of topics — from Medicare Advantage news to retirement planning tips, and much more.
Medicare Part C, also known as Medicare Advantage, is set for automatic renewal when you sign up
PFFS (Private Fee-For-Service)
Like all Medicare Advantage plans, PFFS plans are offered by private insurance companies that have a contract with Medicare. Among Medicare Advantage plans, PFFS plans are less commonly used because most Medicare Advantage enrollees sign up for HMO or PPO plans.
Pros of PFFS Plans
Con of PFFS Plans
They are not offered as widely as other types of Medicare Advantage plans (HMO or PPO)
Providers can refuse to treat you at any time, if it is not an emergency.
What does a private fee-for-service (PFFS) plan cover?
All Medicare Advantage plans, including PFFS plans, cover everything that traditional Medicare does. Some plans include additional benefits, such as vision, hearing, dental, and prescription drug coverage. If a plan doesn’t offer prescription drug coverage, you can sign up for it separately through Medicare Part D.
With all Medicare Advantage plans, Medicare pays the private insurance company a flat fee to administer your health care benefits. However, PFFS plans differ from other Medicare Advantage plans because the insurance company, not Medicare, determines how much it pays health care providers for each service you use.
The insurance company also sets the amount that you pay for services, known as your out-of-pocket costs. This is a big difference between PFFS plans and traditional Medicare, which has no annual cap on out-of-pocket costs.
On a PFFS plan, you can visit any doctor or facility that meets these requirements:
Some PFFS plans have a network of providers who will always accept you as a patient. You can visit an out-of-network provider if you choose (assuming they meet the qualifications above), but you will often pay more than you would at an in-network doctor or facility.
In a PFFS plan, you do not have to select a primary care doctor, but you can if you prefer. You also do not need a referral to see a specialist. PFFS plans may be good for beneficiaries who are wanting a wider range of provider options. With a PFFS plan, you can see any health care provider as long as they accept Medicare and the payment terms of your plan. A PFFS plan also affords a beneficiary a little more freedom to direct their own care. People on PFFS plans can see a specialist without having to visit a primary care physician first.
Free Consultation