How It Works
What is a Private Fee-for-Service Plan?
- It is a type of Medicare Advantage plan offered by a private insurance company like WellCare.
- It is not the same as the Original Medicare plan that is offered by the Federal Government.
- It is not a Medicare supplement, Medigap, Medicare Select, or Prescription Drug Plan.
How does a Private Fee-for-Service plan work?
- The Private Fee-for-Service plan pays instead of Medicare. You will pay amounts that the Private Fee-for-Service plan does not pay, which are called copayments and coinsurance. A Private Fee-for-Service plan does not pay after Medicare pays its share.
- Original Medicare will not pay for your health care while you are enrolled in a Private Fee-for-Service plan.
How do you obtain services from a Private Fee-for-Service plan?
- You may receive health care services from any provider allowed to bill Medicare who agrees to accept the Private Fee-for-Service plan's payment terms and conditions.
- You must use network pharmacies to obtain prescription drugs except in emergencies or urgent situations.
- Low, predictable co-pays for services, so you always know what a doctor visit will cost.
- Vision, dental, and hearing coverage.
- Prescription drug coverage (Medicare Part D).
- $0 co-pay for preventive care (such as annual checkups, mammograms and prostate exams).
- Health club memberships and worldwide emergency coverage.
Last modified: 09/25/2007
