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PFFS - Private Fee For Service

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Private Fee For Service

(PFFS)

The PFFS is part of the Medicare Advantage plans available under Part C of your Medicare options.  Original Medicare is a Government sponsored Fee for Service program. In a PFFS, a insurance company, rather than the government, will pay your provider. Quite similar to your health care prior to turning 65, only better.

 

They are available according to the county where you reside. Contact us about your county. The company we recommend is available in nearly all of the counties in the State of Florida.

A PFFS is not an HMO. HMOs are totally different. Locally, many providers will not work with a service covered by an HMO. A marketing note: If you are being offered to have your Part B premium refunded to you, or need to use Network Doctors, it is probably an HMO or will have other problems.

We recommend the Advantra Freedom Plan from Coventry Insurance company

We are contracted with more than one company. We have found Coventry to provide the best Value and Benefits. They have over 3 Million clients. They are a Fortune 500 company. Online services available for both providers and clients

 

Coventry Insurance and their Advantra Freedom plan are well received by most providers of health care. The provider can verify your benefits and bill online. 90%+ of the payments to providers are paid with in 2 weeks with direct deposit. Providers are assured that they will be paid which is one of their main administrative concerns. Their billing is on the same forms as used by Medicare for simplicity and the amount paid is identical to Medicare.

 

Benefits and Features provided:

              NO MONTHLY PREMIUM                in most counties

Use any Doctor or Hospital that accepts Medicare

 

No referrals required

 

Full coverage and benefits, not just emergencies when traveling any where in the country or out side of the United States

 

International Travel has the same Co-pay as at home

 

No time restrictions for being away from your home area. Ideal for travelers and snowbirds

 

Many preventative benefits not covered by Medicare

 

Annual Physicals at no cost

 

$100 towards both Dental & Vision

 

Discounts for additional dental care

 

Registered Nurse on call 24/7 to answer your questions

 

Fixed Co-pay for services

 

Contact us for enrollment or other information

 Your information may be taken over the phone for your convenience  An appointment is not required

       E-mail us @   

       email2    

352.787.5061 *  877.822.3102

 

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