Medicare Private Fee for Service Plan Enrollment

Submitted by superadmin on Fri, 12/30/2022 - 12:00am
Definition
Providers of Medicare Advantage (MA) health care plans that accept applications for enrollment in the type of plan which allows participants to see any health care provider who is eligible to receive payment from Medicare and agrees to accept payment from the Sponsors of Medicare Advantage (MA) health care plans that accept applications for enrollment in the type of plan which allows participants to see any health care provider who is eligible to receive payment from Medicare and agrees to accept payment from the PFFS Medicare Advantage Organization (MAO). PFFS Plans provide all Medicare benefits plus any additional benefits the company chooses to offer. The PFFS plan decides the level of reimbursement for Medicare-covered services. Participants must pay any cost sharing amounts required by the health care provider when obtaining health care services.
URL Name
NS-8000-5000-480-55
Third Level Code
NS-8000
Taxonomy Code
NS-8000.5000-480.55
Parent Code
NS-8000.5000-480
Family Code
N
Second Level Code
NS
Fifth Level Code
NS-8000-5000-480
Fourth Level Code
NS-8000-5000
Use References
Medicare PFFS Plan Enrollment
Publication Status
Draft