Private fee-for-service (PFFS) plans are offered by private insurance companies in some regions of the country, and Medicare pays a pre-established amount of money each month to the insurance company, which decides how much it will pay for services. Such plans reimburse providers on a fee-for-service basis and are authorized to charge enrollees up to __________ percent of the plan's payment schedule.

Question

Quizplus · Accepted Answer

PFFS plans can charge enrollees up to 115% of the plan's payment schedule, allowing providers to receive up to 15% more than the Medicare-approved amount.

Private Fee-For-Service (PFFS) Plans Are Offered by Private Insurance Companies