Private Fee-for-Service Plan (PFFS) Law and Legal Definition

Private fee-for-service plan (PFFS) is a type of medicare advantage plan which give private insurance companies access to the vast medicare market. It helps to privatize medicare by allowing beneficiaries to go to any medicare-approved doctor or hospital that accepts the plan’s payment. In PFFS, the insurance plan decides the amount to be paid for the services received. Medicare pays a set amount each month to a private insurer to provide health coverage on a fee-for-service basis to medicare beneficiaries.