Question

Mr. Gomez knows that a private-fee-service plan (PFFS) available in his area has an attractive premium. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him?

Answer 1

He may receive healthcare services from any doctor allowed to bill Medicare, as long as he shows the doctor the plan's identification card and the doctor agrees to except the PFFS plan's payment terms and conditions, which could include balance billing