Medicare Part C fee-for-service plans don't restrict your choice of doctors to a specific network list, the way managed care plans do. With a fee-for-service plan, you can go to any doctor that participates in Medicare. And if your doctor refers you to a specialist, you don't need the fee-for-service plan's permission in order to get coverage. But Medicare Part C fee-for-service plans have significant restrictions of their own, which might make a Part C managed care plan better for you if your primary care physician and most other doctors in your area belong to that managed care plan.
Restrictions imposed by Medicare Part C for fee-for-service plans:
- For each medical service you want covered, the doctor or other provider must accept whatever limits the plan places on the treatment; and the doctor must agree to whatever payment the plan offers. If a doctor doesn't accept the plan's terms and payment amount, the plan won't cover your care from that doctor.
- Even though you've received covered care once, there's no guarantee that the next time the plan will approve the same care or offer the provider the same payment. Similarly, a doctor isn't required to accept the plan's terms again, just because he or she did so before. So, with a fee-for-service plan, you won't know until the time comes whether you'll be able to get covered care from a particular doctor or other provider.
- Some Medicare Part C fee-for-service plans require you to pay a co-payment of up to 15 percent of the amount the plan approves for the particular service.
- Some fee-for-service plans have provider networks, just as managed care plans do. With these plans, you're not restricted to network doctors or other providers, but you'll pay a higher co-payment if the provider isn't in the plan's network.
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i need some help financially and some knowledge on taking care of my father who i 98 years old and has alzhemeirs and is now wearing depends he doesn't know how to use the bath room /toliet anymore i really need someone to help me with this situation and i will not put him in a home but i still do ned some time to myself and still take care of him too.
Yes, again another helpful article. I learned the difference between A, B, C plans for Medicare. Thank you
this website helped me very much. thanks
Please send me amount of medicare c.
Helpful but I wish you had discussed who PAYS FOR medicare advantage plans. And also discuss whether they are worth the amount of taxpayer money that goes to private insurance companies rather than medicare itself or medicare providers.
MEDICARE SHOULD COVER ACTOPUNCHERS, REALLY HELP PEOPLE ,AND SAVE MONEY
It will take me several reads to get through all this info, but it's very helpful in sorting out fact from the fiction pushed at us by health insurance companies.