MODULE 2

Lesson 1 - Plans

PFFS Paid-Fee-For-Service

  • In-Network AND Out-Of-Network coverage

 

  • PROS
    • Routing AND Emergency services In and SOME Out-Of-Network
    • Larger provider network
    • NOT REQUIRED
      • To have a PCP assigned to the plan
      • To have a referral to see a specialist
    • GREAT FOR those who
      • Travel
      • Want routine care in another city/state
  • CONS
    • USUALLY
      • Higher copays
      • Higher deductibles
        • Medical and RX
      • Lower allowance for benefits
        • Dental, Vision, Hearing, OTC
    • Doctors / Facilities can choose NOT to treat you
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