Sometimes though, even fee-for-service plans
require preapproval of some types of care, such as hospitalization.
Private fee-for-service plans
which reimburse providers on a fee-for-service basis, and are authorized to charge enrolled beneficiaries up to 115% of the plan's payment schedule (which may be different from the Medicare fee schedule).
Regardless of the combination offered, when a fee-for-service plan
was offered it was the most common choice.
Thus it is important to understand how service use differs between prepaid and fee-for-service plans
, especially for the sickest patients, who have the greatest need for care.
Federal employees often cite customer service when explaining their reasons for staying with a plan, especially when they are enrollees in a fee-for-service plan
However, in an HMO you may have to wait longer for an appointment than you would with a fee-for-service plan
Several Medicare Advantage fee-for-service plan
sponsors have agreed to voluntarily suspend marketing of their plans until officials at the Centers for Medicare and Medicaid Services can verify that they are in compliance with certain management controls.
7 percent more on these healthy oldsters than if they had received exactly the same medical care under the fee-for-service plan
If you go out of network, then you pay like a fee-for-service plan
It also increases employee payments for family coverage from $312 to $1,040 in 1994 and up to $1,560 in 1995 under the fee-for-service plan
, and from $312 to up to $832 in 1995 and up to $1,040 in 1996 under the health maintenance organization plan.
Each health alliance must offer at least three plans: an HMO plan, a PPO plan, and a fee-for-service plan
A typical PPO plan offers employees two options: the employer's standard fee-for-service plan
and the PPO network.
It is a fee-for-service plan
and covers many healthcare services and certain drugs.
However, when middle-income retirees are free voluntarily to add their own money on top of the government contribution, through a private fee-for-service plan
, they stop being the beneficiaries of cost-shifting and become contributors to it.
The project will give Medi-Cal beneficiaries enrolled with the California Children's Service program the option of staying on a fee-for-service plan
or switching to one of the two health care plans.