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Humana Gold Choice PFFS
Flexible, affordable Private Fee-for-Service coverage
Humana Gold Choice® is a Medicare Advantage Private Fee-for-Service (PFFS) plan. That means you can see almost any doctor you choose, as long as the provider accepts Humana's terms and conditions of payment. Most Humana Gold Choice Private Fee-for-Service plans combine all the benefits of Original Medicare, prescription drug coverage and many extras into one simple, easy-to-use plan.
How the Humana Gold Choice PFFS plan works
With Humana Gold Choice, you may enjoy:
- Prescription drug coverage equal to or better than the standard requirement for a Medicare Part D plan
- Coverage for all the most commonly prescribed drugs for seniors*
- An affordable monthly plan premium
- No copayment for preventive services, including cancer screenings and routine immunizations
*Top 100 drugs by number of prescriptions from Medicare drug card experience.
Original Medicare benefits and more
With most Humana Gold Choice plans, you receive all the benefits of Original Medicare and more, including:
- Prescription drug coverage
- Hospitalization coverage
- Emergency coverage when you travel outside the United States
Unlike Original Medicare, you pay a fixed copayment for your doctor and inpatient hospital for covered services, so you can easily budget your healthcare expenses - no need to worry about high, unexpected medical bills.
Your doctors and Humana Gold Choice
Humana Gold Choice plans are a lot like "old-fashioned" insurance, so they're very simple:
- No list of providers: Freedom to see almost any Medicare doctor, specialist, or hospital in the United States
- No need for referrals: You have the power to control your own use of health services.
With this plan, you have a lot of flexibility in selecting where you receive care. You can see any provider who accepts Medicare and accepts the terms, conditions, and payment rate of Humana. Before seeking treatment you must verify that the provider will accept the Humana Gold Choice PFFS plan's terms and conditions of payment.
Here's why: acceptance of a PFFS plan is optional, and the provider has the right to choose whether to accept a Private Fee-for-Service plan's payment terms and conditions every time you see them. So take a few minutes to call and check - just to be sure.
An Insurance Company with a Medicare Advantage contract to offer a Private-Fee-for-Service plan available to anyone enrolled in both Part A and Part B of Medicare through age or disability. Enrollment period restrictions apply, call Humana for details. A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital is not required to agree to accept the plan's terms and conditions, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan's terms and conditions on our Website at: here.
What you need to know before you enroll in a Private Fee-for-Service plan.