Private Fee-for-Service (PFFS)
Resource Center

In this Resource Center you will find the latest news and information concerning Medicare Advantage Private Fee-for-Service (PFFS) plans. Topics addressed include background on these plans, marketing information, and related updates from CMS about these plans.

CMS Resources

• Fact Sheet: Private Fee-for-Service Plan (PFFS) Marketing Rules 
• Background: Your Guide to Medicare Private Fee-for-Service Plans
• Guide: MA Out of Network Payment Guide, 6/15/06 update
• Contact List of Phone Numbers: CMS Regional Office Partnership Points of Contact
• Contact List of Email Addresses: CMS Regional Office Part D Assistance Centers

Timeline of Related Events

• May 25, 2007: Abby Block's Letter to all PFFS Plans About Marketing
  • Attachment 1 - Sales Event Template
  • Attachment 2 - Model PFFS Beneficiary and Provider Brochure
  • Attachment 3 - Model PFFS Education and Verification Script
  • Attachment 4 - Model Education and Verficiation Letter
  • Attachment 5 - Model Acknowledgement Letter
  • Attachment 6 - Model Confirmation Letter
  • Attachment 7 - Model PFFS Sales Presentation Language
  • Attachment 8 - CMS Provider Education Letter
• June 15, 2007: CMS Press Release "Plans Suspend PFFS Marketing"
• August 24, 2007: Letter to States - Private Fee for Service Update