Private Fee-for-Service (PFFS)

GPTKB entity

Predicate	Object
gptkbp:instanceOf	Medicare Part D
gptkbp:allows	members to see any Medicare-approved provider
gptkbp:distinctFrom	gptkb:Health_Maintenance_Organization_(HMO) gptkb:Preferred_Provider_Organization_(PPO) gptkb:Special_Needs_Plan_(SNP)
https://www.w3.org/2000/01/rdf-schema#label	Private Fee-for-Service (PFFS)
gptkbp:mayInclude	gptkb:Medicare_Part_D_prescription_drug_coverage network restrictions
gptkbp:mayNotRequire	primary care physician referrals to see specialists
gptkbp:offeredBy	private insurance companies
gptkbp:partOf	gptkb:Medicare_Advantage_program
gptkbp:provides	Medicare Part A benefits Medicare Part B benefits
gptkbp:regulates	gptkb:Centers_for_Medicare_&_Medicaid_Services
gptkbp:requires	prior authorization for some services providers to accept plan's terms and conditions
gptkbp:set	its own cost-sharing amounts its own payment rates for providers
gptkbp:subject	annual enrollment periods
gptkbp:targetAudience	Medicare beneficiaries
gptkbp:bfsParent	gptkb:Part_C_(Medicare_Advantage)
gptkbp:bfsLayer	6