Medi-CareFirst Employer-Sponsored Plans

AdvantageBlue PFFS

Looking for a retiree health plan that reduces costs, while still offering a comprehensive benefit package that your retirees will value? Medi-CareFirst BlueCross BlueShield now offers new Medicare Advantage Private Fee-for-Service plans that allow you to select a retiree benefit program that’s just right for your company and your company’s budget.

Consider that:

1. Medicare Advantage is a lower-cost health plan option than most traditional retiree health plans.
2. Copays and co-insurances can be modified based on your group’s needs and budget.
3. AdvantageBlue PFFS is available with or without prescription drug coverage.
4. AdvantageBlue PFFS members can choose any doctor nationwide who accepts Medicare fees and the plan’s terms and conditions of payment, ensuring your retirees have the same level of coverage wherever they are.
5. Members can benefit from a more comprehensive and integrated health care plan than coverage formed from some combination of original Medicare, Medicare Supplemental coverage and a prescription drug plan.
6. AdvantageBlue PFFS emphasizes disease management and case management, making it a more efficient and cohesive option than Original Medicare.
7. Supplemental benefits, such as hearing services and additional preventive care, can be added to the plan.

What Is Medicare Advantage Private Fee-for-Service?

Medicare Advantage is a federal health program run by private insurers that contract with Medicare. These plans replace the benefits under original Medicare Part A (hospital services) and Part B (physician services), at a minimum. AdvantageBlue typically offers richer benefits than original Medicare at a lower cost.

As a private fee-for-service plan, AdvantageBlue PFFS members can choose any healthcare provider nationwide who accepts Medicare patients and agrees to Medi-CareFirst’s Provider Terms and Conditions of payment. So, unlike other types of Medicare Advantage plans, AdvantageBlue PFFS does not feature a provider network. Through AdvantageBlue PFFS, the vast majority of providers are paid according to the Medicare fee schedule.

Want to Learn More About AdvantageBlue PFFS?

Call your CareFirst account executive for more details.  We welcome the opportunity to present how AdvantageBlue PFFS works and the advantages to your organization.