What is a Medicare Open (Private Fee-for-Service) ?Medicare Open

A Medicare Open (Private Fee-for-Service) Plan is a Medicare Advantage Plan offered by a private insurance company. In a Medicare Private Fee-for-Service Plan, Medicare pays a set amount of money every month to the private insurance company to provide health care coverage to people with Medicare on a fee-for-service arrangement. Also, the insurance company, rather than the Medicare Program, decides how much you pay for the services you get.


  • A Medicare Open (Private Fee-for-Service) Plan isn’t the same as the Original Medicare Plan which is offered by the Federal government.
  • It also isn’t the same as a Medigap (Medicare Supplement Insurance) policy, Medicare SELECT, or Medicare Prescription Drug Plan.

Because insurance companies decide where they will do business, companies may only offer Medicare Private Fee-for-Service Plans in some parts of the country. Insurance companies can decide that a plan will be available to everyone with Medicare in a state or be available only in certain counties.

Insurance companies may also offer more than one plan in an area, with different benefits and costs. Each year, insurance companies offering Medicare Private Fee-for-Service Plans can decide whether to offer such a plan in a given area.

How do Medicare Private Fee-for-Service Plans work?

Generally, you get care in the United States from any Medicare-approved provider such as a doctor or hospital who, before treating you, agrees to accept the Medicare Private Fee-for-Service Plan’s terms and conditions of payment. You must show your plan membership ID card every time you visit a health care provider. There is a telephone number or website on the card for the provider to find out about the plan’s terms and conditions of payment. This gives your provider the right to choose whether to accept the plan’s terms and conditions of payment. If you need emergency care, it is covered whether the provider accepts the plan’s payment terms or not.

If you join a Medicare Private Fee-for-Service Plan, not all providers will accept the plan’s payment terms or agree to treat you. Before you get any services, ask your doctor or hospital if they are willing to contact the plan for payment information and accept the plan’s payment terms.

Yes, we can help you with your Medicare Open (Private Fee-for-Service) .

Were glad to help you with all your foot care needs.

A visit to a podiatrist is a benefit covered by most insurance plans. However, there can be restrictions due to changes in recent health care coverages.

To avoid any additional cost to the patient, Podiatry Group of Georgia will work with your insurance company to get your services covered. Sometimes this requires our office to send in a letter of medical necessity which will state the reasoning behind the recommended treatment and include the patient’s history and diagnosis.

As a courtesy to our patients, we will contact your insurance company prior to your visit to verify that services are covered and that no referrals are required. This allows us to provide you with the best care while making sure you are aware of your insurance benefits for any treatments or services recommended for your specific condition before they are performed.

If you are having any foot pain, or overall concerns with your feet and want to schedule an appointment, please contact our office at (404) 806-3731. We will be able to help to you with any of your insurance concerns. Your insurance company will also be able to review your plan with you prior to your visit.

Seeking Treatment

If you’ve been searching for Foot Doctor for all your foot and ankle needs, take time to meet with the Podiatry Group of Georgia. Our doctor has the experience and knowledge you need to help your feet and ankles feel their best. Give us a call today and set up an appointment for your initial consultation. Call us today!

Call Our Marietta, Georgia Office Today at 404-806-3731 or Book your appointment online now!

Serving Marietta And Atlanta Area!

Contact Us

Phone: 404.806.3731
Fax: 770.321.0001
3901 Roswell Road
Suite 340
Marietta GA 30062

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