What is usually a requirement for a Medicare private fee-for-service plan?

For a Medicare private fee-for-service (PFFS) plan, one of the primary requirements is typically enrollment in Part B of Medicare. Part B covers outpatient services, doctors' visits, preventive services, and some home health care, which are crucial for a PFFS plan to function effectively. These plans are designed to provide more flexibility in choosing healthcare providers— Medicare beneficiaries can seek care from any provider who accepts the plan, which is facilitated by the beneficiary being enrolled in Part B.

While some options focus on restrictions or conditions, such as specific providers or approval from previous insurance carriers, they do not align with the nature of PFFS plans that allow for greater choice and flexibility as long as the provider accepts the plan's terms. Moreover, acceptance of all medical conditions pertains more to guaranteed issue rights under certain types of plans, rather than being a specific requirement for PFFS.