Question

Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might affect her access to services since she receives some assistance for her health care costs from the State. What should you tell her?
a.
Medicaid will cover all of her PFFS out-of-pocket costs and Medicaid providers will accept amounts paid by the PFFS plan as payment in full.

b.
Medicaid beneficiaries are not eligible for enrollment into a PFFS plan. They must obtain their care through their state’s Medicaid program.

c.
Medicaid may provide additional benefits, but Medicaid will coordinate benefits only with Medicaid participating providers.

d.
If Mrs. Andrews joins a PFFS plan, the State will not cover any of her medical expenses because she will be using only Medicare providers.

Answer 1

Answer: I believe it's C: "Medicaid may provide additional benefits, but Medicaid will coordinate benefits only with Medicaid participating providers."