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Definition · Medicare program and benefits

Fee-for-service

Medicare fee-for-service is Original Medicare paying a covered claim as it is submitted. A Medicare Administrative Contractor processes the claim. Medicare Advantage is different: the plan receives a monthly payment and pays its own claims. Star Ratings score those plans, not fee-for-service. The ratings lookup is at /star-ratings-2027.

Fee-for-service

Part A and Part B claims in fee-for-service use ICD-10-CM, HCPCS, and place of service codes. Those lookups are on this site. They do not price a claim.

Source: CMS, Original Medicare (Fee-for-Service). Page read October 14, 2026.

Questions

Fee-for-service, answered

Do Star Ratings apply to fee-for-service?
No. Star Ratings score Medicare Advantage and Part D contracts.

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