Final answer:
A dual eligible customer is someone eligible for both Medicare and Medicaid. Enrolling them in a PFFS plan should only happen if they insist, and the potential impacts should be disclosed to them for an informed decision.
Step-by-step explanation:
A dual eligible customer refers to an individual who is eligible for both Medicare and Medicaid. A PFFS plan, or Private Fee-for-Service plan, is a type of Medicare Advantage plan that allows individuals to receive their Medicare benefits through a private insurance company.
Enrolling a dual eligible customer into a PFFS plan should only be done if the customer insists on enrolling. This is because there may be potential impacts on their healthcare coverage and access to services. It is important to disclose these potential impacts to the customer so that they can make an informed decision.
Some potential impacts of enrolling in a PFFS plan for a dual eligible customer include changes in network providers, restrictions on coverage for certain services, and differences in out-of-pocket costs. It is crucial for the customer to understand these implications before making a decision.