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  • Point of Service Plan

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    arun901
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    A point of service (POS) plan is a type of managed health care plan that combines characteristics of an HMO and PPO. Members must choose a primary care physician from the plan's network to coordinate their care. Visits within the network require little paperwork, but visits outside the network require members to pay more costs out of pocket. POS plans provide more flexibility than HMOs but are more restrictive than PPOs.

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    A point of service (POS) plan is a type of managed health care plan that combines characteristics of an HMO and PPO. Members must choose a primary care physician from the plan's network to coordinate their care. Visits within the network require little paperwork, but visits outside the network require members to pay more costs out of pocket. POS plans provide more flexibility than HMOs but are more restrictive than PPOs.

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    Attribution Non-Commercial (BY-NC)
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    23 tayangan2 halaman

    Point of Service Plan

    Diunggah oleh

    arun901
    A point of service (POS) plan is a type of managed health care plan that combines characteristics of an HMO and PPO. Members must choose a primary care physician from the plan's network to coordinate their care. Visits within the network require little paperwork, but visits outside the network require members to pay more costs out of pocket. POS plans provide more flexibility than HMOs but are more restrictive than PPOs.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    Point of service plan

    Point of service plan


    A point of service plan, or POS plan, is a type of managed care health insurance system. It combines characteristics of both the HMO and the PPO. Members of a POS plan do not make a choice about which system to use until the point at which the service is being used. The POS is based on the basic managed care foundation: lower medical costs in exchange for more limited choice. But POS health insurance does differ from other managed care plans. When the patient enrolls in a POS plan, they are required to choose a primary care physician to monitor the patient's health care. This primary care physician must be chosen from within the health care network, and becomes their "point of service". The primary POS physician may then make referrals outside the network, but then only some compensation will be offered by the patient's health insurance company. For medical visits within the health care network, paperwork is completed for the patient . If the patient chooses to go outside the network, it is the patient's responsibility to fill out the forms, send bills in for payment, and keep an accurate account of health care receipts.

    References
    Glossary [1], Federal Employees Health Benefits Program, U.S. Office of Personnel Management (URL updated September 7, 2009). Definitions of Health Insurance Terms [2], U.S. Interdepartmental Committee on Employment-based Health Insurance Surveys (URL retrieved September 30, 2006). Sankey, Judith A., "Employee Benefit Plans: A Glossary of Terms", International Foundation of Employee Benefit Plans, 1997, ISBN 0-89154-513-1.

    References
    [1] http:/ / www. opm. gov/ insure/ glossary/ index. asp [2] http:/ / stats. bls. gov/ ncs/ ebs/ sp/ healthterms. pdf#search=%22pos%20health%20insurance%20plan%20definition%22

    Article Sources and Contributors

    Article Sources and Contributors


    Point of service plan Source: http://en.wikipedia.org/w/index.php?oldid=525813644 Contributors: Austin Hair, Belovedfreak, CliffC, Cmcnicoll, Erechtheus, Firefeather, Galaxiaad, Into The Fray, Iridescent, Kku, Logan, Lowellian, PVSpud, Sanya3, Satori Son, Stemonitis, Trilogy7, Vegaswikian, 8 anonymous edits

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    Creative Commons Attribution-Share Alike 3.0 Unported //creativecommons.org/licenses/by-sa/3.0/

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