A service plan point , is a type of managed health insurance care plan in the United States. It combines the characteristics of the health maintenance organization (HMO) and the provider of choice (PPO).
POS is based on managed care foundations - lower medical costs in exchange for more limited options. But POS health insurance is different from other managed care plans.
Enrollees in the POS plan are required to select primary care physicians from within the health care network; This PCP becomes their "service point". PCP can make referrals outside the network, but with lower compensation offered by the patient's health insurance company. For medical visits in health care networks, documents are usually completed for patients. If the patient chooses to leave the network, it is the patient's responsibility to fill out the forms, send in bills for payment, and keep an accurate health care receipt account.
Video Point of service plan
References
- Glossary, Federal Employee Health Benefit Program, US Personnel Management Office (URL updated September 7, 2009).
- Definition of Health Insurance Terms, US Intergovernmental Committee on Occupational Health Insurance Surveys (URL taken September 30, 2006).
- Sankey, Judith A., " Employee Benefit Plan: Glossary of Terms ", International Foundation of Employee Benefit Program, 1997, ISBN 0-89154-513-1.
Source of the article : Wikipedia
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