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What is a POS plan? A Point of Service (POS) plan has some of the qualities of HMO and PPO plans with benefit levels varying depending on whether you receive your care in or out of the health insurance company's network of providers.
POS health insurance is a lower-cost plan relying on a primary care physician to direct health care services within an approved network of providers.
Point of Service (POS) Plans. A type of plan in which you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans also require you to get a referral from your primary care doctor in order to see a specialist. Type of plan and provider network. Marketplace insurance categories.
POS Insurance is an acronym for Point of Service Insurance. Point of Service insured is a unique type of health insurance coverage that combines many of the benefits of both Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs).
A POS (Point of Service) health insurance plan is one of the big three managed-care plans along with PPO (Preferred Provider Organizations) and HMO (Health Maintenance Organizations). In a society where health care costs can be very expensive and services provided by different physicians are widespread, a POS plan is a compromise to both issues making this plan a very popular choice among health insurance seekers.
A point-of-service plan (POS) is a type of managed care plan that is a hybrid of HMO and PPO plans. Like an HMO, participants designate an in-network physician to be their primary care provider. But like a PPO, patients may go outside of the provider network for health care services.
In health insurance in the United States, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's clients.
Tufts Health Plan is a Massachusetts-based health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown. As of March 31, 2016, the nonprofit health insurer had 1,072,000 members. The Tufts Health Plan network includes 91 hospitals and 29,000 health care providers. The health plan offers products for employers as well as individuals enrolled in Medicare, Medicaid and the Health Insurance Exchange.
A point of service plan, is a type of managed care health insurance plan in the United States. It combines characteristics of the health maintenance organization (HMO) and the preferred provider organization (PPO). The POS is based on a managed care foundation—lower medical costs in exchange for more limited choice. But POS health insurance does differ from other managed care plans. Enrollees in a POS plan are required to choose a primary care physician from within the health care network; this PCP becomes their "point of service". The PCP may make referrals outside the network, but with lesser compensation offered by the patient's health insurance company. For medical visits within the health care network, paperwork is usually completed for the patient. If the patient chooses to go outside the network, it is the patient's responsibility to fill out forms, send bills in for payment, and keep an accurate account of health care receipts.