Point-of-Service Plan POS

Point-of-Service Plan POS

A POS plan blends features of an HMO with a PPO. With POS plan, you may have:

• More freedom to choose your health care providers than you would in an HMO
• Out-of-pocket costs you can control
• A moderate amount of paperwork if you see out-of-network providers
• A primary care physician who coordinates your care when you use network providers

 

What doctors you can see. In-network providers your primary care physician refers you to. You can see out-of-network doctors, but you’ll pay more.

What you pay.

• Premium -- With a POS plan, the premium generally stays low because the deductible is high.
• Deductible – You pay a higher deductible if you see an out-of-network provider.
• Copays or coinsurance — Your coinsurance is higher, such as 30%, if you see an out-of-network provider.

Paperwork involved. If you go out-of-network, you have to pay your medical bill. Then you submit a claim to your POS plan to pay you back.

Read More:

•  Choosing a insurance plan
• Health maintenance organizations (HMOs)
• Preferred provider organizations (PPOs)
• High-deductible health plans (HDHPs) linked to health savings accounts (HSAs)