What is POS and Managed Health Care Plan

POS stands for Point-of-Service. It's a type ofdon't have to fill any forms and do other kind of
managed healthcare plan. Other types ofpaperwork. However, outside the network you
managed care plans such as HMO (Healthwill be required to complete your file containing
Maintenance Organization) and PPO (Preferredhealthcare receipts and copies of duly filled out
Provider Organization) are more popular andforms.
better known to people than POS. This type ofAs compared to other managed care plans you
insurance plan can be called a hybrid plan or ahave the maximum freedom in a POS plan. You
combination of both HMO and PPO. It provides thecan go outside the network freely and still get
freedom of PPO along with the low cost benefitscompensations provided that your PCP gives you
associated with an HMO plan. In this article we willthe referral. Co-payments within the network are
discover some of the advantages offered by thevery low as compared to HMO or PPO and there
POS plan.are no deductibles. In addition to this the annual
You will be required to choose a primary carefee that you to give to the insurance company is
physician (PCP) just like an HMO plan. The planvery low. The costs of POS plan are lower than
consists of a provider network and you have tothose of other plans because most of the time
choose your PCP within that network. If theyour PCP will choose a specialist that is inside the
doctor you want to choose is not listed there younetwork and you won't have to go to see an
might have to change you mind or chooseexpensive specialist.
another healthcare insurance plan. The PCP willSome of the disadvantages of a POS plan are: for
become your point of service. If you need to seenon-network healthcare there are high
a specialist or another physician that is outside theco-payments and getting referrals for specialists
network, your PCP will have to make referrals.might not be an easy task. In addition to this
Without a referral the insurance plan will not coverthere are deductibles in case of non-network
your healthcare charges. If you do get a referralhealthcare. However, the plan is overall less costly
from your PCP, the plan will provide somethan PPO because the insurance company covers
compensation for the charges you will have tomost of your visits to physicians and specialists.
pay to see that specialist. Within the network you