POS
(Point-of-Service) Health Coverage:
A
Point-of-Service medical plan is basically a
combination of a PPO and an HMO.
Like the other types of managed care, POS plans are
established to provide lower
cost medical care to those that remain in the
network. Assume for a moment that
POS's are structured identically to PPO medical
plans. The major difference
between a POS and PPO plan is that the Point-of-Service plan
makes use of a
Primary Care Physician. With the
POS plans, if you seek medical care outside of
the
network, you will be responsible for full payment. On the
other hand, if your
Primary Care Physician gives a
referral for you to see a specialist outside of the
network, the insurer will pickup most of the cost. As with HMO plans, POS
plans
typically include preventive care and health improvement programs.
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