What is
a POS plan?
To fully understand how a point of service plan (POS) works, you
need to know about health maintenance organization (HMO) plans and
preferred provider organization (PPO) plans as well. That's because
a POS is a sort of hybrid between the two.
POSs are similar to HMOs in that you may choose a primary care
physician; but as with PPOs, you can still opt to go out of
network. However, the POS will reimburse you only 50 to 80 percent,
and you also may be required to pay co-insurance and a deductible.
The other plans:
Preferred Provider Organization (PPO): The main
idea behind a PPO is the network. If you choose this type of health
insurance, you pick a health care provider from within your network
or any non-network health care provider. You are required to
make a co-payment or pay coinsurance.
Health Maintenance Organization (HMO): The HMO
requires you to make a co-payment to an in-network physician.
However, your insurance will not cover services you receive
outside the network. And you must attain a referral to a specialist
from your primary-care physician.
You May Want a POS If:
- You can't decide between a HMO and PPO
- You'd like to decide whether or not to pick a
primary-care physician
- You'd like the flexibility of going out of network and
don't mind higher co-pays or coinsurance when you do
- You'd like to choose between the HMO or PPO option
each time you need care
Choosing the type of health insurance plan you want is an
important decision and depends on several factors, such as your
schedule, other plan members and your personality type.
If you have a busy schedule and other people on your plan, you
may want to choose the less constrictive POS. Talk to friends and
family about the types of plans they have to get a better idea of
what's out there and possible issues. Then contact InsureMe to get
connected with agents in your area!
|