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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). [1] The POS is based on a managed care foundation—lower medical costs in exchange for more limited choice. But POS health ...
Open-access and point-of-service (POS) products are a combination of an HMO and traditional indemnity plan. The member(s) are not required to use a gatekeeper or obtain a referral before seeing a specialist. In that case, the traditional benefits are applicable. If the member uses a gatekeeper, the HMO benefits are applied.
A POS plan uses some of the features of each of the above plans. Members of a POS plan do not make a choice about which system to use until the service is being used. In terms of using such a plan, a POS plan has levels of progressively higher patient financial participation, as the patient moves away from the more managed features of the plan.
This will be mutually beneficial in theory as the PPO will be billed at the reduced rate when its insureds utilize the services of the "preferred" provider, and the provider will see an increase in its business as almost all insureds in the organization will only use providers who are members.
A smooth checkout process improves customer experiences. Learn what a point-of-sale platform consists of and why you need one.
With the government as the single-payer in this health care system, it eliminates competition in the health care market and helps to keep the costs low. Using income tax as the main funding for health care allows for services to be free at the point of service, and the patients' contribution to taxes covers for their health care expenses. [3]
For example, $225K would be understood to mean $225,000, and $3.6K would be understood to mean $3,600. Multiple K's are not commonly used to represent larger numbers. In other words, it would look odd to use $1.2KK to represent $1,200,000.
Point of sale, location where payment is accepted; Point of service plan, a type of managed care health insurance plan in the US; Polytechnic Secondary School (Polytechnische Oberschule), the 10-year general educational system in East Germany; Priory of Sion, a fictitious secret society; Public open space, a planning term for an outdoor public ...