Choosing a health insurance plan that meets your needs and remains affordable can seem like a daunting task. It’s important to understand what each plan type offers and what it’s advantages and disadvantages are before shopping around for the best rates. A point of service (POS) health insurance plan combines aspects from both HMOs and PPOs to provide you with excellent in network care as well as coverage outside the network.
Salient Features of POS Health Insurance
A point of service plan maintains a network of approved healthcare providers which will be covered. You will choose a primary care physician who can then refer you to other providers within the network. If you choose to see a specialist outside the POS health insurance network, you will still receive some coverage, but you’ll pay a significantly higher co-payment than you would for in-network care. You’ll also need to file your own insurance claims for out-of-network care. Coverage includes hospital visits, emergency care, preventive care and prescription drugs.
While looking at different POS health insurance plans to choose one from them, there is a damn important point you all need to remember. That is, the plan you choose must provide the benefits you need in order to be covered in the event of catastrophic illness or injury. It’s worth taking some extra time to research programs and compare not only rates but also benefits across several plans before making your decision. The choice you make could be the one that saves your life, indeed.
How much You Pay for POS Coverage
Out of pocket expense for POS health insurance is relatively low. Premiums are lower than some other plan options since your health care options are limited to in-network physicians. You’ll have a co-payment for each visit to both in- and out-of-network providers, but you’ll pay significantly more for doctors who are not part of the network. Out-of-network care requires you to meet a deductible before insurance kicks in and you’ll still pay a higher percentage of cost after the deductible has been met than you would for a network provider. Prescription drugs will be covered under the plan and you can expect to pay a co-payment for these as well.