Point of Service - often called
the POS - is an option built into some health
care plans that use a network of health care providers.
In this case, the POS allows the consumer to decide
to use a doctor, hospital or other health care
service that falls outside the recognized network.
The downside is that the consumer will typically
pay a greater percentage or co-payment
for the services from an out-of-network
health care provider. On the upside, the patient
has to option to select another doctor - for whatever
reason - and still have at least some health insurance
benefits.
The reason an insurance provider
makes a list of preferred physicians and hospitals
is to attempt to retain better control over health
care costs. The insurance company may be getting
a break on the costs, for example. However, insurance
companies recognize that the doctor of choice
may not be a part of that network and that a patient
should have at least some say in the matter. Some
insurance companies have answered that demand
by adding the POS to a health insurance policy.
If that option is important to you, ask about
the point of service options on any police you’re
considering. You should also find out what amount
is required for co-pays if you choose to take
advantage of that option.
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