SolveYourProblem eLearning Series:
Your Most Popular Insurance Questions
Answers For Health and Home Insurance
( 50 articles in this series )

POS Managed Health Care: What Does It Mean?
    

POS is a basic managed health care foundation in which one can attain lower medical costs in exchange for much more limited choices. Once you’re in a POS health care program you will be asked to choose a primary care physician to monitor your health care. This physician will become your point of service within the health care network. In the event that your primary care physician deems it necessary for you to see another doctor or specialist, he/she may make referrals for you outside the network but only the insurance company will cover a percentage of the cost. The paperwork for medical visits, which take place inside your network, is completed for you, but if you go outside the network you are responsible for filling out the paperwork and keeping very accurate records.

POS does give you some advantages that some people do like. Annual out-of-pocket costs are usually very limited. In today's world many people have limited resources set aside for medical costs so low out-of-pocket expenses will be a plus for many consumers. There is no deductible for network care. This is another advantage people like a lot. With no deductible you don't have to spend a certain amount out-of-pocket before things start to get paid for. There is a deductible, however, if you go outside the network for care. You aren't limited to HMO providers only. This gives you the freedom of more choices for your health care needs, which is something we all strive for. Co-payments for non-network care are very high. This discourages going outside the network and promotes using more primary care providers in your network.

Your actual costs will only consist of a monthly premium and co-payment for health care services under the plan within the POS network. If you’re still wondering which program is best for you a PPO, a HMO, or a POS, consider some of these questions. Are there a lot of doctors to choose from? No matter which plan you go decide on, a good selection of doctors is something you should consider before choosing a plan.

The prices of the health insurance premiums could very well be the most important question you may have. It won't do you any good to have health insurance if you can't afford to pay the monthly premiums. Therefore this is a subject that needs great attention so that the right decision can be made. Coverage is another thing that should be looked into. Different plans have different coverage. Emergency room converge can also vary by whatever plan you choose. Whatever plan you choose make sure it has the coverage you’re looking for.

The hospitals that are available to you is something many people will rank high on their list of considerations. Having a place where you feel comfortable and trust the value of their service means a lot to most people. Hospitals can have a good reputation or a bad one. That's why choosing a hospital will play into which health care plan you choose. No one likes hospitals, but if you are comfortable at the hospital that is covered, it will certainly make for a more pleasant experience. So it is important to know which hospitals are covered by your health care plan.

Are their limits on the medical treatments and services a certain plan offers? There's really no sense in paying for a plan that won't let you use the services you really need. Isn't that the main reason we buy medical insurance so that we can use the services when we need them? Be sure a think about the services that you are most likely to use, and be sure to ask if those services are covered.

Consider non-network care. This is a very important part of any plan. Sometimes your physician may not be available. Be sure to find out how much more you would be responsible for paying to go outside your network and see a doctor. It can be quite costly with some plans.

POS plans have many advantages and many disadvantages. Looking over everything is something you must do before any decision is made. Looking through each plan will take some time and should always be done before you make that decision. You never want to rush into your decision. POS plans are a little different than the others but lower costs and out-of pocket expenses are some good reasons for choosing a POS plan. Whatever managed care you decide on, and the choices are many, it is important to remember that with each plan there are good parts and bad. You, as the consumer, must do your homework so you won't be disappointed.

Click here to to view health insurance quotes, compare plans side-by-side and apply for the most affordable health insurance within your budget. I did this myself (June 17, 2011) to change my health insurance policy. Saved me $84 per month (or $1,008 per year). It's my SolveYourProblem recommendation.

# # # # #

by SolveYourProblem.com : 2005

> Home > Insurance Articles : Main Page