Point of Service Plan
- A type of health insurance plan that provides managed care in a method that combines the healthcare features found in both health maintenance organizations (HMO) and preferred provider organizations (PPO). A point of service plan (also known as a POS plan) gives the policyholder the option to choose which service to use when the time comes.
Related Terms and Acronyms
- Case Management — Definition,
- A system where medical services and patient treatments are coordinated by a case manager.
- Concurrent Periods — Definition,
- When a patient requires treatment for more than one ailment at a time, all insurance benefits are paid together.
- Gatekeeper — Definition,
- In relation to health maintenance organizations, a gatekeeper is a primary care physician that arranges medical care for policyholders.
- Group Health Insurance Plan — Definition,
- Health insurance that covers a large group of people, often as part as a employee benefit package.
- Health Insurance (HI) — Acronym,
- Insurance that covers the costs of medical expenses for insured persons.
- Health Maintenance Organization (HMO) — Acronym, Important,
- A healthcare plan where insured people receive reasonably priced health insurance through an organization with firm guidelines on the scope of care.
- High Deductible Health Plan (HDHP) — Acronym,
- Health plans with high deductibles and low premiums.
- Preferred Provider Organization (PPO) — Acronym,
- A health care program that gives its members a level of freedom and independence when choosing health care options.
- Primary Care Physician — Definition,
- A doctor who administers or arranges the majority of an individual's health care needs.
- Successive Periods — Definition,
- When multiple hospital stays are considered as one when the stays are a result of, or are related to, a single medical condition.
- Universal Healthcare — Definition,
- A system for providing healthcare free to patients at point of use.
- Usual, Customary and Reasonable Fees — Definition,
- The expected cost of a medical treatment, and what an insurance company is willing to pay.