What is “POS plan” in medical billing?

POS Plan in Medical Billing

POS plan stands for Point of Service plan, a type of health insurance plan that combines features of both HMO and PPO plans, giving patients flexibility in choosing providers.

POS Plan in Medical Billing Explained

In medical billing, a POS plan allows patients to choose between in-network and out-of-network providers. While patients receive higher coverage for in-network providers, they can still seek care out-of-network at higher out-of-pocket costs.

For example, a patient with a POS plan sees an out-of-network specialist but pays a higher co-pay than they would for an in-network visit.

Learn more about common acronyms and abbreviations in Medical billing glossary.

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