Advantages and Disadvantages of Point-Service Health Plans –


Point-of-Service (POS) plans are one of several health insurance options available to you and your family. A unique type of health plan, POS plans can be considered a hybrid of HMO and PPO plans. POS plans include all of these features, which some people may find it advantageous. Below is a deterioration of the advantages and disadvantages compared to other plans POS plan.

Benefits Plan POS

  • No deductible. One of the most obvious advantages is its lack of a POS deductibles for doctors in your network. This means you do not have to make any payments toward your medical expenses on your own before your insurance starts reimburse you. PPO, on the other hand, have to deductibles.
  • Low co-payments. POS plans have lower co-pay or PPO. When you have medical expenses, only have to pay for a small portion of it as a co-payment, and your POS plan covers the remaining costs.
  • More options and freedom of choice. Unlike HMOs, POS plans provide partial coverage even doctors are not within your network. This means if you are not satisfied with the options available in your network for a specific medical treatment, you can see a doctor out of network and still get some attention.

Disadvantages Plan POS

  • Under a POS, you must choose a primary care provider (PCP). The doctor will serve as your primary doctor for all medical needs. He or she can refer you to experts in your network if you have a specific health concern. So visit a doctor to be included as in-network visit, you have to go through your PCP to see a specialist.
  • If you visit a doctor outside the network, you only have limited coverage. You have to pay a deductible and co-payments higher than you would with doctors in-network.

Choosing the Right Health Insurance Plan

If you are satisfied with the doctors who are in your network and do not mind having one primary care provider that you have to go through to be addressed, then POS plan may be ideal for you. Often, PCP or specialists he or she can refer you to cover all medical needs common. However, if you have unique medical conditions which will require you to visit doctors outside the network POS often, you may be better off finding a plan that covers you with those doctors instead.

There is more choice and freedom of doctors, co-payments lower, and no deductible for in-network doctors are making the POS is an attractive option you may want to consider. For more information on health insurance plans POS and other options available to you, visit the website of Texas health insurance company Health Option 1 here.