point-of-service plan

point-of-service plan

(in the United States) a plan in which the member may seek care outside the network or directly from preferred providers with initial evaluation by a primary care provider but must pay a deductible and/or copayment.

point-of-ser·vice plan

(poynt sĕrvis plan)
Managed care program that allows members to see contracted providers at a discounted rate without a referral from a primary care provider.
References in periodicals archive ?
You'll have to choose between a health maintenance organization (HMO), preferred provider organization (PPO), or point-of-service plan (POS).
The survey of more than 1,800 employers found that only about one-quarter of employees belonged to an HMO in 2003, while 54% were enrolled in a PPO, and 17% were enrolled in a point-of-service plan.
Under a point-of-service plan, patients could see any provider they chose, but it would cost them less if they chose a doctor who belonged to the plan's provider network.
6 million HMO, PPO and point-of-service plan members.
QCA got its biggest boost last spring when it was both the low bidder for Arkansas' state and public school employee HMO contracts and the sole choice for the combined groups' point-of-service plan.
Stanford's point-of-service plan is a health plan that may be thought of as a compromise between an HMO and a traditional fee-for-service plan.
The Partnership Program is currently available to a limited number of large and mid-size companies where all or most employees are enrolled with Group Health or its subsidiary point-of-service plan.
The parties established a managed care point-of-service plan, with no deductibles, maximum lifetime benefits of $l million, and no employee copayments for medical services, except for $25 charges for such services as doctors' home or office visits, chiropractic care, or podiatry services.
Anthem currently holds Excellent Accreditation with NCQA for its HMO point-of-service plan and has earned Quality Plus Distinction in Member Connections and Care Management and Health Improvement.
In fact, though Health Advantage was not the lowest priced HMO offered in the recent enrollment of the state's public school teachers and was locked out of offering a point-of-service plan, the company still maintained a high percentage of previous enrollees.
They replaced the current indemnity plan with a new health network point-of-service plan and retained two of the five current HMO plans.