Difference Between HMO And POS

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Difference Between HMO And POS. In this article, you will read about what is HMO, what is POS, and what is the main difference between HMO and POS. Both the terms are related to each other, but have significant differences between them. Here, we will first understand the main difference between HMO and POS, then differentiate between them in detail.

In US and many other foreign countries, a citizen is given an insurance plan to receive medical treatment by consulting doctors and various specialists. These insurance plans are pretty expensive. But, the government provides various types of plans, so an individual can choose the health insurance plan according to their needs. The plans may differ in terms of cost, size of the plan network, coverage of out-of-network services, availability of specialists.

There are three types of health insurance plans, i.e. HMO, PPO, and EPO. In this piece of information, we will discuss HMO and POS.

What Is The Main Difference Between HMO And POS?

The main difference between HMO and POS is that the:

-HMO stands for ‘Health Maintenance Organization’. It is a health insurance plan that provides hospitals, doctors and specialists within the local network. It is less expensive.

-POS stands for ‘Point Of Service’. It is a health insurance plan that provides health services with fewer choices and low cost. It is a combination of HMO and PPO plan. You can choose your doctor or specialist in or out-of-network, but the services will be better if you stay in-network.

Difference Between HMO And POS - chart

What Is HMO?
HMO stands for ‘Health Maintenance Organization’. It is a health insurance plan that provides hospitals, doctors and specialists within the local network. It is less expensive. The doctors and specialists working under this insurance plan have agreed to lower their charges without any reduction in their services. It provides very few opportunities to the patients out-of-network.

In HMO, if a patient wants to see a doctor that is out-of-network, he has to pay the extra fees for the entire visit. There are some other conditions, which the patient has to follow in HMO. There is a registration required with PCP (primary care physician). He will determine the treatment that is needed and also refer to the special test and visits.

HMO plan is the best for those, who are less financially capable or are concerned about costs.

What Is POS?

POS stands for ‘Point Of Service’. It is a health insurance plan that provides health services with fewer choices and low cost. It is a combination of HMO and PPO plan. You can choose your doctor or specialist in or out-of-network, but the services will be better if you stay in-network.

In POS, you need a referral from PCP. PCP is actually referred to as from where and which provider you get services. Your services and coverage will depend on whether you choose in-netwrok or out-of-network.

featured image source: paknovelsurdu.com

Also check: https://www.informatie360.com/difference-between-type-1-diabetes-and-type-2-diabetes/

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