What's a POS (point-of-service) plan?

A type of managed-care coverage that allows members to choose to receive services either from participating providers or from providers outside the PriorityPOSSM plan's network. In-network care from participating health care providers is more fully covered; for out-of-network care, members pay deductibles and coinsurance, much like traditional health insurance coverage.

There are two slightly different versions of the PriorityPOS health plan.

  • POS A refers to the network used by the traditional fully funded point-of-service (POS) plan, where for a set premium per member, Priority Health covers both the administrative and the medical costs of all members.
  • POS B refers to the network used by the self-funded and shared funded versions of the POS plan, where the members' employer covers all or part of the medical costs.