A Point-Of-Service (POS) Plan Allows Members To

question 20

Short Answer

A point-of-service (POS) plan allows members to:
A)choose a health maintenance organization (HMO) or preferred provider organization (PPO) option each time they seek care.
B)receive medical care from any in-network or non-network provider.
C)do both a and b.
D)do neither a nor b.

• A)choose a health maintenance organization (HMO) or preferred provider organization (PPO) option each time they seek care.
• B)receive medical care from any in-network or non-network provider.
• C)do both a and b.
• D)do neither a nor b.

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Definitions:

Health Care Expenditures

The total amount of money spent by individuals, insurance companies, and governments on health care services and products.

Adverse Selection

A situation in which asymmetrical information leads to high-risk parties being more likely to participate in agreements, such as insurance, than low-risk parties.

Health Insurance Company

An organization that provides coverage for medical expenses in exchange for premium payments.

Minimize Adverse Selection

A strategy to reduce the likelihood of selecting undesirable alternatives or participants, often used in insurance and finance to prevent situations where the insurer or lender has less information than the applicant.