There are several different types of Medicare Advantage (Medicare Part C) plans, and each is categorized with a different acronym.
One type of Medicare Advantage plan is a POS plan.
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“POS” stands for “Point of Service.”
A POS health insurance plan is a hybrid between an HMO and a PPO and combines some of the features of each.
A POS plan combines the lower costs found in an HMO with the out-of-network flexibility associated with a PPO.
You choose a primary care physician who will coordinate your care and issue referrals (like with an HMO), but you can still receive some coverage for care administered outside of the plan’s network (like you could with a PPO plan).
The benefits of a POS Medicare Advantage plan include:
While even PPO plans may restrict member coverage to geographical boundaries, POS plans are often accepted all over the U.S. This allows members to use their benefits even while traveling far from home.
POS plans keep a relatively small network of preferred doctors, hospitals and other health care providers and facilities, which helps keep plan premiums low.
POS and PPO may be easily confused by some Medicare beneficiaries. And while these two types of Medicare Advantage plans are related, they are in fact separate.
PPOs are among the most common types of Medicare Advantage plans, and they allow members to maximize their coverage by remaining in the plan’s network for care but still offering some coverage for out-of-network care.
A POS plan, however, may have even fewer network restrictions than a PPO plan.
POS plan eligibility is no different than that of most other types of Medicare Advantage plans.
You must be at least 65 years old in most cases, enrolled in both Medicare Part A and Part B and live in an area serviced by a POS plan.
Your best time to enroll in a POS Medicare Advantage plan is during either your Initial Enrollment Period (which begins three months before you turn 65 and continues for seven consecutive months).
You may also be able to join a POS insurance plan the fall Medicare open enrollment period, which lasts from October 15 to December 7 each year.
Contact a licensed insurance agent to learn about the POS Medicare Advantage plan options available where you live or compare your plan options online.
POS plans are offered by many of the leading insurance carriers, and you may have numerous plans from multiple carriers from which to choose.
Speak with a licensed insurance agent
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
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