POS and PPO Health Insurance in Greensboro

'Point of Service' or POS health insurance in Greensboro offers a plan that is a cocktail of HMO or 'Health Managed Organization' and FFS or 'Fee For Service'. This is because the POS has many similarities to both the HMO and the FFS plans. For example, in a HMO plan you normally have one designated PCP or Personal Care Physician. This PCP oversees and coordinates your policy of health insurance in Greensboro and refers other health care providers to you. Even in a POS, you will have a PCP who plays a similar role. In a POS you also don't need to pay a deductible but you will have to foot the co-pay fee for each consultation or office visit to a provider listed in the network.

In a POS plan, as in a HMO plan, you are at liberty to consult physicians and experts outside of the network but then you will have to pay the full fees of this consultation yourself. This includes a deductible of approximately $300 per person plus 30 to 40 per cent coinsurance, pretty much like an FFS plan. In a POS plan, you are also required to do something similar to this. But then you are responsible for making sure that your paper work is in order and that you have the requisite documentation required in order to get reimbursed for your expenses towards health insurance in Greensboro.

Preferred Provider Organization or PPO Health Insurance in Greensboro

In a PPO scheme, a group of health care providers get together and provide their services only to a select groups of consumers. This group of consumers can be an association, select employees of an organization, or a group who has been sponsored by a company providing health insurance in Greensboro.

A PPO essentially differs from a HMO plan because here, you are not required to coordinate with a PCP or a Personal Care Physician or go through them in order to get referrals. You can also consult other doctors outside the PPO network. If you do so, then only 80% of your expenses will be reimbursed versus 100% of payment if you consult someone from within the PPO network. You are also required to pay a deductible for going outside the network, like you might pay in a POS.

But in a PPO there is a ceiling on the amount of expenses you are expected to bear. After your expenses reach that figure, the company providing PPO health insurance in Greensboro will pay 100% of your other expenses. Your out of pocket expenses are inclusive of deductibles and coinsurance but it doesn't include copayments and monthly premium payments for your policy of health insurance in Greensboro.