POINT OF SERVICE (65)    TYPE OF PLAN (355.1)

Name Value
NAME POINT OF SERVICE
ABBREVIATION POS
MAJOR CATEGORY HMO
DESCRIPTION
This plan requires the selection of primary care physician
 and/or a primary care facility.  Benefits will usually be paid to out of  
network providers/facilities at a reduced rate.  
EFFECTIVE DATE
  • GROUP CODE:
    • Patient Responsibility
      REASON CODE:
      • 1
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
      • 2
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
      • 3
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
    • Contractual Obligations
      REASON CODE:
      • 45
        PART A PERCENTAGE:   0
        PART B PERCENTAGE:   100