Group Health Plans
Learn about POS Plans
A Point of Service Plan, or POS, is a type of managed care plan that allows members to use both in-network and out-of-network providers for their health care needs. Coverage for services received from out-of-network providers is usually lower than that for services received from in-network providers.
At Arise Health Plan, we encourage members to select a Primary Care Practitioner (PCP) to coordinate their overall medical care. A PCP is a participating provider who practices in the area of family medicine, internal medicine, pediatrics, general practice, or obstetrics/gynecology.
If a member prefers to seek treatment from a provider who does not participate in our network, the member may see that provider without our approval at an additional cost (usually a higher coinsurance and/or deductible) to the member.
However, if a member requires health care services from a provider who does not participate in our network and there are no participating providers who can provide those services, the member’s PCP or participating specialist must submit a pre-service authorization to Arise Health Plan prior to the member seeking services from the non-participating provider in order for those services to be considered for payment at the same level as a participating provider.
Smoking Cessation Program
Arise Health Plan is offering a great, new Smoking Cessation program for small group health plan employees (50 or less total employees).
Employees who smoke may have an additional tobacco-related charge added to their premium each month. Through completion of the Arise Health Plan smoking cessation program, offered through the American Lung Association, your employees can remove the tobacco-related charge.
For more information, review the Smoking Cessation flyer to the right.