Point

A particular city, town, village or other community or area which is treated as a unit for the application of rates.

point of service (POS)

Location of where the particular heath care service is provided. POS often defines under what provisions of a health insurance policy the service will be paid. If a POS provision is added to a managed care plan, it allows a member to go outside the plan for services but the copayment varies in size depending on the level of benefit. Do not confuse this with place of service (POS). Also see point-of-service (POS) plan.

point-of-service (POS) device

Piece of equipment interfaced with an analog telephone line used to identify a recipient’s eligibility, obtain share of cost liability status, key in share of cost payment toward balance, reserve medical services, perform Family PACT (planning, access, care, and treatment) client eligibility transactions, and submit pharmacy or CMS-1500 insurance claims. Also referred to as point-of-sale (POS) device or point-of-service (POS) network.

point-of-service (POS) option

1. Under a managed care plan or Medicare managed care plan, an opportunity for a member or beneficiary to choose doctors and hospitals outside the plan for an additional cost. 2. Option under TRICARE Prime that allows self-referral for any TRICARE-covered nonemergency services outside the prime network of providers.