Managed care plan in which members are given a choice as to how to receive services, whether through an HMO, PPO, or fee-for-service plan. They may choose a nonparticipating provider (higher cost) or participating provider, with different levels associated with the use of participating providers, and with or without a referral. The decision is made at the time the service is necessary (i.e., “at the point of service”); sometimes referred to as open-ended HMOs, point-of-service (POS) program, swing-out HMOs, self-referral options , or multiple option plans.
Insurance Encyclopedia
point-of-service (POS) program
See: point-of-service (POS) plan.
Points basis
A system of rating motor traders’ road risks policies by allocating a certain number of points for each feature of the insured’s business (e.g. number of vehicles; number of persons permitted to drive; number of trade plates, etc.). The insured submits an annual declaration in respect of these activities.
Points rating system
A system for calculating the office premium by relating it to points associated with each cell within a rating factor. The higher the risk associated with the cell, the higher the points and the higher the premium For example, a driver aged 20 would be associated with far more points, and all other things being equal a higher premium, than a driver aged 40.
Poison Probability Distribution
A mathematical probability distribution in which more than one event can occur in a given time period and in which the mean is also equal to its variance.
Poisoning
Condition resulting from a drug or chemical substance overdose or from the wrong drug or agent given or taken in error.