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Group Health Plans

Learn about POS Plans

A Point of Service Plan, or POS, is a type of managed care plan that allows customers 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.

Plan Features

At Arise Health Plan, we encourage customers 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 customer prefers to seek treatment from a provider who does not participate in our network, the customer may see that provider without our approval at an additional cost (usually a higher coinsurance and/or deductible) to the customer.

However, if a customer 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 customer’s PCP or participating specialist must submit a prior authorization to Arise Health Plan prior to the customer 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.