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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.

2020 Small Group Plans
Employer Group Application
Plan Summaries
Small Group HMO Certificate
Small Group POS Certificate
2020 Large Group Plan
2019 Small Group Plans
Employer Group Application
Plan Summaries
Small Group HMO Certificate
Small Group POS Certificate
2019 Large Group Plans
Additional Information
Large Group Brochure
Large Group Brochure - Spanish
Premier Network Service Area
Preventive Services Tip Sheet
Special Enrollment Period (SEP) Instructions
First Health Wrap Service Area
Definitions
Additional Information