HMO-POS

Acronym: HMO-POS

Some HMOs offer coverage of certain specified plan-covered services outside of the plan network. Offering that out-of-network access to some covered services requires that the HMO offer a point-of-service (POS) supplemental benefit and may also require the HMO to obtain state licensure to offer an HMO-POS. The HMO-POS must specify in writing which services it offers out-of-network, maximum enrollee out-of-pocket cost sharing, and any annual limits on the benefits offered under the POS benefit.