305S00000X — Point of Service

Grouping

Managed Care Organizations

Classification

Point of Service

Specialization

None — this code IS the classification

Section

Non-Individual

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

NUCC’s own wording, not a paraphrase.