mcrh.org
*Home>>>HMO

What is a HMO plan?


What is a HMO plan?

THIS IS THE CHEAPEST WAY AN EMPLOYER PROVIDES DENTAL COVERAGE. IN SOME PARTS OF THE COUNTRY THAT'S OFFERED, BUT PATIENTS BY AND LARGE DON'T LIKE THEM. HEALTH MAINTENANCE ORGANIZATIONS DICTATE WHETHER SOME PROCEDURES ARE COVERED OR NOT.
DENTISTS ARE NOT PAID WELL. AND MORE AND MORE DENTISTS DO NOT TAKE HMO INSURANCE PLANS.

This in an in depth question so I'll try to keep it simple.

1: HMO-Health Maintenance Organization

There are a few choices for Insurance -HMO is usually the cheapest, so that's why people choose it.
But you lose freedom to chose other doctors besides your PCP and "in network doctors"
EX: You live in Smallville, NY
Your Insurance companies "in-network'' for Dr. has no approved docs in Smallville. The closest PCP is Jonestown, NY-45 minutes away. You have no choice- They will not pay for "out of network"

Wikipedia.com has more in depth answers .

Tags
  Hospice Care   Horner Syndrome   Hormones   Homosexuality   Homeopathy   Hodgkin Disease   HMO   Hives   HIV   Histoplasmosis   HIPAA   Hip Replacement   Hip Disorders
Related information
  • KAISER OR AETNA HMO - any opinions on which is better?

    I've been on Kaiser and I think it's a good health plan. You should go to their website and check it out.

    ...
  • No PPO or HMO coverage @ work this year.. any other options?

    Be VERY careful. Try to get covered by someone/something ASAP. If you go a year without coverage, you may not qualify the following year. Anything "new" that's treated during ...

  • Will Kaiser Permanente hmo cover me at another hospital?

    Not normally unless there is an emergancy. And normally the contract (policy) will have reduced payments from 50 percent to 70 percent of the cost. You would need to get pre approval prior to a...

  • What is the difference between HMO and PPO??

    HMO: A Health Maintenance Organization, or HMO, provides employers a way to take care of all their employees鈥?health care needs with reduced costs by negotiating with specific doctors, hospitals, a...

  • I have blue shield HMO, how much should my copay be for "citracal prenatal+dha"?

    You need to call your plan and talk to customer service. Some insurance plans have certain brands of drugs that are covered, while others are not. You may need to get a generic. You may not ha...

  • I have carefirst bluechoice (HMO) I am looking at prescriptions and it has 4 different categories, anyone know

    Non-Preferred would be non-formulary, that is drugs not on CareFirst's list of approved drugs. Many plans do not pay for drugs that are not on the formulary. Others will pay but the member is ...

  • What exactly is an HMO? A PPO?

    HMO=health maintenance organization, a health insurance set up with a gate keeper, your primary care physician, where in order to have much of anything done you must go thru your gatekeeper. Often...

  • Is there a Medicare HMO serving Bullhead City, Arizona?

    Please consider calling your local Area Agency on Aging--these groups are one of the best kept secrets around for older Americans and their families who are seeking information on Medicare Part D o...

  •  

    Categories--Copyright/IP Policy--Contact Webmaster