Health maintenance organization (HMO),
Definition of Health maintenance organization (HMO):
An individual who needs to secure health insurance may find a variety of health insurance providers with unique features. One type of insurance provider that is popular in the health insurance marketplace is a health maintenance organization (HMO), an insurance structure that provides coverage through a network of physicians.
(in the US) an organization which provides healthcare on the free market in return for a predetermined fixed insurance premium.
US medical firm funded under Public Health Services Act of 1973. It provides basic and long-term health maintenance and care to voluntary members through a network of doctors, hospitals, and other medical professionals, usually coordinated by a physician chosen by the member from a panel. The enrollees pay a fixed periodic fee for which they are entitled to diagnostic and treatment services including hospitalization, surgery, and prescription medicine, without regard to the cost. HMOs also offer supplemental services such as dental, ocular and optometric, and psychiatric care. An HMO is a type of managed care organization (MCO).
Health maintenance organizations (HMOs) provide health insurance coverage for a monthly or annual fee. An HMO limits member coverage to medical care provided through a network of doctors and other healthcare providers who are under contract to the HMO. These contracts both allow for premiums to be lower than for traditional health insurance—since the health providers have the advantage of having patients directed to them—but they also add additional restrictions to the HMO's members.
How to use Health maintenance organization (HMO) in a sentence?
- Preferred provider organizations (PPOs) and point-of-service plans (POS) are two types of healthcare plans that are alternatives to HMOs.
- An HMO is made up of a group of medical insurance providers that limit coverage to medical care provided through doctors and other providers who are under contract to the HMO.
- Nothing contained in this section shall preclude the health maintenance organization from conducting managed care, medical necessity, or utilization review.
- HMO plans require that participants first receive medical care services from an assigned provider known as the primary care physician (PCP).
- A health maintenance organization (HMO) is a network or organization that provides health insurance coverage for a monthly or annual fee.
- These contracts allow for premiums to be lower—since the healthcare providers have the advantage of having patients directed to —but they also add additional restrictions to HMO members.
Meaning of Health maintenance organization (HMO) & Health maintenance organization (HMO) Definition