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In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...
A person enrolled in a Medicare Advantage HMO plan must generally pay the premium for Medicare Part B, and a plan premium. However, some HMO plans help pay a percentage of the Medicare Part B premium.
HMO. Health Maintenance Organization plans are often considered the most affordable insurance option. With low deductibles and low copays for doctor visits and pharmaceuticals, HMOs are affordable ...
Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) are both types of Medicare Advantage plans. ... 24/7 Help. For premium support please call: 800-290-4726 more ways ...
The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs).
The two primary HMO trade associations were the Group Health Association of America and the American Managed Care and Review Association. After merging, they were known as American Association of Health Plans (AAHP). The primary trade association for commercial health insurers was the Health Insurance Association of America (HIAA).
In practice, an HMO is a coordinated delivery system that combines both the financing and the delivery of health care for enrollees. In the design of the plan, each member is assigned a "gatekeeper", a primary care physician (PCP) responsible for the overall care of members assigned. Specialty services require a specific referral from the PCP ...
State availability: all 50 states Plans available: HMO, PPO, PFFS, SNP CMS star rating: 4 stars The Medicare Advantage plans from Humana include HMOs, PFFS, PPOs, and SNPs, depending on your location.