TERM:

Health Maintenance Org - HMO

DESCRIPTION:

Health Maintenance Org is a from of health insurance combining a range of coverage's in a group basis. This is when a team of doctors and many more medical employees give care through the HMO for a low monthly charge free from deductibles. On the other hand, just visit to the skilled doctors within the HMO network are covered by the guiding principles. All prescriptions, visits, and others services must be cleared by one HMO provider in order to receive coverage. A primary physician within the HMO handles referrals. A corporation financed by insurance premiums whose member doctors and skilled staff provide curative and preventive medicine within certain financial, geographic, and professional limits to enrolled volunteer members and their families.

In addition, HMO is a administrated care oranization the=at provides a from of health care coverage in united States that is fullfilled from doctors, hospitals, and a lot of other providers with the HMO has a agreement. The agreement is called the Health Maintance Organization Act of 1973. It requisftes that all employers with 25 or more employees to propose federally certified HMO options.



APPLICATION:


If you let your property to persons as their main residence it may be necessary to obtain a licence. For advice and information you may download a pre-application form here HMO pre-application from.

WEB RESOURCES:


www.bcbsil.com/meber/hmo/index.htm
www.wisegeek.com/what-is-an-hmo.htm
www.ibiblio.org/prism/jun98/doctors.html

RELATED TERMINOLOGY:

Allowable Charges
Benefit
Capitation
Coverage
Dental Benefits Organization
Insured
Third Party
Pre-existing Conditions
Prepaid Dental Plans
Perferred Provider Organization(PPO)
Surcharge
Reasonable Fees


CITATIONS/REFERENCES:

www.tdi.state.tx.us/hmo/profiles/deintns.html
http://www.answers.com/topic/hmo

GRAPHICS:

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