What Are HMO Or Health Maintenance Organization Plans?

​When selecting the best Medicare Advantage Plan, you may be able to select from several options such as HMO, PPO, or PFFS. Here's a comprehensive guide if you're here to learn about HMO. 

What is an HMO plan?
A health maintenance organization (HMO) is a type of Medicare advantage plan that collaborates with a network of physicians and hospitals to provide medical care to its subscribers. It is usually less expensive than other plans and has fewer doctor options.

What Benefits Can I Get?
Because HMO Plans are typically less expensive than other plans, you can get better deals on cost-related items such as:

• Premium cost (your monthly fee)
• Out-of-pocket cost (copays)

Other features of an HMO plan include:

1. Better, more patient-centered medical care.
2. A simple network of providers from which to choose.
3. There is less paperwork than with other types of insurance plans.
4. You only have one plan to manage instead of many.

What HMOs Don't Cover
HMOs generally provide healthcare services from providers in the plan's network, but they do not cover:

• Out-of-area urgent care
• Out-of-area dialysis
• Emergency care

How HMO Works
Members of HMO plans must seek medical care and services from providers in the plan's network. For example, if you have a rash and want to see a specialist, you should consult your primary care physician first. Before referring you to another specialist, your primary care physician will examine you.

What Else Should I Know About Health Maintenance Organizations (HMOs)?
Here is a list of some you may want to know.

1. You might be required to use a limited number of doctors, hospitals, and other providers as part of the HMO plan network.
2. HMO Plans do not cover out-of-network care.
3. It is more restricted and managed in terms of care.
4. HMO Plans may include additional benefits like prescription drug coverage, vision, hearing, and dental care.
5. Obtaining authorizations for tests and procedures may be difficult.

Conclusion
It is a privilege to obtain an HMO Plan, especially if you have a limited healthcare budget. HMO Plans help connect a network of doctors, physicians, and hospitals to the members, providing preventive healthcare and medical care in times of need. If you reside in Miami or Miramar, it is best to consult your HMO in your area.

At Insurance Plans of America, we aim to provide comprehensive insurance policies that make your life easier. We want to help you get the insurance that fits your needs. You can get more information about our products and services by calling our agency at (877) 752-6711. Get your free quote today by CLICKING HERE.  Any coverage discussed is not guaranteed. Contact us today to go over your specific needs and we are happy to help you find a policy that works for you and your budget!