What is HMO medical insurance and who qualifies?

What is HMO medical insurance and who qualifies?
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1 Answer

Answer :

HMO medical insurance is insurance that is through the employer. It means they will only pay for certain things, and certain doctors as well. You can get a list, and doctors decide what qualifies.
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Related questions

Does anyone have experience, good or bad with MVP for health insurance and/or an HMO?

Description : Does anyone have experience, good or bad with MVP for health insurance and/or an HMO?

Last Answer : I'm on Medicare, and I have an HMO through Aetna in place of just Medicare. I've been really happy with it, except for the fact that I have to pay for my entire dental bill because she isn't in ... dentist list. Other than that I'm satisfied with it, because all of my other doctors are on the plan.

In this state, each employee’s insurance plan is considered primary for him or her, which means Mrs. Gonzales’s HMO is her primary payer and the $25 copay from her last visit is now past due, because she wanted this submitted to her husbands insurance?

Description : In this state, each employee’s insurance plan is considered primary for him or her, which means Mrs. Gonzales’s HMO is her primary payer and the $25 copay from her last visit is now past due, because she wanted this submitted to her husbands insurance?

Last Answer : The insurance company refused coverage because of a $1000 yearly deductible, which has not yet been met. How will you handle this?

where can I get hmo insurance plan ?

Description : where can I get hmo insurance plan ?

Last Answer : If you are employed you can get your HMO through your employer. You can also get an HMO if you are not employed, however it will cost you more since an HMO is a shared cost among many people in the company.

Do you need to make a certain income to qualify for an HMO insurance plan?

Description : Do you need to make a certain income to qualify for an HMO insurance plan?

Last Answer : Yes, you need to make below $40,000 to qualify for an HMO insurance plan. Read more at http://personalinsure.about.com/cs/healthinsurance1/a/aa011704a.htm

What are the differences between PPO health insurance and HMO?

Description : What are the differences between PPO health insurance and HMO?

Last Answer : PPO stands for Primary Provider Organization, which means you can see phycians "in or out of network". Out of network will always be more money out of pocket to the insured. HMO stands for ... 's are much more restricting because you are limited to the physicians and facilities that may be used.

What are the advantages of POS health insurance compared to HMO and PPO?

Description : What are the advantages of POS health insurance compared to HMO and PPO?

Last Answer : the POS requires you to choose a PCP and he can refer to other providers outside the network. HMO designates the providers you must use. PPO provides a list of doctors in the network to choose from

How do I select a Medicare HMO?

Description : How do I select a Medicare HMO?

Last Answer : Visit www.medicare.gov to compare Medicare HMO's in your area. You can then select one and enroll on the website.

What does HMO stand for and what is it for?

Description : What does HMO stand for and what is it for?

Last Answer : HMO stands for Health Maintenance Organization. It's a type of health insurance, where it usually costs less than traditional plans but the coverage isn't as extensive.

What benefits come with an HMO plan?

Description : What benefits come with an HMO plan?

Last Answer : Each HMO plan is different. Most are less flexible then PPO plans and have certain restrictions on them.

List of HMO Physicians in Monmouth County NJ What is the site?

Description : List of HMO Physicians in Monmouth County NJ What is the site?

Last Answer : here is some info sorted by county: http://www.njfamilycare.org/pages/plan_njkc.html

Are medicare hmo plans very affordable these days?

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Last Answer : There are a variety of Medicare HMO plans that are available for all kinds of incomes. Under the new Obama health plan, everyone should be available to get a medicare HMO plan.

Who needs a medicare hmo plan?

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Last Answer : They could need a Medicare HMO plan if they are over a certain age, and meet a certain income requirement. If they don't already have health insurance, this is something to look into.

HMO vs PPO?

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Last Answer : Even though the HMO is the health care plan that most people have because it is the one offered by their employer, many people either overlook or do not consider the HMO's big brother, the PPO. The PPO ... easier to go to doctors that you wish to go to and see specialists at any time with a PPO.

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Description : What qualifies as "cultural appropriation"?

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What has Chelsea Manning does that qualifies her to be a senator?

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Other than "a" is there a single lower case letter in the English alphabet that qualifies as a word?

Description : Other than "a" is there a single lower case letter in the English alphabet that qualifies as a word?

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What do you think qualifies you as being an "adult?"?

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If the noncustodial parent claims the child as an exemption, but does not qualify for EIC or Child Tax Credit, can the custodial parent claim EIC, for which she qualifies with one child and file as Head of Household?

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Is it insurance fraud to have insurance but choose to self pay for medical services?

Description : Is it insurance fraud to have insurance but choose to self pay for medical services?

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Is this the medical call you would make, even if you didn't have insurance?

Description : Is this the medical call you would make, even if you didn't have insurance?

Last Answer : Dutchess. If you have a history of cancer, get all epidermal anomalies checked. And maybe stay out of the sun so much.

What happens to your medical insurance when you quit your job now in the Obamacare days?

Description : What happens to your medical insurance when you quit your job now in the Obamacare days?

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This is for anyone living in the US, if you don't have medical insurance do you have to pay to have your children vaccinated?

Description : This is for anyone living in the US, if you don't have medical insurance do you have to pay to have your children vaccinated?

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Are medical insurance companies totally dysfunctional or absurd?

Description : Are medical insurance companies totally dysfunctional or absurd?

Last Answer : The are for-profit corporations in the service of their shareholders and CEOs, not their ‘members’. This is the primary problem with the US Healthcare system, in my opinion (based on 20+ years working within the industry).

Is there such a thing as health or medical insurance for pets?

Description : Is there such a thing as health or medical insurance for pets?

Last Answer : Yes. I’ll try to find some links to post. Apparently I can’t view any advertiser’s website links on my computer while on the company intranet, but if you google the term “health insurance for pets”, you’ll get a ton of links, including one from the ASPCA and at least one from Progressive Insurance.

From what i've read recently, it may take as long as 15 years for many to get a correct diagnosis for a chronic problem. how can one cut through the interference from the medical and insurance conglomerates so that a proper diagnosis can be obtained in a more timely fashion?

Description : From what i've read recently, it may take as long as 15 years for many to get a correct diagnosis for a chronic problem. how can one cut through the interference from the medical and insurance conglomerates so that a proper diagnosis can be obtained in a more timely fashion?

Last Answer : I think I have had MS for at least 6 years until my diagnosis last year.I went through alot of doctors and tests.I am involved in clinical trials and read as much as I can to keep aware of new ... a chance you take,any time you listen to a doctor. They don't call it a practice for nothing ;)

Can i see a doctor without medical insurance?

Description : Can i see a doctor without medical insurance?

Last Answer : Yes. When you call them tell them you don’t have insurance and ask how much the appoinment is. They will probably have you pay in full at the time of the appointment.

Someone drove into my sister's boyfriend & the guy who hit him doesn't have insurance/license anything... what about the medical bills?

Description : Someone drove into my sister's boyfriend & the guy who hit him doesn't have insurance/license anything... what about the medical bills?

Last Answer : Call the Ins commissioners’ office in your state and ask if there is a fund for uninsured motorists, and if the young man qualifies. Sorry to hear about the incident, best of luck to you.

Do you think tampons should be covered by medical insurance?

Description : Do you think tampons should be covered by medical insurance?

Last Answer : Not any more than cold medication should be covered.

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Description : Financial aid for medical bills insurance won't cover or only cover part of?

Last Answer : I don’t know of any financial aid, per se, but would suggest that you try to see if you can work w/ the billing offices of the facilities you mention to set up payment plans. Often unadvertised, institutions and even private doctors’ offices will work on a case by case basis w/ people.

Have any of you ever gotten screwed by your medical insurance? Were you able to do anything about it?

Description : Have any of you ever gotten screwed by your medical insurance? Were you able to do anything about it?

Last Answer : Our insurance insisted that my daughter's hospital stay when she was 10 days old was due to a pre-existing condition. They demanded to know what doctors she had seen for this condition during the ... emergency admission? Ours does and won't pay unless you have a really good reason for not calling.