What is a Health Maintenance Organization (HMO)?
The biggest benefits of a standard HMO plan are the lower out-of-pocket healthcare expenses, the strong focus on preventative medicine, and nominal co pays that are independent of a deductible. However, more often than not, these features are paired with more limited options as far as freedom to choose specific physicians or hospitals. Unlike a PPO, the selection of a primary care physician (PCP), who will handle the majority of your healthcare needs, is required. With an HMO plan, your insurance claims are submitted for you by the provider. It is important to note that should you decide to receive services out-of-network, an HMO will most likely cover none of the cost. In addition, even in-network providers are not covered for services rendered without being referred by your PCP. In order for the insurance company to cover specialist visits, it is up to the discretion of the PCP to make a referral.
Individual and Family Plan FAQs
- Do I make payments directly to the insurance company?
- How do I know you are finding me the lowest premiums?
- How do I pick the best health insurance plan for me?
- How do I start my coverage?
- How is a network used by insurance companies?
- If I provide my personal information to Benepath, how do I know it is safe?
- Is there any obligation for me to buy an insurance plan once I have applied?
- What if I only want to insure my children?
- What is a co-payment?
- What is a deductible?
- What is a Health Maintenance Organization (HMO)?
- What is a Health Savings Account (HSA)?
- What is a Point of Service (POS) plan?
- What is a Preferred Provider Organization (PPO) plan?
- What is an Indemnity plan?
- What is coinsurance?
- What types of individual and family insurance plans does Benepath offer?
- Who do I contact if I need help?
- Why Benepath?
- Why will individual and family health insurance work for me?