What does Health Maintenance Organization mean? Read on to discover the definition & meaning of the term Health Maintenance Organization - to help you better understand the language used in insurance policies.
Health Maintenance Organization
A health maintenance organization (HMO) is a health service organization that offers medical services to members from a network of providers under contract. Because the contract directs a steady amount of patients to the providers, this results in lower premiums; however, HMOs place certain restrictions on its members. Members can only receive services outside of the HMO network through a referral from a primary care physician (PCP), or if they pay out of pocket.
We hope the you have a better understanding of the meaning of Health Maintenance Organization.