Medical Insurance Hmo

One Medical is only in network with specific ACA-related plans sold via the Health Insurance Marketplace, which are listed above. For individual and family health plans purchased privately (outside of an employer) through an insurance company, broker, or small business group, please be aware that if we’re not in network with their Exchange counterparts, we may not be in network with those plans.. eHealthInsurance is the nation's leading online source of health insurance. eHealthInsurance offers thousands of health plans underwritten by more than 180 of the nation's health insurance companies, including Aetna and Blue Cross Blue Shield.Compare plans side by side, get health insurance quotes, apply online and find affordable health insurance today.. A Health Maintenance Organization, or HMO, provides employers or groups a way to take care of all their employees’ or members health care needs with reduced costs by negotiating with specific doctors, hospitals, and clinics. These specific providers must be used by the employee for the reduced fees to be provided to their medical insurance plan..

Regardless of the plan design, out-of-network providers are not bound by any contracts with your health insurance company. Even if your POS or PPO insurance pays a portion of the cost, the medical provider can bill you for the difference between their regular charges and what your insurance pays. If they do, you're responsible for paying it.. Generally speaking, an HMO might make sense if lower costs are most important and if you don’t mind using a PCP to manage your care. A PPO may be better if you already have a doctor or medical team that you want to keep, but who don’t belong to your plan network..

In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.. And remember, dental care is not covered under medical insurance; it requires a separate dental plan. Just like medical insurance, dental insurance comes in HMO and PPO plans. Learn more about Humana’s dental HMO plan., opens new window. Still not sure an HMO is the way to go?.