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A Health Maintenance Organization (HMO) is a type of managed care system that provides comprehensive health care services to its members. HMOs are typically organized as prepaid plans, meaning that members pay a fixed fee for a set of services. HMOs typically provide preventive care, such as physicals and immunizations, as well as primary care services, such as doctor visits and lab tests. HMOs also often provide specialty care services, such as mental health care and physical therapy. In addition, HMOs may offer additional services, such as vision and dental care.
HMOs are typically organized as networks of providers, meaning that members must use providers within the network in order to receive coverage. This helps to keep costs down by allowing the HMO to negotiate lower rates with providers. HMOs also typically require members to select a primary care physician (PCP) who will coordinate their care.
Some of the companies in the HMO market include Aetna, Anthem, Cigna, Humana, Kaiser Permanente, and UnitedHealth Group. Show Less Read more