HMO
(Health Maintenance Organization) Coverage:
These
are essentially prepaid health plans. In exchange for
a monthly premium,
the HMO provides comprehensive care
for the insured, including doctors' visits,
hospital
stays, emergency care, surgery, lab tests, x-rays, and
therapy. Care is
provided either directly in its
own group practice or through doctors and other
health
care professionals under contract. Generally,
the choice of doctors and
hospitals is limited to
those that have agreements with the HMO.
Although,
exceptions can be made in emergencies or
when medically necessary.
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