HMO (Health Maintenance Organization)

An HMO (Health Maintenance Organization) is a type of health insurance that requires members to choose a primary care provider (PCP) and get most medical services through a network of designated healthcare providers. Typically, you must see your PCP first for referrals to specialists and for authorized care. HMOs often have lower premiums and out-of-pocket costs, but restrict coverage to providers within their network. This structure emphasizes preventive care and coordinated management, aiming to keep members healthy while controlling costs. It’s suitable for those who prefer cost-effective coverage with a focus on routine and coordinated healthcare.