• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

GetInsurance

  • General Insurance
  • Car Insurance
  • Health Insurance
  • Life Insurance
  • Travel Insurance
  • Reviews
  • Others
    • Business Insurance
    • Agents & Brokers
    • Home & Properties
  • Apply for Insurance
You are here: Home / Health Insurance / 5 Things to consider before choosing HMO Provider

5 Things to consider before choosing HMO Provider

June 13, 2020 by Get Insurance Today

The acronym HMO stands for Health Maintenance Organization (HMO). Health maintenance Organizations provide health insurance coverage for a periodic (monthly or annual) fee. They are companies charged solely with the responsibility of managing the provision of health services through other health care facilities. They function as an intermediary between the hospital and the individual or companies seeking to provide health coverage for their employees.

A Health Maintenance Organisation limits coverage of members to medical care provided through a network of healthcare providers who are under contract with the HMO. 

How HMO works 

A Health Maintenance Organisation is an organized entity that provides primary and auxiliary health services to its subscribers. These entities acquire their network of healthcare providers by entering into contracts with clinical facilities, primary care physicians, and specialists. 

The medical organizations that enter into contracts with the HMO are paid an agreed-upon fee to offer a range of health services to the HMO’s subscribers. The agreed fee enables the HMO to offer lower premiums than other forms of health insurance plan while keeping the high quality of care from its network. You can check out our posts on HMOs like Hygeia HMO and Avon HMO.

5 Things to consider before choosing an HMO company

When faced with the decisions to opt for an HMO insurance plan, you should take the following into consideration

  1. The cost of premium: while premium may be cheaper under the HMO plans, it is better to shop for available options and compare their prices.
  1. Out-of-pocket expenses: these are costs that are outside the scope of the HMO plan that the subscriber pays from his pocket.
  1. Specialized medical care: consider the requirements you may have for specialized medical care and the cost implication for implementing them.
  1. Primary care providers: Make sure you go through their network of healthcare providers to have a perception of their services. Also, look out for health providers in their system that are within your locality in case of emergency.
  1. Responsiveness: because of the nature of their service, health emergencies can occur at any time. Be sure to confirm that your Health Maintenance Organisation offers 24-hours customer care service to its subscribers. That way, you might have the required support during an emergency.

Conclusion

However, there are two other alternatives to the Health Maintenance Organisation, namely Preferred provider organizations (PPOs) and point-of-service plans (POS). The most commonly used plan in Nigeria is the HMO, but it is essential to follow the above steps before choosing an HMO provider.

Related Posts:

  • 10 Things to consider before buying life insurance
  • 5 Things to Consider Before Taking Travel Insurance in…
  • Things to know before reporting a loss to your insurance…
  • Five Things to Consider Taking Home Insurance in Nigeria
  • 5 Reasons Why You Should Consider The National Health…
  • 10 Things your comprehensive insurance could cover

Filed Under: Health Insurance

Primary Sidebar

To show the importance of Travel Insurance

5 Things to Consider Before Taking Travel Insurance in Nigeria

Are you thinking of taking a travel insurance … Read More about 5 Things to Consider Before Taking Travel Insurance in Nigeria

cost-of-comprehensive-car-insurance

How Much is A Comprehensive Car Insurance?

If you’re looking to buy car insurance or you are … Read More about How Much is A Comprehensive Car Insurance?

Is Term Life Insurance a Good Investment?

There are different kinds of life insurance … Read More about Is Term Life Insurance a Good Investment?

car-insurance-company

Things To Look Out For In A Car Insurance Company

Car insurance is a requirement for every Nigerian … Read More about Things To Look Out For In A Car Insurance Company

Archives

Follow Us Online

  • Facebook
  • Instagram
  • LinkedIn
  • Twitter

Related Posts:

  • 10 Things to consider before buying life insurance
  • 5 Things to Consider Before Taking Travel Insurance in…
  • Things to know before reporting a loss to your insurance…
  • Five Things to Consider Taking Home Insurance in Nigeria
  • 5 Reasons Why You Should Consider The National Health…
  • 10 Things your comprehensive insurance could cover

Footer

  • About GetInsurance
  • Contact Us
  • Privacy Policy
  • Terms & Conditions

Copyright © 2023 Get Insurance. All Rights Reserved.