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Insurance market is snowed under different insurance policies offered by different insurance companies. Choosing a proper health plan is a wearisome job. Different people have different needs according to their health. Pre-conditions are also playing crucial role in choosing any health plan. Different plans have different premiums and offer different services.

California HMO (Health Maintenance Organization) is one of the oldest managed care plans. They are providing a wide range of health plans on the basis of monthly premiums or fees. Various insurance models are:

  • Group Model HMO in which you have to visit doctors at central medical offices.
  • In individual practice model HMO you have to visit doctors at their private clinics.
  • Co-payment model HMO in which you will not pay any fees to your doctor instead you pay to HMO or HMO will pay a part of your consultation fees.

They have a list of doctors from which you can choose one s your primary doctor. The plan only covers the cost of charges for doctors in that HMO. If you go outside the HMO, you will pay the bill.

Quality of care is very limited in HMO because you have to consult with participating members only otherwise you have to pay your bill. It’s not possible to ensure that you will get good medical care and it’s a tedious task to measure the quality of care. You must clarify all the necessary points before taking any health insurance plan of HMO.

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