Insurance Glossary

HMO

Health

Definition

Health Maintenance Organization - a type of health insurance plan that requires members to use network providers and obtain referrals from a primary care physician to see specialists.

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Related Terms

PPO
Preferred Provider Organization - a type of health insurance plan that offers more flexibility than an HMO, allowing members to see out-of-network providers at a higher cost without referrals.
Accident Insurance
Insurance coverage for unforeseen bodily injury resulting from an accident.
Copayment
A fixed amount you pay for a covered health care service, usually when you receive the service.
Coinsurance
A cost-sharing arrangement where the insured pays a specified percentage of covered expenses after the deductible is met.
Out-of-Pocket Maximum
The most you have to pay for covered services in a plan year. After you reach this amount, the insurance pays 100% of covered services.
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