Question

Gloria has health insurance that requires her to seek care from within a network of independent health care providers and hospitals. which type of care does she have?

Answer 1

Gloria has the care from the healthcare plan provided by the Health Maintenance Organization (HMO).

Health Maintenance Organization (HMO) provides health insurance plans where healthcare services are provided by a network of independent healthcare providers and hospitals. It includes network healthcare service providers referring to a primary healthcare physician (PCP) who can further refer specialists to those in need.

It requires a certain amount of fixed fee and includes regular health checkups for early treatments or prevention of any disease if diagnosed.

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Answer 2

Gloria is having a health insurance from a Health maintenance organization (HMO).

• It is a particular kind of health insurance policy that often limits coverage to medical services from providers the HMO has contracted with or hired.
• Out-of-network care is often not covered unless it is urgent.You might need to reside or work in an HMO's service region in order to be eligible for coverage.
• HMOs frequently offer coordinated treatment with an emphasis on wellness and prevention.

What is the function of a health maintenance organization?

A type of managed care system called an HMO was developed to keep patients well while being affordable. HMOs use patient care and health services coordination as a fundamental tactic to accomplish these goals.

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