Linda has a Health Maintenance Organization (HMO) insurance plan.
Further Explanation:
Health Insurance plan:
Health insurance plan is a type of insurance plan where the insured party gets the coverage for the medical expenses incurred. Health insurance plan would reimburse for the medical treatment that is recorded in the contract between the insurance company and the insured party.
Health Maintenance Organization (HMO):
Health Maintenance Organization provides health plans to the individuals. HMO is a private or public organization that renders health services to its user or subscribers. Subscribers are the individuals who opt for HMO as a health insurance plan. HMO does not provide the health services directly to the user or subscribers. HMO provides the services through various medical insurance provider entities such as doctor, physician, specialist and clinic facility.
HMO subscribers pay periodic (Monthly, quarterly or yearly) premium to HMO. HMO pays the medical entities that are connected to it for providing the services to the individuals. It promotes the higher quality of health treatment for a lower premium.
HMO subscribers pay their periodic premium and get the medical services from the medical entities. The medical entities manage all the healthcare of the subscribers. HMO subscribers can take the medical services only from the contracted medical entities. An HMO subscriber chooses a primary care physician. HMO subscriber can seek medical assistance from the appointed primary care physician only. This physician manages all the healthcare services of the individual.
Linda’s insurance plan:
In the given case, Linda’s insurance plan requires her physician to manage all her health care.
Linda has a Health Maintenance Organization (HMO) health insurance plan. HMO states that the physician provided by the HMO would manage all the activities related to healthcare. The physician is a medical entity that has a contract with HMO to provide the medical assistance to the subscriber of the HMO insurance plan. HMO pays them to assist the subscribers and they manage all the healthcare of the subscribers.
<u>So the current insurance plan is a Health Maintenance Organization (HMO).</u>
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Answer details:
Grade: Senior School
Subject: Business Law
Chapter: Insurance
Keywords: Linda, Insurance plan, Healthcare, Physician, Health insurance, Insurance, Health Maintenance Organization, HMO, Insurance, Health insurance plan, Business law, Type of insurance plan.
