Group HMOs

Health Maintenance Organizations (HMOs) are the most affordable plans to protect your employees.

How Do HMOs Work?

An HMO is a type of managed care plan. It creates a “network” of doctors, hospitals, clinics, and other healthcare providers. The network and HMO have an agreement — HMOs refer patients to their network and in return, the care providers offer their medical services for a discount.

Using An HMO

Employees covered under your HMO have to choose a primary care physician in the network. Primary care physicians are general practitioners such as internal medicine doctors, OB/GYNs, and internists. They’ll be your main doctor for most of your healthcare. But if you need to go to a specialist, you’ll need a referral from your primary care physician.

To stay covered you have to use healthcare providers in the network. And other times you’ll need approval before you get your coverage. This can be a little to restrictive for some, but many find that trade-off is worth it for its affordability.

What Will They Cost?

With an HMO, you'll have to pay premiums and co-payments. Your premiums are the monthly payments to the insurance carrier to keep your plan in effect. The premiums are based on the health and lifestyle of your employees. Here are some examples of what insurance companies will look at:

• The general health of your employees
• Their average age
• The location of their homes
• The location of work

Co-payments are the set dollar amounts that you’ll pay for things like doctor’s office visits and prescription drugs. Usually co-payments for an HMO are around $15.

And the best part of an HMO? Most don't have a deductible..

With the help of our professional agents, you can find an affordable group HMO plan to keep a healthier workforce. And when you’re ready, get your free online quotes to compare plans and save money.