Make sure whatever medical plan you chose one that has coverage for medications. HMO stands for Health Maintenance Organization, which is an organization that provides health care based on a pre-paid group insurance. Each HMO has individual plans describing their particular methods for distributing health care and the services that they provide. HMOs use a system of payment that is called termed prospective reimbursement , which pays doctors before a patient falls ill. This is an attempt to provide incentive to doctors to change their priorities from treating the ill to keeping patients.
Doctors make more money if they keep patients healthy.
The time period is usually divided up into four quarters per year. By contrast, HMO's usually regard a single year as a time period. This is termed retrospective reimbursement , which as described above reimburses the individuals for health care costs after they have become ill. A co-payment is a fee payed by a patient each time he or she sees a health care provider or in some cases when having prescriptions filled. In exchange for the extra patients they receive through the insurance company, the doctors agree to limit their fees to those allowed by the insurance company.