(1) A form of health insurance in which its members prepay a premium for the HMO?s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Maintenance Organization |
302R00000X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory |
| NPI # | 1255638052 |
||||
| LBN Legal business name | COBERTURAS MEDICAS CORP. | ||||
| Authorized official | ELBA NAVARRO - (FINANCE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/15/2011 | ||||
| Last updated | 05/11/2015 - About 11 years ago | ||||
| Identifiers |
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