(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 | |||
Case Management |
251B00000X |
| NPI # | 1730459900 |
| LBN Legal business name | METROPLUS HEALTH PLAN INC. |
| Authorized official | JOHN CUDA - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/05/2012 |
| Last updated | 01/05/2012 - About 14 years ago |
| Identifiers | n/a |
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