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Health Maintenance Organization

Health Maintenance Organization (HMO) is a network of physicians and other health care professionals that provide and coordinate an individual’s health care services. Physicians in the HMO are usually reimbursed on a flat rate based on capitation models. Individuals pay a specific copayment based on the benefit plan design.

Note: These definitions are provided only to give you a general understanding of how these words are sometimes used by health insurance companies. Please refer to your coverage documents for a complete list of defined terms that apply to your specific coverage.
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