Health maintenance organization (HMO) definition

Health maintenance organization (HMO) means a public or private health care organization that is a federally qualified HMO under Section 1310 of the U.S. Public Health Services Act. HMOs provide health care services on a capitated, contractual basis.
Health maintenance organization (HMO) means a public or private organization which is licensed as an HMO under commerce department rules 191—Chapter 40.
Health maintenance organization (HMO) means an insurer as defined in s. 609.01 (2), Stats.

Examples of Health maintenance organization (HMO) in a sentence

  • Other Health Coverage – HMOMedi-Cal recipients who receive benefits from a Medicare-contracted Health Maintenance Organization (HMO) are identified with Other Health Coverage (OHC) code “F.” Medi-Cal recipients who also have Medicare HMO coverage must seek medical treatment through the HMO.


More Definitions of Health maintenance organization (HMO)

Health maintenance organization (HMO) means an entity certified by the Florida Department of Insurance under applicable provisions of Part I II of Chapter 641, F.S., or as defined in the Florida Medicaid State Plan.
Health maintenance organization (HMO) means an entity licensed by the office of the insurance commissioner to provide comprehensive medical services directly to an eligi- ble enrolled client in exchange for a premium paid by the agency on a prepaid capitation risk basis.
Health maintenance organization (HMO) means a public or private organization which has received its certificate of authority under Article 67 of Chapter 58 of the General Statutes and which either is a qualified health maintenance organization under Section 1310(d) of the Public Health Service Act or:
Health maintenance organization (HMO) means a Health Maintenance Organization as defined in the Health Maintenance Organization Act (215 ILCS 125/1-1 et seq.).
Health maintenance organization (HMO) means a public or private organization licensed as an HMO under the commerce department, insurance division, 191—Chapter 40.
Health maintenance organization (HMO) means a Health maintenance
Health maintenance organization (HMO) means any person who undertakes to provide or arrange for the delivery of basic health care services to covered persons on a prepaid basis, except for covered person responsibility for copayments or deductibles.