Top
20
Doctor insights on: Straight Medicare Vs Hmo

Share
1

1
How do you change from a hmo health plan back to straight medicare?

How do you change from a hmo health plan back to straight medicare?

HMO: There are benefits to joining a medicare hmo. Seniors benefit from these plans the most. Take care in choosing the plan that best fits you! ...Read more

See 1 more doctor answer
Dr. John Gore
944 doctors shared insights

Medicare (Definition)

Medicare is a federal program that pays for certain health care expenses of individuals who are 65 years or older. It is divided into three parts, with Part A covering hospital bills, Part B covering doctor bills, and Part C providing the option to choose from a package of health care plans. Individuals who have Medicare ...Read more


2

2
What changes were made since 2008 in terms of medicare, medicaid & hmo/ppo insurance reimbursements of dme, mobility, bath safety & orthopedic items?

This is a great: Question and ive tried to do some searching to give a concise answer but i cannot find a study that isolates this data. If you go to cms website and drill down to search the term dme http://www.Cms.Gov/site-search/search-results.Html?Q=dme you see how hard it is to give a quick answer, ( have you read an article in hfn or elsewhere that gives this data? If so please share. ...Read more

3

3
What are the top hmo companies in the philippines?

TOP ONES ARE: Medicard caritas health maxicare these are the only ones i know from us good luck in philipinnes. ...Read more

4

4
What's the difference between an hmo and a ppo?

Different menus: Hmo health maintenance organization will often have you see your primary care provider before seeing a different kind of specialist if additional help is needed. Ppo preferred provide organization means you can refer yourself to a different specialist without seeing your primary care doc first. Read the fine print. Check out your drug coverage, deductible, how much preventive care, tests covered. ...Read more

5

5
What is the difference between an hmo and a ppo?

Different menus: Hmo health maintenance organization will often have you see your primary care provider before seeing a different kind of specialist if additional help is needed. Ppo preferred provide organization means you can refer yourself to a different specialist without seeing your primary care doc first. Read the fine print. Check out your drug coverage, deductible, how much preventive care, tests covered. ...Read more

6

6
How will a health maintenance organization (hmo) work?

How will a health maintenance organization (hmo) work?

THEY WORK FOR PROFIT: Hmos are for profit businesses, whose main purpose is to make profit for their investors.Examples are united heathcare, oxford health plan, aetna health plan, etc the health of individual is seconadary purpose for them in my opinion they deny care and lot of times against your doctors orders and rest you can see their growth on wall street i call it socialised medicine for profit. ...Read more

See 1 more doctor answer
7

7
Am not sure how much coverage an aetna hmo plan will give?

Am not sure how much coverage an aetna hmo plan will give?

Horse's Mouth: Get it straight from the horse's mouth! recommend checking the source. Contact your health insurance company directly. You should be able to get info online or printed. Check out preventive care, drug coverage, co-pays, tests. Congrats on being a smart shopper. Good luck! ...Read more

8

8
How can I find a dentist that will accept my hmo as full payment?

How can I find a dentist that will accept my hmo as full payment?

Contract: Your hmo/dmo has a contract with various providers. These providers have agreed to treat you at a specific, reduced fee. That reduced fee includes copayments from you. This is the agreement your employer has with the insurance carrier and your dentist. ...Read more

See 6 more doctor answers
12

12
Hello - i'm curious what is an hmo plan?

Health Maintenance O: Hmo health maintenance organization will often have you see your primary care provider before seeing a different kind of specialist if additional help is needed. Ppo preferred provide organization means you can refer yourself to a different specialist without seeing your primary care doc first. Read the fine print. Check out your drug coverage, deductible, how much preventive care, tests covered. ...Read more

13

13
Do you have doctors that accept hmo insurance?

Do you have doctors that accept hmo insurance?

HMO directory: Your hmo directory will help find someone near. Calling number on your card another source of information. Online you can look up where they are located at your hmo's website. ...Read more

14

14
Can there be any individual hmo plans w/ self-referral?

Can there be any individual hmo plans w/ self-referral?

Very Unlikly: Health Maintenance Organizations, HMO, were developed to maintain health, prevent diseases and avoid unnecessary testing or treatment. They try achieving this by the use of a primary physician as a gate keeper. In other words, he is knowledgeble and would decide if your complaint is a problem, can he handle it, or what to do first before referring you to a specialist. ...Read more

16

16
Why are there fewer doctors who accept hmo plans than ppo?

Restrictions/payment: Many hmo plans make it difficult for the doctor to take care of patients, requiring preauthorizations for lab tests and other 'routine' interventions.Doctors offices need to increase the number of their employees in order to 'manage the paperwork' and this increase expense of being a doctor is only exacerbated by the declining payments that the doctor has to accept if they participate. ...Read more

17

17
Why are a lot of doctor turning down HMO and turning concierge?

Why are a lot of doctor turning down HMO and turning concierge?

Healthcare is costly: The cost of keeping a medical office running has gotten very high, and the HMO fees collected from patients and their insurers have not kept up with the costs such as rent, supplies, nurses, etc... Thus, many doctors have to see 4 patients an hour just to keep their clinics operating. One can help his doctor by avoiding HMO's. With Concierge practices, patients pay a bit more but get more time. ...Read more

18

18
Can anyone explain to me the difference between an hmo ppo and blue cross?

Blue Cross both: Bx has both hmo and ppo plans. Hmo: see your primary care doc first and seek other specialist care as needed. Ppo: you can self refer to other specialist care. Difference in deductibles, co-pays, drug coverage, tests. ...Read more

See 1 more doctor answer
19

19
What is hmo chiropractor and why do people say its quackery?

What is hmo chiropractor and why do people say its quackery?

Quackwatch.org: Here is a good link to your question. http://www.quackwatch.org/01quackeryrelatedtopics/chirosub.html. ...Read more

20

20
Moth burns, no Silvia , can't get answers, have HMO every doc says can't help me..they don't know what it is.

Moth burns, no Silvia , can't get answers, have HMO every doc says can't help me..they don't know what it is.

Dry mouth: can be a sign of sjogren's syndrome. for starters use a mouthwash that rehydrates your mouth and drink a lot of water, see a rheumatologist who can evaluate this properly. ...Read more

Dr. James Krick
19 doctors shared insights

Hmo (Definition)

HMO stands for health maintenance organization, which is a kind of health insurance. An HMO consists of a group of physicians, specialists and member hospitals. As a patient using an HMO, you agree to use a physician or specialist from within ...Read more