05/02/2019
What is HMO?
HMO stands for Health Maintenance Organization.
Republic Act 7875 (National Health Insurance Act of 1995) defines it as an “entity that provides, offers, or arranges for coverage of designated health services needed by plan members for a fixed prepaid premium.”
By themselves, HMOs are not healthcare providers. Rather, they’re the middlemen between healthcare providers and patients.
How Does HMO Work?
An HMO gives members access to its network of healthcare providers—including doctors, dentists, hospitals, and clinics—through prepaid health products for a monthly, quarterly, semi-annual, or annual fee.
Standard HMO Benefits in the Philippines
You can get these standard benefits through an HMO company:
* Out-patient care (consultations, laboratory and diagnostic tests, etc.)
* In-patient care (hospitalization, operating room and recovery room, professional fees, etc.)
* Emergency care (professional fees, hospital bills, emergency room, medicines for treatments, etc.)
* Preventive care (annual physical exam, immunizations, etc.)
Want to know more about the Best HMO in the PHILIPPINES?
