Home | Online Self-Service | News and Resources | Our Products | About Us | Privacy Policy | Contact

Insurance Glossary

Find the answers to your insurance questions by clicking on the topic below.

What is....

...an HMO?
...a PPO?
...Indemnity Coverage?
...Point of Service Insurance?
...a Self-funded plan?
...a Voluntary Benefit plan?

Tell me more about...

...Dental Insurance
...Vision Programs
...Disability Insurance
...401K
...COBRA Administration
...Kidcare
...Employee Assistance Programs

Glossary: What's An HMO?

HMO (Health Maintenance Organization) plans offer rich coverage at reasonable costs. Under an HMO plan, each employee or individual chooses a primary care physician (PCP) from the carrier's HMO provider directory, and all routine services are provided by this physician.

If the employee or individual requires a specialist, out patient procedure or hospitalization, they "must" receive a referral from their PCP. This insures that the patient stays within the network, since out-of-network claims are not covered.

Generally, employees and individuals like HMO plans because the benefit structure is usually very high, with comprehensive routine and well-care packages included. Also, there are no claim forms to submit, as all paperwork is done on a referral basis where providers bill the insurance company directly.

The Benefit Source Inc.
340 W. Butterfield Road - Suite 4B - Elmhurst, IL 60126
800.530.1773 | 630.530.0125 | fax: 630.530.0221
Our privacy policy