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Specialty services require a specific referral from the PCP to the specialist. Non-emergency hospital admissions also require specific pre-authorization by the PCP. Typically, services are not covered if performed by a provider not an employee of or specifically approved by the HMO unless it defines the situation to be an emergency.
Wellcare by Allwell offers several HMO plans that may be available in your area. The names of these plans might differ from state to state. Overall, these plans range in monthly premium costs ...
WellCare Health Plans, Inc. is a health insurance company that focuses mainly on providing government-sponsored managed care services. It offers a variety of Medicare Advantage and Medicare Part D ...
A WellCare bus in Astoria, Queens, New York City. WellCare began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. [5] In 1992, Kiran Patel, a cardiologist and entrepreneur, purchased the company. [6] [7] In 2002, Patel sold it to a New York investment group led by George Soros and Todd Farha. [7]
Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status.
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy.Examples include those branches of medicine that deal exclusively with children (), cancer (), laboratory medicine (), or primary care (family medicine).
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