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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 primary care doctor can help people with most healthcare needs. However, an insurance company may ask for a written referral from a doctor when a person needs specialist care.
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.
In November 2012, Wellcare acquired Easy Choice Health Plan in California. [26] UnitedHealthcare's South Carolina Medicaid business was acquired in February 2013. [27] In April of that year, Aetna's Medicaid business in Missouri, Missouri Care, was acquired. [28] The Windsor Health Group was acquired by WellCare in January 2014. [29] [30]
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.
However, this added flexibility comes at a cost. Patients are required to have a PCP, and referrals are needed to see a specialist. This plan comes with regular copays and an average higher ...
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 ...