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  2. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    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 ...

  3. Hawaii Medical Service Association - Wikipedia

    en.wikipedia.org/wiki/Hawaii_Medical_Service...

    In 1972, HMSA introduced the Community Health Program, its first Health maintenance organization (HMO). The Hawaii Prepaid Health Care Act of 1974 required nearly all employers to provide health insurance to full-time employees. In 1980, Health Plan Hawaii was certified as a federally qualified HMO. [4]

  4. Health maintenance organization - Wikipedia

    en.wikipedia.org/wiki/Health_maintenance...

    An HMO may also contract with an existing, independent group practice ("independent group model"), which will generally continue to treat non-HMO patients. Group model HMOs are also considered closed-panel, because doctors must be part of the group practice to participate in the HMO - the HMO panel is closed to other physicians in the community.

  5. From PPO to HMO, what's the difference between the 5 most ...

    www.aol.com/news/ppo-hmo-whats-difference...

    Sign in. Mail. 24/7 Help. ... open enrollment for public health insurance plans begins Nov. 1, 2024, and closes on Jan. 15, 2025. ... out-of-network costs not only require you to file claims but ...

  6. Exclusive provider organization - Wikipedia

    en.wikipedia.org/wiki/Exclusive_provider...

    In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.

  7. Humana - Wikipedia

    en.wikipedia.org/wiki/Humana

    Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2023, the company ranked 42 on the Fortune 500 list, [2] which made it the highest ranked (by revenues) company based in Kentucky. It is the fourth largest health insurance provider in the U.S. [3]

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