Frequently Asked Questions
- What is an HMO?
HMO stands for Health Maintenance Organization, a health care system that assumes or shares both the financial risks and the delivery risks associated with providing comprehensive medical services to a voluntarily enrolled population in a particular geographic area, usually in return for a fixed, prepaid fee.
- What is an PPO?
A Preferred Provider Organization (PPO) is an arrangement designed to supply health care services at a discounted cost by providing incentives for members to use designated health providers (who contract with the PPO at a discount), but which also provides coverage for services rendered by health care providers who are not part of the PPO network.
- How often can I see my doctor?
You get one no-cost annual wellness visit every 365 days.
- In-network: You pay $10 per visit.
- Out-of-network: You pay $30 per visit.
- What are Medicare Advantage Star Ratings?
The Stars program is a publicly visible Star rating that highlights the quality outcomes and member satisfaction scores for a health plan.