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What is an HMO?

What is an HMO?. SHBP Health Maintenance Organization. SHBP HMO.

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What is an HMO?

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  1. What is an HMO? SHBP Health Maintenance Organization

  2. SHBP HMO A HMO provides major medical, treatment of illness including pharmacy coverage only when using in-network providers (except in cases of emergencies). This Plan features certain services that are subject to a deductible and co-insurance which count toward your out-of-pocket maximum. However, co-payments do not count toward your deductible or out-of-pocket maximum. Although you are not required to obtain a referral to a specialist (SPC), you are encouraged to select a primary care physician (PCP) to help coordinate your care.

  3. HMO Specialist office visit co-pay is $55 and PCP $45, after the co-pay, the plan pays 100%. ER Care, $150 co-pay. See Summary in Health Guide for full hospital in/outpatient services schedule.

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