Health Maintenance Organization (HMO)
- A health care delivery system where the provider offers a participant a comprehensive range of health services for a fixed premium. The recipient agrees to use only these services (except in cases of emergency) and thereby obtains a broader set of benefits at less cost.
- See, e.g. Rush Prudential HMO, Inc. v. Moran, 536 U.S. 355 (2002) and Pegram v. Herdrich 530 U.S. 211 (2000).
Definition
Illustrative caselaw
Definition from Nolo’s Plain-English Law Dictionary
A group plan for medical insurance in which members prepay a flat fee and are given access to the services of participating doctors, hospitals, and clinics. Members typically make copayments, but do not need to pay deductibles.
Definition provided by Nolo’s Plain-English Law Dictionary.
August 19, 2010, 5:17 pm
