What is HMO (Health Maintenance Organization)? | Insurance Exam Prep
Dec 30, 2025
An HMO is a managed care health insurance plan that provides comprehensive coverage at the lowest cost, requiring members to select a primary care physician (PCP) who coordinates all care and provides referrals to specialists within the network.
š Learn more about HMO (Health Maintenance Organization) and other key terms for your LIFE-HEALTH-INSURANCE, PROPERTY-CASUALTY-INSURANCE exam at Open Exam Prep.
šÆ This term appears on: LIFE-HEALTH-INSURANCE, PROPERTY-CASUALTY-INSURANCE
š Full glossary: https://www.open-exam-prep.com/glossary
š HMO (Health Maintenance Organization) definition: https://www.open-exam-prep.com/glossary/hmo
š” Exam Tip: HMO = lowest cost, requires PCP, requires referrals, in-network only. PPO = highest cost, most flexibility. EPO = hybrid (network-only like HMO, no referrals like PPO).
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