Health Maintenance Organization (HMO)

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Health Maintenance Organization (HMO)

Definition

A health insurance plan often located in a particular geographic region that is generally characterized by providing enrollees with comprehensive medical care from in-network providers and denying coverage for out-of-network care.

Related rules

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— IHC Health Plans, Inc. v. Commissioner

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— State of Iowa, Department of Human Services ex rel. Palmer v. Unisys Corp.

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