Health Maintenance Organization (HMO)
These are integrated health insurance and provider systems, responsible for hospital, ambulatory, emergency, out-patient and in-patient across all covered individuals.
A system of prepaid health care in which the insured person joins or becomes an enrolled member of a health plan that has received a specific amount of credit limit.
Processing to specific coverage is through approval of Letter of Authority (LOA) to be billed by the Claims Department, on later stage after discharge of patient.
Should Letter of Authorization indicate a maximum coverage limit, excess from the limit will be paid by patient during confinement or prior to the discharge from the hospital.
List of Accredited HMOs