HMO: Copayments

Those seeking low cost and high quality health insurance may benefit from becoming a member of a health maintenance organization (HMO). HMOs are a type of managed health care provider where the goals include preventative medical care, providing affordable medical coverage as well as helping an individual maintain their health and provide sufficient care in the case ofillness or injury. HMOs are able to provide affordable, quality health care as they have a network of doctors and hospitals under contract and are able to better manage the expenses that way.

Monthly Premiums

When you become a member of an HMO, you will be required to pay a monthly premium to maintain access to the service network system. This premium fee typically covers all the expenses that may be required and no additional money should be required for in-network referrals, surgeries, tests, hospitalization and other specialized care. However, members may incur some minor additional expenses in the form of a copayment, which will be required for in-office visits.

Copayment Basics

Copayments are typically required for HMO doctor visits, so patients are encouraged to take fiscal responsibility for their own care. Many times HMO copayments act as a type of deterrent for those who feel like going to their doctor for every little thing, even those things like common colds. That little bit of money may deter them from wasting both their time and the valuable time of the primary care physician.Copayments are also a nominal way for an HMO to get another revenue stream out of their members. That money can be used to offset the administrative costs that are associated with properly maintaining a medical facility and keeping their records up to date.

Depending on the level of coverage you select through your HMO, you may have no copayment due upon visiting a doctor or you may experience a small charge between $10-$25. Whatever it is, it is well worth the expense to ensure that you are in peak physical condition at all times.