Statements (31)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:coveredServices |
emergency care
mental health services prescription drugs doctor visits hospitalization |
| gptkbp:coverPreventiveCare |
true
|
| gptkbp:doNotCoverOutOfNetwork |
except emergencies
|
| gptkbp:feature |
lower out-of-pocket costs
lower premiums emphasis on prevention limited provider choice |
| https://www.w3.org/2000/01/rdf-schema#label |
HMO plans
|
| gptkbp:introducedIn |
1970s
|
| gptkbp:mayHaveCopayments |
yes
|
| gptkbp:mayHaveDeductibles |
yes
|
| gptkbp:networkRestriction |
in-network only
|
| gptkbp:offeredBy |
insurance companies
|
| gptkbp:originatedIn |
gptkb:United_States
|
| gptkbp:regulates |
state and federal laws
|
| gptkbp:requireEnrollment |
yes
|
| gptkbp:requirePrimaryCarePhysician |
true
|
| gptkbp:requireReferralsForSpecialists |
true
|
| gptkbp:standsFor |
gptkb:Health_Maintenance_Organization_plans
|
| gptkbp:targetMarket |
families
individuals employers |
| gptkbp:bfsParent |
gptkb:Medicare_Part_C
gptkb:Medicare_Part_D gptkb:Medicare_Advantage_Plans |
| gptkbp:bfsLayer |
5
|