Statements (30)
| Predicate | Object | 
|---|---|
| gptkbp:instanceOf | 
                                    
                                        
                                            gptkb: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  | 
                            
| 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_Advantage_Plans  | 
                            
| gptkbp:bfsLayer | 
                                    
                                        
                                            
                                            5
                                        
                                        
                                         | 
                            
| https://www.w3.org/2000/01/rdf-schema#label | 
                                    
                                        
                                            
                                            HMO plans
                                        
                                        
                                         |