Health Maintenance Organization (HMO) Plans
GPTKB entity
Statements (57)
| Predicate | Object |
|---|---|
| gptkbp:instance_of |
gptkb:Health_Insurance
|
| gptkbp:can_help_manage |
healthcare utilization
|
| gptkbp:can_include |
hospitalization coverage
mental health services specialist consultations referral requirements wellness and preventive screenings |
| gptkbp:can_lead_to |
better health outcomes
|
| gptkbp:can_provide |
chronic disease management programs
access to specialists with referrals |
| gptkbp:emphasizes |
cost-effective care
|
| gptkbp:encourages |
healthy lifestyle choices
|
| gptkbp:enhances |
gptkb:healthcare_access
|
| gptkbp:focuses_on |
coordinated care
|
| gptkbp:has_limitations |
out-of-network coverage
|
| https://www.w3.org/2000/01/rdf-schema#label |
Health Maintenance Organization (HMO) Plans
|
| gptkbp:is_a_choice_for |
those seeking lower healthcare costs
|
| gptkbp:is_a_form_of |
healthcare delivery system
|
| gptkbp:is_associated_with |
lower out-of-pocket costs
|
| gptkbp:is_beneficial_for |
low-income individuals
individuals needing regular care |
| gptkbp:is_characterized_by |
lower premiums
|
| gptkbp:is_designed_for |
preventive health
|
| gptkbp:is_designed_to |
manage chronic conditions
|
| gptkbp:is_evaluated_by |
cost-effectiveness
member satisfaction ratings |
| gptkbp:is_known_for |
emphasis on preventive care
|
| gptkbp:is_often_associated_with |
lower emergency room visits
|
| gptkbp:is_often_compared_to |
gptkb:Preferred_Provider_Organization_(PPO)_plans
Health Savings Accounts (HSAs) |
| gptkbp:is_often_involved_in |
employee health benefits packages
|
| gptkbp:is_often_used_in |
families seeking comprehensive coverage
|
| gptkbp:is_popular_for |
young families
its comprehensive coverage options employers for employee benefits |
| gptkbp:is_popular_in |
gptkb:United_States
|
| gptkbp:is_regulated_by |
state insurance departments
|
| gptkbp:is_subject_to |
network restrictions
|
| gptkbp:is_typically_less_expensive_than |
traditional indemnity plans
|
| gptkbp:may_have |
network of providers
|
| gptkbp:may_limit |
choice of healthcare providers
|
| gptkbp:may_require_members_to |
use in-network providers for coverage
|
| gptkbp:offers |
telehealth services
wellness programs managed care services |
| gptkbp:provides |
preventive care services
|
| gptkbp:provides_access_to |
preventive health screenings
|
| gptkbp:reduces |
healthcare costs
healthcare disparities |
| gptkbp:requires |
primary care physician
prior authorization for certain services copayments for services meet certain quality standards |
| gptkbp:requires_members_to |
choose a primary care doctor
|
| gptkbp:type_of |
gptkb:health_services
|
| gptkbp:bfsParent |
gptkb:Kemper_Life_and_Health_Insurance
|
| gptkbp:bfsLayer |
7
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