[Health Insurance] 14, Health Maintenance Organizations HMOs

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The two defining characteristics of an HMO are its prepaid service model and the use of a Primary Care Physician (PCP) as a gatekeeper. - HMO members must use in-network providers, and there is no coverage for out-of-network care except in cases of a true medical emergency. - A referral from t...