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... providers and the plan. HMOs-There are essentially two types of HMOs: staff model plans and independent practice associations (IPAs) . Staff model plans have their own clinical and sometimes hospital facilities. IPAs, also known as foundation HMOs, ' comprise an open panel of physicians and other providers who are contracted with the HMO, but may also provide services to other patients on a private, fee-for-service basis. The IPA sets a capitation payment and payment amounts for covered services. HMOs are closely regulated as to benefits, pricing, method ... , an HMO, or a PPO, an individual Health coverage contract should provide coverage for most of the following, as appropriate for each client: Accidents Alcohol and drug abuse Allergy testing-serum treatment Ambulance and transportation Ambulatory surgery (aka outpatient surgery) Anesthesia Annual physical Assistant surgeon Blood/plasma transfusions Burn ward benefits Chemotherapy Chiropractic (with limitations) Complications of pregnancy Congenital defects benefit Coronary Care Unit (CCU, a.k.a. Coronary Care and Monitoring Unit or CCMU) Dental surgery Dental tumors Family planning benefit Foot care Hemodialysis (limited benefit) ... carriers, wholesalers and service providers. Negotiate lucrative contracts with carriers and wholesalers. Net result. More revenue for your agency! Clients & Prospects will research you, your co-workers and your agency here. The most comprehensive online insurance industry reference library for - Personal Lines Professionals Commercial Lines Professionals Life/Health & Benefits Professionals Online newsletters and content that you can use for your clients and social media efforts. Ability to attach leads and clients to your specific market searches, with e-mail alerts for all the market, articles, blogs and ...

...MOs,' comprise an open panel of physicians and other providers who are contrac...nt of Claim Physical Examination and Autopsy Incontestability ...