Health Maintenance Organization FAQ's
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FAQ Main Page |
| Q. What is an HMO? |
| A. An HMO is an alternative method for the
delivery of health care services, with a view toward achieving greater
efficiency and economy in providing these services. Health Maintenance
Organizations are prepaid health care plans. |
| Q. I had HMO group coverage through my employer.
Recently, I terminated employment and moved to Florida. My employer has over
twenty employees, but he says I can't have a COBRA extension. Why not?
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| A. Because the subscriber left the geographic
area of the HMO with the intent to relocate or establish a new residence
outside the organization's geographic area.
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| Q. Are newborn and adopted children automatically
covered under an HMO program? |
| A. All HMO contracts which provide coverage,
benefits, or services for a member of the family of the subscriber shall
provide coverage, benefits, or services with respect to an adopted child from
the moment of placement in the residence of the subscriber. In the case of a
newborn, coverage shall begin from the moment of birth, if a written agreement
to adopt such a child has been entered into by the subscriber prior to the
birth of the child.
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