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Gastroenterologyth232 SE 7Avenue, Hillsboro, OR97123(503)6401614Randy D. Watson, M.D. Jeremy M. Lake, M.D. PATIENT REFERRALS Curtis J. Larson, M.D. Barry A. Ross, M.D.FINANCIAL POLICYManyHMOplansandotherinsurancecompaniesrequirereferralsfromyourprimaryphysicianprior to our treating you.IT IS YOUR RESPONSIBILITY TO OBTAIN THIS REFERRAL.
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Many HMO plans, or Health Maintenance Organization plans, are types of health insurance that require members to choose a primary care physician (PCP) and obtain referrals to see specialists. They typically have lower premiums and out-of-pocket costs compared to other insurance plans.
Entities that offer HMO plans, such as insurance companies and health care providers, are required to file these plans to comply with state regulations and to provide necessary information to regulators.
To fill out HMO plans, providers should follow the specific instructions provided by the regulatory body, which typically involves providing information on the benefits offered, network providers, plan costs, and any additional disclosures required by law.
The purpose of HMO plans is to provide cost-effective health care services while encouraging preventive care through a network of designated providers and coordinated care management.
Information that must be reported typically includes plan coverage details, provider network information, cost-sharing requirements, benefits, exclusions, and rights and responsibilities of members.
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