A Health Maintenance Organization(HMO) is a type of health plan that offers a wide range of healthcare services through a network of providers who agree to supply services to members. Kaiser Permanentemanages the HMO plan offered by Snohomish County. Here is a brief list of the pros and cons of opting for a HMO plan.
Advantages
- You will have the opportunity to choose a designated primary care physician
- You will have a network of providers available to your to coordinate your care
- Typically have lower monthly premiums
- Typically lower out of pocket expense
Disadvantages
- If you need specialized care, you will need a referral from your primary care physician to an in-network provider
- Must see in-network providers for care-less flexibility than a PPO plan
Highlights
Your Kaiser Permanente medical plan provides you with:
- Core Care options-Doctor Appointment, CareClinic, Urgent Care, Nurse Consult, Care Chat, Online Visit, Email your Doctor
- Acupuncture- 8 visits per medical diagnosis per calendar year without prior authorization ($20 co-pay)
- Cancer Screening-Covered as part of Preventative Services according to the Kaiser Wellcare Plan
- Diabetic Education and training available ($20 co-pay)
- Manipulative Therapy of the spine and extremities-up to ten visits per year ($20 co-pay and some exclusion apply)
- Nutrition Counseling ($20 co-pay)
- Naturopathy-3 visits per diagnosis per calendar year without pre-authorization ($20 co-pay; additional visits covered with preauthorization)
Perks & Benefits
- Healthy Resources - Manage your care online and get Wellness Support to meet your health goals
- Care Clinic Locations
- Global Fit Fitness Discounts
- Life Programs
- Lose Weight
- Quit Smoking
- Manage Diabetes
- Manage Chronic Pain
- Eat Healthy
- Manage Depression
- Get a good night’s sleep
- Reduce Stress
- Living Well Workshops
- Quit for Life
