Access: Which HMOs are available where you live or work?
For HMOs see Service Areas
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Benefits: Which of the HMOs offer the benefits you want?
Review benefit information from your employer or the health insurer.
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Health Care Provider: Which of the HMOs include your preferred
doctor or health care provider?
Review the HMO's physician directories and call their
Customer Service Departments.
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Cost: Which of the HMOs fall within your price range?
Review cost
information from your employer or HMOs.
Be sure to consider the amount of copays,
coinsurance or decuctibles.
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Complaints: How does the HMO rank, compared to other insurers?
See
Complaints.
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Prompt Pay Complaints: How does the HMO rank, compared to other insurers?
See Prompt Pay Complaints.
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Internal Appeal: Which HMOs have low reversal rates?
See
Internal Appeals.
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External Appeals: Which HMOs have low reversal rates?
See External Appeals.
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Access and Service: Look at the measures important to you. How do the HMOs
you have chosen perform?
See Access to Care and Service.
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Staying Healthy & Living with Illness: Look at the measures important to
you. How do the HMOs you have chosen perform?
See Staying Healthy and Living with Illness.
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Quality of Providers: Look at the measures important to you. How do the HMOs
you have chosen perform?
See Quality of Providers.
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Grievances: Which HMOs have low reversal rates?
See
Grievances.
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