HMOs Unique Features And Lingo
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HMOs have unique features and lingo such as the following. (For a glossary of terms standard to a variety of health insurance policies, click here.)
- Capitation
- Co-pay
- Formulary
- Gatekeeper
- Medical group (There are several types of medical groups)
- Member
- Network
- Practice guidelines
- Primary Care Physician (also known as "PCP" or "Gatekeeper")
- Provider, also known as Contracting Provider
- Specialist Referrals
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