One of the benefits you can provide your employees is to enroll them in an HMO plan. Many employees nowadays are very selective and careful about the benefits they’re getting from the company. Some even make it a deciding factor in where to work. If you want your company to remain competitive, and attract and retain the best people, consider offering an excellent and comprehensive HMO plan.
Before we get into the details of HMO, let’s define it first…
What is an HMO?
HMO or Health Maintenance Organization is a type of health insurance plan that provides health services through a network of doctors who work for or contract with the HMO. It enables individuals to receive a wide range of medical services for a small cost since employers subsidize it.
Who is eligible for an HMO?
It really depends on the company. Some offer validity on the first day of working, while others provide this upon regularization. It is important to note, though, that the majority of HMOs require their members to have an active Philhealth account first. Private companies commonly issue HMOs for their employees.
Can I use PhilHealth and HMO at the same time?
Yes, You can use your HMO membership and PhilHealth should you be confined.
Why is Having HMO important?
HMO or Health Maintenance Organization provides financial security to its members since majority of medical procedures, emergency assistance, and confinement are covered.
How Can I Maximize My HMO Plan?
CONFIRM THE HOSPITAL AND DOCTOR NETWORK
You can only use your HMO plan with an accredited doctor and hospital. Check that the network includes the hospitals and doctors you prefer, and ensure the nearest hospital is accredited in case of an emergency.
ENROLL YOUR DEPENDENTS (IF APPLICABLE)
Majority of HMOs allow coverage of your immediate family. If not, ask if it can be added.
AVOID UNNECESSARY EMERGENCY ROOM VISITS
If you go to the hospital beyond clinic hours, you will automatically be directed to the emergency room instead. Consultations done inside the E.R. cost 3x more than outpatient consultations. Unnecessary E.R. consultations cause improper utilization of your HMO plan.
AVAIL THE PRIMARY CARE CLINIC SERVICES.
PCCs are owned by HMO companies and it gives its members access to primary care doctors and basic laboratories. Most HMOs offer perks such as FREE Unlimited consultations, and the cost of laboratory procedures is much lower than major hospitals, hence, lowering your utilization cost.
As of November 2022, there are 29 licensed HMOs in the Philippines. It takes hard work, effort and a lot of time to know and compare which one can give you the best package that matches your wants and needs… that’s what we are here for! Call us at 8995-3577 and let us help you find the most practical solution to your health care needs.