Skip to Content

health maintenance organization HMO

A health maintenance organization is an organization that offers, provides, or arranges for coverage of designated health services needed by plan members under a prepaid per capita or prepaid aggregate fixed-sum basis.

On This Page

health maintenance organization HMO

A health maintenance organization is an organization that offers, provides, or arranges for coverage of designated health services needed by plan members under a prepaid per capita or prepaid aggregate fixed-sum basis.

Additional Information


Services are provided through contracts and other arrangements into which the HMO enters with healthcare providers. With limited exceptions, persons enrolled in an HMO must receive healthcare benefits through these contract providers or no insurance benefit is provided.

Related Terms