Managed Care Organizations Healthcare Taxonomy Code 302R00000X
HealthProviders DB is a comprehensive database of healthcare providers, including a complete directory of all Health Maintenance Organizations.
As of today, the following are the total number of Health Maintenance Organizations nationally, in your state, and near your location.
Medicare
The following are the total number of Health Maintenance Organizations that accept Medicare in your state, the number that have opted out of Medicare, and the total number excluded from participation in Medicare nationwide.
Alaska – Alabama – Armed Forces Pacific – Arkansas – American Samoa – Arizona – California – Colorado – Connecticut – District of Columbia – Delaware – Florida – Federated States of Micronesia – Georgia – Guam – Hawaii – Iowa – Idaho – Illinois – Indiana – Kansas – Kentucky – Louisiana – Massachusetts – Maryland – Maine – Marshall Islands – Michigan – Minnesota – Missouri – Northern Mariana Islands – Mississippi – Montana – North Carolina – North Dakota – Nebraska – New Hampshire – New Jersey – New Mexico – Nevada – New York – Ohio – Oklahoma – Oregon – Pennsylvania – Puerto Rico – Palau – Rhode Island – South Carolina – South Dakota – Tennessee – Texas – Utah – Virginia – Virgin Islands – Vermont – Washington – Wisconsin – West Virginia – Wyoming
Select the State name above or from the HealthProviders DB App filter panel to show the list of Health Maintenance Organizations by State. In addition, you can also narrow the list by City and more from the filter panel.
You can download the Health Maintenance Organizations dataset using HealthProviders DB Export.
What do Health Maintenance Organizations do?
A form of health insurance in which its members prepay a premium for the HMO’s health services, which generally include inpatient and ambulatory care.
For the patient, an HMO means reduced out-of-pocket costs (i.e., no deductible), no paperwork (i.e., insurance forms), and only a small copayment for each office visit to cover the costs associated with the paperwork handled by the HMO.
An organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time.
These health services include a wide variety of medical treatments and consultations, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services.
The HMO may be organized as a group model, an individual practice association (IPA), a network model, or a staff model.
Managed Care Organizations
Exclusive Provider Organizations
Healthcare Taxonomy Code 302F00000X
An EPO is a form of PPO, in which patients must visit a caregiver who is specified on its panel of providers (who is a participating provider).
Point of Services
Healthcare Taxonomy Code 305S00000X
This product may also be referred to as an open-ended HMO and offers a transition product that incorporates features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the network for an additional cost.
Preferred Provider Organizations
Healthcare Taxonomy Code 305R00000X
A group of physicians and/or hospitals that contract with an employer to provide services to their employees.