HealthProviders DB is a comprehensive database of healthcare providers, including a complete directory of all Health Maintenance Organizations.
Managed Care Organizations Healthcare Taxonomy Code 302R00000X
As of today, the following are the total number of Health Maintenance Organizations nationally, in your State, and near your location.
Select a State below to view the list by State. Additionally, you can narrow the list by city, among other options, from the Filter Panel, which you can open by clicking the vertical ellipses ⋮ in the upper right corner of the app.
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
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.
The diagram below shows all the Health Maintenance Organizations across the country, represented by blue bubbles. The larger the bubble, the greater the concentration of providers in that area. Red bubbles represent Medicare-excluded providers, with the larger bubbles indicating a higher percentage of excluded providers in that region. You can change the bubble size to be based on exclusions from the Size menu.
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 per office visit to cover the costs of 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.
Exclusive Provider Organizations
Healthcare Taxonomy Code 302F00000X
An EPO is a form of PPO in which patients must visit a caregiver specified on its panel of providers (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 can 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.