Health Maintenance Organization (HMO) Plan
About the HMO Plan
The HMO plan is available in the Central, East, South Central, Southwest, and West Regions.
The Health Maintenance Organizations (HMOs) feature low copayments for your health care needs. HMOs work on the premise that more costly services are reduced by providing preventive care and early detection. Joining an HMO means medical care must be received in an HMO facility and by an HMO physician, except for emergencies and pre-approved services. Network providers must meet specific credentialing standards.
- Available Services
- Sample of Benefits
- HMO Plan Use Guides
How to Use the HMO Plan
- Primary Care Physician (PCP)
- Speciality Care
- Pre-Authorization
- Care Received Outside the Service Area
- Urgent Care
- Emergency Care
- Continuation of Care
- Claims for Non-Network Providers
- Out-of-Pocket Maximums
- Coordination of Benefits
Contact Your HMO Plan
Coventry Health Care of Kansas HMO
- Web Site: www.chckansas.com
- Phone: 866-611-7337 or 8168-941-3030
Mercy Health Plans HMO (Central and East Regions)
- Web Site: www.mercyhealthplans.com
- Phone: 866-785-5848 or 314-214-2370
Mercy Health Plans HMO (South Central and Southwest Regions)
- Web Site: www.mercyhealthplans.com
- Phone: 800-836-0402 or 417-836-0402