Which of the following describes HMO insurance plans?

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HMO insurance plans, or Health Maintenance Organizations, are characterized by lower premiums in exchange for a more structured referral system for specialist care. Within an HMO, members are typically required to select a primary care physician (PCP) who acts as a gatekeeper for referrals to specialists. This requirement helps to control costs and ensures that patients receive coordinated care.

The cost structure of HMO plans usually results in lower premiums compared to other types of health insurance plans. However, to access specialist services or certain medical care, members must first receive a referral from their primary care physician. This emphasizes the HMO's focus on primary care and preventive services while managing overall healthcare expenses.

Instant approval for all services, which could imply no prior authorization steps, does not align with the operational model of an HMO. Additionally, while emergency coverage is usually included in an HMO plan, it does not restrict coverage solely to emergencies or limit access to care exclusively during emergencies.

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