What is an HMO Insurance Plan?

HMO means “Health Maintenance Organization.” HMO plans offer a wide range of healthcare services through a network of providers who agree to supply services to members. With an HMO you’ll likely have coverage for a broader range of preventative healthcare services than you would through another type of plan.

Is an HMO Plan right for you?

If you are looking for a plan with lower premiums or you want a plan without an annual deductible and don’t mind having an out-of-pocket limit. Or you need preventative care services such as coverage for checkups and immunizations then an HMO plan may be the best fit for you.


HMO Plans Accepted By Hoag

  • Aetna Select Choice
  • Blue Shield
  • Blue Shield Net Value/Local Access
  • California Care (Anthem Blue Cross)
  • CIGNA
  • Great-West Healthcare
  • Pacificare

Senior HMO Plans Accepted By Hoag

  • AARP Medicare Complete Secure Horizons Plan 2 by United Healthcare
  • Aetna (Employer Group HMO)
  • Blue Shield 65+
  • Blue Shield 65+ Choice
  • OneCare (HMO SNP)
  • SCAN Classic, SCAN Balance (HMO SNP), SCAN Heart First (HMO SNP), SCAN+

What do I need to do during Open Enrollment if I select an HMO Plan?

If you select an HMO plan during open enrollment, you will be required to select a primary care physician (PCP). Hoag offers a find a doctor tool to help you select your primary care physician provider. Based on your needs and the needs of your family, you may be looking for a doctor who specializes in Family Practice, Internal Medicine, or Pediatrics.

It’s important to note that when selecting an HMO insurance plan, you have several networks within each HMO product to choose from. To ensure you have access to the Hoag Network, be sure to look for the following Medical Groups or Affiliated Physician Groups. To learn more about any of the groups below, just click to learn more.

We want to ensure that when you choose Hoag, you can trust that all future medical services will be performed at Hoag, in our state-of-the-art facilities, by trained and trusted Hoag medical professionals. To ensure you will have access to your preferred Hoag Hospital in Orange County, be sure to select your preferred admitting hospital from the list below:

Hoag Hospital Irvine
16200 Sand Canyon Avenue
Irvine, CA. 92618
(800) 400-HOAG (4624)

Hoag Hospital Newport Beach
One Hoag Drive
Newport Beach, CA. 92663
(800) 400-HOAG (4624)