HMOs in Nigeria, The Good and the Bad.

HMO in Nigeria
HMO Insurance in Nigeria
August 24, 2016
HMO insurance
HMO Insurance Plans and Cost in Nigeria
August 24, 2016

HMOs in Nigeria, The Good and the Bad.

The presence of large number and expert HMO in Nigeria has allowed many individuals to gain benefit.

It has provided a new era in the health care and revolutionized how top health insurance is carried out.

There are numerous well-documented benefits of HMO insurance but it has certain drawbacks as well.

This article discusses both sides of the coin in detail.

Advantages of HMO

  • When an HMO partners with a network, the policyholders are recipients of special benefits. The

    most significant one is managing health care costs and keeping them under control. When not

    given proper attention, health care providers can charge significant prices for their services. An

    HMO, however, informs the health care providers in the network what they can and cannot

    charge. This helps users from unnecessary costs.

  • Most HMO’s have a diverse network of doctors. There is a very reasonable chance that one’s

    current doctors are part of this network. Physicians often join in numerous popular health care

    networks in their local proximity. So there are high chances to get the top health insurance

    services from specialized doctors or specialists.

  • In HMOs, benefits covered are very thorough. However, in traditional plans, these can be

    inadequate and vary with the price of the plan.

  • HMOs usually require a small amount of payment for medications. HMOs help in keeping drug

    costs down by generally prescribing only the generic form of drugs and medications. But in

    traditional health care, drugs may or may not be covered.

Disadvantages of HMO

  • One drawback of HMO is the restriction of providers in a certain network. If, however, one

    decides to go out of network, they may incur significant medical bills and might have to pay for

    everything out of their own pocket. Therefore, you have to be careful where you go for medical

    care. The only exception is when you have a medical emergency. However, you still have to be

    careful because the HMO might not agree with you about what makes up an emergency.

  • Most HMOs require you to make a co-payment with each visit. If you develop a persistent

    condition, you may have to pay several payments to get everything taken care of. These costs

    can add up quickly.

  • If you require specialized care you may have problems under an HMO plan. You are first

    required to obtain a network referral. If you secure a specialist outside the HMO health

    insurance network or do not obtain a referral, any charges incurred with regard to this specialist

    will not be covered by your HMO insurance plan.

In conclusion, an HMO insurance plan needs adequate and proper consideration before going through

with the adoption.