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Maccabi Sherutei Briut
Maccabi Health Services (Hebrew: מכבי שירותי בריאות, formerly Maccabi Fund for the Ill, Hebrew: קופת חולים מכבי), known as Kupat Holim Maccabi, is one of the four Health Maintenance Organizations (HMOs) currently active in Israel. It was founded in September 1940 and began operating in August 1941. Since 1995 Maccabi has been operating under the National Health Insurance Law. Membership fees for HMOs in Israel are legally determined and are collected from those entitled to membership by the Institute for National Insurance. Maccabi’s services are based upon the Israeli National Health Services Basket and the Maccabi Services Basket. Maccabi members can benefit from additional paid coverage through the Additional Health Services. Maccabi has three levels of Additional Health Services on offer: Maccabi Silver, Maccabi Gold, and Maccabi Sheli. As of 2020, Maccabi Healthcare Services is the second largest Kupat Holim in Israel, with almost 2.4 million m ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Maintenance Organizations
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options if the employer offers traditional healthcare options. Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status. Operation HMOs often require members to select a primary care phy ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |