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A Health Maintenance Organization plan. You must use in-network providers and get referrals from your primary care doctor to see specialists.

Data verified:

April 26, 2026

HMO

A Health Maintenance Organization plan. You must use in-network providers and get referrals from your primary care doctor to see specialists. Learn about pros, cons, and coverage details. Get free guidance from licensed agents.

Pros

Lower monthly premiums
Coordinated care through a primary doctor
Often includes extra benefits like dental and vision
Predictable out-of-pocket costs

Cons

Must use in-network providers
Referrals required for specialists
Limited flexibility for out-of-network care
Coverage varies by region

Plan type

Is a

HMO

right for you in NC or SC?

Skyler Abilla helps you compare plan types.