Health Maintenance Organizations (HMOs) are available in certain areas of the United States.

When you enroll in an HMO, you generally must select a primary care physician (PCP) to direct your care and you must use the HMO’s network of providers. You and your covered dependents can each choose a different PCP. If you do not choose a PCP when you enroll in an HMO option, you will be assigned a PCP based on your home zip code. You may change your PCP by contacting the HMO customer service center at the number on your ID card.

Some HMOs require you to name a PCP and obtain referrals to specialists; you are not allowed to self-refer. No benefits are paid if you receive care outside the network, except in emergency situations.

Most of the ACS HMOs do not have a pre-existing condition clause; however, if you are enrolling in an HMO, please contact the ACS HR Workplace Solutions Center to verify the provisions of the HMO.

———————————————————————————————————-

Questions about your employee benefits or other Human Resources issues? Contact the Workplace Solutions Center at (888) 471-2271.