Read if necessary: Health Maintenance Organizations, or HMO's, sometimes called Individual Practice Associations or IPA's, are plans whose members are required to use only those health care providers who work for the HMO or IPA. Also, members do not have to submit claims costs of medical care services.
[option for providing 5 different plan entries in the original document not presented here. That is "Plan1 - Plan 4" with the same questions asked for Plan 1]
PLAN 1 NAME ____
6a. Is this (name) plan a Health Maintenance Organization or HMO?
No questionnaire text is available for this sample.
b. What is the name of the plan? (Record in Table H.I.)
c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's, surgeon's or dentist's bill?
5a. Is this (name) plan a Health Maintenance Organization or HMO?