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HMO Plans 2016

HMO Plans

Memorial Hermann Health Plan is a trusted provider of affordable HMO health care solutions for small and large businesses throughout Greater Houston. With our Select HMO Plans, you not only get the highest quality care at the best possible price, you also get something no other insurance provider can offer: a unique relationship with Memorial Hermann, one of the largest and most trusted nonprofit health systems in the nation.

Small Group Select HMO Plan

Memorial Hermann Health Plan is a trusted provider of affordable health care solutions for small businesses throughout Greater Houston. With our Small Group Select HMO Plan, you not only get the highest quality care at the best possible price, you also get something no other insurance provider can offer: a unique relationship with Memorial Hermann, one of the largest and most trusted nonprofit health systems in the nation.

2016 Small Group Select HMO details are listed below or download our 2016 Brochure. For 2015 plan information, download our 2015 Brochure.

To view Small Group Select HMO Plan summaries, visit our Resource Center.

 Select Gold
001 HMO
Select Silver
2500-100 HMO
Select Bronze
6800 HMO
Deductible$0$2,500$6,850
Family Deductible (For Display Only)$0$5,000$13,700
Out-of-Pocket Maximum (Individual)$6,850$4,000$6,850
Out-of-Pocket Maximum (Family)$13,700$8,000$13,700
Member Coinsurance0%0%0%
PCP$40$35$40
Specialist$60$70$100
Telemedicine/Telehealth$0$0$0
Urgent Care$80$50$50
Emergency Room$500$0 after deductible$750
Hearing & Speech Exams$80$0 after deductible$40
Independent & Outpatient Lab/Pathology$40$0 after deductible$100
Radiology/X-rays$80$0 after deductible$0 after deductible
MRI/Scans/Nuclear Medicine$500$0 after deductible$0 after deductible
Inpatient Hospital$400/day for first
3 days of admission
$0 after deductible$0 after deductible
PT/OT/Chiro$80$0 after deductible$0 after deductible
Retail Generic Rx$0$0$0
Retail Brand Rx$50$50$0 after deductible
Retail Non-Formulary Brand Rx$100$100$0 after deductible
Retail Specialty Rx$200$200$0 after deductible

Large Group Select HMO Plan

Memorial Hermann Health Plan offers a range of solutions created specifically for large group employers interested in providing high quality care options at an affordable price. With our Large Group Select HMO Plan, your employees get the quality, affordability and access they need, as well as something no other insurance provider can bring to the table: a unique relationship with Memorial Hermann, one of the largest and most trusted nonprofit health systems in the nation.

2016 Large Group Select HMO details are available in our 2016 Brochure. For 2015 plan information, download our 2015 Brochure.

To view Large Group Select HMO Plan summaries, visit our Resource Center.

HMO Member Quick Reference Guide

As a member of Memorial Hermann Health Plan, you'll have access to the high-quality, award-winning resources of the Memorial Hermann Health System. For our members that means safer, more coordinated care with better outcomes and reduced costs.

Our plans encourage timely preventive care and screenings to help your doctor identify health risks before you get sick. If you have a chronic condition, doctors and care managers work as a team to manage your health – and your healthcare costs.

Your Memorial Hermann Health Plan gives you access to 12 hospitals, 6 urgent care and walk-in facilities, and 2 convenient care centers, doctors from every specialty, who are united in a common commitment to coordinated health care and patient safety. They practice evidence based medicine proven to result in better outcomes and shorter hospital stays.

We're right here in Houston when you need us. Our HMO network includes three counties: Ft. Bend, Harris and Montgomery. We've prepared this flyer to put our healthcare resources at your fingertips.