Insurance and billing
Dental HMO
Also called DHMO, capitation plan, managed care dental
A plan where members pick a contracted office and pay set copays, with little or no coverage elsewhere.
A dental HMO is a managed care plan. Members choose a primary office from the plan's list, pay set copays for services, and often need a referral to see a specialist. There are usually no deductibles, but going outside the network is generally not covered. Some such offices are paid a monthly amount per patient, which is called capitation. Staff should check the plan's copay schedule before quoting costs.
Example at the front desk
She has a dental HMO, so I used the copay schedule on her card to quote the crown.