A medical health insurance plan providing entry to medical providers inside a specified community of healthcare professionals and services working within the District of Columbia. This explicit plan, characterised by its HMO construction, typically necessitates a referral from a main care doctor to seek the advice of specialists. The “Gold” designation sometimes signifies the next degree of protection with probably decrease out-of-pocket bills in comparison with different tiers. For example, a person enrolled on this plan would possibly want a referral from their designated main care doctor to see a dermatologist inside the community to make sure protection.
Accessing healthcare by means of a plan like this affords the benefit of predictable prices and coordinated care. By using in-network suppliers, plan members profit from pre-negotiated charges, decreasing monetary burden. The referral system ensures that sufferers obtain applicable care and keep away from pointless specialist visits, contributing to environment friendly healthcare administration. The historic context of HMOs displays an effort to regulate healthcare prices whereas sustaining high quality, emphasizing preventative care and managed entry to providers.
