HMO malpractice is a common problem that results from financial incentives being offered by HMOs to doctors who can be encouraged not to refer patients to specialists or who may even refuse to hospitalize patients that require it.
At Law Offices of Cytryn & Velazquez, P.A., we concentrate our time and resources on those cases of HMO malpractice and negligence that involve catastrophic injury or death. If you or a loved one has suffered serious harm due to a lack of care for the reasons mentioned above, our Coral Springs HMO malpractice attorneys will fight for your right to just compensation and care.
What is an HMO?
Health maintenance organizations, or HMOs, are a popular form of health insurance in the United States. HMOs have their own exclusive network of doctors, hospitals, and other healthcare providers and facilities that offer their services to members at a set cost. HMOs typically offer lower monthly premiums than other insurance plans.
HMOs place certain restrictions on doctors who can accept patients with such insurance. Patients who require the care of a specialist must first visit their PCP (primary care physician) who can then provide a referral to a specialist within the HMO’s network. Even though HMO costs are generally lower than other types of health insurance, they don’t cover out-of-network care unless there is a serious emergency.
How Healthcare Providers Use HMOs to Commit Malpractice
If you or someone you loved has suffered a serious injury due to an HMO's negligence, you may be able to collect monetary damages that will cover your losses, such as your related medical bills, pain and suffering, lost wages from missed work, and, in some cases, punitive damages.
Examples of HMO malpractice you may be able to file a claim for include:
- A physician covered by your HMO failed to order necessary diagnostic tests to help treat you
- You were denied medication by your HMO plan, which lead to further harm
- You were incorrectly given a medication that caused injury
- You were subject to a delayed or missed diagnosis
- Your medical condition became worse as a direct result of being denied care by your HMO
- Your primary care physician failed to refer you to a doctor or facility outside of your HMO network when it could have helped improve your condition
- Your primary care physician failed to refer you to a specialist for treatment
Contact an HMO Malpractice Attorney in Your Area
HMOs are notoriously difficult to sue for medical malpractice. However, if you have suffered genuine harm as the result of HMO malpractice, you can successfully win a lawsuit with a skilled lawyer by your side. An experienced HMO malpractice attorney understands the complexities of the HMO system and the tactics used by negligent medical practitioners and facilities to fight back against claims of wrongdoing. They can help you figure out if you or a loved one have suffered negligence at the hands of an HMO or an HMO healthcare professional and calculate how much in damages you are entitled to receive.
Don’t suffer alone if you have been the victim of medical negligence. Call (954) 833-1440 to receive the aggressive and personalized legal representation you deserve.
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