JEFFERSON CITY -If you're an HMO enrollee, you may need a scalpel to dissect the measures flooding the House and Senate committees. Here are some of the major requirements the various bills would impose on HMOs:
Establishment of "community rates," which would mean premiums for coverage would be based only on age, family size and geographic area.
Disclosure of plan information to enrollees, including doctor lists, costs and a detailed plan coverage.
Coverage of pre-existing conditions.
Coverage of minimum hospital stays of both mother and newborn - 48 hours for vaginal delivery and 96 hours for C-section delivery.
Notification of 90 days to doctors before dropping them from the plan.
Notification of why a doctor was dropped from a plan.