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...have for years offered benefits to workers through cross-border preferred-provider organizations (PPO) that allow their workers to be treated by selected providers in Mexico for a minimal cost. Dental insurers also have long sent patients south. But cross-border medical HMO plans for the general population wereunheard ofuntil the mid-1990s, when Sistemas Medicos Nacionales (SIMNSA), a Tijuana-based HMO, began selling policies to employers in the San Diego area. At the time, there were no rules governing Mexican hmos selling insurance in California. "It was not legal, but it was not illegal," says SIMNSA president...
Finer said it was "not something I everexpected or even thought about the possibility ofuntil very recently...
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