Exclusive Provider Organization (EPO)

Exclusive Provider Organization (EPO)

Sat, 02/15/2020 - 22:50

An EPO is a managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plan’s network — except in an emergency.

EPO's are often compared to Health Maintenance Organizations (HMOs). EPOs are restrictive like HMOs in that they have a limited network of providers.

EPOs are less restrictive than HMOs in that they do not require a primary care physician be selected or a referral to a specialist like HMOs.

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