Asked by: Carola Payerle
asked in category: General Last Updated: 27th March, 2020

What is an EPO insurance?

EPO stands for "Exclusive Provider Organization" plan. As a member of an EPO, you can use the doctors and hospitals within the EPO network, but cannot go outside the network for care. There are no out-of-network benefits.

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Subsequently, one may also ask, is it better to have an EPO or PPO?

EPO health plans are often more affordable than PPO plans if you choose a doctor or specialist in your local network. However, while EPO plans are less expensive then both HMO and PPO plans, the cost-savings do not come without drawbacks.

Secondly, how does an EPO insurance work? EPO or Exclusive Provider Organization describes the network of healthcare providers (doctors, hospitals, imaging services) that the health insurance plan is contracted to work with and is willing to compensate for your care. One exception when it comes to provider restrictions is in the event of an emergency.

Consequently, what is difference between EPO and PPO?

A PPO (or “preferred provider organization”) is a health plan with a “preferred” network of providers in your area. An EPO (or “exclusive provider organization”) is a bit like a hybrid of an HMO and a PPO. EPOs generally offer a little more flexibility than an HMO and are generally a bit less pricey than a PPO.

What is EPO insurance type?

An EPO, or Exclusive Provider Organization, is a type of health plan that offers a local network of doctors and hospitals for you to choose from. If you're looking for lower monthly premiums and are willing to pay a higher deductible when you need health care, you may want to consider an EPO plan.

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