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HMO, PPO, EPO and POS are all different kinds of health insurance, each offering different coverage for doctors, hospitals and other health care providers. Learn more.
An EPO health plan is a managed health insurance plan that requires you to see healthcare providers within the EPO network. EPO plans won't usually pay for out-of-network care except in an emergency situation.
Explore the differences between HMO, PPO, and EPO health plans. Compare premiums, out-of-pocket costs, and out-of-network coverage for each plan.
Are you wondering what an EPO plan is? Learn about exclusive provider organizations and understand what benefits an EPO insurance plan provides.
Learn how HMO, PPO, EPO, and POS health plans differ. Understand how each type of health insurance works so you can choose what's best for you.
Learn how an exclusive provider organization (EPO) health insurance plan works, and how it differs from other types of health insurance plans.
An exclusive provider organization, or EPO, is a health insurance plan that only allows you to get health care services from doctors, hospitals, and other care providers who are within your network. Your insurance will not cover any costs you get from going to someone outside of that network.
An exclusive provider organization (EPO) insurance plan contracts with a network of doctors, hospitals and other health professionals to provide services to subscribers. An EPO allows for in-network specialty care without a referral but will not cover out-of-network services except in emergencies.
Exclusive Provider Organization (EPO) insurance plans have a specific list of doctors and hospitals you can visit. These providers are called “in-network” because they have agreements with the insurance company to offer care at lower prices.
An Exclusive Provider Organization (EPO) health insurance plan requires you to use the doctors and hospitals within its own network, much like a Health Maintenance Organization (HMO). EPO plans make up 31% of all plans selected in the ACA marketplace.