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Oxford Health Plans [1] [2] is an American health care company that sells various benefit plans, primarily in New York, New Jersey and Connecticut. [3] [4]As of 2004, it is a subsidiary of UnitedHealth Group, the largest healthcare company in the world, [5] claiming to be "among the first" to allow patients to see specialists without a referral and to offer alternative medicine treatments.
In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.
An EPO plan operates in a more tightly controlled way than a PPO. Under an EPO, a person must seek medical services from providers within the plan's network unless it's a true emergency.
Unlike EPO members, however, PPO members are reimbursed for using medical care providers outside of their network of designated doctors and hospitals. However, when they use out-of-network providers PPO members are reimbursed at a reduced rate that may include higher deductibles and co-payments, lower reimbursement percentages, or a combination ...
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The Oxford Word of the Year for 2023 was rizz, understood as short for "charisma" Natalie Neysa Alund is a senior reporter for USA TODAY. Reach her at nalund@usatoday.com and follow her on X ...
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