Organizations (EPOs) are just one of the many different types of agreements between medical insurance companies and health care providers. Learn about EPOs and how they differ from health maintenance organizations (HMOs) and preferred provider organizations (PPOs).
Features
EPOs will only cover your medical expenses if the provider you see is part of the network.
Benefits
EPO health plans are often cheaper than PPOs or HMOs. With a good selection of specialists and adequate emergency care options, this can be a great way to save money on health insurance.
Considerations
Examine the network of physicians before agreeing to an EPO. they offer specialists that you need. Make sure the emergency care options are reasonable, and close to your home. A large company that offers an EPO may have a large network of physicians near its main office and fewer to serve the outlying areas.
Geography
EPOs aren't legal in every state. In the United States, they are not recognized by federal law. They are available only in states who haven't specifically disallowed them or have made regulations to allow them. California was the first state to recognize Exclusive Provider Organizations.
Warning
Always understand your policy. Seeking medical care, even in an emergency, from a clinic or physician outside of the EPO network can make you personally liable for the expense. EPOs typically do not cover even emergency treatment outside the network. If you're traveling or if your EPO emergency provisions aren't adequate, you could end up in debt.
Tags: care options, emergency care, emergency care options, even emergency, Exclusive Provider, Exclusive Provider Organizations, Make sure
