Medical Insurance Epo

A type of managed care health insurance, EPO stands for exclusive provider organization. EPO health insurance got this name because you have to get your health care exclusively from health care providers the EPO contracts with, or the EPO won’t pay for the care.. 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. ... Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), .... 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). As an EPO member, you cannot go outside your plan’s network for care. Also note that there are no out-of-network benefits under an EPO health insurance plan.. This money saving perk is why many patients choose EPO insurance over other options like PPO insurance. However, while EPO plans are less expensive then both HMO and PPO plans, the cost-savings do not come without drawbacks. As an EPO’s network is limited, your existing doctor may not be part of the network, forcing you to switch providers..

2020 Open Enrollment is over, but you may still be able to enroll in 2020 health insurance through a Special Enrollment Period. ... Exclusive Provider Organization (EPO) Plan. 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). Related Content.. The differences between HMO, PPO, POS, and EPO health care plans can be confusing. HMO, PPO, POS and EPO's are all types of managed healthcare plans. Each type of health insurance plan will offer different options to obtain services, these services are obtained through a network..

EPO is the acronym for Exclusive Provider Organization, an exclusive network of doctors, hospitals and other medical facilities. Under EPO health insurance plans, you will not receive any coverage out-of-network. Why will you look for an EPO health insurance plan? When you do not need a Primary Care Provider (PCP). One Medical is only in network with specific ACA-related plans sold via the Health Insurance Marketplace, which are listed above. For individual and family health plans purchased privately (outside of an employer) through an insurance company, broker, or small business group, please be aware that if we’re not in network with their Exchange counterparts, we may not be in network with those plans..