While many of you are probably familiar with the terms HMO and PPO, we have been getting many questions about EPO.

 

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What is an EPO? An EPO is an Exclusive Provider Organization plan. As a member of an EPO, you can use the doctors and hospitals within the EPO network (no referrals required), but do not have an out of network benefit.

 

HMO Plans: Health Maintenance Organization plans require you to choose a primary care physician (PCP). A referral to see a specialist is required from your PCP. This plan is ideal for someone who does not want a deductible and does not mind obtaining a referral to see a specialist.

 

PPO Plans: Preferred Provider Organization plans PPO plans have both an in network and out of network benefit. You can self direct your healthcare and go to a physician or healthcare provider without first requiring a referral from a primary care physician. This is ideal for someone who does not want to have to get a referral before seeing a specialist, wants an out-of-network benefit, and more freedom of provider choice.