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A Highmark prior authorization form is a document used to determine whether a patients prescription cost will be covered by their Highmark health insurance plan. A physician must fill in the form with the patients member information as well as all medical details related to the requested prescription.
EPO -- Exclusive Provider Organization plans provide coverage for services within the network, except for covered emergency care. Standard EPO plans generally use the same network as our PPO plans.
EPOs are very helpful when you have specialists that you need to see. Many HMOs organize all your care through a primary care provider. This can have some downside if appointments get held up. EPOs, on the other hand, give many of the benefits of a PPO, like freedom of choice, at a lower comparable cost.
EPO and PPO plans are both solid options that can help cover medical costs for you and your family. If youre looking for coverage that docHubes beyond a limited network, then a PPO may be right for you. However, EPOs tend to be more affordable and offer sufficient coverage for in-network medical services.
A managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plans network (except in an emergency).
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With an EPO plan, you are allowed to get health care services from doctors, hospitals, and medical providers who are inside your network. You typically have far-docHubing coverage for visits inside your network, which can help you save a docHub amount of money on the cost of your visit.

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